Pub Date : 2017-04-01DOI: 10.1097/DBP.0000000000000389
Jennifer Lucarelli, E. Davidson
{"title":"Fine Motor Skills for Children with Down Syndrome: A Guide for Parents and Professionals","authors":"Jennifer Lucarelli, E. Davidson","doi":"10.1097/DBP.0000000000000389","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000389","url":null,"abstract":"","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89781690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-01DOI: 10.1097/DBP.0000000000000442
Cate Sinclair, P. Meredith, J. Strong
center: family perspectives on decision making and ADHD and implications for ADHD care. J Atten Disord. 2012;16:675–684. 9. Taylor M, Donoghue T, Houghton S. To medicate or not to medicate? The decision-making process of western Australian parents following their child’s diagnosis with an attention deficit hyperactivity disorder. Int J Disabil Dev Educ. 2006;53:111–128. 10. Merikangas KR, He JP, Burstein M, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49:980–989. 11. James AC, James G, Cowdrey FA, et al. Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database Syst Rev. 2015;CD004690. 12. Strawn JR, Welge JA, Wehry AM, et al. Efficacy and tolerability of antidepressants in pediatric anxiety disorders: a systematic review and meta-analysis. Depress Anxiety. 2015;32:149–157. 13. Pyke-Grimm KA, Degner L, Small A, et al. Preferences for participation in treatment decision making and information needs of parents of children with cancer: a pilot study. J Pediatr Oncol Nurs. 1999;16:13–24. 14. Mak L, Hiebert-Murphy D, Walker JR, et al. Parents’ decision making and their information needs concerning treatments for child anxiety: implications for family-centered practice. J Fam Soc Work. 2014;17:51–67. 15. Bernstein KI, Promislow S, Carr R, et al. The information needs and preferences of recently diagnosed patients with IBD. Inflamm Bowel Dis. 2011;17:590–598. 16. Stewart DW, Walker JR, Beatie B, et al. Postsecondary students’ information needs and pathways for help with stress, anxiety, and depression. Can J Couns Psychother. 2014;48:356–374. 17. Gardner MJ, Altman DG. Confidence intervals rather than P values: estimation rather than hypothesis testing. Br Med J (Clin Res Ed). 1986;292:746–750. 18. Cummings P, Koepsell TD. P values vs estimates of association with confidence intervals. Arch Pediatr Adolesc Med. 2010;164: 193–196. 19. Hummelinck A, Pollock K. Parents’ information needs about the treatment of their chronically ill child: a qualitative study. Patient Educ Couns. 2006;62:228–234. 20. Gregory AM, Eley TC. The genetic basis of child and adolescent anxiety disorders. In: Silverman WK, Field AP, eds. Anxiety Disorders in Children and Adolescents. 2nd ed. Cambridge, United Kingdom: Cambridge University Press; 2011:161–178. ch 8. 21. Murray L, Creswell C, Cooper PJ. The development of anxiety disorders in childhood: an integrative review. Psychol Med. 2009; 39:1413–1423. 22. Thon A, Ullrich G. Information needs in parents of children with a rheumatic disease. Child Care Health Dev. 2009;35:41–49. 23. Jackson R, Baird W, Davis-Reynolds L, et al. Qualitative analysis of parents’ information needs and psychosocial experiences when supporting children with health care needs. Health Info Libr J. 2008;25:31–37. 24. Watson PW, McKinstry B. A systematic review of i
中心:家庭观点对决策和ADHD的影响及其对ADHD护理的影响。[J] .音像学杂志,2012;16(6):675 - 684。9. Taylor M, Donoghue T, Houghton s。用药还是不用药?西澳大利亚父母在孩子被诊断患有注意力缺陷多动障碍后的决策过程。中华伤残教育杂志,2006;5(3):111 - 128。10. Merikangas KR, He JP, Burstein M,等。美国青少年精神障碍的终生患病率:来自国家共病调查复制-青少年补充(NCS-A)的结果[J] .中华精神病学杂志,2010;49(9):980 - 989。11. James AC, James G, Cowdrey FA,等。儿童和青少年焦虑症的认知行为疗法。Cochrane Database system Rev. 2015;CD004690。12. Strawn JR, Welge JA, Wehry AM,等。抗抑郁药在儿童焦虑症中的疗效和耐受性:一项系统综述和荟萃分析。抑郁焦虑。2015;32:49 - 157。13. 王晓明,王晓明,王晓明,等。癌症儿童父母参与治疗决策的偏好和信息需求:一项试点研究。[J]中华儿科护理杂志。1999;16:13-24。14. Mak L, Hiebert-Murphy D, Walker JR,等。关于儿童焦虑治疗的父母决策及其信息需求:对以家庭为中心的实践的启示。[J] .社会科学学报,2014;17(5):551 - 567。15. Bernstein KI, Promislow S, Carr R,等。新近诊断的IBD患者的信息需求和偏好。炎症肠病,2011;17:59 - 598。16. Stewart DW, Walker JR, Beatie B等。高等教育学生的信息需求和途径,以帮助压力,焦虑和抑郁。[J]中国心理医学杂志,2014;48(8):356 - 374。17. Gardner MJ, Altman DG。置信区间而不是P值:估计而不是假设检验。Br Med J(临床医学)。1986; 292:746 - 750。18. 卡明斯P,科普塞尔TD。P值与置信区间关联的估计值。中华儿科与青少年医学杂志。2010;32(4):393 - 396。19. 父母对慢性病儿童治疗的信息需求:一项定性研究。病人教育管理。2006;62:228-234。20.Gregory AM, Eley TC。儿童和青少年焦虑症的遗传基础。见:Silverman WK, Field AP,编辑。儿童和青少年焦虑症。第二版。剑桥,英国:剑桥大学出版社;2011:161 - 178。ch 8。21. 穆雷L,克雷斯韦尔C,库珀PJ。儿童焦虑症的发展:一项综合综述。精神医学2009;39:1413 - 1423。22. Thon A, Ullrich G.风湿病患儿家长的信息需求。儿童保健发展。2009;35:41-49。23. 刘建军,刘建军,刘建军,等。父母在支持有卫生保健需求的儿童时的信息需求和心理社会经验的定性分析。中华卫生杂志,2008;25(1):31 - 37。24. 在医疗保健咨询中提高医疗建议回忆的干预措施的系统评价。中华临床医学杂志,2009;32(2):391 - 391。25. Cunningham CE, Walker JR, Eastwood JD等。成年早期心理健康信息偏好建模:一个离散选择联合实验。卫生通讯J . 2014;19:413 - 440。26. 张建军,张建军,张建军,等。关于儿童焦虑的网站如何很好地回答了家长关于治疗选择的问题?临床儿童心理与精神病学。2015;20:555-569。27. 李建军,李建军,李建军,等。国际患者辅助决策标准合作的十年:评估患者辅助决策质量的核心维度的演变。BMC医学通报2013;13(增刊2):s1。28. Stacey D, lsamgarise F, Col NF,等。为面临健康治疗或筛查决定的人提供决策辅助。Cochrane Database system Rev. 2014;CD001431。29. Dunst CJ, Trivette CM, Hamby DW。以家庭为中心的帮扶实践研究的元分析。智力迟钝、发展和残疾,2007;13:370-378。
{"title":"The Personal and Contextual Factors Affecting the Functional Ability of Children and Adolescents With Chronic Pain: A Systematic Review (vol 37, pg 327, 2016)","authors":"Cate Sinclair, P. Meredith, J. Strong","doi":"10.1097/DBP.0000000000000442","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000442","url":null,"abstract":"center: family perspectives on decision making and ADHD and implications for ADHD care. J Atten Disord. 2012;16:675–684. 9. Taylor M, Donoghue T, Houghton S. To medicate or not to medicate? The decision-making process of western Australian parents following their child’s diagnosis with an attention deficit hyperactivity disorder. Int J Disabil Dev Educ. 2006;53:111–128. 10. Merikangas KR, He JP, Burstein M, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49:980–989. 11. James AC, James G, Cowdrey FA, et al. Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database Syst Rev. 2015;CD004690. 12. Strawn JR, Welge JA, Wehry AM, et al. Efficacy and tolerability of antidepressants in pediatric anxiety disorders: a systematic review and meta-analysis. Depress Anxiety. 2015;32:149–157. 13. Pyke-Grimm KA, Degner L, Small A, et al. Preferences for participation in treatment decision making and information needs of parents of children with cancer: a pilot study. J Pediatr Oncol Nurs. 1999;16:13–24. 14. Mak L, Hiebert-Murphy D, Walker JR, et al. Parents’ decision making and their information needs concerning treatments for child anxiety: implications for family-centered practice. J Fam Soc Work. 2014;17:51–67. 15. Bernstein KI, Promislow S, Carr R, et al. The information needs and preferences of recently diagnosed patients with IBD. Inflamm Bowel Dis. 2011;17:590–598. 16. Stewart DW, Walker JR, Beatie B, et al. Postsecondary students’ information needs and pathways for help with stress, anxiety, and depression. Can J Couns Psychother. 2014;48:356–374. 17. Gardner MJ, Altman DG. Confidence intervals rather than P values: estimation rather than hypothesis testing. Br Med J (Clin Res Ed). 1986;292:746–750. 18. Cummings P, Koepsell TD. P values vs estimates of association with confidence intervals. Arch Pediatr Adolesc Med. 2010;164: 193–196. 19. Hummelinck A, Pollock K. Parents’ information needs about the treatment of their chronically ill child: a qualitative study. Patient Educ Couns. 2006;62:228–234. 20. Gregory AM, Eley TC. The genetic basis of child and adolescent anxiety disorders. In: Silverman WK, Field AP, eds. Anxiety Disorders in Children and Adolescents. 2nd ed. Cambridge, United Kingdom: Cambridge University Press; 2011:161–178. ch 8. 21. Murray L, Creswell C, Cooper PJ. The development of anxiety disorders in childhood: an integrative review. Psychol Med. 2009; 39:1413–1423. 22. Thon A, Ullrich G. Information needs in parents of children with a rheumatic disease. Child Care Health Dev. 2009;35:41–49. 23. Jackson R, Baird W, Davis-Reynolds L, et al. Qualitative analysis of parents’ information needs and psychosocial experiences when supporting children with health care needs. Health Info Libr J. 2008;25:31–37. 24. Watson PW, McKinstry B. A systematic review of i","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83793111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-01DOI: 10.1097/DBP.0000000000000388
L. Mak, J. Walker, D. Hiebert-murphy, Gary Altman
Objective: To assess the information needs and preferences of parents who were making decisions concerning treatment for their child's anxiety. Methods: Ninety-three parents were recruited from hospital-based clinics, a parent group, and a public information meeting. They completed a survey about preference for decision-making involvement, information needs, and preferences concerning source and amount of information. Results: Most (69%) parents indicated that they prefer a collaborative decision-making role. They rated very highly the need for general information related to treatment and information related to psychosocial interventions and medication treatment. Fewer parents rated information about logistics of treatment (e.g., scheduling, cost) as highly important although this information was considered important by many parents. Direct discussions with a provider, written information, and information accessed through the internet were the most preferred sources of information. Many parents indicated a preference for substantial amounts of information about psychosocial and medication treatments. Conclusion: Much of the information that parents want concerning treatment is not widely available. It would be helpful to develop evidence-based brochures and web information resources that focus on answering parents' questions concerning treatment of children's anxiety.
{"title":"Information Needs and Preferences of Parents Considering Treatment of Child Anxiety","authors":"L. Mak, J. Walker, D. Hiebert-murphy, Gary Altman","doi":"10.1097/DBP.0000000000000388","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000388","url":null,"abstract":"Objective: To assess the information needs and preferences of parents who were making decisions concerning treatment for their child's anxiety. Methods: Ninety-three parents were recruited from hospital-based clinics, a parent group, and a public information meeting. They completed a survey about preference for decision-making involvement, information needs, and preferences concerning source and amount of information. Results: Most (69%) parents indicated that they prefer a collaborative decision-making role. They rated very highly the need for general information related to treatment and information related to psychosocial interventions and medication treatment. Fewer parents rated information about logistics of treatment (e.g., scheduling, cost) as highly important although this information was considered important by many parents. Direct discussions with a provider, written information, and information accessed through the internet were the most preferred sources of information. Many parents indicated a preference for substantial amounts of information about psychosocial and medication treatments. Conclusion: Much of the information that parents want concerning treatment is not widely available. It would be helpful to develop evidence-based brochures and web information resources that focus on answering parents' questions concerning treatment of children's anxiety.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88480873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-01DOI: 10.1097/DBP.0000000000000380
Mengying Li, Jenna L Riis, Sharon R Ghazarian, Sara B Johnson
Objective: Self-regulation (SR) is a core aspect of child development with enduring effects on health and wellbeing across the lifespan. Early childhood poverty may shape SR development. This study examined the cross-sectional relationship among family income, family context, and SR in 5-year-old children.
Methods: A total of 140 five-year-old children and their mothers participated in the study. Children completed a battery of SR tasks; mothers completed questionnaires. Cognitive and emotional SR composite scores were generated based on a principal component analysis of the SR tasks. The SR scores were first regressed on family income (in 10 levels ranging from <5000 to 150,000+) adjusting for age, sex, and race of the child; family context variables were subsequently added to the models.
Results: Controlling for age, sex, and race, each level increase in family income was associated with 0.04 SD increase in emotional SR (p = .32) and 0.08 SD increase in cognitive SR (p = .01). In fully adjusted models, exposure to household instability and experiencing 10 or more negative life events was associated with worse emotional SR; exposure to mother's depressive symptoms was associated with worse cognitive SR. Higher income buffered children's SR from some contextual risk factors. Family contextual variables explained 62% of the correlation between higher income and better cognitive SR scores.
Conclusion: Income-based cognitive SR disparities were associated with family contextual factors. Screening for family adversity in pediatric care and linking families to needed resources may protect children's developing SR capacities, with benefits to health and well-being.
{"title":"Income, Family Context, and Self-Regulation in 5-Year-Old Children.","authors":"Mengying Li, Jenna L Riis, Sharon R Ghazarian, Sara B Johnson","doi":"10.1097/DBP.0000000000000380","DOIUrl":"10.1097/DBP.0000000000000380","url":null,"abstract":"<p><strong>Objective: </strong>Self-regulation (SR) is a core aspect of child development with enduring effects on health and wellbeing across the lifespan. Early childhood poverty may shape SR development. This study examined the cross-sectional relationship among family income, family context, and SR in 5-year-old children.</p><p><strong>Methods: </strong>A total of 140 five-year-old children and their mothers participated in the study. Children completed a battery of SR tasks; mothers completed questionnaires. Cognitive and emotional SR composite scores were generated based on a principal component analysis of the SR tasks. The SR scores were first regressed on family income (in 10 levels ranging from <5000 to 150,000+) adjusting for age, sex, and race of the child; family context variables were subsequently added to the models.</p><p><strong>Results: </strong>Controlling for age, sex, and race, each level increase in family income was associated with 0.04 SD increase in emotional SR (p = .32) and 0.08 SD increase in cognitive SR (p = .01). In fully adjusted models, exposure to household instability and experiencing 10 or more negative life events was associated with worse emotional SR; exposure to mother's depressive symptoms was associated with worse cognitive SR. Higher income buffered children's SR from some contextual risk factors. Family contextual variables explained 62% of the correlation between higher income and better cognitive SR scores.</p><p><strong>Conclusion: </strong>Income-based cognitive SR disparities were associated with family contextual factors. Screening for family adversity in pediatric care and linking families to needed resources may protect children's developing SR capacities, with benefits to health and well-being.</p>","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/DBP.0000000000000380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85094554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-01DOI: 10.1097/DBP.0000000000000383
P. Shankar, Rainjade Chung, D. Frank
Objective: Food Insecurity (FI) occurs in 21% of families with children and adolescents in the United States, but the potential developmental and behavioral implications of this prevalent social determinant of health have not been comprehensively elucidated. This systematic review aims to examine the association between FI and childhood developmental and behavioral outcomes in western industrialized countries. Method: This review provides a critical summary of 23 peer reviewed articles from developed countries on the associations between FI and adverse childhood developmental behavioral outcomes including early cognitive development, academic performance, inattention, externalizing behaviors, and depression in 4 groups–infants and toddlers, preschoolers, school age, and adolescents. Various approaches to measuring food insecurity are delineated. Potential confounding and mediating variables of this association are compared across studies. Alternate explanatory mechanisms of observed effects and need for further research are discussed. Results: This review demonstrates that household FI, even at marginal levels, is associated with children's behavioral, academic, and emotional problems from infancy to adolescence across western industrialized countries - even after controlling for confounders. Conclusions: While the American Academy of Pediatrics already recommends routine screening for food insecurity during health maintenance visits, the evidence summarized here should encourage developmental behavioral health providers to screen for food insecurity in their practices and intervene when possible. Conversely, children whose families are identified as food insecure in primary care settings warrant enhanced developmental behavioral assessment and possible intervention.
{"title":"Association of Food Insecurity with Children's Behavioral, Emotional, and Academic Outcomes: A Systematic Review","authors":"P. Shankar, Rainjade Chung, D. Frank","doi":"10.1097/DBP.0000000000000383","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000383","url":null,"abstract":"Objective: Food Insecurity (FI) occurs in 21% of families with children and adolescents in the United States, but the potential developmental and behavioral implications of this prevalent social determinant of health have not been comprehensively elucidated. This systematic review aims to examine the association between FI and childhood developmental and behavioral outcomes in western industrialized countries. Method: This review provides a critical summary of 23 peer reviewed articles from developed countries on the associations between FI and adverse childhood developmental behavioral outcomes including early cognitive development, academic performance, inattention, externalizing behaviors, and depression in 4 groups–infants and toddlers, preschoolers, school age, and adolescents. Various approaches to measuring food insecurity are delineated. Potential confounding and mediating variables of this association are compared across studies. Alternate explanatory mechanisms of observed effects and need for further research are discussed. Results: This review demonstrates that household FI, even at marginal levels, is associated with children's behavioral, academic, and emotional problems from infancy to adolescence across western industrialized countries - even after controlling for confounders. Conclusions: While the American Academy of Pediatrics already recommends routine screening for food insecurity during health maintenance visits, the evidence summarized here should encourage developmental behavioral health providers to screen for food insecurity in their practices and intervene when possible. Conversely, children whose families are identified as food insecure in primary care settings warrant enhanced developmental behavioral assessment and possible intervention.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84054413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-01DOI: 10.1097/DBP.0000000000000369
M. Petrov, Kiley B Vander Wyst, Corrie M. Whisner, Mihyun Jeong, Michaela Denniston, Michael W. Moramarco, M. Gallagher, E. Reifsnider
Objective: Diet is a modifiable factor associated with pediatric obesity outcomes, but few studies have evaluated the relationships of sleep duration and regularity on dietary intake of young preschool-aged children. The goal of this study was to evaluate whether short sleep duration and irregular sleep timing were associated with greater calorie, carbohydrate and fat consumption among young children with obesity from low-income families. Methods: Fifty-one ethnically diverse children aged 2 to 4 years were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children clinics in a southeast Texas county. Sleep behaviors were parent reported using the Child Sleep Assessment tool. Dietary intake data were obtained by 24-hour recall interviews (2 weekdays and 1 weekend day). Results: Short sleep duration (<11 hr) was highly prevalent among this cohort of preschool-aged children. Short sleep duration was associated with greater fat and decreased carbohydrate consumption. Children with greater variability in sleep duration and timing had greater energy intake from fat and protein sources. Conclusion: Allowing for the opportunity to educate parents on the importance of maintaining regular, adequate sleep and relationships between sleep and dietary intake may decrease the risk of childhood obesity in this high-risk pediatric population.
{"title":"Relationship of Sleep Duration and Regularity with Dietary Intake Among Preschool-Aged Children with Obesity from Low-Income Families","authors":"M. Petrov, Kiley B Vander Wyst, Corrie M. Whisner, Mihyun Jeong, Michaela Denniston, Michael W. Moramarco, M. Gallagher, E. Reifsnider","doi":"10.1097/DBP.0000000000000369","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000369","url":null,"abstract":"Objective: Diet is a modifiable factor associated with pediatric obesity outcomes, but few studies have evaluated the relationships of sleep duration and regularity on dietary intake of young preschool-aged children. The goal of this study was to evaluate whether short sleep duration and irregular sleep timing were associated with greater calorie, carbohydrate and fat consumption among young children with obesity from low-income families. Methods: Fifty-one ethnically diverse children aged 2 to 4 years were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children clinics in a southeast Texas county. Sleep behaviors were parent reported using the Child Sleep Assessment tool. Dietary intake data were obtained by 24-hour recall interviews (2 weekdays and 1 weekend day). Results: Short sleep duration (<11 hr) was highly prevalent among this cohort of preschool-aged children. Short sleep duration was associated with greater fat and decreased carbohydrate consumption. Children with greater variability in sleep duration and timing had greater energy intake from fat and protein sources. Conclusion: Allowing for the opportunity to educate parents on the importance of maintaining regular, adequate sleep and relationships between sleep and dietary intake may decrease the risk of childhood obesity in this high-risk pediatric population.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82495120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.1097/DBP.0000000000000385
N. Murphy, A. Epstein, H. Leonard, E. Davis, D. Reddihough, A. Whitehouse, P. Jacoby, J. Bourke, Katrina Jane Williams, J. Downs
Objective: There are many challenges to health, functioning, and participation for children with Down syndrome; yet, the quality-of-life (QOL) domains important for this group have never been clearly articulated. This study investigated parental observations to identify QOL domains in children with Down syndrome and determined whether domains differed between children and adolescents. Methods: The sample comprised 17 families whose child with Down syndrome was aged 6 to 18 years. Primary caregivers took part in semistructured telephone interviews to explore aspects of their child's life that were satisfying or challenging. Qualitative thematic analysis was implemented using a grounded theory framework to identify domains. The coded data set was divided into 2 groups (childhood and adolescence) at 3 age cut points to observe whether differences existed between the coded domains and domain elements: (1) 6 to 11 years with 12 to 18 years; (2) 6 to 13 years with 14 to 18 years; and (3) 6 to 15 years with 16 to 18 years. Results: Eleven domains were identified: physical health, behavior and emotion, personal value, communication, movement and physical activity, routines and predictability, independence and autonomy, social connectedness and relationships, variety of activities, nature and outdoors, and access to services. No differences in domains and domain elements were identified across childhood and adolescence. Conclusion: Our data form a preliminary framework from which to design investigations of the child's perspectives on life quality and suggest a range of necessary supports and services.
{"title":"Qualitative Analysis of Parental Observations on Quality of Life in Australian Children with Down Syndrome","authors":"N. Murphy, A. Epstein, H. Leonard, E. Davis, D. Reddihough, A. Whitehouse, P. Jacoby, J. Bourke, Katrina Jane Williams, J. Downs","doi":"10.1097/DBP.0000000000000385","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000385","url":null,"abstract":"Objective: There are many challenges to health, functioning, and participation for children with Down syndrome; yet, the quality-of-life (QOL) domains important for this group have never been clearly articulated. This study investigated parental observations to identify QOL domains in children with Down syndrome and determined whether domains differed between children and adolescents. Methods: The sample comprised 17 families whose child with Down syndrome was aged 6 to 18 years. Primary caregivers took part in semistructured telephone interviews to explore aspects of their child's life that were satisfying or challenging. Qualitative thematic analysis was implemented using a grounded theory framework to identify domains. The coded data set was divided into 2 groups (childhood and adolescence) at 3 age cut points to observe whether differences existed between the coded domains and domain elements: (1) 6 to 11 years with 12 to 18 years; (2) 6 to 13 years with 14 to 18 years; and (3) 6 to 15 years with 16 to 18 years. Results: Eleven domains were identified: physical health, behavior and emotion, personal value, communication, movement and physical activity, routines and predictability, independence and autonomy, social connectedness and relationships, variety of activities, nature and outdoors, and access to services. No differences in domains and domain elements were identified across childhood and adolescence. Conclusion: Our data form a preliminary framework from which to design investigations of the child's perspectives on life quality and suggest a range of necessary supports and services.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77851907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.1097/DBP.0000000000000366
Anna Hung, A. Cassedy, H. Schultz, K. Yeates, H. Taylor, T. Stancin, N. Walz, S. Wade
Objective: Pediatric traumatic brain injuries (TBIs) adversely affect long-term functional and social outcomes. Limited research suggests children with TBI are more likely to be victimized by peers than noninjured children. Deficits in social information processing (SIP), cognitive ability, and executive functioning (EF) may contribute to increased victimization risk. This study examined rates of peer victimization/bullying in children with early TBI compared with children with orthopedic injuries (OIs) and the role of processing speed, executive function (EF), and SIP as mediators of the association of TBI and peer victimization. Method: Children ages 10 to 14 years who sustained a complicated mild/moderate or severe TBI (N = 58) or OI (N = 72) during early childhood (ages 3–7 yr) and their parents participated in a longitudinal prospective follow-up 6.8 years postinjury. SIP, EF and processing speed, and peer victimization were assessed. Results: Parents of children with severe TBI reported greater rates of peer victimization than parents of children with OIs. Children with severe TBI demonstrated greater EF deficits than children with complicated mild/moderate TBI or OI and poorer processing speed than children with OI. No significant indirect relationships were found between groups and any outcome variables to indicate mediation. Conclusion: Based on parent report, children with severe TBI have higher risk of peer victimization than those with less severe injuries. In addition, children with severe TBI have more impaired EF and cognitive ability than counterparts with less severe TBI. Further research is needed to explore predictors of long-term victimization after early TBI to create interventions aimed at providing social, emotional, and behavioral skill building for victimized youth.
{"title":"Predictors of Long-Term Victimization After Early Pediatric Traumatic Brain Injury","authors":"Anna Hung, A. Cassedy, H. Schultz, K. Yeates, H. Taylor, T. Stancin, N. Walz, S. Wade","doi":"10.1097/DBP.0000000000000366","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000366","url":null,"abstract":"Objective: Pediatric traumatic brain injuries (TBIs) adversely affect long-term functional and social outcomes. Limited research suggests children with TBI are more likely to be victimized by peers than noninjured children. Deficits in social information processing (SIP), cognitive ability, and executive functioning (EF) may contribute to increased victimization risk. This study examined rates of peer victimization/bullying in children with early TBI compared with children with orthopedic injuries (OIs) and the role of processing speed, executive function (EF), and SIP as mediators of the association of TBI and peer victimization. Method: Children ages 10 to 14 years who sustained a complicated mild/moderate or severe TBI (N = 58) or OI (N = 72) during early childhood (ages 3–7 yr) and their parents participated in a longitudinal prospective follow-up 6.8 years postinjury. SIP, EF and processing speed, and peer victimization were assessed. Results: Parents of children with severe TBI reported greater rates of peer victimization than parents of children with OIs. Children with severe TBI demonstrated greater EF deficits than children with complicated mild/moderate TBI or OI and poorer processing speed than children with OI. No significant indirect relationships were found between groups and any outcome variables to indicate mediation. Conclusion: Based on parent report, children with severe TBI have higher risk of peer victimization than those with less severe injuries. In addition, children with severe TBI have more impaired EF and cognitive ability than counterparts with less severe TBI. Further research is needed to explore predictors of long-term victimization after early TBI to create interventions aimed at providing social, emotional, and behavioral skill building for victimized youth.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83934376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.1097/DBP.0000000000000386
Dana C. Won, C. Guilleminault, P. Koltai, Stacey D. Quo, M. Stein, I. Loe
CASE Carly is a 5-year-old girl who presents for an interdisciplinary evaluation due to behaviors at school and home suggestive of attention-deficit hyperactivity disorder (ADHD). Parent report of preschool teacher concerns was consistent with ADHD. Psychological testing showed verbal, visual-spatial, and fluid reasoning IQ scores in the average range; processing speed and working memory were below average. Carly's behavior improved when her mother left the room, and she was attentive during testing with a psychologist. Tests of executive function (EF) skills showed mixed results. Working memory was in the borderline range, although scores for response inhibition and verbal fluency were average. Parent ratings of ADHD symptoms and EF difficulties were elevated.Carly's parents recently separated; she now lives with her mother and sees her father on weekends. Multiple caregivers with inconsistent approaches to discipline assist with child care while her mother works at night as a medical assistant. Family history is positive for ADHD and learning problems in her father. Medical history is unremarkable. Review of systems is significant for nightly mouth breathing and snoring, but no night waking, bruxism, or daytime sleepiness. She has enlarged tonsils and a high-arched palate on physical examination.At a follow-up visit, parent rating scales are consistent with ADHD-combined type; teacher rating scales support ADHD hyperactive-impulsive type. Snoring has persisted. A sleep study indicated obstructive sleep apnea. After adenotonsillectomy, Carly had significant improvement in ADHD symptoms. She developed recurrence of behavior problems 1 year after the surgery.
{"title":"It Is Just Attention-Deficit Hyperactivity Disorder…or Is It?","authors":"Dana C. Won, C. Guilleminault, P. Koltai, Stacey D. Quo, M. Stein, I. Loe","doi":"10.1097/DBP.0000000000000386","DOIUrl":"https://doi.org/10.1097/DBP.0000000000000386","url":null,"abstract":"CASE Carly is a 5-year-old girl who presents for an interdisciplinary evaluation due to behaviors at school and home suggestive of attention-deficit hyperactivity disorder (ADHD). Parent report of preschool teacher concerns was consistent with ADHD. Psychological testing showed verbal, visual-spatial, and fluid reasoning IQ scores in the average range; processing speed and working memory were below average. Carly's behavior improved when her mother left the room, and she was attentive during testing with a psychologist. Tests of executive function (EF) skills showed mixed results. Working memory was in the borderline range, although scores for response inhibition and verbal fluency were average. Parent ratings of ADHD symptoms and EF difficulties were elevated.Carly's parents recently separated; she now lives with her mother and sees her father on weekends. Multiple caregivers with inconsistent approaches to discipline assist with child care while her mother works at night as a medical assistant. Family history is positive for ADHD and learning problems in her father. Medical history is unremarkable. Review of systems is significant for nightly mouth breathing and snoring, but no night waking, bruxism, or daytime sleepiness. She has enlarged tonsils and a high-arched palate on physical examination.At a follow-up visit, parent rating scales are consistent with ADHD-combined type; teacher rating scales support ADHD hyperactive-impulsive type. Snoring has persisted. A sleep study indicated obstructive sleep apnea. After adenotonsillectomy, Carly had significant improvement in ADHD symptoms. She developed recurrence of behavior problems 1 year after the surgery.","PeriodicalId":15655,"journal":{"name":"Journal of Developmental & Behavioral Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78802456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}