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Journal of Pediatric Psychology

Claire M Peterson, Deborah Young-Hyman, Sarah Fischer, Jessica T Markowitz, Andrew B Muir, Lori M Laffel
This study tested hypotheses drawn from a risk model positing that psychosocial risk plus disease-related and treatment factors contribute to bulimic symptoms in youth with type 1 diabetes (T1D) transitioning to an insulin pump. The goal of this study was to examine whether disease-related factors, particularly disease- and treatment-based disruption in hunger and satiety, contribute to report of bulimic symptoms in youth with T1D after accounting for psychosocial risk factors. 43 youth (ages 10-17, 54% female) with established T1D were recruited before transition from multiple daily injections to insulin-pump therapy from three tertiary pediatric diabetes centers...
May 23, 2017: Journal of Pediatric Psychology
Vicki S Helgeson, Abigail Kunz Vaughn, Howard Seltman, Trevor Orchard, Ingrid Libman, Dorothy Becker
To identify trajectories of glycemic control over adolescence and emerging adulthood and to test whether demographic and psychosocial variables distinguished these trajectories. We enrolled 132 youth with type 1 diabetes when they were average age 12 and followed them for 11 years. We used group-based trajectory modeling to identify distinct patterns of glycemic control, and examined whether age 12 demographic and psychosocial variables distinguished the subsequent trajectories. We identified 5 trajectories of glycemic control: stable on target, stable above target, volatile late peak, stable high, and inverted U...
May 16, 2017: Journal of Pediatric Psychology
Sara L Turner, Cynthia A Berg, Jonathan E Butner, Deborah J Wiebe
Management of type 1 diabetes is a difficult self-regulatory process requiring continued attention to complex regimen tasks. The purpose of this study was to examine whether youths' attention problems were associated with poorer adherence and HbA1c across time, and whether higher parental involvement reduced these associations. Adolescents with type 1 diabetes ( N  = 199, M age   12.43 years, SD   1.50) and their mothers rated youths' attention problems and adherence at three time points. Adolescents rated parents' diabetes-specific monitoring and behavioral involvement...
May 13, 2017: Journal of Pediatric Psychology
Cristina Ciupitu-Plath, Susanna Wiegand, Birgit Babitsch
 The study aimed to assess the psychometric properties of a partly adapted, German version of the Weight Bias Internalization Scale (WBIS-Y) in a sample of treatment-seeking adolescents with overweight. A survey ( N  = 191), including measures of weight bias internalization (WBI), self-esteem, self-efficacy, health-related quality of life, and body-related locus of control, was followed by semistructured interviews ( N  = 10). Cronbach's α, correlation, and factor analyses were performed. Interview data were subjected to inductive content analysis...
May 8, 2017: Journal of Pediatric Psychology
Kristin E Heron, Robin S Everhart, Susan M McHale, Joshua M Smyth
Ecological momentary assessment (EMA) methods are increasingly used in social and health sciences, but the feasibility and best practices for using EMA with youth are not yet clear. We conducted a systematic review of studies that used self-report EMA methods with youth; the goal was to identify common approaches and challenges to implementation and develop recommendations for future research. We examined 54 peer-reviewed papers that reported on 24 unique studies. Papers were evaluated using a standardized, three-dimensional coding scheme focused on the following: (1) sample characteristics; (2) EMA data collection methods (sampling duration, frequency, hardware/software); (3) study implementation methods (technical/logistical challenges, training participants, compliance)...
May 5, 2017: Journal of Pediatric Psychology
Nancy C Cheak-Zamora, Michelle Teti, Anna Maurer-Batjer, Erica Koegler
Adolescents with autism spectrum disorder (ASD) experience challenges achieving independence. Few studies assess both adolescents and caregivers' needs as adolescents transition to adult health care. This study explored and compared the health-related independence experiences of 27 adolescents with ASD and their caregivers. Caregivers participated in focus groups and adolescents participated in semi-structured interviews. Thematic analysis of dyads' responses highlighted three common themes: (a) efforts toward independence, (b) low self-efficacy for adolescents' independence, and (c) desire for independence...
May 4, 2017: Journal of Pediatric Psychology
Jessica S Pierce, Karen Aroian, Elizabeth Schifano, Amy Milkes, Tiani Schwindt, Anthony Gannon, Tim Wysocki
Research on the transition to adult care for young adults with type 1 diabetes (T1D) emphasizes transition readiness, with less emphasis on transition outcomes. The relatively few studies that focus on outcomes use a wide variety of measures with little reliance on stakeholder engagement for measure selection. This study engaged multiple stakeholders (i.e., young adults with T1D, parents, pediatric and adult health care providers, and experts) in qualitative interviews to identify the content domain for developing a multidimensional measure of health care transition (HCT) outcomes...
April 27, 2017: Journal of Pediatric Psychology
Page H Klitzman, Julia K Carmody, Mary H Belkin, David M Janicke
This study aimed to evaluate agreement between children and parents on a measure of behavioral and pharmacological adherence in children with sickle cell disease (SCD), and the associations among family factors (i.e., problem-solving skills, routines, communication) and adherence behaviors. In all, 85 children (aged 8-18 years) with SCD and their parents completed questionnaires assessing individual and family factors. Overall parent-child agreement on an adherence measure was poor, particularly for boys and older children...
April 21, 2017: Journal of Pediatric Psychology
Sherilynn F Chan, Mark Connelly, Dustin P Wallace
To evaluate patterns of relationships between pain characteristics, peer difficulties, and emotional functioning in a sample of adolescents seeking treatment for chronic pain. Participants were 172 adolescents (age M  = 14.88 years; 76% female, 88% White) with heterogeneous chronic pain disorders who completed measures of pain characteristics, peer difficulties, and emotional functioning before their new patient appointment in a pain management clinic. Direct and indirect relationships between variables were tested using path analysis...
April 19, 2017: Journal of Pediatric Psychology
Deirdre E Logan, Laura S Gray, Christina N Iversen, Susan Kim
This study investigated school self-efficacy and sense of school membership (collectively "school self-concept") as potential influences on impaired school function among adolescents with chronic pain, including comparison of adolescents with primary pain to those with disease-based pain and pain-free peers.  In all, 264 adolescents (12-17 years old) with primary pain conditions, juvenile idiopathic arthritis, or no pain completed measures of functional disability, school functioning, pain characteristics, and school self-concept, the Self-Efficacy Questionnaire for School Situations (SEQ-SS), and Psychological Sense of School Membership (PSSM)...
April 11, 2017: Journal of Pediatric Psychology
Christina M Sharkey, Dana M Bakula, Kaitlyn L Gamwell, Alexandria J Mullins, John M Chaney, Larry L Mullins
To examine the relationship of grit, an intrapersonal characteristic defined by perseverance and passion for long-term goals, to health care management skills and adolescent and young adult (AYA) health-related quality of life (HRQoL). Higher levels of grit were expected to relate to greater health care management skills and HRQoL, and skills were predicted to mediate the relationship between grit and HRQoL. Four hundred seventy undergraduates ( Mdn age =19, interquartile range = 2) completed online questionnaires, including the short Grit Scale, Transition Readiness Assessment Questionnaire, and 36-Item Short Form Survey (SF-36) (HRQoL)...
April 8, 2017: Journal of Pediatric Psychology
Dana K K May, Deborah A Ellis, Annmarie Cano, Bassem Dekelbab
To pilot a brief individualized feedback intervention to improve the communication skills of parents with an adolescent with type 1 diabetes.  Parent-adolescent dyads ( N  = 79) discussed a diabetes-related problem, while an interventionist rated the parent's communication skills to give feedback to the parents. Parents were then randomized to a brief feedback session to target person-centered communication skills or an educational session. Dyads discussed another diabetes care problem to assess for change in communication skills...
April 6, 2017: Journal of Pediatric Psychology
Katherine M Kidwell, Maren Hankey, Jennifer Mize Nelson, Kimberly Andrews Espy, Timothy D Nelson
To examine the longitudinal associations among sleep, executive control (EC), and attention-deficit/hyperactivity disorder (ADHD) symptoms in childhood.  In this longitudinal study ( N  = 271), parents answered questions about sleep problems when children were 3 years old, children completed a comprehensive EC task battery at 4.5 years, and teachers completed standardized measures of child ADHD symptoms in 4th grade.  Latent moderated structural equation models demonstrated that sleep problems at 3 years and EC deficits at 4...
April 6, 2017: Journal of Pediatric Psychology
Amy Damashek, McKenna Corlis
Research indicates that caregiver supervision protects children from unintentional injuries. However, most studies have used upper-income samples, which are at a relatively low risk for injury.  This study examined the role of proximal maternal supervision in children's injury occurrence and severity among low-income families.  We used a case crossover design and collected data about injury and control conditions for children aged 1-5 in 50 low-income families.  Higher levels of mothers' proximity to children predicted lower likelihood of injury occurrence...
April 5, 2017: Journal of Pediatric Psychology
Jeannette F Raymond, Amelia Bucek, Curtis Dolezal, Patricia Warne, Stephanie Benson, Elaine J Abrams, Katherine S Elkington, Seth Kalichman, Moira Kalichman, Claude A Mellins
To examine unannounced telephone pill counts as a measure of adherence to antiretroviral therapy among adolescents and young adults living with perinatal HIV infection.  Participants were recruited from an ongoing longitudinal study to complete four monthly, unannounced telephone pill counts. Detailed notes concerning participants' medication habits surrounding adherence were recorded.  Two-thirds of 102 eligible participants aged 18-27 years participated; 57% were female, 69% were Black. Blacks and participants with viral loads >40 and >1,000 copies/ml were less likely to participate...
March 28, 2017: Journal of Pediatric Psychology
Madelaine C Keim, Vicky Lehmann, Emily L Shultz, Adrien M Winning, Joseph R Rausch, Maru Barrera, Mary Jo Gilmer, Lexa K Murphy, Kathryn A Vannatta, Bruce E Compas, Cynthia A Gerhardt
 To examine parent-child communication (i.e., openness, problems) and child adjustment among youth with advanced or non-advanced cancer and comparison children.   Families ( n  = 125) were recruited after a child's diagnosis/relapse and stratified by advanced ( n  = 55) or non-advanced ( n  = 70) disease. Comparison children ( n  = 60) were recruited from local schools. Children (ages 10-17) reported on communication (Parent-Adolescent Communication Scale) with both parents, while mothers reported on child adjustment (Child Behavior Checklist) at enrollment (T1) and one year (T2)...
March 27, 2017: Journal of Pediatric Psychology
Eveline R Goethals, Leen Oris, Bart Soenens, Cynthia A Berg, Sofie Prikken, Nady Van Broeck, Ilse Weets, Kristina Casteels, Koen Luyckx
To examine the role of diabetes-specific parental and general parenting dimensions (responsiveness and psychological control) in treatment adherence throughout adolescence and emerging adulthood.  A total of 521 patients (aged 14-25 years) with Type 1 diabetes, 407 mothers, and 345 fathers were included. Analyses within and across informants examined the associations between the parenting variables and treatment adherence (and potential moderation effects in these associations).  Lower psychological control and higher parental responsiveness were associated with better treatment adherence...
March 25, 2017: Journal of Pediatric Psychology
Amy M Rapp, Denise A Chavira, Catherine A Sugar, Joan R Asarnow
Depression, a chronic and disabling condition, frequently has its first onset during adolescence, underscoring the value of early effective treatment and prevention. Integrated medical-behavioral health care provides one strategy for improving treatment access for adolescents and young adults (AYA). This study examined predictors of accessing treatment in a multisite randomized controlled trial evaluating an integrated collaborative care intervention aimed at improving access to evidence-based depression treatment through primary health care, compared with usual care...
March 25, 2017: Journal of Pediatric Psychology
Sarah W Helms, Lillian M Christon, Elisabeth P Dellon, Mitchell J Prinstein
This mixed-methods study examined perspectives of adolescents and young adults (AYAs) with cystic fibrosis (CF) and health care providers on body image communication. Interviews and questionnaires were completed by 20 AYAs and 28 providers. Although 85% of patients reported they had never had a body image conversation with a health care provider, 74% of providers reported discussing this topic with patients. Patients and providers described body image as an important issue, which should be discussed comfortably and supportively...
March 24, 2017: Journal of Pediatric Psychology
Eivind Ystrom, Mari Hysing, Leila Torgersen, Hilde Ystrom, Ted Reichborn-Kjennerud, Børge Sivertsen
We aim to estimate the pathways between maternal symptoms of anxiety and depression and child nocturnal awakenings via structural equation modeling using a sibling design. Structural equation modeling on data from 14,926 sibling dyads or triads from the Norwegian Mother and Child Cohort Study. At 6 months, we estimated the association between maternal symptoms of anxiety and child nocturnal awakenings to be owing to several nonsignificant pathways. Child nocturnal awakenings at 18 months, however, were influenced by concurrent maternal symptoms of anxiety (β = ...
March 24, 2017: Journal of Pediatric Psychology
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