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Language Development of Japanese Children Raised in Institutional Care 在保育院长大的日本儿童的语言发展。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-27 DOI: 10.1111/cch.70000
Yuko Okumura, Hiroki Higuchi, Yuka Sakamoto, Yasuhiro Minami, Ryoko Mugitani, Kayoko Ito, Tessei Kobayashi

Background

Nurturing environments have a critical influence on children's language development. It is unclear to what extent nurturing environments in institutions influence children's language development.

Methods

The present study investigated the early lexical development in Japanese children raised in institutional care (IC) (N = 86; 10–33 months; 37 boys) and compared their lexical skills to a large sample of age peers being raised in biological family care (BFC) (N = 1897; 937 boys) using vocabulary checklists.

Results

Our results present three main findings: (1) Japanese IC children did not exhibit a delay in productive vocabulary compared with BFC children, although their comprehensive vocabulary was delayed; (2) IC children who experienced maltreatment showed poorer vocabulary scores than non-maltreated IC children; (3) both the duration at the institution and the number of books read to them significantly predicted children's vocabulary scores.

Conclusion

Our study suggests that the Japanese institutions included in the present study did not show a negative impact, at least on productive vocabulary, and may competently foster children's language development. We discussed the relationship between institutional environments and children's language development.

背景:养育环境对儿童的语言发展有着至关重要的影响。目前还不清楚机构中的养育环境在多大程度上影响儿童的语言发展:本研究调查了在机构保育(IC)中长大的日本儿童(人数=86;10-33 个月;37 名男孩)的早期词汇发展情况,并使用词汇检查表将他们的词汇技能与在亲生家庭保育(BFC)中长大的同龄儿童(人数=1897;937 名男孩)进行了大样本比较:我们的研究结果显示了三项主要发现:(1)与亲生家庭保育儿童相比,日本的 IC 儿童在生产性词汇方面没有表现出延迟,尽管他们的综合词汇量有所延迟;(2)与未受虐待的 IC 儿童相比,受过虐待的 IC 儿童的词汇量得分较低;(3)在保育机构的时间长短和为他们朗读的书籍数量都能显著预测儿童的词汇量得分:我们的研究表明,本研究中的日本机构至少对生产性词汇没有负面影响,而且可以有效促进儿童的语言发展。我们讨论了机构环境与儿童语言发展之间的关系。
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引用次数: 0
Early Childhood Education and Care Attendance and Its Association With Outdoor Play, Screen Time and Sleep Duration of Young Children: Findings From the CHAT Trial in Australia 幼儿教育和保育出席率及其与幼儿户外游戏、屏幕时间和睡眠时间的关系:澳大利亚 CHAT 试验的结果。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-22 DOI: 10.1111/cch.70002
Huilan Xu, Philayrath Phongsavan, Erin Kerr, Lisa Simone, Chris Rissel, Li Ming Wen

Background

Effects of attending early childhood education and care (ECEC) on health behaviours of young children remain unclear. This study aimed to investigate whether ECEC attendance was associated with outdoor play, screen time, sleep duration and family demographics of children aged 2 and 3 years.

Methods

Secondary analysis was conducted using data extracted from two linked trials conducted in Australia, 2017–2020. Telephone surveys were conducted with participating mothers for data collection. Multiple logistic and linear regression models were built to investigate the associations of ECEC attendance with outdoor play, screen time, sleep duration and family demographics among young children.

Results

At ages 2 and 3 years, 797 and 537 mothers completed surveys, respectively. Of respondents, 65% and 72% of children attended ECEC, respectively. Children who attended ECEC had 17 min (95% CI 3.8–30.5) and 28 min (95% CI 14.1–41.9) more daily outdoor playtime and had 13 min (95% CI 4.0–21.5) and 19 min (95% CI 6.4–30.7) less daily screen time at home at 2 and 3 years, respectively. Although ECEC attendance was not associated with sleep duration, children who attended ECEC were more likely to meet all three recommendations (outdoor play, screen time and sleep) with adjusted odds ratio (AOR) 1.84 (95% CI 1.24–2.72) at age 2 and AOR 2.34 (95% CI 1.28–4.28) at age 3. Mothers who were employed, first-time mothers, spoke English at home or had a high household income were more likely to use ECEC services.

Conclusions

ECEC services may hold promise to influence outdoor play and screen time among young children. Children from lower socio-demographic background had a lower rate of ECEC attendance. Future health promotion programmes for young children need to also consider children who do not attend ECEC.

背景:参加早期儿童教育和保育(ECEC)对幼儿健康行为的影响仍不清楚。本研究旨在调查参加ECEC是否与2岁和3岁儿童的户外游戏、屏幕时间、睡眠时间和家庭人口统计学相关:利用从 2017-2020 年在澳大利亚进行的两项关联试验中提取的数据进行了二次分析。对参与试验的母亲进行了电话调查,以收集数据。建立了多元逻辑和线性回归模型,以调查幼儿参加幼儿保育和教育中心与户外游戏、屏幕时间、睡眠时间和家庭人口统计学之间的关联:2岁和3岁时,分别有797名和537名母亲完成了调查。在受访者中,分别有 65% 和 72% 的儿童参加了幼儿保育和教育中心。参加幼儿保育和教育中心的儿童在2岁和3岁时,每天的户外游戏时间分别增加了17分钟(95% CI 3.8-30.5)和28分钟(95% CI 14.1-41.9),每天在家的屏幕时间分别减少了13分钟(95% CI 4.0-21.5)和19分钟(95% CI 6.4-30.7)。虽然参加幼儿保育和教育中心与睡眠时间长短无关,但参加幼儿保育和教育中心的儿童更有可能满足所有三项建议(户外游戏、屏幕时间和睡眠),2 岁时调整后的几率比(AOR)为 1.84(95% CI 1.24-2.72),3 岁时调整后的几率比(AOR)为 2.34(95% CI 1.28-4.28)。有工作、初为人母、在家讲英语或家庭收入高的母亲更有可能使用幼儿保育和教育服务:结论:ECEC 服务有望影响幼儿的户外游戏和屏幕时间。社会人口背景较低的儿童参加幼儿保育和教育中心的比率较低。未来的幼儿健康促进计划也需要考虑未参加幼儿保育和教育中心的儿童。
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引用次数: 0
Beyond the First Child: Unveiling the Reasons Behind Stopping Childbearing in Iran 超越第一胎:揭示伊朗停止生育的原因
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-14 DOI: 10.1111/cch.13335
Naeemeh Sadeghi-Dinani, Maryam Moeeni, Mostafa Amini-Rarani

Background

The determinants of the intention to stop childbearing tend to differ over time and contexts. This allows the issue of families' childbearing intentions to continually remain on the research agenda. As societal context and temporal variability will matter for second childbearing intentions, this study aimed at uncovering the reasons behind the intentions to stop childbearing from one-child mothers' perspective.

Method

A qualitative descriptive study in Isfahan City, Iran, was used to scrutinize reasons behind the unwillingness to have a second pregnancy. A purposeful sampling with maximum variation was used to select one-child mothers. Until reaching saturation, 48 semistructured interviews were conducted. A thematic analysis was used to analyse the qualitative data.

Results

Five themes and 19 subthemes emerged from the data analysis as structural attributes (economic, social and political conditions), parental attributes (parental (dis)agreements, childrearing troubles, having impatience and being at the inappropriate age for childbearing), husband attributes (having the intention to stop parenting, financially and emotionally nonsupportive and being busy by working), maternal attributes (health-related problems, adverse experience during former pregnancy, being employed, self-compassion, the fear of parity progression and being pessimistic) and child attributes (having a naughty child and having the physical or mental distress of the first child).

Conclusion

Overall, findings highlight the multifaceted nature of factors influencing second childbearing intentions. Structural reasons at macro level, intrafamily relationship, mothers' self-related factors and challenges of raising the first child all play distinct roles in discouraging mothers from a second child intention. Understanding these key reasons can help policymakers, researchers and individuals alike to comprehend the complexities involved in family planning and fertility decisions.

背景 停止生育意愿的决定因素往往因时间和环境而异。这使得家庭的生育意愿问题一直停留在研究议程上。由于社会环境和时间变化对第二次生育意愿有影响,本研究旨在从独生子女母亲的角度揭示停止生育意愿背后的原因。 方法 在伊朗伊斯法罕市开展了一项定性描述性研究,以仔细研究不愿再怀孕的原因。在选择独生子女母亲时,采用了最大差异的有目的抽样法。在达到饱和之前,共进行了 48 次半结构式访谈。对定性数据进行了主题分析。 结果 数据分析得出了 5 个主题和 19 个次主题,分别是结构属性(经济、社会和政治条件)、父母属性(父母(不)同意、育儿烦恼、缺乏耐心和处于不适当的生育年龄)、丈夫属性(有停止养育子女的意图、母亲属性(与健康有关的问题、前次怀孕期间的不良经历、有工作、自我同情、对均等进展的恐惧和悲观)和孩子属性(孩子淘气、头胎孩子的身体或精神状况不佳)。 结论 总体而言,研究结果凸显了影响二胎生育意愿因素的多面性。宏观层面的结构性原因、家庭内部关系、母亲的自我相关因素以及抚养第一个孩子所面临的挑战,都在阻碍母亲的二胎生育意愿方面发挥着不同的作用。了解这些关键原因有助于政策制定者、研究人员和个人理解计划生育和生育决定所涉及的复杂性。
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引用次数: 0
Quality of Life in Children With Chronic Health Conditions and Its Contribution to Unmet Supportive Care Needs of Families 慢性病患儿的生活质量及其对未满足家庭支持性护理需求的影响。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-09 DOI: 10.1111/cch.13336
Sangeetha Thomas, Nicholas P. Ryan, Linda K. Byrne, Christel Hendrieckx, Victoria White

Background

While theoretical models have established the bidirectional relationship between health and wellbeing of parents and children with chronic health conditions (CHCs), previous work has predominantly emphasised the impact of parent functioning on child outcomes. This study examines how quality of life (QoL) domains in children with CHCs are associated with unmet supportive care needs (SCN) of their parents and explores whether these associations vary by health condition.

Method

Parents of children with congenital heart disease (CHD), type 1 diabetes (T1D) and cancer diagnosed before the age of 12 years and receiving treatment within the last 5 years were eligible. Parents recruited through charity organisations and social media platforms completed a secure, online survey via Qualtrics. The PedsQL examined child QoL across four dimensions: physical, emotional, social and school functioning. A 34-item survey assessed parents' unmet SCN in the previous month across six need domains (e.g., care and informational). Linear regressions examined associations between child QoL and unmet SCN domains and moderation analyses determined whether associations varied as a function of CHC.

Results

The study included 186 parents (age range 25–56 years) of children diagnosed with various CHCs (52% CHD; 27% T1D, 21% cancer). The child's emotional functioning was inversely related to all unmet SCN domains, social functioning was inversely related to three domains (physical and social; support; financial), school functioning was inversely related to two domains (physical and social; care), and child's physical functioning was not associated with any SCN domains. Only the association between child school functioning and unmet care needs was significantly moderated by CHC type (p < 0.05).

Conclusion

Poorer emotional functioning in children with a CHC is a key factor in determining parents unmet SCN. Larger studies are required to replicate these findings and inform design of interventions addressing QoL and unmet SCN in families of children with common CHCs.

背景:虽然理论模型已经确立了父母与患有慢性疾病(CHC)儿童的健康和福祉之间的双向关系,但以往的工作主要强调父母的功能对儿童结果的影响。本研究探讨了慢性病患儿的生活质量(QoL)领域与其父母未满足的支持性护理需求(SCN)之间的关系,并探讨了这些关系是否因健康状况而异:先天性心脏病 (CHD)、1 型糖尿病 (T1D) 和癌症患儿的父母在 12 岁前确诊并在过去 5 年内接受过治疗。通过慈善组织和社交媒体平台招募的家长通过 Qualtrics 完成了一项安全的在线调查。PedsQL 从身体、情感、社交和学校功能四个方面考察了儿童的 QoL。一项由 34 个项目组成的调查评估了父母上个月在六个需求领域(如护理和信息)未得到满足的 SCN。线性回归分析了儿童 QoL 与未满足的 SCN 领域之间的关联,调节分析确定了关联是否随 CHC 的变化而变化:研究对象包括186名被诊断患有各种CHC(52%为慢性阻塞性肺病;27%为T1D,21%为癌症)的儿童的家长(年龄在25-56岁之间)。儿童的情绪功能与所有未满足的 SCN 领域成反比,社会功能与三个领域(身体和社会;支持;经济)成反比,学校功能与两个领域(身体和社会;护理)成反比,而儿童的身体功能与任何 SCN 领域均无关联。只有儿童的学校功能与未满足的护理需求之间的关系受到社区保健中心类型的显著调节(p 结论:儿童的学校功能与未满足的护理需求之间的关系受到社区保健中心类型的显著调节:CHC儿童较差的情绪功能是决定父母未满足SCN的关键因素。需要进行更大规模的研究来复制这些发现,并为设计干预措施提供信息,以解决常见 CHC 儿童家庭的 QoL 和未满足的 SCN 问题。
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引用次数: 0
Knowledge and Misconceptions About the Causes of Disabilities and Functioning in Children and Preadolescents: Mixed-Models Analyses 关于儿童和青少年残疾和功能障碍原因的知识和误解:混合模型分析》。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-06 DOI: 10.1111/cch.13333
Maria Cristina Ginevra, Maria Anna Donati, Isabella Valbusa, Caterina Primi, Sara Santilli, Laura Nota

Background

Accurate knowledge of disabilities is connected to social acceptance and a high chance of initiating and facilitating meaningful social interactions with students with disabilities. The present study investigated the effect of type of disability and school grade level on knowledge of the causes of four disabilities (i.e., hearing, visual, motor and intellectual), misconceptions about the causes of these disabilities and knowledge of the functioning of peers with disabilities.

Methods

A sample of 868 Italian students (Mage = 9.92, SD = 2.33; school grade levels 1–8; 436 boys and 432 girls) was interviewed about their knowledge of causes of four disabilities, potential misconceptions and the knowledge of functioning of peers with disabilities. Mixed-effects models were applied with the GAMLj module of the JAMOVI statistical platform. The effects of type of disability and school grade level and their interaction were estimated as fixed effects, and gender was introduced as a control variable.

Results

Mixed-model analyses found a main effect of type of disability for knowledge and misconceptions about the causes of disabilities and knowledge of the functioning of peers with disabilities. A main effect for school grade level was also found, showing a progressive growth trend in knowledge of the causes of disabilities and of the functioning of peers with disabilities and a decrease in misconceptions with the increase in school grade levels. Lastly, a significant interaction effect of Type of Disability × School Grade Level was found for knowledge and misconceptions about the causes of disabilities, suggesting that the effect of school grade level varied across the type of disability.

Conclusion

Overall, the study found that children and preadolescents have a rudimentary and limited understanding of disabilities, suggesting the necessity for a specific formal education about disabilities during the school years for children and preadolescents.

背景:对残疾的准确了解关系到社会对残疾学生的接受程度,以及与残疾学生开展和促进有意义的社会交往的可能性。本研究调查了残疾类型和学校年级对四种残疾(即听力残疾、视力残疾、运动残疾和智力残疾)成因的了解、对这些残疾成因的误解以及对残疾同学功能的了解的影响:对 868 名意大利学生(平均年龄 = 9.92,平均标准偏差 = 2.33;1-8 年级;436 名男生和 432 名女生)进行了抽样调查,以了解他们对四种残疾原因的认识、可能存在的误解以及对残疾同学功能的认识。使用 JAMOVI 统计平台的 GAMLj 模块建立了混合效应模型。残疾类型和学校年级的影响及其交互作用作为固定效应进行估计,性别作为控制变量:混合模型分析发现,在对残疾原因的了解和误解以及对残疾同伴功能的了解方面,残疾类型具有主效应。学校年级也存在主效应,表明随着学校年级的增加,对残疾成因和残疾同龄人功能的了解呈逐步增长趋势,而对残疾同龄人功能的误解则有所减少。最后,在对残疾成因的了解和误解方面,残疾类型 × 学校年级存在明显的交互效应,这表明学校年级对不同残疾类型的影响是不同的:总之,研究发现,儿童和学龄前儿童对残疾的了解是粗浅和有限的,这表明有必要在学龄期对儿童和学龄前儿童进行专门的正规残疾教育。
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引用次数: 0
The Relationships Between Trust Beliefs in Physicians by Children With Asthma, Those by Their Mothers and the Children's Medical Health 哮喘儿童、其母亲对医生的信任与儿童医疗健康之间的关系。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-10-03 DOI: 10.1111/cch.13334
Serena Petrocchi, Ken J. Rotenberg

Background

The study examined whether there were linear and curvilinear relationships between the trust beliefs in physicians by the children, those by their mothers and the children's medical health. The study examined whether there were changes in those relationships across time.

Methods

The data gathered in a previous study were subjected to further analyses. One hundred and forty-three children with asthma (116 males, Mage = 12 years and 7 months) and their mothers were administered standardized scales twice across 1 year. The scales assessed the children's trust beliefs in physicians, the mothers' trust beliefs in physicians, the children's quality of life and the children's adherence to prescribed medical regimes.

Results

Quadratic relationships were found between the children's quality of life and both their and their mothers' trust beliefs in physicians. The quadratic relationship increased over time. Linear relationships were found between trust beliefs in physicians and children's adherence to prescribed medical regimes.

Conclusion

Children with asthma are prone to a lower quality of life when they and their mothers hold very high, as well as hold very low, trust beliefs in physicians. Children's trust beliefs in physicians increase the probability of adherence to prescribed medical regimes.

研究背景该研究探讨了儿童、母亲对医生的信任信念与儿童医疗健康之间是否存在线性和曲线关系。研究还探讨了这些关系在不同时期是否会发生变化:方法:对之前研究中收集的数据进行了进一步分析。研究人员对 143 名哮喘儿童(116 名男性,年龄 = 12 岁零 7 个月)及其母亲进行了为期一年的两次标准化量表测试。量表评估了儿童对医生的信任度、母亲对医生的信任度、儿童的生活质量以及儿童对处方药物的依从性:结果:儿童的生活质量与儿童及其母亲对医生的信任度之间存在二次关系。随着时间的推移,二次关系逐渐增强。在对医生的信任度和儿童对处方药物的依从性之间存在线性关系:结论:当哮喘患儿及其母亲对医生的信任度很高或很低时,他们的生活质量都会下降。儿童对医生的信任度会增加他们遵从医嘱的可能性。
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引用次数: 0
Exploring Parents' Experiences and Needs During Disclosure of a Cerebral Palsy Diagnosis of Their Young Child: A Scoping Review 探索父母在披露幼儿脑瘫诊断期间的经历和需求:范围审查。
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-29 DOI: 10.1111/cch.13327
J. van der Kemp, M. Ketelaar, I. C. M. Rentinck, M. P. J. Sommers-Spijkerman, M. J. N. L. Benders, J. W. Gorter

Background

Parents often perceive the news that their child has cerebral palsy (CP) as overwhelming and shocking. They are at increased risk of parental stress and mental health problems, which in turn can affect the interaction between the parent and the child. Parental mental health outcomes are known to be affected by the process of disclosure of a diagnosis. In this study, we aimed to synthesize the current knowledge about parents' experiences and needs regarding communication during the disclosure of the diagnosis of their child with (or at risk of) CP.

Methods

A scoping review following the methodological steps outlined by the Joanna Briggs Institute was performed using PubMed, Embase, CINAHL and PsycINFO. We qualitatively explored parent-reported experiences and needs across included studies, using thematic analysis.

Results

A total of 19 studies were included. Six themes were identified, three in relation to experiences (i.e., preceding experiences and feelings, perceptions of the disclosure and emotional impact) and three in relation to needs (i.e., transparency in information, supportive attitude and having a say). Despite high variability across studies regarding parental needs, most studies reported the need for (i) honest and clear information, (ii) good communication skills amongst professionals and (iii) emotional and practical support after diagnosis.

Conclusions

Our findings suggest that parents' experiences and needs in the period when their child's diagnosis of (high risk of) CP is communicated are highly variable, due to an interplay of personal and contextual factors. To facilitate good communication during disclosure, it is crucial that health care professionals assess and understand this complex process and consider parents' needs for open communication and autonomy in the process. Therefore, professionals need to attune to parents' needs and their individual preferences regarding conversations about their child with (or at risk of) CP.

背景:父母在得知自己的孩子患有脑性瘫痪(CP)时,往往会感到不知所措和震惊。他们面临父母压力和心理健康问题的风险增加,这反过来又会影响父母与孩子之间的互动。众所周知,父母的心理健康结果会受到诊断披露过程的影响。在本研究中,我们旨在综合目前关于父母在公开其患有(或可能患有)CP 的孩子的诊断过程中的沟通经验和需求的知识:按照乔安娜-布里格斯研究所(Joanna Briggs Institute)概述的方法步骤,我们使用 PubMed、Embase、CINAHL 和 PsycINFO 进行了范围综述。我们采用主题分析法对纳入研究的家长报告的经历和需求进行了定性分析:结果:共纳入 19 项研究。共确定了 6 个主题,其中 3 个与经历有关(即之前的经历和感受、对披露的看法和情绪影响),3 个与需求有关(即信息透明度、支持态度和发言权)。尽管关于家长需求的研究之间存在很大差异,但大多数研究都报告了以下需求:(i) 诚实和清晰的信息;(ii) 专业人员之间良好的沟通技巧;(iii) 诊断后的情感和实际支持:我们的研究结果表明,由于个人因素和环境因素的相互作用,父母在其子女被诊断出患有(高风险)CP 时的经历和需求存在很大差异。为促进信息披露期间的良好沟通,医护人员必须评估和理解这一复杂过程,并考虑家长在这一过程中对开放式沟通和自主权的需求。因此,专业人员在与患有(或有可能患有)CP 的儿童进行交谈时,需要关注家长的需求及其个人偏好。
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引用次数: 0
Behavioural Problems in Preadolescence: Does Nutritional Status Have a Role? 青春期前的行为问题:营养状况是否有影响?
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-24 DOI: 10.1111/cch.13328
Bushra Khan, Waqas Hameed, Bilal Iqbal Avan

Introduction

Malnutrition in children and adolescents is a global issue particularly in low- and middle-income countries, while behavioural problems are becoming a growing public health concern in the area of child and adolescent mental health, with very few studies examining their association in preadolescence. This study aimed to assess the epidemiological relationship between malnutrition and behavioural problems in preadolescence.

Methods

A school based, cross-sectional survey was conducted in Karachi, Pakistan. Total 660, 11- to 12-year-old preadolescents were selected from a middle-class, coeducational school chain. Sociodemographic questionnaires and an officially adapted version of Youth Self-Report Form (YSR), which is the child and adolescent reported version of the Child Behavior Checklist (CBCL), were used to collect data, along with anthropometric assessments following the WHO protocol.

Results

Thin and stunted preadolescents had significantly higher odds of internalizing problems (AOR = 2.05, p = 0.003 and AOR = 2.09, p = 0.039, respectively) than normal ones. Overnutrition was not associated with any behavioural issues. According to the Composite Index of Anthropometric Failure, 40% of preadolescents had at least one type of malnutrition and among them about 3% had co-occurring malnutrition (stunted and thin or overweight). They significantly had higher risk of being associated with the internalizing problems (AOR 2.92, p = 0.027). The effect was considerably higher than that associated with stunted or thin only, highlighting the cumulative impact of the co-occurring malnutrition on the internalizing problems.

Conclusion

Our study concludes that overnutrition and undernutrition are prevalent in preadolescents, with significant association of undernutrition with internalizing problems. Moreover, our study is the first that reports that the co-occurrence of malnutrition is significantly associated with increased risk of internalizing problems. This study highlights the importance of the link between physical and mental health and emphasizes the need for holistic interventions and programmes for addressing preadolescents' issues.

引言 儿童和青少年营养不良是一个全球性问题,尤其是在中低收入国家,而行为问题正日益成为儿童和青少年心理健康领域的一个公共卫生问题,但很少有研究探讨两者在青春期前的关系。本研究旨在评估青春期前营养不良与行为问题之间的流行病学关系。 方法 在巴基斯坦卡拉奇进行了一项基于学校的横断面调查。从一所中产阶级男女混合连锁学校中挑选了 660 名 11 至 12 岁的青春期前儿童。调查使用了社会人口学问卷和官方改编版的青少年自我报告表(YSR)(即儿童和青少年报告版的儿童行为检查表(CBCL))来收集数据,并按照世界卫生组织的方案进行了人体测量评估。 结果 瘦弱和发育不良的学龄前儿童出现内化问题的几率(AOR = 2.05,p = 0.003 和 AOR = 2.09,p = 0.039)明显高于正常儿童。营养过剩与任何行为问题无关。根据人体测量不合格综合指数(Composite Index of Anthropometric Failure),40%的学龄前儿童至少有一种营养不良,其中约3%同时存在营养不良(发育迟缓、消瘦或超重)。他们出现内化问题的风险明显更高(AOR 2.92,p = 0.027)。这种影响远远高于仅与发育不良或消瘦相关的影响,突出了同时存在的营养不良对内化问题的累积影响。 结论 我们的研究得出结论,营养过剩和营养不良在青春期前儿童中普遍存在,营养不良与内化问题有显著关联。此外,我们的研究还首次报告了营养不良与内化问题风险增加的显著相关性。这项研究强调了身体健康与心理健康之间联系的重要性,并强调有必要采取综合干预措施和方案来解决学龄前儿童的问题。
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引用次数: 0
Exploring What Motivates Parents of Children Living With Medical Complexity to Participate in Research 探究有复杂病情儿童的家长参与研究的动机
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-19 DOI: 10.1111/cch.13331
Laesa Kim, Anne-Mette Hermansen, Karen Cook, Harold Siden

Background

The study aimed to understand the experience of and identify the motivations for parents participating in health research for their children with medical complexity (CMC). Patient-oriented research strategies are increasingly important in health research to ensure that the voices of patients and parents help shape and direct research programmes. To bring a family-centred and patient-oriented focus to our research and objectives, we asked parents about their experiences when they participated in healthcare research related to their child with CMC.

Methods

A parent partner, who also has a CMC, interviewed 12 parents (11 mothers and 1 father) of children living with medical complexity to understand their motivations to participate in healthcare research for their child. The parent partner conducted and transcribed the interviews and led our data analysis. Interpretive phenomenological analysis (IPA) was used to inform our data coding and analytic process.

Results

Parents described numerous reasons for their participation in research about their children. These motivations landed within four main themes: feeling helpless and hopeful, child-centred motivation, being part of something good and forming a relationship with the research team. In addition to these themes, parents highlighted factors that influenced their ability or desire to participate, such as time, capacity and the level of invasiveness for their child. Ultimately, the reflections by parents emphasized their unique lives in caring for their CMC and the need to integrate their lived experiences with the research they engage in.

Conclusion

This study offers important insights for healthcare teams who want to engage parents of CMC to participate in research. Understanding parents' motivation to participate in research can help researchers create richer engagement and more meaningful experiences for themselves and their participants, thereby bolstering research programmes.

研究背景 该研究旨在了解家长参与复杂病症儿童(CMC)健康研究的经历,并确定家长参与研究的动机。以患者为导向的研究策略在健康研究中越来越重要,以确保患者和家长的声音有助于制定和指导研究计划。为了使我们的研究和目标以家庭为中心、以患者为导向,我们询问了家长在参与与患有复杂性内科疾病儿童相关的医疗保健研究时的经历。 研究方法 由一位同样患有儿童疾病综合症的家长伴侣对 12 位患有儿童疾病综合症的家长(11 位母亲和 1 位父亲)进行了访谈,以了解他们参与儿童医疗保健研究的动机。这位家长伙伴主持并记录了访谈内容,并领导了我们的数据分析工作。我们在数据编码和分析过程中使用了解释现象学分析(IPA)。 结果 家长描述了他们参与有关其子女研究的众多原因。这些动机主要有四个主题:感到无助和充满希望、以儿童为中心的动机、成为美好事物的一部分以及与研究团队建立关系。除了这些主题外,家长们还强调了影响他们参与能力或意愿的因素,如时间、能力和对孩子的侵犯程度。最后,家长们的思考强调了他们在照顾儿童疾病管理中心的独特生活,以及将他们的生活经验与他们所参与的研究相结合的必要性。 结论 本研究为希望让儿童疾病管理中心的家长参与研究的医疗团队提供了重要启示。了解父母参与研究的动机有助于研究人员为自己和参与者创造更丰富的参与和更有意义的体验,从而加强研究计划。
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引用次数: 0
Correction to “Maternal Dispositional Mindfulness and Mother–Child Relationship: The Mediating Role of Emotional Control During Parenting” 更正 "母亲的意念倾向与母子关系:育儿过程中情绪控制的中介作用"
IF 1.8 4区 医学 Q2 PEDIATRICS Pub Date : 2024-09-09 DOI: 10.1111/cch.13332

Passaquindici, I., Nardozza, O., Sperati, A., Lionetti, F., D'Urso, G., Fasolo, M., & Spinelli, M. (2024). Maternal Dispositional Mindfulness and Mother–Child Relationship: The Mediating Role of Emotional Control During Parenting. Child: Care, Health and Development, 50 (3), e13264, https://doi.org/10.1111/cch.13264.

In Table 1, there is an error in reporting the direction of the bivariate association between maternal dispositional mindfulness and the quality of the mother–child relationship. The reported association is r = −0.39, but the correct value is r = 0.39, suggesting that more mindful mothers reported more satisfaction, confidence and pleasure in interacting with their child.

We apologize for this error.

Passaquindici, I., Nardozza, O., Sperati, A., Lionetti, F., D'Urso, G., Fasolo, M., & Spinelli, M. (2024)。 母亲倾向性正念与母子关系:育儿过程中情绪控制的中介作用》。儿童:Care, Health and Development, 50 (3), e13264, https://doi.org/10.1111/cch.13264. 在表 1 中,母亲的正念倾向与母子关系质量之间的二元关联的方向报告有误。报告中的相关性为 r = -0.39,但正确值为 r = 0.39,这表明正念较强的母亲在与孩子互动时会表现出更多的满足感、自信心和愉悦感。
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引用次数: 0
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Child Care Health and Development
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