Child Care Health and Development最新文献

英文中文

What characterizes adolescent young carers? A multigroup comparative study 青少年照顾者的特点是什么？多组比较研究

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-03-11 DOI: 10.1111/cch.13244

Jade Pilato, Kristopher Lamore, Christel Vioulac, Eléonore Jarrige, Géraldine Dorard, Aurélie Untas

Context

To identify the characteristics of adolescent young carers (AYCs), studies in the literature have compared them with non-AYCs, but without considering that in the latter group, some face the illness of a relative whereas others do not.

Objectives

The aims of the study were (1) to identify the characteristics of AYCs as compared with adolescents who are not young carers but are facing the illness/disability of a relative, or adolescents not facing the illness/disability of a relative, and (2) to identify factors associated with being a carer within adolescents facing a relative illness.

Methods

A total of 4000 high school students (grades 10–12, mainly aged 15–17 years, 568 identified as AYCs, 1200 as adolescents facing the illness/disability of a relative without being a carer and 2232 as adolescents not facing the illness/disability of a relative) completed a self-reported questionnaire assessing sociodemographic characteristics, illness/disability in the family, caregiving activities (MACA-YC18 and specific emotional support scale), quality of life (KIDSCREEN-10) and mental health (GHQ-12). Chi-square tests, ANOVAs and logistic regressions were performed.

Results

AYCs scored lower on the quality-of-life measure compared with adolescents not facing the illness/disability of a relative (p < .001) and had poorer mental health compared with adolescents facing the illness/disability of a relative without being a carer and adolescents not facing the illness/disability of a relative (p < .001). Logistic regressions showed that youth were more at risk to be an AYC when they were females (p < .001), when they had an extracurricular job (p < .001), spoke another language at home (p < .01), had siblings and were one of the oldest siblings (p < .001), and when the relative had a serious or chronic physical illness (p < .001) and lived with the youth (p < .001).

Conclusions

These results highlight the importance of distinguishing AYCs, adolescents facing the illness/disability of a relative without being a carer and adolescents not facing the illness/disability of a relative to better describe AYCs, recognizing that as the level of care provided might change over time, adolescents facing the ill

背景：为了确定青少年照顾者（AYCs）的特征，文献中的研究将他们与非青少年照顾者进行了比较，但没有考虑到在后一群体中，有些青少年照顾者面临着亲属患病的问题，而另一些则没有：本研究的目的是：(1) 确定青少年照顾者与非青少年照顾者但面临亲属生病/残疾的青少年或未面临亲属生病/残疾的青少年相比的特征；(2) 确定面临亲属生病的青少年中与照顾者身份相关的因素：共有 4000 名高中生（10-12 年级，主要年龄在 15-17 岁之间，其中 568 人被认定为 AYCs，1200 人被认定为面临亲属患病/残疾但未成为照顾者的青少年，2232 人被认定为未面临亲属患病/残疾的青少年）填写了一份自我报告问卷，对社会人口特征、家庭中的患病/残疾情况、照顾活动（MACA-YC18 和特定情感支持量表）、生活质量（KIDSCREEN-10）和心理健康（GHQ-12）进行了评估。对这些指标进行了卡方检验、方差分析和逻辑回归：结果：与未面临亲属患病/残疾的青少年相比，青少年心理健康中心的青少年在生活质量方面的得分较低（p 结论：青少年心理健康中心的青少年在生活质量方面的得分较低（p）：这些结果凸显了区分 "亚健康青少年"、面临亲属生病/残疾但未成为照顾者的青少年和未面临亲属生病/残疾的青少年的重要性，以便更好地描述 "亚健康青少年"，同时认识到随着时间的推移，所提供的照顾水平可能会发生变化，面临亲属生病/残疾但未成为照顾者的青少年可能会成为 "亚健康青少年"，反之亦然。专业人员可以利用这些因素来更好地识别 "助人自助者"。

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引用次数: 0

Are low-income preschoolers physically active at preschool settings? A cross-sectional study 低收入学龄前儿童在学龄前学校是否积极参加体育活动？一项横断面研究。

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-03-07 DOI: 10.1111/cch.13245

Taís Feitosa da Silva, Jéssica Gomes Mota, Anthony Okely, María Arias Telles, Rafael Miranda Tassitano, Paulo Henrique Guerra, Jorge Mota, Clarice Maria de Lucena Martins

Background

Preschools may provide opportunities for children to engage in physical activity (PA), to benefit their health, although little is known when concerning low-income preschoolers. This study aimed (1) to describe time spent in PA among low-income children during preschool hours and (2) to analyse how many children meet the PA recommendations during preschool hours.

Methods

A total of 204 low-income preschoolers (4.51 ± 0.79 years) from João Pessoa/Brazil provided valid accelerometer (Actigraph, WGT3-X) data during the preschool period. Children were grouped in quartiles of PA in counts per minute, according to sex and age. The General Linear Model Univariate was used to examine the differences in PA intensities between the quartiles and the time spent in total PA (TPA) and moderate-to-vigorous PA (MVPA) by quartiles, according to age. An hour-by-hour description of children's PA was presented.

Results

TPA during preschool hours ranged from 68.33% to 113.89% of the recommended and from 28.34% to 81.68% of the MVPA recommendations. Among 5-year-old children, those in the highest quartile met the PA recommendations. All children were more active outdoors than indoors. For the less actives, preschool time corresponded to 30% of the recommended daily MVPA.

Conclusion

The current results reinforce the importance of preschool settings for promoting preschoolers' PA and provide particularly important and useful information for tailoring preschool-based interventions focused on those who need it most. Strategies to increase children's MVPA should be prioritized during free-play time.

背景：学龄前学校可为儿童提供参加体育活动（PA）的机会，从而有益于他们的健康，但对于低收入学龄前儿童的情况却知之甚少。本研究旨在：（1）描述低收入儿童在学龄前时间从事体育活动的时间；（2）分析有多少儿童在学龄前时间符合体育活动建议：巴西若昂佩索阿共有 204 名低收入学龄前儿童（4.51 ± 0.79 岁）提供了学龄前期间的有效加速度计（Actigraph，WGT3-X）数据。根据性别和年龄，将儿童按每分钟 PA 计数的四分位数分组。采用一般线性模型单变量研究了四分位组之间 PA 强度的差异，以及根据年龄划分的四分位组在总 PA（TPA）和中强度 PA（MVPA）上花费的时间。结果显示，学龄前儿童的总运动时间（TPA）为 60 分钟，中度至剧烈运动时间（MVPA）为 60 分钟：结果表明：学龄前儿童的总运动量（TPA）为建议值的 68.33% 至 113.89%，中强度运动量（MVPA）为建议值的 28.34% 至 81.68%。在 5 岁儿童中，最高四分位数的儿童达到了运动量建议值。所有儿童的户外活动都多于室内活动。对于活动量较少的儿童来说，学龄前活动时间只占每日 MVPA 建议量的 30%：目前的研究结果加强了学龄前环境对促进学龄前儿童体育锻炼的重要性，并提供了特别重要和有用的信息，以便为那些最需要体育锻炼的儿童量身定制以学龄前为基础的干预措施。增加儿童 MVPA 的策略应优先考虑自由活动时间。

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引用次数: 0

Being a sibling of a youth with a neurodisability: A qualitative study about the roles and responsibilities during the transition to adulthood 作为神经残疾青少年的兄弟姐妹：关于向成年过渡期间的角色和责任的定性研究。

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-03-06 DOI: 10.1111/cch.13241

Linda Nguyen, Susan M. Jack, Hanae Davis, Samantha Bellefeuille, Dana Arafeh, Briano Di Rezze, Marjolijn Ketelaar, Jan Willem Gorter

Background

During the transition to adulthood, a common challenge that youth with a neurodisability may experience is learning how to navigate services in the adult care system. During this transition youth may rely on their families, including siblings, for support. However, delineation of sibling roles and responsibilities during this transition period are unclear. This study aims to identify the roles and responsibilities that siblings perceive to have with their sibling with a neurodisability during the transition to adulthood, and describe the decision-making process of how siblings chose these roles.

Methods

In this descriptive qualitative case study, siblings were eligible to participate if they were between 14 to 40 years old, had a sibling between 14 to 21 years with a childhood-onset neurodisability and spoke English. Semi-structured interviews augmented by techniques of photo elicitation and relational maps were conducted. Reflexive thematic analysis was applied to identify sibling roles, as well as the emotional and decision-making process associated with these roles. Our team partnered with siblings with lived experience in all study phases.

Results

Nineteen participants (median age = 19 years, range = 14 to 33 years) from 16 unique families were interviewed. Six unique roles were described: friend, role model/mentor, protector, advocate, supporter, or caregiver. The emotions that siblings experienced with each role, also known as emotional responsibility, were categorized into levels of low, medium or high. Siblings also described a four-phase decision-making process for their roles: (1) acquiring knowledge; (2) preparing plans; (3) making adjustments; and (4) seeking support. Intrapersonal characteristics, including personal identity, values and experiences, influenced roles assumed by siblings.

Conclusions

Siblings identified needing support as they process their decisions and emotional responsibility in their roles when their sibling with a neurodisability is transitioning to adulthood. Resources should be developed or further enhanced to support siblings.

背景：在向成年过渡的过程中，神经残疾青少年可能会遇到的一个共同挑战就是学习如何在成人护理系统中获得服务。在这一过渡时期，青少年可能会依赖家人（包括兄弟姐妹）的支持。然而，在这一过渡时期，兄弟姐妹的角色和责任划分尚不明确。本研究旨在确定在向成年过渡的过程中，兄弟姐妹认为他们与患有神经残疾的兄弟姐妹应承担的角色和责任，并描述兄弟姐妹如何选择这些角色的决策过程：在这项描述性定性个案研究中，年龄在 14 岁至 40 岁之间、有一个 14 岁至 21 岁的兄弟姐妹患有儿童期发病的神经残疾且能说英语的兄弟姐妹均有资格参与。在进行半结构式访谈的同时，还采用了照片诱导和关系图等技术。我们采用了反思性主题分析法来确定兄弟姐妹的角色，以及与这些角色相关的情感和决策过程。在所有研究阶段，我们的团队都与有生活经验的兄弟姐妹合作：来自 16 个不同家庭的 19 名参与者（中位年龄 = 19 岁，年龄范围 = 14 至 33 岁）接受了访谈。他们描述了六种独特的角色：朋友、榜样/导师、保护者、倡导者、支持者或照顾者。兄弟姐妹对每种角色的情感体验（也称为情感责任）分为低、中、高三个等级。兄弟姐妹还描述了其角色的四阶段决策过程：（1）获取知识；（2）准备计划；（3）做出调整；（4）寻求支持。包括个人身份、价值观和经历在内的个人内在特征影响着兄弟姐妹所承担的角色：兄弟姐妹们认为，当他们的神经残疾兄弟姐妹向成年过渡时，他们需要支持来处理他们在角色中的决定和情感责任。应开发或进一步加强资源，为兄弟姐妹提供支持。

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引用次数: 0

Participation of adolescents with and without physical disabilities and chronic diseases: A comprehensive conceptualization 有身体残疾和慢性疾病的青少年与无身体残疾和慢性疾病的青少年的参与：综合概念。

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-03-01 DOI: 10.1111/cch.13240

Marie Bernard, Laura Hoffmann, Matthias Richter, Carina Völlm, Astrid Fink, Britta Dawal

Background

In 2001, the International Classification of Functioning and Disability (ICF) introduced participation as a main goal of rehabilitation processes. However, to date, a comprehensive concept of participation in the rehabilitative context is missing, particularly in German-speaking countries. We thus aimed to refine and extend the existing concepts of participation in this brief communication.

Methods

In preceding studies, we conducted semi-structured interviews with adolescents who either had chronic diseases and/or physical disabilities or had no impairments and focus groups with parents and experts. Based on these diverse perspectives and findings, we refine the term participation.

Results

Participation is a construct that is embedded in a social context and consists of objective (i.e., attendance) and subjective (i.e., satisfaction and involvement) dimensions. These dimensions are reflected in different domains and areas that are relevant to adolescents' lives. In addition, the subjective relevance of respective areas in life needs to be regarded as a weighing component when evaluating participation.

Conclusion

Our results reflect international models on participation, refine the existing concept, and underline the multidimensional character of participation. These findings are urgently needed to develop appropriate instruments, for example, for assessing whether rehabilitative processes are effective regarding the goal of participation.

背景：2001 年，《国际功能与残疾分类》（ICF）将参与作为康复过程的主要目标。然而，迄今为止，在康复领域还缺少一个全面的参与概念，尤其是在德语国家。因此，我们希望在这篇简短的文章中完善和扩展现有的参与概念：在之前的研究中，我们对患有慢性疾病和/或身体残疾或没有任何缺陷的青少年进行了半结构化访谈，并与家长和专家进行了焦点小组讨论。基于这些不同的观点和研究结果，我们对 "参与 "一词进行了完善：结果：参与是一个包含在社会环境中的概念，由客观（即出勤率）和主观（即满意度和参与度）两个方面组成。这些维度反映在与青少年生活相关的不同领域和方面。此外，在评估参与度时，还需将各生活领域的主观相关性作为权衡因素：我们的研究结果反映了有关参与的国际模式，完善了现有概念，并强调了参与的多维性。我们迫切需要这些研究结果来开发适当的工具，例如，用于评估康复过程在实现参与目标方面是否有效。

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引用次数: 0

Exploring long-term outcomes of a peer support programme for parents* of children with disability in Australia 探索澳大利亚残疾儿童父母*同伴支持计划的长期成果。

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-03-01 DOI: 10.1111/cch.13236

Katharine Lancaster, Margaret L. Kern, Katherine Harding, Mogi Bayasgalan, Annick Janson, Sylvana Mahmic, Anoo Bhopti

Peer support groups can offer parents of children with disability, positive well-being outcomes. Peer support groups not only provide opportunities for connections with others with similar experiences but also provide resources and information, emotional support, a sense of belonging and may help reduce stress and isolation. Peer support groups are an established form of support existing within family centred practice. However, it is unclear whether peer support groups achieve the outcomes that they aim to deliver. Further, little is known about the longer-term outcomes for parents attending such groups. This study aimed to explore the medium- and long-term outcomes and experiences of parents who participated in a peer support programme (the Now and Next programme) for parents of children with disability. Well-being data were collected at three timepoints (Ts): prior to commencing the programme (T1), immediately after completion of the programme (T2) and 6–30 months after completion of the programme (T3). Results of the study showed empowerment and well-being improved from T1 to T2, with gains maintained at T3. Hope scores did not significantly change over time. Participants continued to set and achieve goals over time using resources from the programme. Improvements in parents' well-being and empowerment scores were maintained in the longer-term. Our study contributes to evidence confirming sustained long-term outcomes of peer support programmes and demonstrates that building parent capacity, empowerment and well-being has a lasting effect on the parents of children with disability.

同伴互助小组可以为残疾儿童的家长带来积极的幸福感。同伴互助小组不仅提供了与有类似经历的人建立联系的机会，还提供了资源和信息、情感支持、归属感，并可帮助减轻压力和孤独感。同伴互助小组是以家庭为中心的实践中的一种成熟的支持形式。然而，目前还不清楚同伴互助小组是否能达到其预期效果。此外，人们对参加此类小组的家长的长期效果也知之甚少。本研究旨在探讨参加同伴支持计划（"现在和下一步计划"）的残疾儿童家长的中长期成果和经验。在三个时间点（Ts）收集了幸福感数据：计划开始前（T1）、计划结束后（T2）和计划结束后 6-30 个月（T3）。研究结果表明，从 T1 到 T2，赋权和幸福感都有所提高，T3 时的提高幅度保持不变。希望得分随时间变化不大。随着时间的推移，参与者继续利用计划中的资源设定并实现目标。家长的幸福感和能力得分的提高在长期内得以保持。我们的研究为证实同伴支持计划的长期持续成果提供了证据，并表明培养家长的能力、赋权和幸福感对残疾儿童的家长具有持久的影响。

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引用次数: 0

Increasing access to quality parent education through a virtual synchronous setting: A qualitative study 通过虚拟同步环境增加获得优质家长教育的机会：定性研究。

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-02-29 DOI: 10.1111/cch.13235

Yu Jiang, Brianna Routh, Oluwatoyin Akinde Fakuajo

Background

America's crisis of youth mental health challenges has been worsened by COVID-19. Group-based parent education has been proven effective in intervention and prevention; however, a lack of universal access and the busyness of parents are significant barriers to participation. Rapid growth in technology-based education aims to increase accessibility but live, virtual parent education was understudied. E³ Parent Education (E³PE) was a free, virtual, and synchronous group programme offered in Montana by a certified parent educator to support families navigating common and uncommon challenges.

Methods

Through qualitative evaluation with eight programme participants (n = 8), this study aimed to understand impacts and access of this parent education programme.

Results

All participants (100%) aligned on three themes describing the virtual, synchronous parent education experience: convenience, connection, and comfort. Participants suggested strategies for improvement as well.

Discussion

A free, virtual, synchronous, group-based format provided equitable access and lowered the barriers to participation. Findings advised that the developers, facilitators, and policymakers consider adding virtual options alongside in-person settings to reduce participant barriers and meet the needs of different families.

背景：美国的青少年心理健康危机因 COVID-19 而加剧。以小组为基础的家长教育在干预和预防方面已被证明是有效的；然而，缺乏普及性和家长的忙碌是参与的重大障碍。以技术为基础的教育迅速发展，旨在提高可及性，但对现场虚拟家长教育的研究不足。E3 家长教育（E3 PE）是蒙大拿州的一项免费、虚拟和同步的小组计划，由一名认证家长教育者提供，旨在帮助家庭应对常见和不常见的挑战：本研究旨在通过对八名计划参与者（n = 8）进行定性评估，了解该家长教育计划的影响和参与情况：所有参与者（100%）在描述虚拟同步家长教育体验的三个主题上达成了一致：方便、联系和舒适。参与者还提出了改进策略：免费、虚拟、同步、基于小组的形式提供了公平的机会，降低了参与的障碍。研究结果建议开发者、促进者和政策制定者考虑在亲临现场的同时增加虚拟选项，以减少参与者的障碍并满足不同家庭的需求。

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引用次数: 0

Socio-familial environment influence on cognitive and language development in very preterm children 社会家庭环境对早产儿认知和语言发展的影响。

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-02-27 DOI: 10.1111/cch.13239

Stéphanie De Leeuw, Gilda Delens, Laura Vanden Brande, Elisabeth Henrion, Ludovic Legros

Background

Preterm children are at increased risk of cognitive and language delay compared with term-born children. While many perinatal factors associated with prematurity are well established, there is limited research concerning the influence of the socio-familial environment on the development of preterm children. This study aims to assess the relative impact of perinatal and socio-familial risk factors on cognitive and language development at 2 years corrected age (CA).

Method

This retrospective cross-sectional study included preterm infants with a gestational age <32 weeks and/or a birth weight <1500 g, who underwent neurodevelopmental assessment at 2 years CA. Cognitive and language scores were assessed using the Bayley Scales of Infant–Toddler Development, third edition. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were calculated using a multivariable model to examine the relationship between developmental delays and perinatal and socio-familial factors.

Result

The prevalence of language delay was negatively associated with daycare attendance (aOR: 0.25, 95% CI: 0.07–0.85, p < 0.05) and high maternal educational levels (aOR: 0.24, 95% CI: 0.05–0.93, p < 0.05) and positively associated with bilingual environments (aOR: 5.62, 95% CI: 1.46–24.3, p < 0.05). Perinatal and postnatal risk factors did not show a significant impact on cognitive or language development.

Conclusion

The development of language appears to be more influenced by the socio-familial environment than by early perinatal and postnatal factors associated with prematurity. These findings highlight the importance of considering socio-familial factors in the early identification and intervention of language delay among preterm children.

背景：与足月儿相比，早产儿认知和语言发育迟缓的风险更高。虽然与早产有关的许多围产期因素已得到公认，但有关社会-家庭环境对早产儿发育影响的研究却很有限。本研究旨在评估围产期和社会家庭风险因素对 2 岁矫正年龄（CA）认知和语言发展的相对影响：这项回顾性横断面研究纳入了胎龄结果为 2 岁的早产儿：语言发育迟缓的发生率与日托出席率呈负相关（aOR：0.25，95% CI：0.07-0.85，p 结论：语言发育迟缓的发生率与日托出席率呈负相关（aOR：0.25，95% CI：0.07-0.85，p）：与早产相关的围产期和产后早期因素相比，社会-家庭环境对语言发展的影响似乎更大。这些发现强调了在早期识别和干预早产儿语言发育迟缓时考虑社会-家庭因素的重要性。

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引用次数: 0

Obesity and risk of depressive disorder in children and adolescents: A meta-analysis of observational studies 肥胖与儿童和青少年患抑郁症的风险：观察性研究的荟萃分析。

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-02-26 DOI: 10.1111/cch.13237

Yaobing Chen, Jinli Zhang, Lijun Yuan, Huifang Hu, Tianze Li, Yang Zhao, Yuying Wu, Mengmeng Wang, Weifeng Huo, Yajuan Gao, Yamin Ke, Longkang Wang, Wenkai Zhang, Xueru Fu, Xi Li, Fulan Hu, Ming Zhang, Liang Sun, Dongsheng Hu

Purpose

This meta-analysis evaluated the relationship between overweight/obesity and depressive disorders in children and adolescents.

Methods

We examined the databases of PubMed, Embase and Web of Science for pertinent observational studies released up until 20 February 2022. The pooled relative risks (RRs) and 95% confidence intervals (CIs) of obesity and overweight with depressive disorder were calculated by means of random-effects models. The Newcastle-Ottawa Quality Assessment Scale and Agency for Healthcare Research and Quality scale were adopted to evaluate the study quality.

Results

Finally, for this meta-analysis, we evaluated 22 observational publications covering 175 135 participants (5 cohort study articles, 1 case–control study article and 16 cross-sectional study articles). A significant positive association was found between obesity and the risk of depression (RR 1.32, 95% CI 1.09–1.60, I² = 79.90%, P_{heterogeneity} < 0.001) and in the association between obesity and depressive symptoms (RR 1.16, 95% CI: 1.00–1.35, I² = 25.0%, P_{heterogeneity} = 0.247). On sensitivity analysis, the pooled RRs remained robust. Subgroup analysis indicated that obese children and teenagers in western countries were more prone to depression.

Conclusion

Evidence from this meta-analysis, based on observational studies, supported the idea that obese children and adolescents are more likely to experience depression and depressive symptoms.

目的：这项荟萃分析评估了儿童和青少年超重/肥胖与抑郁障碍之间的关系：我们检索了 PubMed、Embase 和 Web of Science 数据库中截至 2022 年 2 月 20 日发布的相关观察性研究。通过随机效应模型计算了肥胖和超重与抑郁障碍的汇总相对风险（RRs）和95%置信区间（CIs）。采用纽卡斯尔-渥太华质量评估量表和美国医疗保健研究与质量机构量表评估研究质量：最后，在这项荟萃分析中，我们评估了 22 篇观察性出版物，涉及 175 135 名参与者（5 篇队列研究文章、1 篇病例对照研究文章和 16 篇横断面研究文章）。研究发现，肥胖与抑郁风险之间存在明显的正相关关系（RR 1.32，95% CI 1.09-1.60，I2 = 79.90%，Pheterogeneity 2 = 25.0%，Pheterogeneity = 0.247）。在敏感性分析中，汇总的RRs仍然稳健。亚组分析表明，西方国家的肥胖儿童和青少年更容易患抑郁症：这项基于观察性研究的荟萃分析提供的证据支持了肥胖儿童和青少年更容易患抑郁症和抑郁症状的观点。

{"title":"Obesity and risk of depressive disorder in children and adolescents: A meta-analysis of observational studies","authors":"Yaobing Chen, Jinli Zhang, Lijun Yuan, Huifang Hu, Tianze Li, Yang Zhao, Yuying Wu, Mengmeng Wang, Weifeng Huo, Yajuan Gao, Yamin Ke, Longkang Wang, Wenkai Zhang, Xueru Fu, Xi Li, Fulan Hu, Ming Zhang, Liang Sun, Dongsheng Hu","doi":"10.1111/cch.13237","DOIUrl":"10.1111/cch.13237","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This meta-analysis evaluated the relationship between overweight/obesity and depressive disorders in children and adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We examined the databases of PubMed, Embase and Web of Science for pertinent observational studies released up until 20 February 2022. The pooled relative risks (RRs) and 95% confidence intervals (CIs) of obesity and overweight with depressive disorder were calculated by means of random-effects models. The Newcastle-Ottawa Quality Assessment Scale and Agency for Healthcare Research and Quality scale were adopted to evaluate the study quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Finally, for this meta-analysis, we evaluated 22 observational publications covering 175 135 participants (5 cohort study articles, 1 case–control study article and 16 cross-sectional study articles). A significant positive association was found between obesity and the risk of depression (RR 1.32, 95% CI 1.09–1.60, <i>I</i><sup>2</sup> = 79.90%, <i>P</i><sub>heterogeneity</sub> < 0.001) and in the association between obesity and depressive symptoms (RR 1.16, 95% CI: 1.00–1.35, <i>I</i><sup>2</sup> = 25.0%, <i>P</i><sub>heterogeneity</sub> = 0.247). On sensitivity analysis, the pooled RRs remained robust. Subgroup analysis indicated that obese children and teenagers in western countries were more prone to depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Evidence from this meta-analysis, based on observational studies, supported the idea that obese children and adolescents are more likely to experience depression and depressive symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differential impact on parental quality of life: Comparing parents to children with autism spectrum disorder and those with other disabilities during the COVID-19 pandemic 对父母生活质量的不同影响：比较自闭症谱系障碍儿童和其他残疾儿童的父母在 COVID-19 大流行期间的情况

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-02-22 DOI: 10.1111/cch.13227

Avital Laufer, Esther Isman

Background

Limited research has examined parental quality of life (QoL) for caregivers of children with special needs, mostly comparing parents of children with autism spectrum disorder (ASD) to those with typical development. This study examines QoL and related variables during the COVID-19 pandemic among two comparable groups: parents of children with ASD and parents of children with other diagnoses (non-ASD).

Method

The sample included 175 Israeli parents (ASD = 101; non-ASD = 74). The parents were surveyed about the pandemic's effects on family life, child's function, and their own psychological distress, resilience, and QoL.

Results

Parents in both groups reported deterioration in their child's academic, emotional, social, and functioning performance. However, higher psychological distress and more deterioration in child behaviour were reported in the ASD group. In both groups, QoL was positively associated with the introduction of distance learning and parental resilience and negatively associated with psychological distress, deterioration in the child's behaviour and functioning, and increased time spent with the child at home. An interaction analysis indicated that deterioration in a child's behaviour was linked to QoL solely within the ASD group, while home atmosphere was associated with QoL in the non-ASD group.

Conclusion

While the COVID-19 pandemic imposed similar challenges on both parental groups, there is evidence that it may have been more challenging for the ASD group. This calls for further examination concerning parents with special needs children, and accordingly, tailoring targeted and specific help for them.

研究背景对照顾有特殊需要儿童的家长的生活质量（QoL）进行的研究十分有限，大多数研究都是将自闭症谱系障碍（ASD）儿童的家长与典型发育儿童的家长进行比较。本研究调查了 COVID-19 大流行期间两个可比群体的生活质量和相关变量：自闭症谱系障碍儿童的父母和其他诊断（非自闭症谱系障碍）儿童的父母。方法样本包括 175 名以色列家长（自闭症儿童家长 101 人；非自闭症儿童家长 74 人）。调查内容包括大流行病对家庭生活的影响、对儿童功能的影响、对家长自身心理困扰的影响、抗压能力和 QoL。结果两组家长都表示，他们孩子的学业、情绪、社交和功能表现都有所下降。然而，ASD 组的心理困扰程度更高，儿童行为的恶化程度也更严重。在这两组中，生活质量与远程学习的引入和家长的适应能力呈正相关，而与心理困扰、儿童行为和功能退化以及在家中陪伴儿童的时间增加呈负相关。交互分析表明，儿童行为的恶化仅与 ASD 组的 QoL 相关，而家庭氛围则与非 ASD 组的 QoL 相关。结论虽然 COVID-19 大流行给两组家长带来了相似的挑战，但有证据表明，它对 ASD 组的挑战可能更大。这就需要进一步研究有特殊需要儿童的父母，并相应地为他们提供有针对性的具体帮助。

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引用次数: 0

Managing type 1 diabetes of a child: Parents' perspectives 管理儿童的 1 型糖尿病：家长的观点。

IF 1.9 4区医学 Q1 Medicine

Child Care Health and Development

Pub Date : 2024-02-21 DOI: 10.1111/cch.13238

Fang-Yi Lin, Tzu-Ying Lee

Purpose

Managing type 1 diabetes (T1D) challenges children and their parents. Parents need to learn the necessary skills and later transfer the responsibility of care to their children as they develop. The transition process involves autonomy in behaviour and decision-making. This study explores the shared management experiences of Taiwanese parents and their children with type 1 diabetes.

Design and methods

This study employed a qualitative design using a grounded theory approach. Purposive sampling was used at a medical centre in Taiwan for participant recruitment. Twenty-nine parents of children who had been diagnosed with T1D were interviewed in-depth. Data were analysed using constant comparison and repeated verification.

Results

After a child was diagnosed with T1D, the parents initiated ‘Life-long lesson: Growing together with the child on the road to normality’. Three main categories emerged: ‘confronting the disease diagnosis’, ‘establishing supportive and collaborative involvement’ and ‘assisting the child in building a sense of belonging’. Sub-categories within each significant category were also included.

Conclusions

Taiwanese parents perhaps have a controlling or directive role for a long period in their child's lives and shared management of their health condition. This study's findings can help healthcare workers better understand the process of parents' shared management of T1D with their children and how to best communicate with children about the disease and care in accordance with the child's stage of development.

目的：管理 1 型糖尿病（T1D）对儿童及其父母都是挑战。父母需要学习必要的技能，随后随着子女的成长，将照顾子女的责任移交给他们。这一过渡过程涉及行为和决策的自主性。本研究探讨了台湾父母及其 1 型糖尿病子女的共同管理经验：本研究采用定性设计，使用基础理论方法。在台湾的一家医疗中心采用了有目的的抽样方法招募参与者。对 29 名确诊为 T1D 患儿的家长进行了深入访谈。采用恒定比较法和重复验证法对数据进行分析：结果：孩子被确诊为 T1D 后，家长们开始了 "终生一课：与孩子一起成长，走向正常"。其中主要有三个类别："面对疾病诊断"、"建立支持性合作参与 "和 "帮助孩子建立归属感"。每个重要类别中还包括子类别：结论：台湾的父母可能在孩子的生活中长期扮演着控制或指导的角色，并共同管理孩子的健康状况。本研究的结果可帮助医护人员更好地了解父母与子女共同管理 T1D 的过程，以及如何根据儿童的发展阶段与儿童就疾病和护理进行最佳沟通。

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