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Mashup Score: 6
Objective: This article aims to explore ethical tensions in pediatric gender-affirming care and illustrate how these tensions arise in the clinical setting. Method: This article utilizes two de-identified cases of transgender youth—Emma and Jayden—as a framework for discussing ethical principles in pediatric gender-affirming care. Case summaries detail the medical history of these two patients, their familial context, and their encounters with healthcare providers. Subsequently, the ethics of both cases are synthesized. As represented in this work, these cases do not constitute Institutional Review Board-regulated human subjects research. Results: Emma’s parents want to forgo pubertal suppression and pursue hormone therapy, effectively skipping a step in the gender-affirming care standard for youth presenting in early puberty. Jayden’s parents, on the other hand, are skeptical of their son’s identity and resistant to pursuing treatment. Both cases reflect disparate health goals between
Source: psycnet.apa.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 0Adaptation of family-based healthy weight program for children who survived leukemia. - 23 day(s) ago
Objective: Understand the perspectives of children who survived acute lymphoblastic leukemia (ALL) and their parents to adapt a guideline-based, family-based, intensive health behavior and lifestyle intervention treatment for this population. Method: Nine children 8–17 years of age (Mdn = 12 years [interquartile range, 10–16], median years off treatment = 5 [2–7]) who survived ALL and 11 parents participated in focus groups to assess perceptions of weight, weight-related behaviors, and perceived barriers to family-based behavioral weight loss treatment (FBT). Responses were analyzed thematically, and resultant adaptations were guided by the Framework for Reporting Adaptations and Modifications-Enhanced. Results: Topics and themes identified included mental and physical health concerns (e.g., treatment-related medical complications, body esteem), a perception of excess weight as protective, the continuing influence of eating habits established during cancer treatment (e.g., instrumental
Source: psycnet.apa.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 3Sleep patterns, pain, and emotional functioning in youth with inflammatory bowel disease. - 25 day(s) ago
Objective: Youth with inflammatory bowel disease (IBD) may be at increased risk for sleep difficulties due to the painful and inflammatory nature of their disease. Moreover, children and adolescents with IBD experience impairment across a variety of psychosocial domains. However, researchers have yet to investigate the complex interplay between sleep, disease-related symptoms, and psychosocial factors in this population. The purpose of this study was to examine sleep patterns, pain, and mood in pediatric IBD. Method: A sample of 25 children and adolescents with IBD (Mage = 14.24, range = 10–18 years; 56% male) were recruited from a pediatric gastroenterology clinic. Youth wore an actigraphy watch and completed daily measures of affect and pain over the course of 14 days. Statistical analyses involved repeated measures general estimating equations. Results: No significant association for sleep with negative affect was demonstrated. Despite majority of this sample being in disease remiss
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Mashup Score: 2
Objective: Recruitment for Psychology Clinical Internship is a complex and labor-intensive process. The objective of this study is to describe a data-driven procedure to maximize objectivity and optimize outcome for internship recruitment. Method: The Psychology Training Committee designed an objective rating system for online applications and interviews, incorporating both objective and subjective data. Perceptions of efficiency and effectiveness with this approach were assessed via a survey distributed to the approximately 50 faculty members who have participated in the internship recruitment process. Intern perceptions following completion of the program were also assessed. Results: This recruitment procedure is highly efficient, as the streamlined process of reviewing applications, developing a list of candidates to interview, and generating final rankings of candidates interviewed occurs quickly, with limited burden to training faculty. The system has demonstrated effectiveness, a
Source: psycnet.apa.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 8A randomized pilot trial of a text messaging intervention for sleep improvement and weight control in emerging adults. - 1 month(s) ago
Objective: Text messaging is a promising weight loss intervention modality for emerging adults who are overweight, but few studies exist to guide intervention development. Furthermore, sleep is emerging as a salient intervention target for weight management. This study examines feasibility and acceptability of two text messaging interventions for weight control in emerging adults, one of which includes sleep intervention content. Methods: Forty-three emerging adults who were overweight (BMI ≥ 25 < 30; ages 18–21) were randomized to receive either a text messaging intervention focused on diet and physical activity change, or a text messaging intervention designed to modify sleep behavior plus diet and physical activity. The interventions included motivational interviewing, education around health behaviors, physical activity, and dietary goal setting, as well as sleep goals for those in the sleep condition. All participants self-monitored diet, physical activity, and weight via text mes
Source: psycnet.apa.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 0Feasibility of a brief biofeedback protocol to train self-regulation in pediatric patients. - 1 month(s) ago
Objective: The extant pediatric biofeedback literature has several shortcomings, including small sample sizes, inconsistent methodology, and variable means to determine outcomes. The purpose of the current study was to build upon the existing literature and examine the feasibility of a brief, semi-structured, biofeedback intervention with a larger outpatient pediatric sample. Methods: Via chart review, we explored 2 years of referrals (N = 79) to our biofeedback program. We examined feasibility in terms of recruitment, program completion, and patient/caregiver satisfaction. Secondary aims included examination of changes in physiological and self-report data. Results: Seventy-three percent of referrals to the biofeedback program attended a first session, with 67% of those that attended a first session completing the program. The majority of patients who completed the program (N = 39, Mage = 13.4 years, 69% female) were referred for anxiety as their presenting problem. Both patients and
Source: psycnet.apa.orgCategories: General Medicine News, PediatricsTweet
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Mashup Score: 0From planning to implementation: Developing an ACE screening protocol in a rural integrated primary care clinic serving Latino children. - 1 month(s) ago
Objective: The purpose of the study was to implement a comprehensive adverse childhood experiences (ACEs) screening protocol in a rural Integrated Primary Care Clinic serving Latino Children utilizing implementation science as a framework. Methods: The Exploration, Preparation, Implementation, Sustainment (EPIS) framework was utilized to guide and evaluate the implementation. There were 2,347 children who were screened with the developed protocol which included screening for ACEs, psychosocial problems, adolescent depression, and parental depression. Several implementation outcomes were collected and are reported, including a list of screening barriers and adaptations, a list of developed staff training, a clinician stakeholder survey and focus group, and a patient stakeholder survey. Results: Clinicians reported being satisfied with the protocol and indicated that screenings provided new clinical information, changed their clinical care and helped to inform the medical needs of patien
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Mashup Score: 3Nonpharmacological treatment of postural orthostatic tachycardia syndrome: Commentary and implications for psychologists. - 2 month(s) ago
Objective: Postural orthostatic tachycardia syndrome (POTS) is a type of autonomic dysfunction that limits engagement in functional behaviors and negatively impacts mood and quality of life (QoL). Nonpharmacological strategies such as lifestyle modification are recommended as part of treatment; however, there is little research or theory regarding other nonpharmacological therapies used in treatment. Given the paucity of literature examining other nonpharmacological therapies for POTS, current evidence for their application to POTS was reviewed. Methods: A topical review was conducted to identify research studies that used nonpharmacological interventions to treat individuals with POTS. Results: Of the 370 identified studies, 25 met inclusion criteria. Sixteen of the 25 studies examined lifestyle modifications for POTS and were not described in the review, given that lifestyle modifications are already well accepted and recommended in nonpharmacological treatment of POTS. The remaining
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Mashup Score: 5
Objective: Staff in pediatric and neonatal intensive care units (PICU and NICU) experience high rates of burnout due to the highly stressful environment. There is growing literature describing stress and burnout, but to date, no review of the evidence specific to pediatric and neonatal intensive care. For the development of interventions to reduce and prevent burnout, there needs to be a better understanding of this evidence. Little is known about coping strategies employed by critical care staff; it is important to collate and critique this literature to inform interventions. The objective of this systematic review was to examine burnout occurrence and coping strategies among staff working in PICU and NICU. Methods: A systematic search of Web of Science (WoS), Scopus, Medline, AMED, PsycINFO, CINAHL, Nice Evidence, and EMBASE was conducted following PRISMA guidelines. Results: Studies measuring burnout and/or coping in PICU and NICU were included in the review. Twenty-two studies met
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Mashup Score: 3
This editorial introduces revised guidelines on diversity dimensions for both Journal of Pediatric Psychology (JPP) and Clinical Practice in Pediatric Psychology (CPPP). Acknowledging that this is a rapidly evolving area of science, the updated guidelines represent a living document that will exist online within the instructions for authors of both journals, which will be updated yearly. We present the first iteration of the guidelines, which we are referring to as “Version 1” given that we anticipate future updates. We also suggest relevant resources for implementation of the guidelines, with examples of how these apply to the manuscript types published in our journals. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
Source: psycnet.apa.orgCategories: General Medicine News, PediatricsTweet
This paper reviews ethical principals in pediatric gender-affirming care through the illustration of two de-identified case studies, including standards of care, treatment reversibility, and pediatric involvement in decision-making. @SPP_GenderSIG https://t.co/HeRJwQZUR7