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Building Capacity for Community Pediatric Autism Diagnosis: A Systemic Review of Physician Training Programs
Conclusion: Training PCPs to make ASD diagnoses can yield high diagnostic agreement with specialty teams' assessments and reduce diagnostic wait times. Current data are limited by small sample size, poor to fair quality study methodology, and heterogenous study designs and outcome evaluations. Evidence is insufficient to draw conclusions about the overall effects of training PCPs for ASD diagnostic assessments. Since further research is still needed, this review highlights which outcomes are relevant to consider when evaluating the quality of ASD assessments across the continuum of approaches. (Source: Journal of Devel...
Source: Journal of Developmental and Behavioral Pediatrics - December 28, 2021 Category: Child Development Tags: Review Article Source Type: research

Buspirone for the Treatment of Generalized Anxiety Disorder in Down Syndrome: 3 Cases
Conclusion: Buspirone's generally benign adverse effect profile makes it well suited for treating anxiety in individuals with DS in light of their common medical comorbidities. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - December 28, 2021 Category: Child Development Tags: Brief Report Source Type: research

Global Trends in Telehealth Among Clinicians in Developmental-Behavioral Pediatric Practice: A COVID-19 Snapshot
Conclusion: Global DBP clinicians rapidly adopted telehealth and continued to have interprofessional practice while doing so, with the largest adoption occurring in HICs. Provider concerns about effectiveness and patient access to technology emerged as key organizational and patient barriers, respectively. Increased provider confidence in telehealth and its sustained use in the future depends on supportive regulatory policies and availability and use of measures to monitor quality and effectiveness. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - December 28, 2021 Category: Child Development Tags: Brief Report Source Type: research

Bullying Victimization and Perpetration Among US Children with and Without Tourette Syndrome
Conclusion: Compared with children without TS, children with TS overall experience more bullying victimization and perpetration. Health care professionals treating children with TS could assess challenges with peer relationships and co-occurring disorders to provide targeted support and referral. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - December 28, 2021 Category: Child Development Tags: Original Article Source Type: research

Parental Opinions on Medical Decision-Making in Adolescence: A Case-Based Survey
Conclusion: Our study shows that parents who were confronted with cases from an adolescent perspective were significantly more likely to give the patient authority. In addition, the medical issue and context influence how the parents responded. These data provide insight into the parental opinions and could lead to more evidence-based frameworks for shared medical decision-making of adolescents and their parents. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - December 28, 2021 Category: Child Development Tags: Original Article Source Type: research

Patient Outcomes After Applied Behavior Analysis for Autism Spectrum Disorder
Conclusion: In a health system implementation of ABA for children with ASD, there were high rates of ABA discontinuation and low ABA dosing. These challenges may diminish the potential benefits of ABA, even in a context in which there is mandated commercial insurance coverage. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - December 28, 2021 Category: Child Development Tags: Original Article Source Type: research

Comparison of Attention-Deficit Hyperactivity Disorder in Typically Developing Children and Children with Down Syndrome
Conclusion: Variability in response patterns between parent and teacher reports for children with and without DS highlights the need to evaluate ADHD symptoms across environments. Our findings also suggest specific items that may particularly be helpful in distinguishing children with DS who do and do not have ADHD, although replication is needed. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - December 28, 2021 Category: Child Development Tags: Original Article Source Type: research

Disorders, Disabilities, and Differences: Reconciling the Medical Model with a Neurodiversity Perspective
CASE section. Zoe is a 25-month-old girl who presented to developmental-behavioral pediatrics with her parents for follow-up after receiving a diagnosis of autism spectrum disorder with global developmental delay and language impairment 3 months ago. Zoe was born by spontaneous vaginal delivery at term after an uncomplicated pregnancy, labor, and delivery. She had a routine newborn course and was discharged home with her parents 2 days after her birth. At 7 months, Zoe was not able to sit independently, had poor weight gain, and had hypertonia on physical examination. Her parents described her to tense her arms and ...
Source: Journal of Developmental and Behavioral Pediatrics - November 29, 2021 Category: Child Development Tags: Challenging Case Source Type: research

Commentary on “Exploring the Experiences of Families of Latino Children Newly Diagnosed with Autism Spectrum Disorder”
No abstract available (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - November 29, 2021 Category: Child Development Tags: Commentary Source Type: research

Maternal Pregnancy Intention and Developmental Outcomes in Brazilian Preschool-Aged Children
Conclusion: There was higher risk of poor child outcomes among unwanted compared with intended pregnancies, whereas mistimed pregnancies were not associated with poor outcomes. Further research using standardized definitions of pregnancy intention along with targeted interventions that increase access to family planning services and counseling for parents of children born after unintended pregnancies is needed. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - November 29, 2021 Category: Child Development Tags: Original Article Source Type: research

Sense of Stress and Posttraumatic Growth in Mothers of Children with Cystic Fibrosis—The Moderating Role of Resilience
Conclusion: The relationship between sense of stress and PTG in mothers of children with CF depends on the level of resilience. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - November 29, 2021 Category: Child Development Tags: Original Article Source Type: research

Importance of Family Connection for Healthy Weight Behaviors Amid Adverse Family Experiences and Behavioral Difficulties
Conclusion: Family connection mediated the relationships between each HWB and AFEs. The findings suggest that for children without behavioral difficulties, family connection was a stronger protective factor for adequate physical activity and decreased screen time. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - November 29, 2021 Category: Child Development Tags: Original Article Source Type: research

Longitudinal Associations Between Parenting Practices and Youth Sleep Problems
Conclusion: This study extends previous findings by elucidating distinct constellations of parenting practices that are differentially predictive of youth sleep problems and highlighting parenting among the various family processes that can longitudinally contribute to youth's sleep health. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - November 29, 2021 Category: Child Development Tags: Original Article Source Type: research

Adolescent Sleep and Mental Health Across Race/Ethnicity: Does Parent-Child Connectedness Matter?
Conclusion: Despite racial/ethnic differences, adolescent sleep and parent-child connectedness both seem to buffer youth from poor mental health in a large, multiethnic sample. On the whole, these factors demonstrate a synergistic protective effect and reflect promising intervention targets. The extent to which their interactive benefit translates across diverse populations requires additional study. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - November 29, 2021 Category: Child Development Tags: Original Article Source Type: research

Interactive Effects of Neighborhood Safety and Screen Time on Adolescent Internalizing Symptoms
Conclusion: The findings suggest that youth residing in less safe neighborhoods may have higher levels of anxiety symptoms, and this anxiety symptomology is higher at high levels of screen time. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - November 29, 2021 Category: Child Development Tags: Original Article Source Type: research