Focusing on Young Children in Pediatric Psychology Research: Introduction to the Special Issue on Young Children
AbstractThis special issue focusing on pediatric psychology research in young children highlights 15 papers that focus on infants through preschoolers. Studies selected for inclusion cover a range of pediatric health conditions such as food allergy, medical trauma, injuries/traumatic brain injury, cancer, inflammatory bowel disease, pain, and sleep. The inherent challenges of researching young children are described, and studies vary in their methods for assessment and intervention; multiple studies include an observational component or developmental evaluation. Six of the studies employ diverse samples of children and/or ...
Source: Journal of Pediatric Psychology - August 10, 2021 Category: Pediatrics Source Type: research

Insulin Restriction, Emotion Dysregulation, and Depressive Symptoms in Late Adolescents with Diabetes
ConclusionEmotion dysregulation and depressive symptoms are important correlates of the dangerous behavior of insulin restriction, but function differently when insulin is restricted specifically for weight control versus nonspecified reasons. Future research to understand these underlying processes will be necessary to develop emotion-based theory and evidence-based interventions for this dangerous behavior. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - August 7, 2021 Category: Pediatrics Source Type: research

“We Are Anxious Every Day”: COVID-19 Impacts on Youth with Spina Bifida
ConclusionsThe current findings implicate differential impacts to individuals with SB and their families based on demographic, medical, and systemic factors (e.g., minoritized status). Recommendations to support families with SB and other pediatric conditions are made. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - August 5, 2021 Category: Pediatrics Source Type: research

COVID-19, Telehealth, and Pediatric Integrated Primary Care: Disparities in Service Use
ConclusionThough telehealth has helped provide IPC continuity during COVID-19, findings from this study show troubling preliminary data regarding reduced attendance, increased internalizing concerns, and disparities in scheduling for Black patients. Specific actions to monitor and address these early but alarming indications of telehealth and Covid-19 related behavioral health disparities are discussed. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - August 3, 2021 Category: Pediatrics Source Type: research

Systematic Review: Diabetes Family Conflict in Young People With Type 1 Diabetes
ConclusionsDiabetes-specific family conflict is associated with some adverse health outcomes for young people with T1D. However, more longitudinal studies of young people aged older than 16  years are needed. Screening for and addressing diabetes-specific family conflict is recommended, given the growing number of studies linking family conflict to various adverse health outcomes in young people with T1D. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 27, 2021 Category: Pediatrics Source Type: research

Cross-Lag Model of Medical Responsibility and Skills in Youth With Spina Bifida
ConclusionsMothers perceive a bidirectional relationship between responsibility and skill mastery across time, whereas fathers appear to mainly consider how skills might affect a subsequent increase in responsibility sharing. Thus, it is important to consider both parents ’ perspectives when working to increase medical autonomy in youth with SB. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 27, 2021 Category: Pediatrics Source Type: research

Adolescents ’ Exposure to and Experiences of Weight Stigma During the COVID-19 Pandemic
ConclusionsOverall, these findings highlight changes in the social messages that adolescents receive about their bodies, as well as their subjective body satisfaction, during the pandemic. Results underscore the need for healthcare providers and mental health professionals to be aware of the potential rise in weight stigma during the pandemic, and encourage families and schools to engage in supportive, rather than stigmatizing, weight-related communication with youth. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 27, 2021 Category: Pediatrics Source Type: research

Impact of COVID-19 on Families of Pediatric Solid Organ Transplant Recipients
ConclusionsThe psychological impact of the pandemic has been similar in both groups, although families of transplant recipients have protected themselves more, probably because they are used to prevention measures and they see contagion as a graver risk. Additionally, SOT recipients ’ families presented some idiosyncratic elements, especially a decrease in their perception of stigma associated with the medical condition. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 27, 2021 Category: Pediatrics Source Type: research

Pediatric  Global Health in Children with Very Early-Onset Inflammatory Bowel Disease
Conclusions  While some children with VEO-IBD are at risk for deficits in HRQOL, many are quite resilient. Psychosocial screening is necessary for providing appropriate referrals to behavioral health services and learning more about psychosocial adjustment in children with VEO-IBD. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 27, 2021 Category: Pediatrics Source Type: research

Topical Review: Medical Trauma During Early Childhood
ConclusionsThis topical review on medical trauma during early childhood provides: (a) definitions of key medical trauma terminology, (b) discussion of important developmental considerations, (c) summary of the empirical literature on psychological outcomes, risk factors, and interventions, (d) introduction to a stepped-model-of-care framework to guide clinical practice, and (e) summary of limitations and directions for future research. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 20, 2021 Category: Pediatrics Source Type: research

Screening for Problematic Sleep in a Diverse Sample of Infants
ConclusionsScreening strategies for identifying problematic infant sleep yielded highly variable prevalence rates and associated factors, depending on whether the strategy emphasized parent-perceived sleep difficulty or night wakings. The strategy that is most appropriate will depend on the system ’s goals. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 20, 2021 Category: Pediatrics Source Type: research

Maternal Childhood Adversity as a Risk for Perinatal Complications and NICU Hospitalization
ConclusionsThe findings demonstrate the extraordinary risk that mothers ’ ACEs pose for infant and maternal health outcomes over and above the associations with known maternal health risks during pregnancy, including overweight/obesity, smoking, and alcohol use. These results support a biological intergenerational transmission framework, which suggests that risk from maternal adversity is perpetuated in the next generation through biophysical and behavioral mechanisms during pregnancy that negatively affect infant health outcomes. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 20, 2021 Category: Pediatrics Source Type: research

Neural Responses to Social Reward Predict Depressive Symptoms in Adolescent Girls During the COVID-19 Pandemic
ConclusionsGirls high in shy/fearful temperament with reduced neural activation to social reward may be less likely to engage socially, which could be detrimental during the pandemic when social interactions are limited. In contrast, girls lower in shy/fearful temperament with heightened neural reactivity to social reward may be highly motivated to engage socially, which could also be detrimental with limited social opportunities. In both cases, improving social connection during the pandemic may attenuate or prevent depressive symptoms. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 16, 2021 Category: Pediatrics Source Type: research

Breastfeeding and Responsive Parenting as Predictors of Infant Weight Change in the First Year
ConclusionsThis study is one of the first to test both breastfeeding and parenting in relation to infant weight gain in the first year. Findings may have implications for family-focused child obesity prevention programs. (Source: Journal of Pediatric Psychology)
Source: Journal of Pediatric Psychology - July 16, 2021 Category: Pediatrics Source Type: research

Editorial: Diversity, Equity, and Inclusion: Reporting Race and Ethnicity in the Journal of Pediatric Psychology
Events over the past year related to the civil unrest, protests, and riots against systemic racism toward Black people in the United States, including the police killings of Breonna Taylor, Rayshard Brooks, and Elijah McClain, the modern-day lynching of Ahmaud Arbery, and the international catalyst triggered by the public murder of George Floyd during his arrest by Minnesota police officers, has brought an urgency in addressing racism in various contexts. These tragic injustices, only brought to light because bystanders courageously captured videos, represent just the tip of the iceberg of deeply entrenched racism that pen...
Source: Journal of Pediatric Psychology - July 16, 2021 Category: Pediatrics Source Type: research