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Commentary on Pediatric aspects of the COVID-19 pandemic: a special issue of Children’s Health Care 新冠肺炎大流行的儿科方面评论:儿童保健特刊
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-09-06 DOI: 10.1080/02739615.2022.2115372
C. Ievers-Landis, Amy F. Sato
ABSTRACT This special issue includes a commentary and four papers that highlight unique ways that the COVID-19 pandemic has affected aspects of children’s health and psychological well-being. The empirical studies and narrative review article within this issue contain the following themes: the potential positive effects of the pandemic on children’s health; the role and importance of parent distress within the context of pediatric health; the need for greater exploration of health disparities, including the experiences of diverse/vulnerable youth during a pandemic; and the necessity for flexibility in clinical care implementation. Within each area, the co-guest editors emphasize directions for future research.
摘要本期特刊包括一篇评论和四篇论文,重点介绍了新冠肺炎疫情对儿童健康和心理健康的独特影响。本期的实证研究和叙述性综述文章包含以下主题:新冠疫情对儿童健康的潜在积极影响;父母痛苦在儿科健康中的作用和重要性;需要更多地探索健康差距,包括多样化/弱势青年在疫情期间的经历;以及临床护理实施灵活性的必要性。在每个领域,共同客座编辑都强调未来研究的方向。
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引用次数: 1
Post-partum depressive dimensions, co-parenting, infants’ health, and sleep quality: how are they related in the first year postpartum? 产后抑郁维度、共同抚养、婴儿健康和睡眠质量:产后第一年它们是如何相关的?
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-08-22 DOI: 10.1080/02739615.2022.2110496
B. Ragni, D. Barni, F. Bevilacqua, L. Aite, Silvia Bucci, S. Gentile, T. Grimaldi Capitello, S. De Stasio
ABSTRACT Parents are the main contributor to the development of children’s sleep patterns. Familial disorders and parental difficulties could represent a risk factor for children’s sleep onset and maintenance, interfering with their emotional self-regulation strategies. This study investigated whether aspects of parental post-partum depression, agreement between parental perceptions of co-parenting quality, and infants’ at-risk health conditions, explain infants’ longest continuous sleep bouts reported by parents. We enrolled 95 Italian families (33 had children with congenital anomalies) with children aged 8–12 months. A significant effect of post-partum depressive dimensions emerged. Moreover, parental similarities in co-parenting quality moderated the relationship between post-partum depressive dimensions and infants’ sleep in both families with healthy and at-risk children. Our results will deepen our understanding of the risks and protective factors related to children’s sleep for families, healthcare providers, and the general public.
父母是儿童睡眠模式发展的主要贡献者。家庭疾病和父母的困难可能是儿童睡眠开始和维持的一个风险因素,干扰他们的情绪自我调节策略。本研究调查了父母产后抑郁的各个方面,父母对共同抚养质量的看法之间的一致性,以及婴儿的风险健康状况,是否解释了父母报告的婴儿持续睡眠时间最长的情况。我们招募了95个意大利家庭(33个有先天性异常的孩子),他们的孩子年龄在8-12个月。产后抑郁维度的显著影响显现出来。此外,父母在共同养育质量方面的相似性调节了产后抑郁维度与婴儿睡眠之间的关系。我们的研究结果将加深我们对家庭、医疗保健提供者和公众与儿童睡眠相关的风险和保护因素的理解。
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引用次数: 0
Adverse Childhood Experiences and Utilization and forgoing of Health Care among Children: A Nationally Representative Study in the United States 儿童不良经历与儿童对医疗保健的利用和放弃:一项在美国具有全国代表性的研究
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-08-17 DOI: 10.1080/02739615.2022.2108812
Héctor E. Alcalá, Amanda E. Ng, N. Tkach, Zoha Salam
ABSTRACT Little is known about the impact of adverse childhood experiences (ACEs) on delaying health care. Using data from the 2016–2017 National Survey of Children’s Health (n = 64,103), we examined the association between ACEs and forgoing: medical care, hearing care, vision care, mental health care, and use of health services. In logistic regression models, cumulative ACEs were associated with increases in forgoing most types of care. ACEs were associated with increased odds of using emergency department services and preventative health care. Efforts must be undertaken to reduce delays in care among children with a history of ACEs.
关于儿童不良经历(ACE)对延迟医疗保健的影响,我们知之甚少。使用2016–2017年全国儿童健康调查的数据(n=64103),我们研究了ACE与放弃之间的关系:医疗保健、听力保健、视力保健、心理健康保健和医疗服务的使用。在逻辑回归模型中,累积ACE与放弃大多数类型护理的增加有关。ACE与使用急诊科服务和预防性医疗保健的几率增加有关。必须努力减少有ACE病史的儿童在护理方面的延误。
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引用次数: 0
Considerations for intensive treatment programs among youth with medical and behavioral health concerns 对有医疗和行为健康问题的青少年的强化治疗方案的考虑
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-07-28 DOI: 10.1080/02739615.2022.2106986
Joshua M. Nadeau, Sim Yin Tan
In the United States, it is estimated that more than 40% of youth have at least one chronic health condition (National Survey of Children’s Health, 2020). Some of the most commonly encountered concerns include eating disorders, cystic fibrosis, substance use disorders, behavioral problems comorbid with intellectual and developmental disabilities, and gender dysphoria. The estimated prevalence of eating disorders among youth ranges from 0.3% to 22.7% (Dahlgren & Wisting, 2016), of cystic fibrosis among newborns from 0.28% to 0.4% (Goldbeck, Fidika, Herle, & Quittner, 2014), of substance use disorder from 13.4% to 26.3% (Volkow, Han, Einstein, & Compton, 2021), of comorbid behavior problems from 38.9% to 58.9% among youth with intellectual disabilities (Gurney, McPheeters, & Davis, 2006), and of gender dysphoria and related concerns from 1.3% to 19% (Baum et al., 2018; Rider, McMorris, Gower, Coleman, & Eisenberg, 2018; Shields et al., 2013). Specialty medical and/or behavioral health services are often required to address the symptoms and concomitant functional impairment associated with these conditions (National Survey of Children’s Health, 2020). Medical interventions for these conditions commonly include emergency weight restoration via tube-feeding for eating disorders (Chan, Jaffe, D’Souza, Lowe, & Matthews-Rensch, 2021; Hale & Logomarsino, 2019); antibiotic regimens, selective gene modulator therapies, and portable airway clearance devices for cystic fibrosis (Goldbeck, Fidika, Herle, & Quittner, 2015); medication-assisted treatment to include naltrexone or suboxone for substance use disorders (MAT; Maglione et al., 2018); psychopharmacological agents, such as mood stabilizers or atypical antipsychotics, for severely disruptive behaviors co-occurring with intellectual and developmental disabilities (Jones et al., 2018; Lee, Vidal, & Findling, 2018); and hormone replacement treatment or corrective surgery for gender dysphoria (Butler, de Graaf, Wren, & Carmichael, 2018; Claahsen-van der Grinten et al., 2021) to directly address condition-specific symptoms.
在美国,据估计,超过40%的青年至少有一种慢性健康状况(全国儿童健康调查,2020年)。一些最常见的问题包括饮食失调、囊性纤维化、物质使用障碍、智力和发育障碍共病的行为问题,以及性别焦虑症。据估计,青少年饮食失调的患病率为0.3%至22.7% (Dahlgren & Wisting, 2016),新生儿囊性纤维化的患病率为0.28%至0.4% (Goldbeck, Fidika, Herle, & Quittner, 2014),物质使用障碍的患病率为13.4%至26.3% (Volkow, Han, Einstein, & Compton, 2021),智力障碍青少年共病行为问题的患病率为38.9%至58.9% (Gurney, McPheeters, & Davis, 2006)。性别焦虑和相关担忧的比例从1.3%上升到19% (Baum et al., 2018;Rider, McMorris, Gower, Coleman, & Eisenberg, 2018;Shields et al., 2013)。通常需要专业医疗和/或行为健康服务来解决与这些疾病相关的症状和伴随的功能障碍(2020年全国儿童健康调查)。针对这些情况的医疗干预措施通常包括通过进食障碍患者的管喂紧急体重恢复(Chan, Jaffe, D 'Souza, Lowe, & Matthews-Rensch, 2021;Hale & Logomarsino, 2019);抗生素方案、选择性基因调节疗法和便携式气道清除装置用于囊性纤维化(Goldbeck, Fidika, Herle, & Quittner, 2015);药物辅助治疗包括纳曲酮或亚博松治疗物质使用障碍(MAT);Maglione et al., 2018);精神药理学药物,如情绪稳定剂或非典型抗精神病药物,用于与智力和发育障碍共同发生的严重破坏性行为(Jones等人,2018;Lee, Vidal, & Findling, 2018);性别焦虑症的激素替代治疗或矫正手术(Butler, de Graaf, Wren, & Carmichael, 2018;Claahsen-van der Grinten et al., 2021)直接解决特定条件的症状。
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引用次数: 0
Symptoms, impairment and treatment needs among youth with orthostatic intolerance in a secondary care setting 二级保健机构中有直立不耐受的青少年的症状、损害和治疗需求
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-07-03 DOI: 10.1080/02739615.2022.2047049
K. Benito, Amrita Ramanathan, D. Lobato, Barbara Jandasek, Erin Mamaril, Haley McBride, L. Feit
ABSTRACT Studies characterizing Orthostatic Intolerance (OI) have primarily focused on a specific subtype (e.g., Postural Orthostatic Tachycardia Syndrome, POTS) treated in tertiary care, yet many with impairing symptoms do not meet subtype criteria. Study 1 used structured coding of electronic medical records to explore symptoms and impairment among 226 youth with OI in a common care setting (outpatient cardiology) over a 1-year period. Impairment was evident for 54.7% of youth. Greater impairment was associated with female gender, higher number and frequency of symptoms, and specific symptoms of headache, weakness, or exercise intolerance. Study 2 examined symptoms, functional disability, and treatment interest in a subset of youth from Study 1 (n = 75); data were collected 1–2 years after initial visit via phone interview. Fifty-six percent of participants remained symptomatic, with mean disability exceeding “substantial impairment” and most (78.6%) expressing desire for treatment. Greater disability was associated with more symptoms and the symptom of weakness. Critically, disability was more than twice as high among racial and ethnic minority youth. Results suggest that OI impairment is common among youth in secondary care, and many experience symptoms warranting treatment 1–2 years later. Future studies should identify sources of health disparities and develop efficacious treatments.
摘要:表征直立性不耐受(OI)的研究主要集中在三级护理中治疗的特定亚型(如体位性直立性心动过速综合征,POTS)上,但许多有损害症状的患者不符合亚型标准。研究1使用电子医疗记录的结构化编码,在一年的时间里,在普通护理环境(门诊心脏病学)中,探索226名OI青年的症状和损伤。54.7%的青年有明显的损伤。更大的损伤与女性、更高的症状数量和频率以及头痛、虚弱或运动不耐受的特定症状有关。研究2检查了研究1中一部分年轻人的症状、功能残疾和治疗兴趣(n=75);数据是在初次访问后1-2年通过电话访谈收集的。56%的参与者仍然有症状,平均残疾超过“严重残疾”,大多数(78.6%)表示希望接受治疗。更大的残疾与更多的症状和虚弱症状相关。至关重要的是,种族和少数民族青年的残疾率高出一倍多。结果表明,OI损伤在接受二级护理的年轻人中很常见,许多人在1-2年后出现需要治疗的症状。未来的研究应该确定健康差距的来源,并开发有效的治疗方法。
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引用次数: 0
A scoping review of school-based asthma education programs for reducing children’s need for acute care services 减少儿童对急性护理服务需求的学校哮喘教育计划的范围审查
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-06-24 DOI: 10.1080/02739615.2022.2091568
O. Uchima, Samantha Keaulana, May Okihiro, T. Sentell
ABSTRACT Schools are an ideal setting for asthma education programs as they can reach many children. However, it is unknown if school-based asthma education programs in the United States (US) reduce acute care services. This scoping review sought to identify whether school-based asthma education programs lead to improved acute care services. Overall, the evidence provides provisional support that school-based asthma education programs can reduce acute care utilization and may be a potential treatment intervention. Future research is needed to determine more definitive conclusions about the effectiveness of school-based asthma education programs and which components yield significant changes.
摘要学校是哮喘教育项目的理想场所,因为它们可以惠及许多儿童。然而,尚不清楚美国学校哮喘教育项目是否减少了急性护理服务。这项范围界定审查旨在确定以学校为基础的哮喘教育计划是否能改善急性护理服务。总的来说,这些证据提供了暂时的支持,即以学校为基础的哮喘教育项目可以减少急性护理的使用,并可能成为一种潜在的治疗干预措施。未来的研究需要确定关于学校哮喘教育计划的有效性以及哪些组成部分会产生重大变化的更明确的结论。
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引用次数: 0
Longitudinal effect of prenatal polydrug use and birthweight status on pediatric growth 产前多药使用和出生体重状况对儿童生长的纵向影响
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-06-02 DOI: 10.1080/02739615.2022.2078826
S. Weerakoon, Baojiang Chen, M. Harrell, D. Vidot, S. Messiah
ABSTRACT Maternal drug use causes low birthweight but less is known about longer-term pediatric growth. The purpose of this analysis was to longitudinally measure anthropometric growth among children exposed to drugs in utero. We used data from the National Institute on Drug Abuse (NIDA)-funded Maternal Lifestyle Study (MLS). Mixed effects piecewise regression longitudinally assessed BMI percentile from 2–16 years. Those born low birthweight prenatally exposed to poly tobacco/opioid use had lower pediatric BMI percentiles than those unexposed from 2–16 years. Specific combinations of drug use appear to delay or accelerate growth across childhood at different points for those born low birthweight.
摘要:母亲用药会导致低出生体重,但对长期儿童生长的了解较少。该分析的目的是纵向测量子宫内接触药物的儿童的人体测量生长情况。我们使用了国家药物滥用研究所(NIDA)资助的母亲生活方式研究(MLS)的数据。混合效应分段回归纵向评估了2-16年的BMI百分位数。出生前接触过多烟草/阿片类药物的低出生体重儿的儿童BMI百分位数低于2-16岁未接触过的儿童。对于那些出生体重较低的人来说,特定的药物组合似乎会在不同的时间点延迟或加速整个儿童期的生长。
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引用次数: 0
Parent coping, emotion socialization beliefs, and sibling relationship quality in pediatric cancer 癌症患儿父母应对、情绪社会化信念与兄弟姐妹关系质量
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-06-01 DOI: 10.1080/02739615.2022.2076682
M. A. Faith, D. Boone, A. Healy, Esther Davila
ABSTRACT This study examined relations between parent coping and parent-, patient-, and sibling- reported sibling relationship quality (SRQ) during pediatric cancer. A sample of 156 parents, 103 patients, and 104 siblings completed questionnaires. Results demonstrated parents’ adaptive coping was positively associated with parent-reported sibling warmth and negatively associated with sibling dominance. Parents’ dismissive ES beliefs were inversely related to sibling warmth and positively related to conflict. Analyses indicated when parents’ emotion coaching beliefs were high, parents’ adaptive coping was positively related to parent-reported sibling warmth. Findings begin to elucidate family processes that may affect SRQ in families of pediatric oncology patients.
摘要本研究探讨了癌症患儿父母应对与父母、患者和兄弟姐妹报告的兄弟姐妹关系质量(SRQ)之间的关系。156名父母、103名患者和104名兄弟姐妹完成了问卷调查。结果表明,父母的适应性应对与父母报告的兄弟姐妹温暖呈正相关,与兄弟姐妹优势负相关。父母不屑一顾的ES信念与兄弟姐妹的温暖程度呈负相关,与冲突呈正相关。分析表明,当父母的情绪辅导信念较高时,父母的适应性应对与父母报告的兄弟姐妹温暖呈正相关。研究结果开始阐明可能影响儿科肿瘤患者家庭SRQ的家庭过程。
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引用次数: 0
Exploring child life specialists’ perspective on the role and benefits of child life in pediatric sexual assault forensic examinations 探索儿童生活专家对儿童生活在儿童性侵犯法医检查中的作用和益处的看法
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-31 DOI: 10.1080/02739615.2022.2079511
M. Lukas, Gracie Avery, Sherwood Burns-Nader, Emily Goldstein, Anna Schmitz
ABSTRACT The purpose of this study was to describe Certified Child Life Specialists’ (CCLSs) perspectives on their role and the benefits of their role during pediatric sexual assault forensic examinations (PSAFEs). Using a structured interview, discussed roles included preparing the patient for and supporting the patient during the examination and supporting the multidisciplinary team. Perceived benefits of child life services included increasing patient coping and completion of the examination, decreasing re-traumatization, and minimizing parent stress. The findings highlight how CCLSs feel they support the emotional safety of PSAFE patients and families. Thus, healthcare programs providing PSAFEs should consider staffing a CCLS.
摘要本研究的目的是描述认证儿童生活专家(ccls)对他们在儿童性侵犯法医检查(PSAFEs)中的角色和他们的角色的好处的观点。通过结构化访谈,讨论了角色包括在检查期间为患者准备和支持患者以及支持多学科团队。儿童生活服务的好处包括提高患者的应对能力和完成检查,减少再创伤,减少父母的压力。研究结果强调了ccls如何认为他们支持PSAFE患者和家属的情感安全。因此,提供psafe的医疗保健项目应该考虑配备CCLS。
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引用次数: 0
Quality of life in children and adolescents with eosinophilic esophagitis 嗜酸性粒细胞性食管炎儿童和青少年的生活质量
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-29 DOI: 10.1080/02739615.2022.2079510
L. B. Bennett Murphy, M. O’Gorman, S. Fitzgerald, K. Peterson, J. Robson
ABSTRACT EoE symptoms and treatments place affected children at risk for reduced quality of life. Yet relatively little is known about the factors that affect health related quality of life (HRQoL) in youth with EoE. This study examined symptom burden and HRQoL in 267 children and adolescents with EoE. Pain catastrophizing was significantly related to both EoE symptom reports and HRQoL (p < .001). Further, children with significantly elevated psychological symptom reports experienced more symptom burden and worse HRQoL (p < .001). Effective health care for children with EoE includes addressing quality of life, psychological symptoms, and maladaptive pain cognitions when present, in addition to managing inflammation.
EoE的症状和治疗使患儿面临生活质量下降的风险。然而,相对而言,我们对影响青少年EoE患者健康相关生活质量(HRQoL)的因素知之甚少。本研究调查了267例儿童和青少年EoE的症状负担和HRQoL。疼痛灾变与EoE症状报告和HRQoL均有显著相关性(p < 0.001)。此外,心理症状报告显著升高的儿童症状负担更重,HRQoL更差(p < 0.001)。对EoE患儿的有效医疗保健除了控制炎症外,还包括处理生活质量、心理症状和出现时的不适应疼痛认知。
{"title":"Quality of life in children and adolescents with eosinophilic esophagitis","authors":"L. B. Bennett Murphy, M. O’Gorman, S. Fitzgerald, K. Peterson, J. Robson","doi":"10.1080/02739615.2022.2079510","DOIUrl":"https://doi.org/10.1080/02739615.2022.2079510","url":null,"abstract":"ABSTRACT EoE symptoms and treatments place affected children at risk for reduced quality of life. Yet relatively little is known about the factors that affect health related quality of life (HRQoL) in youth with EoE. This study examined symptom burden and HRQoL in 267 children and adolescents with EoE. Pain catastrophizing was significantly related to both EoE symptom reports and HRQoL (p < .001). Further, children with significantly elevated psychological symptom reports experienced more symptom burden and worse HRQoL (p < .001). Effective health care for children with EoE includes addressing quality of life, psychological symptoms, and maladaptive pain cognitions when present, in addition to managing inflammation.","PeriodicalId":46607,"journal":{"name":"Childrens Health Care","volume":"52 1","pages":"264 - 277"},"PeriodicalIF":0.9,"publicationDate":"2022-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43859522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Childrens Health Care
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