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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
Christina E Holbein, James L Peugh, Grayson N Holmbeck
To examine the relative contributions of neuropsychological (attention and executive function), family (cohesion and conflict), and health (body mass index, lesion level, gross motor function) domains on social skills over time in youth with spina bifida (SB). In all, 140 youth with SB (T1 mean age = 11.43 years) and their families participated in the study at baseline with an additional visit 2 years later. Study variables were assessed with multiple methods (questionnaire, medical chart review, observation, neuropsychological tests) and reporters (parents, teachers)...
March 24, 2017: Journal of Pediatric Psychology
Daniel Mello, Deborah Wiebe, Carolyn Barranco, Jose Barba
Examine ethnic differences in diabetes-related stress and coping among adolescents with type 1 diabetes and their mothers. Early adolescents with type 1 diabetes ( N  = 118, ages 10-15 years; 54% female; 47% Latino and 53% non-Latino White) and mothers described the adolescent's diabetes-related stressors and coping strategies, and rated stressor severity and controllability and coping competence. Surveys measured adherence; glycemic control (HbA1c) was indexed from medical records. Few ethnic differences in stress and coping emerged among adolescents...
March 23, 2017: Journal of Pediatric Psychology
Rachel Tillery, Robert Cohen, Kristoffer S Berlin, Alanna Long, Sean Phipps
Examine unique forms of peer relations (i.e., peer group vs. friendships) in relation to patterns of youth's resilience and challenge-related growth in the context of cancer. In all, 279 youth (cancer, n  = 156; control, n  = 123) completed measures of posttraumatic stress, depression, anxiety, posttraumatic growth (PTG), and perceived positive changes. Youth also reported on their peer relations. Latent profile analysis (LPA) was used to examine patterns of youth's adjustment. Peer relations were examined as predictors of youth's adjustment...
March 22, 2017: Journal of Pediatric Psychology
Kristina K Hardy, Katie Olson, Stephany M Cox, Tess Kennedy, Karin S Walsh
Many pediatric chronic illnesses have shown increased survival rates, leading to greater focus on cognitive and psychosocial issues. Neuropsychological services have traditionally been provided only after significant changes in the child's cognitive or adaptive functioning have occurred. This model of care is at odds with preventative health practice, including early identification and intervention of neuropsychological changes related to medical illness. We propose a tiered model of neuropsychological evaluation aiming to provide a preventative, risk-adapted level of assessment service to individuals with medical conditions impacting the central nervous system based on public health and clinical decision-making care models...
March 22, 2017: Journal of Pediatric Psychology
Jessica S Pierce, Karen Aroian, Cindy Caldwell, Judith L Ross, Joyce M Lee, Elizabeth Schifano, Rebecca Novotny, Anthony Tamayo, Tim Wysocki
Parenting young children with type 1 diabetes (YC-T1D) entails pervasive challenges; parental coping may influence child and parent outcomes. This study used a qualitative descriptive design to describe these challenges comprehensively to inform the user-centered design of an Internet coping resource for parents. A "Parent Crowd" of 153 parents of children with T1D onset at ≤ 5 years old submitted textual responses online to open-ended questions about parenting YC-T1D. Systematic coding organized responses into domains, themes, and examples...
March 22, 2017: Journal of Pediatric Psychology
Maren Hankey, Katherine M Kidwell, Jennifer Mize Nelson, Kimberly Andrews Espy, Timothy D Nelson
To determine the longitudinal association between preschool extraversion and weight/dieting outcomes in adolescence. Children ( N = 180) were recruited as part of a longitudinal study, with child temperament assessed in preschool (age 5.25 years), weight assessed in 2nd grade and early adolescence, and eating outcomes assessed in early adolescence ( mean age = 12.02 years). Preschoolers high in extraversion were significantly more likely to have higher body mass index z-scores (zBMI) and more restrained eating behaviors in adolescence...
March 21, 2017: Journal of Pediatric Psychology
Barbara A Morrongiello, Mackenzie Seasons, Ekaterina Pogrebtsova, Julia Stewart, Jayme Feliz
This study examined whether exposure to a safety norm could counteract the increase in risk taking children show when in an elevated positive mood state.  Risk taking (intentions, behaviors) was measured in a neutral and positive (induced experimentally) mood state. Before completing the tasks in a positive mood, 120 children 7-10 years were exposed to either a safety norm or a control audio.  The control audio had no effect: children showed an increase in risk taking and intentions when in a positive mood compared with a neutral mood, replicating past research...
March 21, 2017: Journal of Pediatric Psychology
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