Comorbid anxiety disorders affect up to 28% of children with attention-deficit/hyperactivity disorder (ADHD). While coercive parenting is often linked to ADHD and overprotectiveness to anxiety disorders (ADs), little is known about parenting practices in children with both disorders (ADHD+ADs). This systematic review and meta-analysis examined parenting practices in children aged 5–12 years with ADHD+ADs.
Methods
Studies were identified through PsycINFO (Ovid), Medline (Ovid), EMBASE, and Web of Science from inception date to January 23, 2025. Of the 1838 records screened, four studies were included in the review, and three were included in the meta-analysis.
Results
Compared to parents of children with ADHD alone, those of children with ADHD+ADs reported greater use of anxiety-related parenting practices (k = 3, g = 0.32, 95% CI = 0.11, 0.53, p = 0.002) and fewer positive parenting practices (k = 3, g = −0.35, 95% CI = −0.55, −0.14, p = 0.001). No significant differences were found in ADHD-related parenting practices (k = 2, g = 0.27, 95% CI = −0.16, 0.70, p = 0.26).
Conclusion
These findings suggest that families of children with ADHD+ADs may be characterized by increased anxiety-related parenting practices and reduced positive parenting compared to families of children with ADHD alone. Further research is needed to inform the development of targeted interventions.
背景：共病性焦虑症影响高达28%的注意力缺陷/多动障碍（ADHD）儿童。虽然强制性的养育方式通常与多动症和过度保护有关，但对患有这两种疾病（多动症+多动症）的儿童的养育方式知之甚少。本系统综述和荟萃分析研究了5-12岁ADHD+ADs儿童的父母教育实践。方法：研究通过PsycINFO (Ovid), Medline (Ovid)， EMBASE和Web of Science从成立日期到2025年1月23日进行鉴定。在筛选的1838份记录中，有4项研究被纳入综述，3项被纳入meta分析。结果：与单独患有ADHD儿童的父母相比，ADHD+ADs儿童的父母报告更多地使用焦虑相关的育儿方法（k = 3, g = 0.32, 95% CI = 0.11, 0.53, p = 0.002），较少积极的育儿方法（k = 3, g = -0.35, 95% CI = -0.55, -0.14, p = 0.001）。与adhd相关的父母教养方式无显著差异（k = 2, g = 0.27, 95% CI = -0.16, 0.70, p = 0.26）。结论：这些研究结果表明，与单独患有ADHD的儿童相比，ADHD+ADs儿童的家庭可能具有焦虑相关的父母行为增加和积极的父母行为减少的特征。需要进一步研究，为制定有针对性的干预措施提供信息。
{"title":"Parenting Practices in Families of Children With Comorbid ADHD and Anxiety Disorders: A Systematic Review and Meta-Analysis","authors":"Isabelle Denis, Laurie Côté, Stéphane Turcotte, Guillaume Foldes-Busque","doi":"10.1111/cch.70219","DOIUrl":"10.1111/cch.70219","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Comorbid anxiety disorders affect up to 28% of children with attention-deficit/hyperactivity disorder (ADHD). While coercive parenting is often linked to ADHD and overprotectiveness to anxiety disorders (ADs), little is known about parenting practices in children with both disorders (ADHD+ADs). This systematic review and meta-analysis examined parenting practices in children aged 5–12 years with ADHD+ADs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Studies were identified through PsycINFO (Ovid), Medline (Ovid), EMBASE, and Web of Science from inception date to January 23, 2025. Of the 1838 records screened, four studies were included in the review, and three were included in the meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared to parents of children with ADHD alone, those of children with ADHD+ADs reported greater use of anxiety-related parenting practices (<i>k</i> = 3, <i>g</i> = 0.32, 95% CI = 0.11, 0.53, <i>p</i> = 0.002) and fewer positive parenting practices (<i>k</i> = 3, <i>g</i> = −0.35, 95% CI = −0.55, −0.14, <i>p</i> = 0.001). No significant differences were found in ADHD-related parenting practices (<i>k</i> = 2, <i>g</i> = 0.27, 95% CI = −0.16, 0.70, <i>p</i> = 0.26).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings suggest that families of children with ADHD+ADs may be characterized by increased anxiety-related parenting practices and reduced positive parenting compared to families of children with ADHD alone. Further research is needed to inform the development of targeted interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12710563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145770107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Children's mental health is a global issue of concern, and schools are a key site for identifying and supporting children's mental health needs. Children are active agents in their mental health. Their unique perspectives offer valuable insights that can inform how their schools can support the mental health of their students. There is a lack of research exploring the views of young children.
Aims
This study sought to explore the views of elementary school-aged children (aged 5–8 years) regarding how they imagine elementary schools could support student mental health.
Methods
This study was conducted in Victoria, Australia. We undertook 17 semi-structured interviews with children aged between 5 and 8 years employing developmentally appropriate techniques that supported children's assent and choice. We employed reflexive thematic analysis to identify and report themes.
Results
Analysis generated four themes from the data: the benefits of enabling play through school design and routines; fostering a culture of kindness and belonging; promoting mental health literacy; and cultivating teaching practices that prioritize children's mental health.
Conclusions
Our findings provide children's views on how elementary schools can better support student mental health. They suggest we explore how children's views could be better integrated into school and policy initiatives and review existing priorities that may have unintended negative effects. Promoting play-based learning could support children's social–emotional learning and foster participation in learning. Considering the design of school environments that support children's physicality and sense of belonging could support student mental health.
{"title":"‘Little Helping Things’: 5- to 8-Year-Olds Imagine How Elementary Schools Could Support Student Mental Health","authors":"Alison Giles-Kaye, Jon Quach, Meredith O'Connor","doi":"10.1111/cch.70206","DOIUrl":"10.1111/cch.70206","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children's mental health is a global issue of concern, and schools are a key site for identifying and supporting children's mental health needs. Children are active agents in their mental health. Their unique perspectives offer valuable insights that can inform how their schools can support the mental health of their students. There is a lack of research exploring the views of young children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study sought to explore the views of elementary school-aged children (aged 5–8 years) regarding how they imagine elementary schools could support student mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was conducted in Victoria, Australia. We undertook 17 semi-structured interviews with children aged between 5 and 8 years employing developmentally appropriate techniques that supported children's assent and choice. We employed reflexive thematic analysis to identify and report themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis generated four themes from the data: the benefits of enabling play through school design and routines; fostering a culture of kindness and belonging; promoting mental health literacy; and cultivating teaching practices that prioritize children's mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings provide children's views on how elementary schools can better support student mental health. They suggest we explore how children's views could be better integrated into school and policy initiatives and review existing priorities that may have unintended negative effects. Promoting play-based learning could support children's social–emotional learning and foster participation in learning. Considering the design of school environments that support children's physicality and sense of belonging could support student mental health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764301","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}
Short bowel syndrome (SBS) is a rare but severe malabsorptive condition resulting from resecting extensive small bowel or congenital anomalies. Children with SBS require long-term nutritional support to maintain growth and development. This study aims to explore the experiences and needs of parents managing home nutrition for children with SBS. It seeks to identify gaps in current nutritional management practices and provide insights into developing personalized, evidence-based strategies to enhance support and optimize long-term care outcomes.
Methods
A qualitative descriptive study was conducted using semistructured interviews with 12 parents of children with SBS. Each interview ranging from 20 to 45 min, focused on home nutrition management experiences and needs. Content analysis was employed to theme extraction.
Results
Four major themes and 12 sub-themes were identified. Complex emotional experience includes exhaustion and self-healing, questioning and anxiety, and positive coping and adaptation. Challenges and responses to nutrition management included seeking specialized medical support, heavy caregiving burden, exploration of different ways of nutrition management and emergency response. Financial burden was identified as a major theme with the sub-theme of financial burden posing dilemma. Additionally, parents expressed multidimensional needs for home-based nutrition management, including medical support, reimbursement policy tilt, diversified professional knowledge and external support from medical institutions.
Conclusions
Parents face substantial pressures in managing home nutrition for children with SBS, highlighting the need for structured, multidimensional support to strengthen caregiving confidence and improve long-term outcomes.
{"title":"Parents' Experiences and Needs in Home Nutritional Management of Children With Short Bowel Syndrome: A Qualitative Study","authors":"Qiufan Lu, Qiao Shen, Xin Wan, Jinjiu Hu, Xianlan Zheng","doi":"10.1111/cch.70221","DOIUrl":"10.1111/cch.70221","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Short bowel syndrome (SBS) is a rare but severe malabsorptive condition resulting from resecting extensive small bowel or congenital anomalies. Children with SBS require long-term nutritional support to maintain growth and development. This study aims to explore the experiences and needs of parents managing home nutrition for children with SBS. It seeks to identify gaps in current nutritional management practices and provide insights into developing personalized, evidence-based strategies to enhance support and optimize long-term care outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive study was conducted using semistructured interviews with 12 parents of children with SBS. Each interview ranging from 20 to 45 min, focused on home nutrition management experiences and needs. Content analysis was employed to theme extraction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four major themes and 12 sub-themes were identified. Complex emotional experience includes exhaustion and self-healing, questioning and anxiety, and positive coping and adaptation. Challenges and responses to nutrition management included seeking specialized medical support, heavy caregiving burden, exploration of different ways of nutrition management and emergency response. Financial burden was identified as a major theme with the sub-theme of financial burden posing dilemma. Additionally, parents expressed multidimensional needs for home-based nutrition management, including medical support, reimbursement policy tilt, diversified professional knowledge and external support from medical institutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parents face substantial pressures in managing home nutrition for children with SBS, highlighting the need for structured, multidimensional support to strengthen caregiving confidence and improve long-term outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764244","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}
Speed capability is critical for early childhood development, but troubling patterns are emerging in the motor fitness of Chinese preschoolers (3–6 years). This study investigated how compositional 24-h movement behaviours (sleep, sedentary behaviour [SB], light physical activity [LPA] and moderate-to-vigorous physical activity [MVPA]) relate to speed capability.
Methods
Via compositional data analysis and isotemporal substitution modelling, we assessed relationships between 24-h movement behaviours (sleep, SB, LPA and MVPA) and speed capability in 275 preschoolers (mean age 4.98 ± 0.76 years). Participants completed 20-m sprint tests and 7-day accelerometry. Time-reallocation effects were quantified through pairwise behavioural substitutions (5- to 30-min durations), with all models adjusted for age, sex and BMI z scores (z-BMI).
Results
Higher relative MVPA time significantly predicted faster sprint times (β = −1.302, p < 0.001), while higher LPA predicted slower times (β = 1.570, p = 0.003). Reallocating 15 min from sleep, SB or LPA to MVPA reduced sprint times by 0.176, 0.201 and 0.385 s, respectively (all p < 0.05). Conversely, reallocating MVPA to other behaviours worsened performance. The effects exhibited asymmetry: displacing time away from MVPA impaired speed capability to a greater extent than equivalent gains in MVPA time improved it.
Conclusion
MVPA is the strongest positive predictor of speed capability in preschoolers. Optimizing 24-h movement patterns by reallocating time from LPA or SB to MVPA is associated with enhanced speed performance, supporting targeted interventions for early childhood development.
{"title":"Compositional Isotemporal Substitution Analysis of 24-h Movement Behaviours and Speed Capability in Preschoolers","authors":"Haoyang Sun, Zhaoxu Lu, Jin Guo, Yihua Bao, Haowen Zhang, Fang Wang, Xiangli Liu, Jianwei Li, Yanpeng Ni, Di Heng, Haiyuan Zhou, Jian Wu, Ting Zhang","doi":"10.1111/cch.70218","DOIUrl":"10.1111/cch.70218","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Speed capability is critical for early childhood development, but troubling patterns are emerging in the motor fitness of Chinese preschoolers (3–6 years). This study investigated how compositional 24-h movement behaviours (sleep, sedentary behaviour [SB], light physical activity [LPA] and moderate-to-vigorous physical activity [MVPA]) relate to speed capability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Via compositional data analysis and isotemporal substitution modelling, we assessed relationships between 24-h movement behaviours (sleep, SB, LPA and MVPA) and speed capability in 275 preschoolers (mean age 4.98 ± 0.76 years). Participants completed 20-m sprint tests and 7-day accelerometry. Time-reallocation effects were quantified through pairwise behavioural substitutions (5- to 30-min durations), with all models adjusted for age, sex and BMI <i>z</i> scores (<i>z</i>-BMI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher relative MVPA time significantly predicted faster sprint times (<i>β</i> = −1.302, <i>p</i> < 0.001), while higher LPA predicted slower times (<i>β</i> = 1.570, <i>p</i> = 0.003). Reallocating 15 min from sleep, SB or LPA to MVPA reduced sprint times by 0.176, 0.201 and 0.385 s, respectively (all <i>p</i> < 0.05). Conversely, reallocating MVPA to other behaviours worsened performance. The effects exhibited asymmetry: displacing time away from MVPA impaired speed capability to a greater extent than equivalent gains in MVPA time improved it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MVPA is the strongest positive predictor of speed capability in preschoolers. Optimizing 24-h movement patterns by reallocating time from LPA or SB to MVPA is associated with enhanced speed performance, supporting targeted interventions for early childhood development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764236","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}
Mark S. Tremblay, Leigh M. Vanderloo, Travis J. Saunders, Sheri Madigan, Nicholas Kuzik, Laura Heather, Nathan D. Zhang, Madelyn Curle, Amanda Helleman, Gary S. Goldfield, Alyssa Hall, Kathleen Pajer, Michelle Ponti, Valerie Carson
Background
Excessive screen use in children and adolescents is an increasingly prevalent, pervasive and pressing public health issue in Canada. This project investigated the ‘state of the effort’ in relation to screen use and healthy development in children and adolescents in Canada.
Methods
Five investigations were employed to identify, describe, interpret and triangulate the current evidence, including a national opinion survey, environmental scan, school board policy scan, network analysis and text mining analysis of Canadian news headlines.
Results
Screen use and healthy child development is an important issue for Canadian parents (n = 385), and they believe schools (79%), governments (73%) and technology companies (71%) have a responsibility to promote safe use. Most policy documents found were relatively recent (2023+) with both provincial (e.g., educational settings with a focus on personal digital devices) and national scope (e.g., protecting children regarding online programming, content and privacy). Of the 38 largest school boards in Canada, 84% ban or restrict students' unnecessary use of mobile devices during classroom/instructional time and 42% block or restrict access to social media platforms. Linked network analysis clusters included health, research, advocacy, law, policy, education, environment and physical activity, with most partnerships being weak, indicating a suboptimal connection among these sectors. Dramatic increases in related media headlines were found in 2024 (n = 1061) compared with 2023 (n = 400), and most lexicon sentiments were negative.
Conclusion
Concerns over excessive and inappropriate digital screen use among Canadian children and adolescents have escalated recently. This work highlights that while there is much recent activity across sectors occurring in Canada, policy is lacking, and efforts lack coordination, cross-sectoral collaboration, and synergy, likely resulting in suboptimal impact.
{"title":"Screen Use and Child and Adolescent Health in Canada: Triangulation of Evidence Assessing the State of the Effort","authors":"Mark S. Tremblay, Leigh M. Vanderloo, Travis J. Saunders, Sheri Madigan, Nicholas Kuzik, Laura Heather, Nathan D. Zhang, Madelyn Curle, Amanda Helleman, Gary S. Goldfield, Alyssa Hall, Kathleen Pajer, Michelle Ponti, Valerie Carson","doi":"10.1111/cch.70204","DOIUrl":"10.1111/cch.70204","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Excessive screen use in children and adolescents is an increasingly prevalent, pervasive and pressing public health issue in Canada. This project investigated the ‘state of the effort’ in relation to screen use and healthy development in children and adolescents in Canada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five investigations were employed to identify, describe, interpret and triangulate the current evidence, including a national opinion survey, environmental scan, school board policy scan, network analysis and text mining analysis of Canadian news headlines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Screen use and healthy child development is an important issue for Canadian parents (<i>n</i> = 385), and they believe schools (79%), governments (73%) and technology companies (71%) have a responsibility to promote safe use. Most policy documents found were relatively recent (2023+) with both provincial (e.g., educational settings with a focus on personal digital devices) and national scope (e.g., protecting children regarding online programming, content and privacy). Of the 38 largest school boards in Canada, 84% ban or restrict students' unnecessary use of mobile devices during classroom/instructional time and 42% block or restrict access to social media platforms. Linked network analysis clusters included health, research, advocacy, law, policy, education, environment and physical activity, with most partnerships being weak, indicating a suboptimal connection among these sectors. Dramatic increases in related media headlines were found in 2024 (<i>n</i> = 1061) compared with 2023 (<i>n</i> = 400), and most lexicon sentiments were negative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Concerns over excessive and inappropriate digital screen use among Canadian children and adolescents have escalated recently. This work highlights that while there is much recent activity across sectors occurring in Canada, policy is lacking, and efforts lack coordination, cross-sectoral collaboration, and synergy, likely resulting in suboptimal impact.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12705222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mingyi Zhu, Hanmei Liu, Xi Wang, Jiantao Zhang, Xiaoyun Chai
Background
Researchers and practitioners have long focused primarily on functional deficits or psychopathological symptoms in adolescent mental health. Few researchers have explored the positive dimensions of mental health and the associated antecedents. We aimed to examine the mechanisms by which two forms of self-regulation (effortful control and intentional self-regulation) jointly predicted positive mental health in adolescents through a longitudinal study.
Methods
This two-wave longitudinal study, with a 6-month interval between T1 and T2, surveyed 877 adolescents (Mage = 12.86 years, SD = 0.71 at T1; 48.12% boys) from two public middle schools in Hubei Province, China. Effortful control and intentional self-regulation were measured at T1, and social connectedness and positive mental health at T2. Structural equation modelling with bootstrap analysis was employed to examine the direct and indirect effects of self-regulation on positive mental health via social connectedness.
Results
The baseline model demonstrated that both effortful control and intentional self-regulation significantly predicted positive mental health. Subsequent mediation analysis indicated that social connectedness mediated these relationships, with significant indirect effects for both effortful control and intentional self-regulation, accounting for 48.31% and 30.92% of the total effects, respectively. Notably, the direct effects of self-regulation on positive mental health became nonsignificant after incorporating social connectedness into the model.
Conclusions
The findings underscore the joint contributions of effortful control and intentional self-regulation to adolescents' positive mental health, with social connectedness serving as a partial mediator. Interventions aimed at enhancing self-regulation and strengthening social connections within key developmental contexts may effectively promote holistic mental health in adolescents.
{"title":"The Effect of Effortful Control and Intentional Self-Regulation on Positive Mental Health in Adolescents: A Longitudinal Mediation Model","authors":"Mingyi Zhu, Hanmei Liu, Xi Wang, Jiantao Zhang, Xiaoyun Chai","doi":"10.1111/cch.70217","DOIUrl":"10.1111/cch.70217","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Researchers and practitioners have long focused primarily on functional deficits or psychopathological symptoms in adolescent mental health. Few researchers have explored the positive dimensions of mental health and the associated antecedents. We aimed to examine the mechanisms by which two forms of self-regulation (effortful control and intentional self-regulation) jointly predicted positive mental health in adolescents through a longitudinal study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This two-wave longitudinal study, with a 6-month interval between T1 and T2, surveyed 877 adolescents (<i>M</i><sub>age</sub> = 12.86 years, SD = 0.71 at T1; 48.12% boys) from two public middle schools in Hubei Province, China. Effortful control and intentional self-regulation were measured at T1, and social connectedness and positive mental health at T2. Structural equation modelling with bootstrap analysis was employed to examine the direct and indirect effects of self-regulation on positive mental health via social connectedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The baseline model demonstrated that both effortful control and intentional self-regulation significantly predicted positive mental health. Subsequent mediation analysis indicated that social connectedness mediated these relationships, with significant indirect effects for both effortful control and intentional self-regulation, accounting for 48.31% and 30.92% of the total effects, respectively. Notably, the direct effects of self-regulation on positive mental health became nonsignificant after incorporating social connectedness into the model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings underscore the joint contributions of effortful control and intentional self-regulation to adolescents' positive mental health, with social connectedness serving as a partial mediator. Interventions aimed at enhancing self-regulation and strengthening social connections within key developmental contexts may effectively promote holistic mental health in adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716888","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":"Determinants of Educational Institution Enrolment Among Orphaned and Vulnerable Children in Namibia: A Multi-Year Analysis (2018–2024)","authors":"Emaan Mehmood","doi":"10.1111/cch.70220","DOIUrl":"10.1111/cch.70220","url":null,"abstract":"","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716916","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}
A. Emel Sardohan Yildirim, Özlem Altindağ Kumaş, Muhammet Ali Çankaya
Background
The Family Quality of Life (FQoL) of families with children with disabilities in early childhood is affected by multidimensional factors such as social support, emotional well-being, economic sufficiency and access to services.
Methods
While qualitative studies exist, few have focused on early childhood within the Turkish context. This study describes how social, economic and emotional factors influence FQoL in families with children with disabilities and provides findings to guide future interventions and policies. The data were collected through semi-structured interviews. Data were collected through semi-structured interviews with 12 parents of children with disabilities.
Results
The findings obtained through the directed content analysis were classified into five main themes: family interaction, parenting, emotional well-being, physical/financial/material competence and support for disability.
Conclusion
This study highlights that the FQoL of families with young children with disabilities is influenced by complex and interconnected factors. The findings underscore the importance of developing holistic, accessible and needs-based support systems that address not only the care burden and economic challenges but also emotional and social well-being.
{"title":"Uncovering the Determinants of Family Quality of Life in the Context of Childhood Disabilities","authors":"A. Emel Sardohan Yildirim, Özlem Altindağ Kumaş, Muhammet Ali Çankaya","doi":"10.1111/cch.70202","DOIUrl":"10.1111/cch.70202","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Family Quality of Life (FQoL) of families with children with disabilities in early childhood is affected by multidimensional factors such as social support, emotional well-being, economic sufficiency and access to services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>While qualitative studies exist, few have focused on early childhood within the Turkish context. This study describes how social, economic and emotional factors influence FQoL in families with children with disabilities and provides findings to guide future interventions and policies. The data were collected through semi-structured interviews. Data were collected through semi-structured interviews with 12 parents of children with disabilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings obtained through the directed content analysis were classified into five main themes: family interaction, parenting, emotional well-being, physical/financial/material competence and support for disability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights that the FQoL of families with young children with disabilities is influenced by complex and interconnected factors. The findings underscore the importance of developing holistic, accessible and needs-based support systems that address not only the care burden and economic challenges but also emotional and social well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716878","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}
In low- and middle-income countries, physiotherapy is often the only available rehabilitative care, making the quality of physiotherapy care particularly important. However, how well physiotherapy practice in managing children with cerebral palsy (CP) is supported by evidence-based guidelines remains unclear. This study aims to describe the current practice of physiotherapists in managing children with CP in Benin, a French-speaking country in Sub-Saharan Africa.
Methods
This study used a cross-sectional online survey, addressed to physiotherapists working in Benin.
Results
A total of 91 physiotherapists participated in the study, 52 of whom worked with children with CP. One-third of the children with CP treated were under 2 years old. Physiotherapy sessions were delivered twice or thrice weekly and lasted 30–45 min. Most of the physiotherapists working with children with CP (63.5%) received no certified paediatric neurorehabilitation training. About 54% rarely or never used a standardized outcome measure, and 36.5% used such measures occasionally. CP-specific common classification systems were mostly unused and unknown. The most common intervention modalities were handling techniques (muscle stretching, joint mobilization and Bobath therapy [for movement normalization]), but functional exercises (milestones) were also commonly used. About 58% felt confident in the management of children with CP, and the need for training on modern approaches was stressed.
Conclusion
The management of children with CP in Benin does not meet the standards of evidence-based practice. The results of this study will help develop strategies to improve the physiotherapy quality of care provided to children with CP in Benin and beyond.
{"title":"Current Practice of Physiotherapists in the Management of Children With Cerebral Palsy in Benin Country: A Cross-Sectional Online Survey","authors":"Emmanuel Segnon Sogbossi, Murielle Gbaglo, Wilfried Dahoueto, Toussaint Kpadonou, Catherine Mercier","doi":"10.1111/cch.70192","DOIUrl":"10.1111/cch.70192","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In low- and middle-income countries, physiotherapy is often the only available rehabilitative care, making the quality of physiotherapy care particularly important. However, how well physiotherapy practice in managing children with cerebral palsy (CP) is supported by evidence-based guidelines remains unclear. This study aims to describe the current practice of physiotherapists in managing children with CP in Benin, a French-speaking country in Sub-Saharan Africa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a cross-sectional online survey, addressed to physiotherapists working in Benin.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 91 physiotherapists participated in the study, 52 of whom worked with children with CP. One-third of the children with CP treated were under 2 years old. Physiotherapy sessions were delivered twice or thrice weekly and lasted 30–45 min. Most of the physiotherapists working with children with CP (63.5%) received no certified paediatric neurorehabilitation training. About 54% rarely or never used a standardized outcome measure, and 36.5% used such measures occasionally. CP-specific common classification systems were mostly unused and unknown. The most common intervention modalities were handling techniques (muscle stretching, joint mobilization and Bobath therapy [for movement normalization]), but functional exercises (milestones) were also commonly used. About 58% felt confident in the management of children with CP, and the need for training on modern approaches was stressed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The management of children with CP in Benin does not meet the standards of evidence-based practice. The results of this study will help develop strategies to improve the physiotherapy quality of care provided to children with CP in Benin and beyond.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12690346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Lindblom, Elzana Odzakovic, Eric A. Hodges, Anne Christenson, Maria Björk
Background
Childhood overweight poses health risks and often persists in adulthood, making early intervention essential. Swedish Child Health Service (CHS) nurses are responsible for addressing this issue, a task perceived as important yet challenging. When supporting these families, a caring approach is crucial for well-being and adherence. Childhood overweight is often associated with parental overweight. Due to the sensitivity and stigma surrounding adult overweight, healthcare professionals may experience discomfort, potentially leading to negatively perceived interactions. Despite these challenges, little is known about how parental overweight influences CHS nurses' approach in encounters regarding children's overweight. Therefore, this study aimed to explore how CHS nurses experience providing support to parents with overweight during clinical encounters about their child's overweight.
Methods
Qualitative descriptive, inductive design was applied. Individual semi-structured digital interviews were conducted with 14 CHS nurses, and transcripts were analysed using latent content analysis.
Results
Four categories were identified: feeling insecurity regarding professional role, focusing on concrete aspects of health, questioning the parent and trying to influence the parent. CHS nurses perceived addressing the child's overweight as their primary duty. They focused on weight-related aspects of the child's health, emphasising lifestyle advice, while parents' emotions or socioeconomic challenges risked being overlooked. Parental overweight could trigger negative assumptions, including doubts about parents' ability to support their child. When children's weight curve remained unchanged, frustration sometimes led CHS nurses to emphasise parental responsibility or use threats, such as involving child welfare services.
Conclusion
This study highlights how CHS nurses perceive both challenges and responsibility in addressing childhood overweight, difficulties that intensify when parents themselves have overweight. The findings suggest that while striving to fulfil their role and balance professional responsibility with maintaining a supportive and caring approach, CHS nurses' are sometimes shaped by weight stigma.
{"title":"Child Health Service Nurses' Experiences of Providing Support to Parents With Overweight During Clinical Encounters About Their Child's Overweight—a Qualitative Study","authors":"Julia Lindblom, Elzana Odzakovic, Eric A. Hodges, Anne Christenson, Maria Björk","doi":"10.1111/cch.70200","DOIUrl":"10.1111/cch.70200","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Childhood overweight poses health risks and often persists in adulthood, making early intervention essential. Swedish Child Health Service (CHS) nurses are responsible for addressing this issue, a task perceived as important yet challenging. When supporting these families, a caring approach is crucial for well-being and adherence. Childhood overweight is often associated with parental overweight. Due to the sensitivity and stigma surrounding adult overweight, healthcare professionals may experience discomfort, potentially leading to negatively perceived interactions. Despite these challenges, little is known about how parental overweight influences CHS nurses' approach in encounters regarding children's overweight. Therefore, this study aimed to explore how CHS nurses experience providing support to parents with overweight during clinical encounters about their child's overweight.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative descriptive, inductive design was applied. Individual semi-structured digital interviews were conducted with 14 CHS nurses, and transcripts were analysed using latent content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four categories were identified: feeling insecurity regarding professional role, focusing on concrete aspects of health, questioning the parent and trying to influence the parent. CHS nurses perceived addressing the child's overweight as their primary duty. They focused on weight-related aspects of the child's health, emphasising lifestyle advice, while parents' emotions or socioeconomic challenges risked being overlooked. Parental overweight could trigger negative assumptions, including doubts about parents' ability to support their child. When children's weight curve remained unchanged, frustration sometimes led CHS nurses to emphasise parental responsibility or use threats, such as involving child welfare services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights how CHS nurses perceive both challenges and responsibility in addressing childhood overweight, difficulties that intensify when parents themselves have overweight. The findings suggest that while striving to fulfil their role and balance professional responsibility with maintaining a supportive and caring approach, CHS nurses' are sometimes shaped by weight stigma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"52 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12683981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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