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Delay discounting and symptoms of anxiety and depression in adolescents experiencing challenges with managing type 1 diabetes. 面对1型糖尿病管理挑战的青少年的延迟折扣和焦虑和抑郁症状
IF 0.7 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2023-06-20 DOI: 10.1080/02739615.2023.2226393

We examined if anxiety/depression, delay discounting (DD), and their interaction were associated with greater A1c levels and reduced medical adherence in adolescents with type 1 diabetes (T1D). Sixty-one adolescents with T1D completed a DD task and an A1c blood test. Adherence was assessed by self-monitoring of blood glucose (SMBG) using glucometer data. Anxiety/depression was assessed using a parent-completed questionnaire. Greater DD was associated with higher A1c, but not SMBG. Anxiety/depression was not associated with A1c or SMBG. Greater anxiety/depression magnified the effect of DD on A1c. Anxious/depressed symptoms may be a target for youth with T1D to improve glycemic control.

我们研究了焦虑/抑郁、延迟折扣(DD)及其相互作用是否与1型糖尿病(T1D)青少年的A1c水平升高和依从性降低有关。61名青少年T1D患者完成了DD任务和A1c血液检测。通过使用血糖仪数据自我监测血糖(SMBG)来评估依从性。使用家长填写的问卷评估焦虑/抑郁。较大的DD与较高的A1c相关,但与SMBG无关。焦虑/抑郁与A1c或SMBG无关。更严重的焦虑/抑郁会放大DD对A1c的影响。焦虑/抑郁症状可能是青少年T1D患者改善血糖控制的目标。
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引用次数: 0
Limitations and recommendations for use of secondary data analysis in pediatric research 在儿科研究中使用二次数据分析的局限性和建议
4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-11-09 DOI: 10.1080/02739615.2023.2279064
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引用次数: 0
Linguistic predictors of the mentor-mentee relationship in a peer support program for adolescents with inflammatory bowel disease 青少年炎症性肠病同伴支持项目中师徒关系的语言预测因子
4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-11-03 DOI: 10.1080/02739615.2023.2272954
ABSTRACTiPeer2Peer is an online peer mentoring program for adolescents with inflammatory bowel disease. Linguistic synchrony between mentors and mentees has been proposed to facilitate the development of positive mentoring relationships. We used secondary data analysis to assess linguistic synchrony in the first sessions of iPeer2Peer (N = 56) and how this related to program outcomes. The synchronous use of “I,” discussion of friendships, focus on future and asynchronous discussion of leisure were significant predictors of program outcomes. This highlights the utility of assessing linguistic synchrony in the context of peer mentorship programs to inform how mentors approach their contributions in such programs. Disclosure statementDr. Ahola Kohut co-owns the copyright/license for iPeer2Peer.Additional informationFundingThis work was supported by the Crohn's and Colitis Canada Grant in Aid.
peer2peer是一个针对患有炎症性肠病的青少年的在线同伴指导计划。导师和徒弟之间的语言同步已被提出,以促进积极的师徒关系的发展。我们使用辅助数据分析来评估iPeer2Peer第一次会议的语言同步性(N = 56),以及这与项目结果的关系。同步使用“我”,讨论友谊,关注未来和异步讨论休闲是节目结果的显著预测因子。这突出了在同伴指导项目背景下评估语言同步性的效用,以告知导师如何处理他们在此类项目中的贡献。披露statementDr。Ahola Kohut共同拥有iPeer2Peer的版权/许可证。本研究由加拿大克罗恩病和结肠炎基金资助。
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引用次数: 0
A scoping review and narrative synthesis on the relationship between anxiety and physical activity in children and adolescents with disabilities 残疾儿童和青少年焦虑与身体活动关系的范围审查和叙述综合
4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-10-28 DOI: 10.1080/02739615.2023.2272969
ABSTRACTChildren and adolescents with disabilities (i.e. a condition that requires ongoing medical attention and combined with societal barriers, limits activities of daily living) may be at greater risk of anxiety. Physical activity has been identified as a strategy to reduce symptoms of anxiety and buffer the severity of anxiety-related symptoms in children and adolescents without disabilities. Evidence on the relationship between anxiety and physical activity in children and adolescents with disabilities is limited. The aim of this review was to summarize and describe literature assessing the relationship between anxiety and physical activity in children and adolescents with disabilities. Five databases were searched from inception to search date. Of the initial 20,063 articles identified, eight met the inclusion criteria to be included in data extraction. The included studies ranged in study design. A small inverse relationship between anxiety and physical activity was described in all eight included studies, indicating higher physical activity levels to be associated with lower anxiety. Future research should use consistent operationalizations and reliable/valid measures of anxiety and physical activity and implement prospective studies to further examine the anxiety-physical activity relationship in children and adolescents with disabilities. Disclosure statementNo potential conflict of interest was reported by the author(s).Authors’ contributions[INSERT INITIALS] wrote the main manuscript text with feedback provided by [INSERT INITIALS] and [INSERT INITIALS]. [INSERT INITIALS], [INSERT INITIALS], and [INSERT INITIALS] conducted the abstract and full-text screening for the included articles. [INSERT INITIALS] and [INSERT INITIALS] reviewed and resolved disagreements. All authors actively engaged in the review of the manuscript.Availability of data and materialsThe included studies in this review are all available online.Ethical ApprovalThis was a scoping review with no human participants. Ethical approval was not required, and consent to participate and publish are not applicable.Additional informationFunding[INSERT INITIALS] is funded by a [INSERT NAME OF GRANT] [INSERT GRANT NUMBER].
【摘要】残疾儿童和青少年(即需要持续医疗照顾并伴有社会障碍,限制日常生活活动的状况)可能面临更大的焦虑风险。体育活动已被确定为减轻无残疾儿童和青少年焦虑症状和缓解焦虑相关症状严重程度的一种策略。关于残疾儿童和青少年焦虑与身体活动之间关系的证据有限。本综述的目的是总结和描述评估残疾儿童和青少年焦虑与体育活动之间关系的文献。从开始到检索日期检索了五个数据库。在最初确定的20 063篇文章中,有8篇符合纳入数据提取的标准。纳入的研究在研究设计上各不相同。所有八项纳入的研究都描述了焦虑和身体活动之间的小反比关系,表明较高的身体活动水平与较低的焦虑有关。未来的研究应采用一致的操作方法和可靠/有效的焦虑和体育活动测量方法,并实施前瞻性研究,以进一步研究残疾儿童和青少年的焦虑-体育活动关系。披露声明作者未报告潜在的利益冲突。作者的贡献[INSERT INITIALS]撰写了主要的手稿文本,并由[INSERT INITIALS]和[INSERT INITIALS]提供反馈。[INSERT INITIALS]、[INSERT INITIALS]和[INSERT INITIALS]对纳入的文章进行摘要和全文筛选。[INSERT INITIALS]和[INSERT INITIALS]审查并解决了分歧。所有作者都积极地参与了审稿。数据和材料的可获得性本综述纳入的研究均可在网上获得。伦理审批这是一个没有人类参与者的范围审查。不需要伦理批准,同意参与和发表不适用。其他信息资金[插入首字母]由[插入赠款名称][插入赠款编号]资助。
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引用次数: 1
Family and child responses to asthma symptoms and associations with sleep in urban children with asthma: Does child weight matter? 家庭和儿童对哮喘症状的反应及其与城市哮喘儿童睡眠的关系:儿童体重重要吗?
4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-10-03 DOI: 10.1080/02739615.2023.2265827
ABSTRACTFamily asthma management is linked to children’s sleep, yet it is unclear how child and family responses to asthma symptoms affect sleep, particularly for children with overweight/obesity. We evaluated the associations between family asthma management and sleep, and whether these relationships varied by child weight status (healthy weight, overweight/obesity) among 188 children (aged 7–9; 51% Latino, 33% Black/African American, 15% non-Latino White) with persistent asthma from urban environments. Family asthma management was assessed using semi-structured interviews, sleep was assessed via actigraphy, and BMI percentiles and BMI z-scores were calculated from objective height and weight measurements. More effective family asthma management and symptom response were related to better sleep for children with a higher BMIz. Findings suggest that children with comorbid asthma and obesity from urban environments need multicomponent interventions to improve sleep. Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementThe dataset analyzed in the current study is available from the corresponding author upon reasonable request.Additional informationFundingThis work was supported by The National Institutes of Health, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (grant # R01 HD057220 to D.K.M.).
【摘要】家庭哮喘管理与儿童睡眠有关,但目前尚不清楚儿童和家庭对哮喘症状的反应如何影响睡眠,特别是超重/肥胖儿童。我们评估了家庭哮喘管理与睡眠之间的关系,以及这些关系是否因188名儿童(7-9岁;51%拉丁裔,33%黑人/非裔美国人,15%非拉丁裔白人)来自城市环境的持续性哮喘。通过半结构化访谈评估家庭哮喘管理,通过活动记录仪评估睡眠,并根据客观身高和体重测量计算BMI百分位数和BMI z分数。更有效的家庭哮喘管理和症状反应与高bmi儿童更好的睡眠有关。研究结果表明,城市环境中患有哮喘和肥胖症的儿童需要多组分干预来改善睡眠。披露声明作者未报告潜在的利益冲突。数据可用性声明本研究分析的数据集可根据通讯作者的合理要求向其提供。本研究由美国国立卫生研究院、尤尼斯·肯尼迪·施莱佛国立儿童健康与人类发展研究所(资助号R01 HD057220给D.K.M.)资助。
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引用次数: 0
Associations between executive functioning and adherence in pediatric celiac disease 小儿乳糜泻患者执行功能与依从性之间的关系
4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-21 DOI: 10.1080/02739615.2023.2259291
ABSTRACTA strict gluten-free diet is the only treatment for celiac disease (CD), yet dietary adherence can be challenging for youth and may be impacted by the youth’s executive functioning and attentional abilities. This study aimed to investigate whether attention and executive functioning (EF) were associated with dietary adherence in children with CD. Parents of 34 children (child age M(SD) = 13.01(3.88), 56% female) from a multidisciplinary CD clinic completed ratings of attention and EF and dietary adherence. Parent-reported adherence was negatively correlated with behavioral regulation (r = -.52, p < .01, r2 = .27, 95% confidence interval (CI) [−.73, −.22]) and cognitive regulation (r = -.48, p < .01, r2 = .23, 95% CI [−.71, −.17]), with an interaction by age (p = .01, adjusted R2 = .35, B = −0.15, 95% CI [−0.29, −0.07]) for behavior regulation. Youth who were rated as less adherent by their parents were rated as having more problems with behavioral (e.g. inhibition and self-monitoring) and cognitive regulation (e.g. planning, organization), and adolescents with lower parent-rated adherence were rated as having more problems with behavioral regulation in particular. Executive functioning deficits are an important treatment consideration for CD, particularly during adolescence. Disclosure statementMaegan Sady is an employee of PAR Inc, which publishes the BRIEF2, but the measure was selected for this study prior to her employment there, and she does not receive royalties from its sales.Additional informationFundingThe work was supported by the Global Autoimmune Institute; National Institute of Diabetes and Digestive and Kidney Diseases [K23DK129826]; Lambert Family Foundation.
严格的无麸质饮食是治疗乳糜泻(CD)的唯一方法,但对年轻人来说,坚持饮食可能具有挑战性,并可能受到年轻人的执行功能和注意力能力的影响。本研究旨在探讨注意力和执行功能(EF)是否与乳糜泻儿童的饮食依从性相关。来自多学科乳糜泻诊所的34名儿童(儿童年龄M(SD) = 13.01(3.88), 56%为女性)的父母完成了注意力、EF和饮食依从性的评分。父母报告的依从性与行为调节呈负相关(r = -)。52, p < 0.01, r2 = 0.27, 95%置信区间(CI)[−。73,−.22])和认知调节(r = -。48, p < 0.01, r2 = .23, 95% CI[−。71,−0.17]),与年龄的交互作用(p = 0.01,调整后R2 = 0.35, B =−0.15,95% CI[−0.29,−0.07])对行为调节的影响。被父母评价为不那么坚持的青少年被认为在行为(如抑制和自我监控)和认知调节(如计划、组织)方面有更多的问题,而被父母评价为更低坚持的青少年被认为在行为调节方面有更多的问题。执行功能缺陷是乳糜泻的重要治疗考虑因素,特别是在青春期。披露声明:maegan Sady是出版BRIEF2的PAR公司的员工,但该指标是在她受雇于该公司之前选择用于本研究的,并且她没有从该指标的销售中获得版税。这项工作得到了全球自身免疫研究所的支持;国家糖尿病、消化和肾脏疾病研究所[K23DK129826];兰伯特家族基金会。
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引用次数: 0
Stress, child-caregiver disability, and family dysfunction characteristics contributing to child abuse and maltreatment recurrence: a structural equation model 压力、儿童照顾者残疾和家庭功能障碍特征对儿童虐待和虐待复发的影响:一个结构方程模型
4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-09-21 DOI: 10.1080/02739615.2023.2259302
ABSTRACTChild abuse, neglect, and maltreatment (CANM) represents a significant public health threat. The study’s goal was to identify factors contributing to CANM and its high recurrence. We utilized 2019–2020 National Child Abuse data to test a structural equation model of Child/Caregiver Disability variables; Home Instability variables; and CANM recurrence. We hypothesized a six-factor model with Home Instability as a mediator. Of 1,221,176 victims, 29.9% had a prior victimization. A four-factor, mediational structural equation model showed strong fit (GFI = 0.946, NFI = 0.919) and was superior to alternative models. The study provides a framework for community leaders to reduce CANM. Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
儿童虐待、忽视和虐待(CANM)是一个严重的公共健康威胁。该研究的目的是确定导致CANM及其高复发率的因素。我们利用2019-2020年全国儿童虐待数据来检验儿童/照顾者残疾变量的结构方程模型;家庭不稳定变量;和CANM复发。我们假设了一个以家庭不稳定为中介的六因素模型。在1,221,176名受害者中,29.9%的人有前科。四因子中介结构方程模型具有较强的拟合性(GFI = 0.946, NFI = 0.919),优于其他模型。该研究为社区领导人减少CANM提供了一个框架。披露声明作者未报告潜在的利益冲突。其他信息资金作者报告没有与本文所述工作相关的资金。
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引用次数: 0
The role of social adjustment on glycemic control and physical activity in youth with type 1 diabetes 社会调节对1型糖尿病青年血糖控制和体育活动的作用
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.1080/02739615.2023.2253149
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引用次数: 0
Potential barriers to early diagnosis of autism in Turkey: an evaluative study 土耳其自闭症早期诊断的潜在障碍:一项评估性研究
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-01 DOI: 10.1080/02739615.2023.2232723
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引用次数: 0
Social support as a protective factor against accommodation for anxiety in youth 社会支持作为防止青少年焦虑调节的保护因素
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-07-27 DOI: 10.1080/02739615.2023.2238605
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引用次数: 0
期刊
Childrens Health Care
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