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Metformin Versus Insulin for Gestational Diabetes: Cognitive and Neuropsychological Profiles of Children Aged 9 years. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-11-28 Elisa Paavilainen,Anna Nyman,Harri Niinikoski,Hilkka Nikkinen,Riitta Veijola,Marja Vääräsmäki,Päivi Tossavainen,Tapani Rönnemaa,Kristiina Tertti
OBJECTIVE We compared cognitive profile and neuropsychological performance in 9-year-old offspring of mothers who were treated with metformin or insulin for gestational diabetes mellitus (GDM). METHODS A total of 172 children whose mothers were randomly assigned to receive either metformin or insulin for GDM were studied at the age of 9 years. Of these children, 127 were from Turku, Finland (63 metformin
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Complex Autism Spectrum Disorder: Structural Determinants of Health and Their Impact on the Diagnosis. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-11-03 Sarah Canale,Britany Weissman,Carmen Rosa Noroña,Ivys Fernández-Pastrana,Soukaina Adolphe,Audrey Christiansen,Arathi Reddy,Marilyn Augustyn
Emmanuel is a 6.5-year-old boy who was referred to your evaluation clinic for concerns about his social skills and communication. He arrived in the United States (US) 1 year ago after an immigration trajectory that began in Haiti when he was aged 3 years; passed through Mexico, where the family was in various shelters for over a year; and concluded 2 years later, with the family eventually settling
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The Association Between Family Resources and Language Among Young Children Who are Deaf and Hard of Hearing. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-23 Julia Townsend,Cassandra Conrad,Sara Williams,Susan Wiley,Jareen Meinzen-Derr
OBJECTIVE Our study (1) examined demographic factors in families with children with bilateral hearing loss and how they relate to Family Resource Scale (FRS) questionnaire data and (2) examined correlations between FRS data and measures of language. METHODS Children aged 6 months to 10 years with bilateral hearing loss were enrolled. Parents completed the FRS questionnaire to assess their access to
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Young Children's Development and Behavior: Associations with Timing of Household Food Insecurity in a Racially and Ethnically Diverse Early Head Start Sample. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-23 Monica S Treviño,Kathryn E Cherry,Wanjikũ F M Njoroge,Emily D Gerstein
OBJECTIVE The objective of this study was to assess the impact of household food insecurity (HFI) over time on behavioral and developmental health in early childhood while considering the impact of timing/persistence of HFI and potential differences among racially or ethnically minoritized children. METHODS Families from the Early Head Start Family and Child Experiences Study (N = 760) were followed
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Elucidating the Perspectives of Autistic Youth About Their Health Care Experiences: A Qualitative Study. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-23 Belinda O'Hagan,Sarah Foster,Amy Ursitti,Erika L Crable,Alexander J Friedman,Lauren Bartolotti,Shari Krauss
OBJECTIVES Autistic individuals have higher rates of co-occurring medical conditions and service use. However, autistic individuals and their families also reported lower satisfaction with health care service delivery. Previous studies described health care experiences of autistic adults, but less is known about those of autistic adolescents and young adults. This study aimed to qualitatively describe
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A Randomized Clinical Trial Targeting Daily Living Skills in Autistic Adolescents Without an Intellectual Disability Before the Transition to Adulthood. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-19 Amie Duncan,Jareen Meinzen-Derr,Lisa Ruble,Carrie Fassler,Lori J Stark
OBJECTIVES In the United States, more than 75,000 autistic adolescents graduate from high school each year, and many lack the skills to successfully transition to college, work, and independent living. Daily living skills (DLS) in autistic adolescents without an intellectual disability (ID) fall 6 to 8 years behind peers. Better DLS are linked to more positive adult outcomes for autistic individuals
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Caregiver Perspectives on the Health Care System for Tic Disorders: Utilization and Barriers. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-11 Brianna C M Wellen,Kirsten R Bootes,Emily I Braley,Christine A Conelea,Douglas W Woods,Michael B Himle
OBJECTIVE This study aimed to understand health care experiences among a sample of caregivers of children with TDs to inform future directions for improving the health care system. METHODS We conducted a survey of caregivers of youth with TDs and used descriptive statistics and quantitative analyses to characterize the health care utilization practices of the sample. RESULTS The majority (70%) of families
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Assessing Parental Perceptions of Meaningful Outcomes for Children with Autism Spectrum Disorder. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-11 Meredith Close,Gabriella Aberbach,Eugenia Chan,Elizabeth Harstad
BACKGROUND Outcomes of children diagnosed with autism spectrum disorder (ASD) generally focus on cognition, language, behavioral, and adaptive functioning, yet it is unknown whether this reflects patient and caregiver priorities. OBJECTIVE Identify parental perceptions of ASD outcomes and identify whether health care providers are currently addressing these concerns. METHODS Participant were 60 parents
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Depressive Symptoms in Autistic Youth with Anxiety Disorders. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-11 Rebecca L Greenberg,Andrew G Guzick,Sophie C Schneider,Saira A Weinzimmer,Minjee Kook,Amanda B Perozo Garcia,Eric A Storch
OBJECTIVE Anxiety and depression often coexist in youth and share overlapping symptomatology; however, little is known about the comorbidity of anxiety and depression in autistic youth. This study explores (1) the frequency of depressive symptoms among autistic children with clinically significant anxiety, (2) clinical variables that may be associated with elevated depressive symptoms, and (3) whether
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Age-Specific Probability of 4 Major Health Outcomes in Children with Spina Bifida. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-10 Kendra E Gilbertson,Tiebin Liu,John S Wiener,William O Walker,Kathryn Smith,Jonathan Castillo,Heidi Castillo,Pamela Wilson,Paula Peterson,Gerald H Clayton,Rodolfo Valdez
OBJECTIVE This study aimed to estimate the age-specific probability of 4 health outcomes in a large registry of individuals with spina bifida (SB). METHODS The association between age and 4 health outcomes was examined in individuals with myelomeningocele (MMC, n = 5627) and non-myelomeningocele (NMMC, n = 1442) from the National Spina Bifida Patient Registry. Sixteen age categories were created, 1
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Pharmacogenetic Testing in Patients with Autism Spectrum Disorder Evaluated in a Precision Medicine Clinic. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-06 Rachel Goodson,Jennifer Wagner,Tracy Sandritter,Vincent S Staggs,Sarah Soden,Cy Nadler
OBJECTIVE This study investigated outcomes of pharmacogenetic testing of youth with autism spectrum disorder (ASD) referred to a precision medicine clinic and explored associations between patient characteristics and pharmacogenomic testing results. METHODS Records for patients diagnosed with ASD and subsequently referred to a pediatric hospital's precision medicine clinic between July 1, 2010, and
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Access to Care Limitations: When Distance and Lack of Evidence Meet. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-10-06 Darren Olsen,Lina Patel,Noemi Alice Spinazzi,Sarah S Nyp
Jimmy is a 13-year-old adolescent boy who was diagnosed with Down syndrome (trisomy 21) prenatally. Jimmy is the only individual with Down syndrome in the small, rural community where he lives with his parents. He has mild sleep apnea, and his gross and fine motor developmental milestones were generally consistent with those expected among children with Down syndrome. At age 4, his parents raised concerns
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Association of Food Insecurity Status with Resolution of Mental Health Conditions in Children and Adolescents. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-09-26 Namrata Sanjeevi,Pablo Monsivais
OBJECTIVE Adverse consequences related to unresolved mental health issues underscore the importance of identifying factors that impede resolution of mental health conditions. Although studies have identified food insecurity as a risk factor for the diagnosis of mental health conditions, its impact on unresolved mental health issues is not understood. The objective of this study is to investigate the
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Variation in Caregiver-Reported Child Sleep Patterns and Problems by Family Socioeconomic Indicators. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-09-26 Francesca Lupini,Lauren C Daniel,Jodi A Mindell,Ariel A Williamson
OBJECTIVE Previous studies of sleep patterns, as well as rates and correlates of perceived problems in early childhood, indicate variation by neighborhood-level socioeconomic indicators. The purpose of this study was to examine variation in (1) sleep patterns, behaviors, and problems by family-based socioeconomic indicators (income-to-needs ratio and caregiver education level) and (2) sociodemographic
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Addressing Adolescent Suicidality in Pediatric Primary Care. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-09-26 Jessica Kenny,Kimberly Kelsay,Maya Bunik,Shengh Xiong,Amanda Millar,Ayelet Talmi
OBJECTIVE This study examines prevalence rates of reported suicidal ideation (SI) in 2107 adolescents, characterizes recommendations and interventions given by primary care providers (PCPs) and behavioral health clinicians (BHCs) in response to SI on the Patient Health Questionnaire 9-Item Modified for Adolescents (PHQ-9A) for 140 adolescents, and identifies factors associated with a decrease in the
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Receipt of Behavioral Therapy in Preschool-Age Children with ADHD and Coexisting Conditions: A DBPNet Study. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-09-26 Shruti Mittal,Ami Bax,Nathan J Blum,Justine Shults,William Barbaresi,Jaclyn Cacia,Alexis Deavenport-Saman,Sandra Friedman,Angela LaRosa,Irene M Loe,Shelby Tulio,Douglas Vanderbilt,Elizabeth Harstad,,
OBJECTIVE Practice guidelines from the American Academy of Pediatrics and Society for Developmental and Behavioral Pediatrics recommend evidence-based behavioral therapy (BT) as first-line treatment for preschool-age children with ADHD, prior to medication initiation. Thus, this study's objective is to present the frequency of physician-documented receipt of BT in preschool-age children with ADHD prior
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Cognition, Academic Achievement, Adaptive Behavior, and Quality of Life in Child and Adolescent Boys with Klinefelter Syndrome. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-09-01 Tracy L Jordan,Lara C Foland-Ross,Vanessa L Wun,Judith L Ross,Allan L Reiss
OBJECTIVE Klinefelter syndrome (KS; 47, XXY), the most common sex chromosome aneuploidy in males, is characterized by testicular failure and testosterone deficiency as well as a variety of cognitive, social, and emotional challenges. In the current study, we aimed to clarify the cognitive-behavioral profile of peripubertal boys with KS using measures of cognition, academic achievement, adaptive behavior
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Complex Attention-Deficit/Hyperactivity Disorder in a Bilingual Child with Down Syndrome and Intellectual Disability. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-09-01 Trevena Moore,Cara Soccorso,Jason Fogler,Gretchen Carroll,Tanya Froehlich,Sarah S Nyp
Maria is an 8-year-old girl with Down syndrome, described by her mother as an affectionate and social child, who was referred to developmental-behavioral pediatrics by her pediatrician because of increasing aggressive behaviors and inattention.Maria was 5 pounds at birth, delivered full-term by cesarean section, and hospitalized for 1 month after delivery because of feeding issues that required a nasogastric
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Association Between Neighborhood Deprivation and Child Cognition in Clinically Referred Youth. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-18 Luther Kalb,Rebecca Lieb,Natasha Ludwig,Rachel Peterson,Alison Pritchard,Rowena Ng,Danielle Wexler,Lisa Jacobson
OBJECTIVE When socioeconomic status is measured at the individual and/or family level, it has long been associated with cognition in children. However, the association between neighborhood deprivation, an index of community-level socioeconomic status, and child cognition is not fully understood. The goal of this study was to investigate (1) the relationship between neighborhood deprivation and child
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Screening for Caregiver-Reported Feeding Concerns in Children with Autism Spectrum Disorder in a Tertiary-Care Clinic. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-18 Emily S Kuschner,Shalini Sivathasan,Emma McQueen,Rashelle C Berry,Stormi L Pulver,William G Sharp,Cheryl Klaiman
OBJECTIVE Feeding concerns, primarily food selectivity, are commonly observed in children with autism spectrum disorder (ASD). Prevalence rates suggest that at least half of autistic youth have feeding difficulties. METHODS A retrospective chart review examining records of a large cohort of autistic children (N = 746) referred for ASD evaluation was conducted. Families completed a survey regarding
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Changes Over Time in Outcomes of School-Age Children and Parents Receiving Integrated Mental Health Care in Federally Qualified Health Centers. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-11 Jihye Kim,Megan H Bair-Merritt,Jessica Rosenberg,Emily Feinberg,Anita Morris,Michelle P Durham,Maria Guadalupe Estela,R Christopher Sheldrick
OBJECTIVE The purpose of this study is to understand change in parent-reported outcomes of mental health symptoms, health-related quality of life (QoL), and school-related functioning among children receiving mental health care at 3 federally qualified health centers engaging in a comprehensive pediatric mental health integration model. METHODS Trained personnel enrolled English- or Spanish-speaking
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Do Externalizing and Internalizing Symptoms Moderate Medication Response in Preschool Attention-Deficit/Hyperactivity Disorder? A DBPNet Study. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-08 Nathan J Blum,Justine Shults,William Barbaresi,Ami Bax,Jaclyn Cacia,Alexis Deavenport-Saman,Sandra Friedman,Irene M Loe,Shruti Mittal,Douglas Vanderbilt,Angela LaRosa,Elizabeth Harstad
OBJECTIVES This study aimed to determine whether parent ratings of attention-deficit/hyperactivity disorder (ADHD) symptom severity or externalizing symptoms (EXT) or internalizing symptoms (INT) moderate response to stimulants (STIM) and alpha-2 adrenergic agonists (A2As) in preschool ADHD. METHODS Health records for children treated with medication for ADHD and with parent rating scale data available
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"She Is Stand-Offish Like That": Black Adults' Recognition of Child Behaviors Associated with Autism Spectrum Disorder. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-08 Dejeunee Ashby,Larry Yin,Felica Jones,Aziza-Lucas Wright,Helena Williams,Charlene Williams,Alexis Deavenport-Saman,Douglas Vanderbilt,Olga Solomon
OBJECTIVE The purpose of this study is to identify the sociocultural factors in the Black community that contribute to a delay in identification of Black children with autism spectrum disorder (ASD). METHODS Four focus groups with parents of typically developing children were conducted at 2 Black Churches using a community-partnered participatory research approach and the socioecological model. Participants
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Fragile X Syndrome and Fetal Alcohol Syndrome: Occurrence of Dual Diagnosis in a Set of Triplets. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-08 Ramkumar Aishworiya,Hazel Maridith Barlahan Biag,Maria Jimena Salcedo-Arellano,Zayan Musa,Andrea Schneider,Courtney Clark,Ellery Santos,Flora Tassone,Randi Hagerman
BACKGROUND Fragile X syndrome (FXS) and fetal alcohol syndrome disorders are both common causes of intellectual disability in children. When both conditions are present in the same individual, the resultant phenotype may make identification of clinical issues and management challenging. CASE PRESENTATION In this case report, we present a case of triplets who had significant in utero alcohol exposure;
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Early Sleep Differences in Young Infants with Autism Spectrum Disorder. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-08 Miranda Foster,Alexis Federico,Cheryl Klaiman,Jessica Bradshaw
OBJECTIVE Children with autism spectrum disorder (ASD) experience greater sleep challenges than their neurotypical peers, but sleep patterns for infants later diagnosed with ASD are unknown. This study examined differences in total sleep duration and proportion of sleep experienced at night within the first 6 months of life among infants later diagnosed with ASD, infants who demonstrated subclinical
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Relationship Between Parental Postnatal Distress and 5-Year Mental Health Outcomes of Children Born at <30 Weeks and at Term. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-08 Rosemary Yates,Karli Treyvaud,Katherine J Lee,Lex W Doyle,Jeanie L Y Cheong,Carmen C Pace,Alicia J Spittle,Megan Spencer-Smith,Peter J Anderson
OBJECTIVE The purpose of this study was to compare mental health symptoms and diagnoses at age 5 years between children born <30 weeks' gestation and their term-born peers and associations with postnatal symptoms of depression and anxiety in their mothers and fathers. METHODS Parents of children born <30 weeks' gestation (n = 106) and at term (n = 105) completed measures of anxiety and depression symptoms
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Effect of Chronic Rhinitis Treatment in Children with Attention-Deficit/Hyperactivity Disorder. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-08 Ruaywan Suntiwes,Vilawan Chirdkiatgumchai,Rawiwan Roongpraiwan,Teeradej Kuptanon,Komsan Kiatrungrit,Wiparat Manuyakorn
OBJECTIVE The purpose of this study is to examine the effect of chronic rhinitis treatment on attention-deficit/hyperactivity disorder (ADHD) symptoms in children with ADHD. METHODS Children and adolescents with ADHD were screened for chronic rhinitis symptoms. Participants with positive chronic rhinitis screening underwent the skin prick test and received rhinitis treatment for 3 months. All participants
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Risk for Developmental Delay Among Infants Born During the COVID-19 Pandemic. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-08-01 Gerald F Giesbrecht,Catherine Lebel,Cindy-Lee Dennis,Katherine Silang,E Bailin Xie,Suzanne Tough,Sheila McDonald,Lianne Tomfohr-Madsen
OBJECTIVE Attempts by governments around the world to mitigate the spread of COVID-19 have substantially altered the early rearing environment, raising concerns about potential negative consequences for babies born during this time. The objective of this study was to determine whether infants born during the COVID-19 pandemic were at greater risk of screening positive for developmental delay compared
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Pattern of Visual-Motor Integration, Visual Perception, and Fine Motor Coordination Abilities in Children Being Assessed for Fetal Alcohol Spectrum Disorder. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-07-17 Danielle Johnston,Lesley Pritchard,Erin Branton,Douglas P Gross,Sandy Thompson-Hodgetts
OBJECTIVE Motor skill assessment is part of the fetal alcohol spectrum disorder (FASD) multidisciplinary assessment. Some clinicians opt to exclude assessment of the subcomponents of visual-motor integration (visual perception and motor coordination), on the assumption that challenges will be revealed based on the assessment of visual-motor integration. The objective is to describe the visual-motor
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Provider and Caregiver Perspectives on Telehealth Assessments for Autism Spectrum Disorder in Young Children: A Multimethod DBPNet Study Exploring Equity. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-06-14 Katherine S Kellom,Carina M Flaherty,Jaclyn Cacia,Audrey Christiansen,Lucero Cordero,Julia Hah,Annie Kennelly,Priscilla Ortiz,Kristen Stefanski,Sarah N Wozniak,Kate E Wallis
BACKGROUND Telehealth uptake increased dramatically during the COVID-19 pandemic, including for autism spectrum disorder (ASD) assessment by developmental-behavioral pediatric (DBP) clinicians. However, little is known about the acceptability of telehealth or its impact on equity in DBP care. OBJECTIVE Engage providers and caregivers to glean their perspectives on the use of telehealth for ASD assessment
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Is My Child Racist? Supporting Caregivers in Conceptualizing Race for Children. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-06-05 Veronica Ilene Carrasco,Mohadeseh Solgi,Aaron Davis,Antwon Chavis,Katharine Zuckerman,Marilyn Augustyn
M is a 4-year-old White girl whose parents contact their primary care pediatric clinician with a behavioral concern: over the course of several months, M has insisted that she is pregnant with quintuplets. Although some of the quintuplets have light skin tones, others have darker skin tones. When elaborating about the fantasy, M often explains that the babies fight in her tummy, and the Brown babies
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The Relationship Between Maternal and Infant Sleep Duration Across the First Two Years. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-06-02 Tianying Cai,Carolyn Sutter,Sharon M Donovan,Barbara H Fiese
OBJECTIVES The first objective of this study was to determine how mother-infant sleep duration is related across the first 2 years of life. The second objective was to determine whether these relationships change across the first 2 years of life. The third objective was to understand demographic and health predictors of the relationship between maternal and child sleep. METHODS Parents of 464 infants
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Physical Activity in Youth with Down Syndrome and Its Relationship with Adiposity. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-05-19 Melissa S Xanthopoulos,Rachel Walega,Rui Xiao,Mary E Pipan,Claire I Cochrane,Babette S Zemel,Andrea Kelly,Sheela N Magge
PURPOSE The aims of this study are to (1) compare physical activity (PA) and sedentary activity (SA) in youth with and without Down syndrome (DS and non-DS) and examine the relationships of PA and SA with their traditional risk factors (age, sex, race, and body mass index Z score [BMI-Z]) and (2) explore the relationship of PA with visceral fat (VFAT) in both groups. METHODS SenseWear accelerometry
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Enhancing Resident Education in Autism Diagnosis: Training on the Screening Tool for Autism in Toddlers. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-05-19 Kira Belzer,Eric Flake,Michelle Kiger
OBJECTIVE Pediatricians feel inadequately prepared to diagnose and manage autism spectrum disorders (ASDs). We developed a curriculum that trains pediatric residents in the Screening Tool for Autism in Toddlers and Young Children (STAT), a tool used to diagnose ASD, and assessed its impact. METHODS Pediatric residents completed training in the STAT that included interactive video and practice-based
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Caregiver Satisfaction with Emergency Department Care for Pediatric Patients with Neurodevelopmental Disorders. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-05-19 Theodore W Heyming,Chloe Knudsen-Robbins,Konnor Davis,Tatiana Moreno,Sarah R Martin,Shelby K Shelton,Louis Ehwerhemuepha,Zeev N Kain
OBJECTIVE Children with neurodevelopmental disorders (NDDs) often encounter increased adversity when navigating the health care system. In this study, we explored the pediatric emergency department (PED) experience for patients with NDDs and their caregivers compared with that of patients without NDDs. METHODS Data for this study were obtained from National Research Corporation patient experience survey
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Developmentally-Trained Primary Care Clinicians: A Pipeline to Improved Access? J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-05-19 Mona Doss Roberts,Audrey Christiansen,Belinda O'Hagan,Emily Jansen,Marilyn Augustyn
OBJECTIVE The purpose of this study is to decrease wait time and improve access to developmental-behavioral pediatric (DBP) evaluation in children 4 years of age and younger as part of a quality improvement (QI) initiative in an urban safety-net hospital. METHODS A primary care pediatrician received DBP minifellowship training 6 hours per week for 1 year to become a developmentally-trained primary
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Prevalence of Mental Health Diagnoses Among Early Adolescents Before and During Foster Care J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-05-01 Toria Herd, Lindsey Palmer, Sarah Font
Objective: This study aimed to characterize the rates and types of diagnosed mental health (MH) disorders among children and adolescents before and during foster care (FC) overall and by race and ethnicity. Methods: We used population-based linked administrative data of medical assistance (public insurance) claims records and child protective services data from a cohort of early adolescents who entered
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Participation in an Attachment-Based Home Visiting Program Is Associated with Lower Child Salivary C-Reactive Protein Levels at Follow-Up J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-05-01 Amalia Londoño Tobón, Eileen Condon, Arietta Slade, Margaret L. Holland, Linda C. Mayes, Lois S. Sadler
Objective: Exposure to early childhood adversity is associated with an increased risk for physiological disruption, including increased inflammation. Early interventions that support the mother-child relationship have been shown to potentially buffer negative psychosocial outcomes related to early adversity, but it is unclear whether these interventions have long-term biological effects. We evaluated
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Systematic Review and Meta-Analyses: Safety and Efficacy of Complementary and Alternative Treatments for Pediatric Attention-Deficit/Hyperactivity Disorder J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-05-01 Courtney A. Zulauf-McCurdy, Patrick A. LaCount, Christopher R. Shelton, Anne S. Morrow, Xin A. Zhao, Douglas Russell, Margaret H. Sibley, L. Eugene Arnold
Objective: Complementary and alternative treatments (CATs) for ADHD have proliferated over the past decade; however, their safety and efficacy remain uncertain. We completed a systematic review and meta-analyses across CAT domains. Methods: Systematic search and data extraction identified randomized controlled trials for pediatric ADHD (ages 3–19 years) that included probably blind ADHD symptom outcome
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Descriptive Analysis of Documentation Time for the National Developmental-Behavioral Pediatric Physician Workforce Using a Commercial Electronic Health Record System J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-26 Rohan Patel, Yumei Yang, Feng-Chang Lin, Amanda Shumaker, Patricia Nash, Amy Newmeyer, Rebecca Baum, Jeffrey Hoffman
Objective: The national developmental-behavioral pediatric (DBP) workforce struggles to meet current service demands because of several factors. Lengthy and inefficient documentation processes are likely to contribute to service demand challenges, but DBP documentation patterns have not been sufficiently studied. Identifying clinical practice patterns may inform strategies to address documentation
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Executive Functioning, Language, and Behavioral Abilities Related to Obstructive Sleep Apnea in Down Syndrome J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-26 Amanallah Soltani, Emily K. Schworer, Raouf Amin, Emily K. Hoffman, Anna J. Esbensen
Objectives: Obstructive sleep apnea (OSA) is highly prevalent among individuals with Down syndrome (DS), and the nonphysiological consequences of OSA require examination to inform treatment planning. This study aimed to investigate the association between OSA and aspects of language, executive functioning, behavioral, social abilities, and sleep problems in youth with DS aged 6 to 17 years. Methods:
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Pilot Trial of a Peer-to-Peer Psychoeducational Intervention for Parents of Black Children Awaiting a Developmental Evaluation J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-26 Sarah Dababnah, Charina Reyes, Irang Kim, Deborah G. Badawi, Yoonzie Chung, Wendy E. Shaia
Objective: This study examined the short-term impact on child, family, and parent outcomes of a peer-to-peer psychoeducational intervention, Parents Taking Action (PTA) for Black families of children awaiting developmental-behavioral pediatric evaluations. Methods: We targeted parents and other primary caregivers of Black children aged 8 years or younger awaiting a developmental or autism evaluation
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Improving Access to Diagnostic Evaluations for Developmental Disabilities Through an Initial Assessment Model J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-26 Lindsey DeVries, Jack Dempsey, Rebecca Wilson
Objective: This study aimed to evaluate a novel model of care to improve access to diagnostic evaluations for autism spectrum disorder and/or developmental delays for school-age children. Methods: An “initial assessment” (IA) model for children aged 7 to 9 years was implemented at a large regional pediatric hospital. Referral patterns and the number of patients evaluated with the IA model were obtained
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Pilot Trial of a Peer-to-Peer Psychoeducational Intervention for Parents of Black Children Awaiting a Developmental Evaluation. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-26 Sarah Dababnah,Charina Reyes,Irang Kim,Deborah G Badawi,Yoonzie Chung,Wendy E Shaia
OBJECTIVE This study examined the short-term impact on child, family, and parent outcomes of a peer-to-peer psychoeducational intervention, Parents Taking Action (PTA) for Black families of children awaiting developmental-behavioral pediatric evaluations. METHODS We targeted parents and other primary caregivers of Black children aged 8 years or younger awaiting a developmental or autism evaluation
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Descriptive Analysis of Documentation Time for the National Developmental-Behavioral Pediatric Physician Workforce Using a Commercial Electronic Health Record System. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-26 Rohan Patel,Yumei Yang,Feng-Chang Lin,Amanda Shumaker,Patricia Nash,Amy Newmeyer,Rebecca Baum,Jeffrey Hoffman
OBJECTIVE The national developmental-behavioral pediatric (DBP) workforce struggles to meet current service demands because of several factors. Lengthy and inefficient documentation processes are likely to contribute to service demand challenges, but DBP documentation patterns have not been sufficiently studied. Identifying clinical practice patterns may inform strategies to address documentation burden
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Improving Access to Diagnostic Evaluations for Developmental Disabilities Through an Initial Assessment Model. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-26 Lindsey DeVries,Jack Dempsey,Rebecca Wilson
OBJECTIVE This study aimed to evaluate a novel model of care to improve access to diagnostic evaluations for autism spectrum disorder and/or developmental delays for school-age children. METHODS An "initial assessment" (IA) model for children aged 7 to 9 years was implemented at a large regional pediatric hospital. Referral patterns and the number of patients evaluated with the IA model were obtained
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Executive Functioning, Language, and Behavioral Abilities Related to Obstructive Sleep Apnea in Down Syndrome. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-26 Amanallah Soltani,Emily K Schworer,Raouf Amin,Emily K Hoffman,Anna J Esbensen
OBJECTIVES Obstructive sleep apnea (OSA) is highly prevalent among individuals with Down syndrome (DS), and the nonphysiological consequences of OSA require examination to inform treatment planning. This study aimed to investigate the association between OSA and aspects of language, executive functioning, behavioral, social abilities, and sleep problems in youth with DS aged 6 to 17 years. METHODS
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Newborn Screening Conditions: Early Intervention and Probability of Developmental Delay J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-20 Elizabeth Reynolds, Sheresa Blanchard, Elizabeth Jalazo, Pranesh Chakraborty, Donald B. Jr Bailey
Objectives: The purpose of this study is to explore which newborn screening (NBS) conditions are automatically eligible for early intervention (EI) across states and to determine the extent to which each disorder should automatically qualify for EI because of a high probability of developmental delay. Methods: We examined each state's EI eligibility policy and reviewed the literature documenting
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Mind Over Media: Propaganda Education for a Digital Age. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-21 Van Kim Ma,Kathleen Angkustsiri
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Association Between Positive Childhood Experiences and Childhood Flourishing Among US Children J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-20 Elizabeth Crouch, Elizabeth Radcliff, Monique J. Brown, Peiyin Hung
Objective: There has been limited research examining the fostering of positive childhood experiences (PCEs) that could promote flourishing among children. The purpose of this study is to examine the relationship between 7 selected PCEs and the outcome of flourishing, among a nationally based population-level survey sample of children aged 6 to 17 years. Methods: Data were drawn from the 2018 to 2019
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Stimulant Medication Treatment in Children with Congenital Heart Disease and Attention-Deficit/Hyperactivity Disorder: Cardiovascular Outcomes J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-20 Pon Trairatvorakul, Jareen Meinzen-Derr, Haleh Heydarian, Karen Mason, Julia S. Anixt
Objective: Children with congenital heart disease (CHD) are at increased risk for attention-deficit/hyperactivity disorder (ADHD). The aim of this study was to determine whether children with CHD and ADHD clinically treated with stimulant medication were at increased risk for changes in cardiovascular parameters or death compared with CHD-matched controls. Methods: In this retrospective cohort study
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Family Perspectives on In-Home Multimodal Longitudinal Data Collection for Children Who Function Across the Developmental Spectrum J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-14 Katelynn E. Boerner, Leora Pearl-Dowler, Liisa Holsti, Marie-Noelle Wharton, Harold Siden, Tim F. Oberlander
Objective: Quality child health research requires multimodal, multi-informant, longitudinal tools for data collection to ensure a holistic description of real-world health, function, and well-being. Although advances have been made, the design of these tools has not typically included community input from families with children whose function spans the developmental spectrum. Methods: We conducted
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Duration of Breastfeeding and Supportive Paternal Caregiving in Early Childhood and the Potential Mediating Function of Maternal Caregiving J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-14 Julia S. Feldman, Brianna N. Natale, Daniel S. Shaw, Kristin Berg Nordahl, Harald Janson, Ane Nærde
Objective: Supportive paternal caregiving is influenced by contextual factors, including maternal caregiving behaviors. Although longer periods of breastfeeding have been found to be associated with higher levels of maternal supportive parenting, it remains unknown whether the benefits of breastfeeding also extend to fathers' supportive caregiving. This study tested the indirect relation between the
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Associations Between Technology Use, Responsive Feeding, and Child Temperament Among Prior Prenatal Intervention Participants J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-04 Alison K. Ventura, Chantelle N. Hart, Suzanne Phelan, Elissa Jelalian, Rena R. Wing
Objectives: The primary objective was to examine associations between mothers' television and mobile device (TV/MD) use and responsive feeding during an observed mother-toddler mealtime interaction. The secondary objective was to assess whether dimensions of child temperament were associated with mothers' TV/MD use. Methods: Participants from a prenatal lifestyle intervention trial to prevent excess
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Lifetime Prevalence of Psychiatric Disorders in Adolescents with Unexplained Weight Loss, Underweight, or Poor Appetite J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-04 Micaela A. Witte, Cynthia Harbeck Weber, Jocelyn Lebow, Allison LeMahieu, Jennifer Geske, Nathaniel Witte, Stephen Whiteside, Katie Loth, Leslie Sim
Background: When adolescents present with symptoms of unexplained weight loss, underweight, or poor appetite, eating disorders (EDs) are commonly on the list of differential diagnoses. However, the relationship of these symptoms to other psychiatric disorders is often less clear. Methods: Using the Rochester Epidemiology Project database, a retrospective cohort study of adolescents (13–18 years)
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Through the Webcam: Impact of Telehealth on Developmental and Behavioral Pediatric Fellowship Training J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-04 Kimberly T. Hung, Jacqueline M. Branch, Mark D. McManus, Miraides Brown, Diane L. Langkamp
Objective: The purpose of this study was to examine how fellowship program directors (PDs) and their fellows perceived the impact of telehealth on fellowship education in developmental behavioral pediatrics (DBP) during the COVID-19 pandemic. Methods: Two surveys were designed targeting DBP PDs and fellows and were distributed by e-mail from January to May 2021. Surveys consisted of closed-ended
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Considerations in the Management of Functional Neurological Disorders in Patients with Hearing Loss J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-04 Amal Abu Libdeh, Leen Alkalbani, Daniel Freedman, Julio Quezada, Sarah S. Nyp
CASE: Adam is a 14-year-old adolescent boy with hearing loss who presented to the pediatric neurology clinic accompanied by his father for evaluation of new-onset left hand tremor for a duration of 1 month. An American Sign Language interpreter was present and used throughout the visit. Adam has bilateral sensorineural hearing loss related to premature birth at 28 weeks' gestation. He uses sign language
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Associations Between Technology Use, Responsive Feeding, and Child Temperament Among Prior Prenatal Intervention Participants. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-04 Alison K Ventura,Chantelle N Hart,Suzanne Phelan,Elissa Jelalian,Rena R Wing
OBJECTIVES The primary objective was to examine associations between mothers' television and mobile device (TV/MD) use and responsive feeding during an observed mother-toddler mealtime interaction. The secondary objective was to assess whether dimensions of child temperament were associated with mothers' TV/MD use. METHODS Participants from a prenatal lifestyle intervention trial to prevent excess
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Through the Webcam: Impact of Telehealth on Developmental and Behavioral Pediatric Fellowship Training. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-04 Kimberly T Hung,Jacqueline M Branch,Mark D McManus,Miraides Brown,Diane L Langkamp
OBJECTIVE The purpose of this study was to examine how fellowship program directors (PDs) and their fellows perceived the impact of telehealth on fellowship education in developmental behavioral pediatrics (DBP) during the COVID-19 pandemic. METHODS Two surveys were designed targeting DBP PDs and fellows and were distributed by e-mail from January to May 2021. Surveys consisted of closed-ended and
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Lifetime Prevalence of Psychiatric Disorders in Adolescents with Unexplained Weight Loss, Underweight, or Poor Appetite. J. Dev. Behav. Pediatr. (IF 2.4) Pub Date : 2023-04-04 Micaela A Witte,Cynthia Harbeck Weber,Jocelyn Lebow,Allison LeMahieu,Jennifer Geske,Nathaniel Witte,Stephen Whiteside,Katie Loth,Leslie Sim
BACKGROUND When adolescents present with symptoms of unexplained weight loss, underweight, or poor appetite, eating disorders (EDs) are commonly on the list of differential diagnoses. However, the relationship of these symptoms to other psychiatric disorders is often less clear. METHODS Using the Rochester Epidemiology Project database, a retrospective cohort study of adolescents (13-18 years) with