Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献

{"title":"Who understands a child's pain better? A comparison of oncology and non-oncology nurses' knowledge and attitudes toward pediatric pain assessment and management","authors":"Mohammad Minwer Alnaeem PhD, RN ,&nbsp;Alaa A. Abuattallah PhD, RN ,&nbsp;Khaled H. Suleiman PhD, RN ,&nbsp;Majdi M. alzoubi ,&nbsp;Khalid Al-Mugheed ,&nbsp;Nadiah A. Baghdadi ,&nbsp;Sally Mohammed Farghaly Abdelaliem PhD, MSN, BSc, RN, FHEA","doi":"10.1016/j.pedn.2026.01.028","DOIUrl":"10.1016/j.pedn.2026.01.028","url":null,"abstract":"<div><h3>Background</h3><div>Comprehensive continuous assessment and effective pain management for pediatric pain are important.</div></div><div><h3>Purpose</h3><div>To assess the differences between oncology and non-oncology nurse knowledge and attitudes toward pediatric pain.</div></div><div><h3>Method</h3><div>A descriptive cross-sectional study was conducted in three public hospitals and included nurses who provided oncology and/or non-oncology care in pediatric departments. The sample included 207 nurses.</div></div><div><h3>Results</h3><div>More than half of nurses (<em>n</em> = 142, 68.6%) had not attended any workshop related to pediatric pain management. Both oncology and non-oncology nurses exhibited low mean of knowledge and attitude toward pediatric pain assessment and management, however, oncology nurses scored significantly higher (<em>t</em> = 12.13, <em>p</em> &lt; .001). Among oncology nurses, higher PNKAS scores were associated with younger age (ꞵ = −0.575, <em>p</em> = .003), longer nursing experience (ꞵ = 0.642, <em>p</em> = .016), having children (ꞵ = 0.402, <em>p</em> = .010), and reliance on child status (ꞵ = 0.206, <em>p</em> = .044) and parent verbalization (ꞵ = 0.236, <em>p</em> = .027).</div></div><div><h3>Conclusion</h3><div>Targeted educational interventions, particularly for non-oncology nurses focusing on child-centric assessment and supported by mentorship and clear clinical policies, are essential to bridge this knowledge-attitude gap and improve pediatric pain outcomes.</div></div><div><h3>Implications to practice</h3><div>This study underscores the critical need to implement standardized, mandatory pain management education for all pediatric nurses, with a focus on training in non-verbal pain assessment techniques. Findings emphasize that all nurses need to apply culturally sensitive approaches to overcome sociocultural barriers to effective pain relief.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 409-415"},"PeriodicalIF":2.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127157","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}

{"title":"Impact of caregivers' psychological well-being on mental health and disease management in children with type 1 diabetes: A cross-sectional study using structural equation modeling","authors":"Ridvan Akdogan Ph.D ,&nbsp;Mehmet Emin Düken Ph.D","doi":"10.1016/j.pedn.2026.01.040","DOIUrl":"10.1016/j.pedn.2026.01.040","url":null,"abstract":"<div><h3>Background</h3><div>Childhood type 1 diabetes poses substantial challenges for disease management and psychosocial well-being. Caregivers play a central role in diabetes care, and their psychological distress and caregiving burden may negatively influence children's mental health and illness-related outcomes. This study aimed to examine the associations between caregivers' psychological well-being and caregiving burden and the mental health and illness attitudes of children with type 1 diabetes.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 129 child–caregiver dyads (caregivers were all mothers) of children aged 10–18 years with type 1 diabetes who were followed at a pediatric endocrinology outpatient clinic in Turkey. Data were collected using validated questionnaires and analyzed using structural equation modeling.</div></div><div><h3>Results</h3><div>Caregivers' depression, anxiety, stress, and caregiving burden were significantly associated with children's emotional, behavioral, and social difficulties (<em>r</em> = 0.51–0.77, <em>p</em> &lt; 0.001). Structural equation modeling supported a sequential pathway in which caregiving burden predicted parental psychological distress, which in turn influenced children's illness attitudes and psychosocial outcomes (β = 0.52–0.66, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Caregiver mental health plays a critical role in children's illness perception and psychosocial adjustment. Supporting caregivers may indirectly improve coping and psychosocial well-being in children with type 1 diabetes.</div></div><div><h3>Practice implications</h3><div>Pediatric and family nurses should incorporate caregiver psychological assessment and support into diabetes management. Family-centered interventions addressing caregiver distress and burden may enhance children's coping capacity, illness attitudes, and psychosocial well-being.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 374-380"},"PeriodicalIF":2.3,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121090","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}

{"title":"AI literacy: An essential competency for pediatric nursing.","authors":"Tracy B Chamblee","doi":"10.1016/j.pedn.2026.01.036","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.01.036","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119805","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}

{"title":"Navigating the storm: Parental experiences and needs in pediatric emergency surgery – A qualitative descriptive study","authors":"Hui Lu Lok ,&nbsp;Qian Wen Sng ,&nbsp;Lydia Yi Xin Chia ,&nbsp;Joanne Li Wee Liam ,&nbsp;Caroline Choo Phaik Ong","doi":"10.1016/j.pedn.2026.01.034","DOIUrl":"10.1016/j.pedn.2026.01.034","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the experiences, practical and informational needs of caregivers with children undergoing emergency surgery.</div></div><div><h3>Design and methods</h3><div>A qualitative descriptive study was conducted with ten caregivers of children undergoing emergency surgery at a public tertiary hospital. Participants were recruited by convenience sampling. Data collected through face-to-face semi-structured interviews were analyzed with thematic analysis.</div></div><div><h3>Results</h3><div>Four main themes emerged: (1) Factors affecting parental feelings about child's condition; (2) Parental understanding and behaviors; (3) Perception of care affected by prior experience and current hospital processes; and (4) Importance of resources and support systems. While parents expressed satisfaction with information provided by healthcare workers, many sought additional information from online resources, family and friends who have had similar experiences. Regular, clear and timely communication of information was pivotal in enhancing parental experience. Persistent pain or fever experienced while awaiting investigations or surgery was perceived as worsening of the medical condition caused by unnecessary delay. Alleviating the child's discomfort, providing emotional and practical caregiving support reduces parental anxiety. Trust in the hospital and healthcare team, influenced by past experiences, helped parents cope better.</div></div><div><h3>Conclusion</h3><div>The unpredictable nature of emergency surgery caused significant stress for parents, especially when the child experienced discomfort. Parental experience was improved when hospitals streamlined admission processes, enhanced interprofessional healthcare communication, provided personalized caregiver support, and ensured effective symptom management for children.</div></div><div><h3>Implications for practice</h3><div>Study findings can inform targeted interventions to enhance caregiver support, optimize healthcare processes, and address practical and informational gaps in pediatric emergency surgical care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 363-373"},"PeriodicalIF":2.3,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121097","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}

{"title":"Trust as the foundation to care: Parents of Medically Fragile Infants' experiences of developing trust with nurses","authors":"Lyndsay Jerusha MacKay RN, MN, PhD ,&nbsp;Emma Nickel RN ,&nbsp;Rubinder Bahia RN, MN ,&nbsp;Janice Kamke RN, MN ,&nbsp;Lily Ragan RN, MN ,&nbsp;Heather Meyerhoff RN, MN","doi":"10.1016/j.pedn.2026.01.030","DOIUrl":"10.1016/j.pedn.2026.01.030","url":null,"abstract":"<div><h3>Background</h3><div>Parents of hospitalized Medically Fragile Infants (MFI) experience high levels of stress and difficulty parenting their infant. They require support to help them navigate their new parenting role, which can be provided by nurses within relationships built on trust.</div></div><div><h3>Objective</h3><div>To explore how trust is established and maintained between parents of hospitalized MFI and nurses from the parents' perspective.</div></div><div><h3>Method</h3><div>Using a qualitative Interpretive Description study design, 15 parents of MFI from inpatient care units at a pediatric tertiary care hospital were recruited. MFI consisted of (a) one or more chronic medical illnesses, (b) reliance on medical technology, (c) &gt; 30-day hospitalization, and (d) discharge home with a chronic illness. Data were collected via semi-structured interviews, which were transcribed, coded, and analyzed.</div></div><div><h3>Results</h3><div>Parents described how parenting their MFI on inpatient care units was excruciatingly difficult. They had increased stress and struggled with their mental health. Parent-nurse trusting relationships led to a collaborative partnership, where they worked together to provide safe and nurturing care to MFI. Parents identified ten core elements that helped them develop trust with nurses. Mistrust could arise when the core elements were absent, medical mistakes occurred, or infants were transferred between hospital units.</div></div><div><h3>Conclusion</h3><div>The establishment of parents' trust in nurses was crucial for the delivery of high-quality Family-Centered Care to hospitalized MFI and their parents, thereby supporting parents in coping with their stress. Instructions on how to establish trust with parents of MFI should be included in the nursing curriculum for both nursing students and practicing nurses.</div></div><div><h3>Implications to practice</h3><div>Nurses can support parents of MFI in coping with their mental health and emotions by developing trusting relationships. When relationships are built on trust, collaborative partnerships between nurses and parents form, enabling them to work together to provide safe and nurturing care to MFI within the hospital setting. Nurses can engage in the 10 core elements to develop trust, thereby establishing trusting relationships with parents of MFI.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 381-391"},"PeriodicalIF":2.3,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119612","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}

{"title":"Living beyond cancer in childhood and adolescence: A systematic review","authors":"Kyung-Ah Kang ,&nbsp;Shin-Jeong Kim ,&nbsp;In-Hye Song","doi":"10.1016/j.pedn.2026.01.029","DOIUrl":"10.1016/j.pedn.2026.01.029","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to synthesize qualitative evidence on the lived experiences of childhood and adolescent cancer survivors (CACSs), focusing on both challenges and positive transformations after treatment.</div></div><div><h3>Methods</h3><div>A qualitative meta-synthesis was conducted following PRISMA guidelines. Nineteen qualitative studies published between 2015 and 2025 were critically appraised using the Joanna Briggs Institute checklist. Data were analyzed through thematic and content analysis to generate descriptive and analytical themes.</div></div><div><h3>Results</h3><div>Five overarching themes and 21 sub-themes were identified. (1) Returning to school and self-identity: CACSs reported academic disruption, body image concerns, and struggles in peer relationships, but also identity reconstruction and renewed belonging. (2) Endeavor for healthy life: CACSs actively engaged in health-promoting behaviors, self-management, and digital or educational tools. (3) Psychosocial support needs: multidimensional support from family, peers, professionals, and spirituality was crucial. (4) Survivorship-related difficulties: participants expressed fear of relapse, long-term physical and cognitive late effects, and barriers in healthcare, education, and society. (5) Growth, transformation, and positive meaning: CACSs described gratitude, resilience, maturity, and future orientation, reframing cancer as a source of personal growth.</div></div><div><h3>Conclusions</h3><div>CACSs are characterized by both significant challenges and transformative growth. Findings highlight the necessity for tailored, multidimensional interventions addressing education, healthcare, psychosocial support, and resilience-building strategies.</div></div><div><h3>Implications to practice</h3><div>Educational, digital, and psychosocial strategies should be strengthened to enhance school reintegration, self-management, and resilience. This synthesis provides important evidence to inform clinical practice, educational programs, and policy development aimed at improving CACSs' long-term quality of life.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 314-329"},"PeriodicalIF":2.3,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078316","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}

{"title":"The effects of education program provided for healthcare professionals on their levels of knowledge and awareness about child abuse and neglect","authors":"Tuba Geçdi ,&nbsp;Derya Tanrıverdi","doi":"10.1016/j.pedn.2026.01.022","DOIUrl":"10.1016/j.pedn.2026.01.022","url":null,"abstract":"<div><h3>Background</h3><div>Child abuse and neglect harm children's development and can lead to long-term mental health issues. Challenges such as underreporting and diagnostic difficulties make early detection harder. Healthcare professionals are essential in recognizing and reporting such cases, but lack of awareness is a major barrier.</div></div><div><h3>Purpose</h3><div>This study examined the impact of a structured training program on healthcare professionals' knowledge and awareness of child abuse and neglect.</div></div><div><h3>Methods</h3><div>A quasi-experimental pretest-posttest control group design was used. Ninety-five healthcare professionals from a city and a university hospital were included. Participants were assigned to experimental and control groups. Data were collected via a Personal Information Form and the Scale for Recognizing the Symptoms and Risks of Child Abuse and Neglect. The experimental group received five weekly 30-min face-to-face training sessions.</div></div><div><h3>Results</h3><div>Both groups initially had moderate knowledge and awareness. Pretest scores showed no significant differences (<em>p</em> &gt; 0.05). Post-test results showed a statistically significant improvement in the experimental group's total knowledge and awareness scores related to the signs and risks of child abuse and neglect (<em>p</em> &lt; 0.001). No significant change was observed in the control group (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Structured training programs enhance healthcare professionals' knowledge and awareness of child abuse and neglect. Regular implementation and updates of such programs in healthcare institutions are recommended.</div></div><div><h3>Implications to practice</h3><div>This study demonstrates that structured training programmes increase healthcare professionals' knowledge and awareness of child abuse and neglect. Integrating evidence-based and regular programmes into in-service training can strengthen child protection practices by supporting early identification, appropriate reporting and effective intervention.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 330-337"},"PeriodicalIF":2.3,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078315","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}

{"title":"The effect of tub bathing on stress, comfort, and physiological parameters in newborns","authors":"Necla Kasımoğlu PhD ,&nbsp;Sultan Beşiktaş Msc ,&nbsp;Ayşe Gürol PhD","doi":"10.1016/j.pedn.2026.01.032","DOIUrl":"10.1016/j.pedn.2026.01.032","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the effects of tub bathing on stress levels, comfort, and physiological parameters in newborns undergoing phototherapy.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 62 newborns receiving phototherapy in a university hospital neonatal intensive care unit (June 2024–June 2025). Infants were randomized to an experimental (tub bathing) or a control group. Physiological parameters, stress (Neonatal Stress Scale), and comfort (Neonatal Comfort Behavior Scale) were assessed at three time points: before, 15 min after initiation, and 15 min before completion of phototherapy. Data were analyzed using SPSS version 30.0.</div></div><div><h3>Results</h3><div>There were significant differences between the groups in terms of sex (<em>p</em> = .005, φ = 0.35) and gestational week (<em>p</em> = .045, φ = 0.36). Respiratory rate, heart rate, and oxygen saturation values in the experimental group were statistically higher compared with the control group (<em>p</em> &lt; .001, Cohen's d = 1.37–1.85). Mean scores of the Neonatal Stress Scale and Neonatal Comfort Behavior Scale revealed a significant decrease in stress and a significant increase in comfort in the experimental group (p &lt; .001, Cohen's d &gt; 1.40). The post-hoc power analysis indicated a test power of 1.00.</div></div><div><h3>Conclusion</h3><div>Tub bathing reduces stress levels, enhances comfort, and positively affects physiological parameters in newborns undergoing phototherapy. Therefore, it is recommended that nurses incorporate tub bathing as a safe and feasible nursing practice in neonatal care.</div></div><div><h3>Implications to practice</h3><div>Tub bathing is recommended as a standardized intervention to enhance physiological comfort in infants undergoing phototherapy. Additionally, involving parents in this process strengthens family-centered care and emotional bonding in the neonatal setting.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 338-345"},"PeriodicalIF":2.3,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078317","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}

{"title":"Assessing the relationship between pediatric nurses' three-dimensional work fatigue and ethical blindness levels","authors":"Dilek Uysal ,&nbsp;Selda Yildiz ,&nbsp;Dilek Eryürük","doi":"10.1016/j.pedn.2026.01.027","DOIUrl":"10.1016/j.pedn.2026.01.027","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric nurses face heavy workloads, long shifts, inadequate staffing, and the emotional demands of caring for vulnerable children, leading to physical, emotional, and cognitive fatigue. Such fatigue may increase the risk of ethical blindness, defined as difficulty in recognizing or responding to ethical issues. This study aimed to assess levels of work fatigue and ethical blindness and to examine their relationship.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional study was conducted in Turkey between April and August 2025. Data were collected using an anonymous online questionnaire including the Three-Dimensional Work Fatigue Inventory and the Workplace Ethical Blindness Scale. Analyses were performed with descriptive and inferential statistics.</div></div><div><h3>Results</h3><div>A total of 240 nurses participated, most aged 36–45 years with more than 11 years of experience. Overall, work fatigue was high, whereas ethical blindness was relatively low. Higher ethical blindness was observed among younger and less experienced nurses and those with lower professional satisfaction. Work fatigue was highest among pediatric intensive care nurses. Weak correlations were found between the routine dimension of ethical blindness and both physical and emotional fatigue.</div></div><div><h3>Discussion</h3><div>Professional motivation, voluntary career choice, and long-term experience may protect against ethical blindness. Workload regulation, motivational support, and structured ethics education are recommended to reduce fatigue-related risks and support ethical pediatric nursing care.</div></div><div><h3>Implications to practice</h3><div>Institutions should implement workload management strategies and integrate regular ethics education and reflective practices into professional development.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 353-362"},"PeriodicalIF":2.3,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078434","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}

{"title":"Diabetes distress mediates perceived stress and depressive symptoms in type 1 diabetes adolescent-parent dyads: An actor-partner interdependence mediation model","authors":"Yuwen Gao ,&nbsp;Wanqun Guo ,&nbsp;Jundi Yang ,&nbsp;Huimei Zhao ,&nbsp;Yuting Xie ,&nbsp;Xia Li ,&nbsp;Junxia Yan ,&nbsp;Jia Guo","doi":"10.1016/j.pedn.2026.01.033","DOIUrl":"10.1016/j.pedn.2026.01.033","url":null,"abstract":"<div><h3>Aim</h3><div>Perceived stress and diabetes distress are essential psychological factors contributing to depressive symptoms in adolescents with type 1 diabetes and their parents, yet the pathways linking these variables remain unclear. This study aimed to examine the mediating role of diabetes distress in the association between perceived stress and depressive symptoms among adolescent-parent dyads.</div></div><div><h3>Design</h3><div>A multicenter, cross-sectional observational study.</div></div><div><h3>Methods</h3><div>201 adolescent-parent dyads were recruited from three diabetes centers in China between May and September 2023. The parents had a mean age of 41.1 (7.1) years, and the adolescents had a mean age of 15.1 (2.0) years. Participants independently completed validated questionnaires assessing perceived stress, diabetes distress, and depressive symptoms. Dyadic associations were analyzed with the actor-partner interdependence mediation model in Mplus 8.3.</div></div><div><h3>Results</h3><div>For actor effects, adolescents' perceived stress was associated with their own depressive symptoms, fully mediated by their own diabetes distress. Perceived stress was directly associated with their own depressive symptoms. For partner effects, adolescents' perceived stress was associated with parents' diabetes distress, which was linked to lower adolescents' depressive symptoms.</div></div><div><h3>Conclusions</h3><div>Within T1D dyads, diabetes distress mediates the relationship between perceived stress and depressive symptoms in adolescents, whereas in parents, perceived stress directly influences depressive symptoms. Parents' diabetes distress may indirectly buffer adolescents' depressive symptoms.</div></div><div><h3>Implications to practice</h3><div>Interventions should target both adolescents with type 1 diabetes and their parents, addressing adolescents' diabetes distress and parents' perceived stress. Nurses should routinely assess these factors and implement family-centered interventions to prevent depressive symptoms.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 346-352"},"PeriodicalIF":2.3,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078435","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}