Journal of developmental and behavioral pediatrics : JDBP
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J Dev Behav Pediatr · Jun 2009
ReviewPhysician behavior in the care of pediatric chronic illness: association with health outcomes and treatment adherence.
Physician behavior is an important but understudied influence on child and parental adherence to medical treatment. ⋯ Future research should be guided by a comprehensive model of physician behavior in chronic illness management that considers contextual determinants (e.g., culture and socioeconomic status), identifies clinically relevant targets for intervention, and documents the impact on health outcomes. Approaches to chronic illness management that involve physicians in active communication, support, and decision making with children with chronic illness and their parents should be developed and evaluated.
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To study emotional and behavioral problems and sleep and cognitive performance in snoring and nonsnoring 3- to 6-year-old children. ⋯ Our results support the view that SDB should be considered a possible risk factor for mood disorder symptoms and impaired cognitive performance in children.
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J Dev Behav Pediatr · Feb 2009
Development and evaluation of an instrument to measure parental satisfaction with quality of care in neonatal follow-up.
The goal of this study was to develop and subsequently evaluate the psychometric properties of a new discriminative instrument to measure parental satisfaction with the quality of care provided in neonatal follow-up (NFU) programs. ⋯ This new instrument provides clinicians and policy-makers with a tool to assess parental satisfaction with the quality of care in NFU, so areas of dissatisfaction can be identified and changes implemented to optimize service provision.
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J Dev Behav Pediatr · Feb 2009
Acute posttraumatic stress symptoms among urban mothers with newborns in the neonatal intensive care unit: a preliminary study.
Traumatic stress symptoms from multiple causes are endemic among impoverished women who are also at high risk for delivering infants requiring neonatal intensive care unit (NICU) care, but whether this event itself constitutes a distinct traumatic stress trigger is unknown. Previous research does suggest having an infant in the NICU generates traumatic stress among white middle-class mothers, stress that can impact their infant's behavior and development. This study evaluated the prevalence of acute posttraumatic stress symptoms among low-income mothers of infants admitted to the NICU compared with similar mothers with infants in the well baby nursery (WBN). ⋯ Addressing acute posttraumatic stress symptoms may enhance interventions to help urban families of NICU infants.
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J Dev Behav Pediatr · Oct 2008
Case ReportsAn early male adolescent with externalizing behaviors, school failure, and a colostomy.
Jeff is a 14 (1/2) years old ninth grader who presents with his mother, father, and step-father because he is failing in school. Jeff was born with an imperforate anus, and he had several surgical procedures in the first few years of life. He has a colostomy, but it is not clear how well he cares for it independently. ⋯ The parents acknowledge that Jeff always tries to negotiate with them and they often give in. There is no known substance abuse or illegal behavior, although he has demonstrated destructiveness and stealing at home. Jeff's mother remarried a year ago, and her husband backed her in setting more strict limits for Jeff; at Jeff's request, he is currently living with his father most of the time.