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1.
Tijdschr Psychiatr ; 63(7): 543-549, 2021.
Artigo em Holandês | MEDLINE | ID: mdl-34523706

RESUMO

BACKGROUND: Parenting an adolescent with borderline personality disorder (BPD) features can be challenging due to, for example, emotional dysregulation, impulsivity and/or self-destructive behavior. Parents confronted with challenging behavior of their child, may experience less parental-self-efficacy (PSE). Subsequently this lower PSE might strengthen the relationship between low parental support and BPD features. AIM: To increase our understanding of the association between parenting related factors and features of BPD in adolescents. METHOD: The sample consisted of 81 adolescents, in the age of 13-21, from a clinical population and their parents. Parents completed (online) questionnaires on parental self-efficacy and adolescents reported on parental support and BPD features. RESULTS: Adolescents who experienced lower parental support reported more BPD features. Lower parental self-efficacy was not related to BPD features in adolescence, but (more) self-efficacy was related to (older) age. Subsequently no evidence was found for a combined effect of perceived parental support and parental self-efficacy on adolescent BPD features. CONCLUSION: Adolescents in a clinical population with higher levels of BPD perceived lower levels of parental support. Parental self-efficacy was not related to levels of BPD. This research is a first step in understanding parenting related factors and BPD features. Longitudinal research is needed to gain more insight in transactions between parenting related factors and symptoms of adolescent BPD.


Assuntos
Transtorno da Personalidade Borderline , Adolescente , Criança , Emoções , Humanos , Poder Familiar , Pais , Autoeficácia
2.
Zhongguo Dang Dai Er Ke Za Zhi ; 23(8): 779-785, 2021 Aug 15.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-34511165

RESUMO

OBJECTIVES: To study the effects of parent-child painting and creative crafting therapy on the core symptoms of preschool children with mild-to-moderate autism spectrum disorder (ASD) and the parenting stress and hope level of their mothers. METHODS: A total of 56 preschool children with mild-to-moderate ASD and their mothers were divided into an experimental group and a control group using the block randomization method, with 28 pairs in each group. The subjects in the control group received an applied behavior analytic intervention and those in the experimental group received parent-child painting and creative crafting therapy in addition to the intervention in the control group. The intervention time was 20 weeks for both groups. Autism Behavior Checklist (ABC), Social Responsiveness Scale (SRS), Parenting Stress Index-Short Form (PSI-SF), and Herth Hope Index (HHI) were used to evaluate the core symptoms of children and the parenting stress and hope level of their mothers before and after 20 weeks of intervention. RESULTS: Forty-nine child-mother pairs completed the study (25 pairs in the intervention group and 24 pairs in the control group). The children in the experimental group had significantly lower scores of social interaction, language, social communication, and social motivation and total scores of ABC and SRS compared with those in the control group (P<0.05). The mothers in the experimental group had significantly lower scores of parental distress and parent-child dysfunctional interaction and total score of PSI-SF (P<0.05) and significantly higher total score of HHI and scores of each dimension compared with those in the control group (P<0.05). CONCLUSIONS: The combination of applied behavior analytic intervention with parent-child painting and creative crafting therapy can more effectively improve the core symptoms and social interaction of preschool children with mild-to-moderate ASD, reduce the parenting stress of mothers and improve their hope level.


Assuntos
Transtorno do Espectro Autista , Transtorno do Espectro Autista/terapia , Pré-Escolar , Feminino , Humanos , Mães , Relações Pais-Filho , Poder Familiar , Estudos Prospectivos
3.
BMC Public Health ; 21(1): 1550, 2021 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-34391388

RESUMO

BACKGROUND: The aim of the study was to increase understanding of the variation in parental perceptions of their roles and responsibilities in relation to children's physical activity and sedentary behaviours. METHODS: This qualitative study was based on data from the Healthy School Start intervention study II, in the form of recorded motivational interviewing (MI) sessions with mothers and fathers participating in the intervention. Forty-one MI sessions where parents discussed physical activity and/or sedentary behaviour were selected for analysis. Data analysis was performed using a phenomenographic approach. RESULTS: Three categories describing a structural relationship of parents' different views on their own role in relation to their child's habits were identified: 1) The parent decides - Child physical activity according to my beliefs and views as a parent and where I, as a parent, decide, 2) Parent-child interaction - child physical activity is formed in interaction between me as a parent and my child or 3) The child/someone else decides - The child or someone other than me as a parent decides or has the responsibility for my child's physical activity. All three categories included four subcategories of specific activities: organised activity, activity in everyday life, being active together and screen time, describing practical approaches used in each of the three categories. CONCLUSIONS: This study found variation in mothers' and fathers' perceptions of their roles and responsibilities for their child's physical activity and sedentary behaviours related to specific types of activities. The results indicate areas where parents need support in how to guide their children and how parental responsibility can have a positive influence on children's physical activity and sedentary habits.


Assuntos
Poder Familiar , Comportamento Sedentário , Exercício Físico , Humanos , Relações Pais-Filho , Percepção
4.
Nutrients ; 13(8)2021 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-34444649

RESUMO

Parental stress may influence adolescents' food intake and weight development over time, however, it is largely unknown why this is the case. This study examines whether the link between parental stress and adolescents' snack intake and weight outcome is mediated by food parenting practices (FPPs). Participants included 400 parents and their adolescent children (aged 12-16) who completed questionnaires. The Perceived Stress Scale (PSS) was used to assess parental general stress levels and the Adolescent Food Parenting Questionnaire (AFPQ) to assess FPPs. Multiple mediation analyses with parallel mediators were performed, with parental general stress as an independent variable and adolescent snack intake and zBMI as dependent variables. FPPs (autonomy support, coercive control, modeling, healthy structure, snack structure) were entered as mediators in the model, adjusted for covariates. Autonomy support mediated the link between parental general stress and adolescent savory snack and sweet snack intake at follow-up. Parents who reported higher stress levels provided less autonomy support, which resulted in more adolescent snacking. None of the other FPPs mediated any link between parental stress and intake or weight outcome, and no significant indirect effects were observed with zBMI as an outcome variable. Further research should replicate this finding and may further examine underlying mechanisms.


Assuntos
Índice de Massa Corporal , Pai/psicologia , Comportamento Alimentar , Mães/psicologia , Poder Familiar , Lanches , Estresse Psicológico , Adolescente , Criança , Feminino , Humanos , Masculino , Relações Pais-Filho , Inquéritos e Questionários
5.
Syst Rev ; 10(1): 232, 2021 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-34391481

RESUMO

BACKGROUND: Suicide is a leading cause of death in children and youth, with suicidal thoughts and suicide attempts (referred to as non-fatal suicidal behaviors (NFSB)) being among its strongest predictors. Positive parenting (e.g., warmth, responsiveness), negative parenting (e.g., control, hostility), and parent-child relationship quality (e.g., trust, communication) have been reported to be associated with differences in NFSB in this population. To date, no comprehensive systematic review has considered together the wide range of parenting factors studied in relation to NFSB, and no meta-analysis of existing findings has been conducted. The present study will critically appraise and synthesize the existing evidence from observational studies that examine the relationships between parenting factors and (i) suicidal ideation and (ii) suicide attempt in children and youth. METHODS: Studies will be retrieved from APA PsycInfo, MEDLINE, CINAHL, Embase, Scopus, and the Cochrane Library databases. Retrospective, cross-sectional, and longitudinal studies, conducted in clinical and population settings, among youth aged less than 25 years and published as articles and dissertations in English or French will be eligible. Two reviewers will select articles using the Covidence Software after title and abstract screening and full-text assessment, will extract information using double data entry, and will appraise studies' quality using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Any disagreements will be discussed with a third reviewer. Publication bias will be evaluated using funnel plots and Egger's test. In addition to a narrative summary of results, meta-analyses will be conducted using results from at least three studies. Three-level random effect models will allow to derive pooled estimates from dependent effect sizes (from the same sample or study). In case of significant heterogeneity, moderation analyses will be performed considering participants' characteristics and methodological aspects of studies. The results will be reported according to the PRISMA guidelines, and the certainty of evidence will be assessed using the GRADE approach. DISCUSSION: In highlighting parenting factors associated with NFSB and in estimating the overall strength of these associations in children and youth, our results will inform further intervention and prevention strategies designed for young people experiencing NFSB and their families. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020165345.


Assuntos
Poder Familiar , Ideação Suicida , Adolescente , Estudos Transversais , Humanos , Metanálise como Assunto , Estudos Retrospectivos , Revisões Sistemáticas como Assunto
6.
Artigo em Inglês | MEDLINE | ID: mdl-34360408

RESUMO

Identifying when most weight gain occurs throughout the life course can inform targeted public health interventions. We evaluated the association of childbirth, marriage, and employment changes with weight changes in a multi-ethnic Asian cohort. Singapore Multi-Ethnic Cohort participants ≥21 years (n = 9655) who identified as ethnic Chinese, Malay, or Indian were weighed and interviewed about marital status, employment, and number of children at baseline and after about four years. We used multivariable regression to evaluate life transitions in relation to weight change and major gain (≥5 kg), and adjusted for socio-demographic covariates. Weight gain was 3.55 kg (95% CI 3.17, 3.94) higher in young adults (21-30 years) compared with participants older than 60 years at baseline. Getting married was associated with weight gain in women, but not men (p interaction < 0.01). Women who got married gained 1.63 kg (95% CI 0.88, 2.38) more weight and were more likely to gain ≥5 kg (OR 1.99, 95% CI 1.35, 2.93) than those remaining unmarried. Having children was not associated with weight gain. Only among ethnic Indians, remaining a homemaker was associated with less weight gain than remaining employed. In this multi-ethnic Asian population, obesity prevention efforts should target young adulthood and, in women, the transition into marriage.


Assuntos
Casamento , Poder Familiar , Adulto , Grupo com Ancestrais do Continente Asiático , Criança , Emprego , Grupos Étnicos , Feminino , Humanos , Ganho de Peso , Adulto Jovem
7.
Nutrients ; 13(7)2021 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-34371913

RESUMO

Promoting children's healthy diets is a key public health priority. Family can play a relevant role in children's eating patterns. The goals of the current research were to identify different latent diet profiles in children based on their food consumption and to assess the relationship between profiles and family-related factors. A total of 678 school-aged children from the fifth and sixth grades participated. The study design was cross-sectional and questionnaire based. Research assessed healthy (fruit and vegetables) and unhealthy (fast food, sugar-sweetened beverages, and candies) food consumption and family-related factors. A latent profile analysis and multivariate data analysis were developed. Four diet profiles were identified: Combined Diet, Mainly Healthy Diet, Mainly Unhealthy Diet, and Very Unhealthy Diet. Nearly half of the children (45.22%) showed a Combined Diet profile, meaning that they reported eating nearly the same amount of healthy and unhealthy types of foods. Associations between the diet profiles, family income, and food availability were found. For example, the Mainly Healthy Diet profile was statistically associated with a higher family income and less access to unhealthy foods. The present study reinforces the idea that profiling diets can allow for a tailored healthy eating intervention model according to the specific needs of each diet profile.


Assuntos
Comportamento Infantil , Dieta Saudável , Gorduras na Dieta/efeitos adversos , Açúcares da Dieta/efeitos adversos , Comportamento Alimentar , Frutas , Valor Nutritivo , Verduras , Fatores Etários , Criança , Fenômenos Fisiológicos da Nutrição Infantil , Estudos Transversais , Relações Familiares , Feminino , Humanos , Masculino , Estado Nutricional , Poder Familiar , Recomendações Nutricionais , Medição de Risco , Fatores de Risco , Fatores Socioeconômicos
8.
Nutrients ; 13(7)2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34371937

RESUMO

BACKGROUND: Healthy eating behavior throughout pregnancy and postpartum is important. This study aimed to investigate the perceived sex-specific importance of determinants of changes in eating behavior during pregnancy and postpartum. METHODS: Fifty-four determinants were rated by first-time parents (n = 179) on their impact. Experts (n = 31) rated the determinants in terms of their modifiability, relationship strength, and population-level effect from which a "priority for research"-score was calculated. RESULTS: During pregnancy, the three highest rated determinants by women were "health concerns", "physiological changes", and "fatigue". Men perceived "health concerns", "health consciousness", and "influence of the pregnant partner" as important. Postpartum, the three highest rated determinants by women were "adaptation to rhythm of baby", "baby becomes priority", and "practical constraints because of the baby". Men perceived "adaptation to rhythm of baby", "fatigue". and "(lack of) anticipation" as important. According to the experts, "professional influence", "food knowledge", and "home food availability" received high priority scores for both sexes and during both periods. CONCLUSIONS: Priority for research and interventions should go towards tailored family-based approaches focusing on food education in a broad sense taking into account aspects such as health consciousness, self-efficacy skills, and the social and home food environment while being supported by healthcare professionals.


Assuntos
Dieta Saudável , Comportamento Alimentar , Comportamentos Relacionados com a Saúde , Acontecimentos que Mudam a Vida , Comportamento Materno , Fenômenos Fisiológicos da Nutrição Materna , Estado Nutricional , Poder Familiar , Adulto , Feminino , Grupos Focais , Educação em Saúde , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Comportamento Paterno , Período Pós-Parto , Gravidez
9.
Artigo em Inglês | MEDLINE | ID: mdl-34444004

RESUMO

High treatment attrition and limited reach of mental health services for at-risk families remains an important problem in order to effectively address the global concern of child maltreatment and child disruptive behavior problems. This study evaluated the effectiveness of a home-based and time-limited adaptation of Parent-Child Interaction Therapy (PCIT). Twenty families with children (70% boys) aged between three and seven years were randomly assigned to an immediate treatment group (IT, n = 10) or a waitlist control group (WL, n = 10). After receiving treatment and compared to mothers in the WL group, mothers in the IT group reported fewer child behavior problems and more improved parenting skills. Although initial analyses revealed no significant differences, additional analyses showed a significant decrease in the primary outcome of the study, namely child abuse potential, between the baseline and follow-up assessment for the total treated sample. A low treatment attrition rate (15%) was found, indicating higher accessibility of treatment for families. Findings suggest that the brief home-based PCIT is a potentially effective intervention to prevent child maltreatment and disruptive behavior problems in at-risk families. Results also reinforce the importance of addressing the specific needs of these families to increase treatment effectiveness.


Assuntos
Maus-Tratos Infantis , Comportamento Problema , Criança , Maus-Tratos Infantis/prevenção & controle , Educação Infantil , Pré-Escolar , Feminino , Humanos , Masculino , Mães , Relações Pais-Filho , Poder Familiar
10.
Artigo em Inglês | MEDLINE | ID: mdl-34444403

RESUMO

Child psychosocial recovery interventions in humanitarian contexts often overlook the significant effect that caregivers can have on improving children's future trajectory. We enhanced the well-established, evidenced-based child trauma recovery programme Teaching Recovery Techniques (TRT) intervention with parenting sessions, i.e., TRT + Parenting (TRT + P), which aims to improve parent mental health and their ability to support their children's mental health. We describe the findings of a three-arm randomised controlled trial comparing enhanced TRT + P vs. TRT and waitlist. The primary aim was to test if children in the enhanced arm of the programme show improved child and caregiver mental health. We recruited 119 Syrian refugee children and one of their caregivers in Beqaa Valley in Lebanon. They were randomised to the TRT, TRT + P, or waitlist control group. Data were collected at baseline and 2 weeks and 12 weeks post intervention. Training of facilitators was via remote training from the United Kingdom. Results showed a highly consistent pattern, with children in the enhanced TRT + P group showing the greatest levels of improvement in behavioural and emotional difficulties compared to children in the TRT or waitlist control groups. Caregivers in the TRT + P group also reported significant reductions in depression, anxiety, and stress. Findings indicate that the addition of the evidence-based parenting skills components has the potential to enhance the effects of interventions designed to improve children's mental health in contexts of trauma, conflict, and displacement. Implications for COVID-19 remote learning are also discussed.


Assuntos
COVID-19 , Refugiados , Criança , Humanos , Líbano , Poder Familiar , SARS-CoV-2 , Síria
11.
Artigo em Inglês | MEDLINE | ID: mdl-34444454

RESUMO

The number of families affected by parental incarceration in the United States has increased dramatically in the past three decades, with primarily negative implications for adult mental health and child and family well-being. Despite research documenting increased strain on coparenting relationships, less is known regarding the relation between adult mental health and coparenting quality. This study investigated coparenting in families with young children currently experiencing parental incarceration. In a diverse sample of 86 jailed parent-caregiver dyads (n = 172), this analysis of a short-term longitudinal study examined the links among jailed parents' and children's at-home caregivers' externalizing mental health symptoms and perceived coparenting alliance quality using the Actor-Partner Interdependence Model. Analyses using structural equation modeling revealed a medium sized negative partner effect for externalizing behaviors on coparenting alliance for jailed parents, wherein caregivers increased externalizing symptoms related to jailed parents' lower reported coparenting quality. Caregiver-partner effects and both actor effects resulted in small effects. These findings highlight the roles of mental health and coparenting relationship quality when a parent is incarcerated and contribute to the existing literature on incarcerated coparenting, with implications for theory and practice.


Assuntos
Saúde Mental , Poder Familiar , Adulto , Cuidadores , Criança , Pré-Escolar , Humanos , Prisões Locais , Estudos Longitudinais
12.
Res Dev Disabil ; 117: 104048, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34375793

RESUMO

Parents of children with developmental disabilities face many daily challenges that can lead to emotional and affective problems, difficulties in caregiving, and partial mental representations about themselves and their children. The multi-faceted nature of these parents' needs requires a multi-component approach that should include the analysis of priority support goals and the planning of tailored therapeutic actions. Despite different types of validated interventions are available, the choice of the most appropriate strategy to pursue a family-centered approach to support parents of infants with developmental disabilities is not obvious. In this scenario, we propose a multi-dimensional model, the porridge-like framework of parenting. It considers three interrelated domains in parents' experience - affective (A), behavioral (B), and cognitive (C) aspects - that are intertwined with the specific degree of the child's impairment (D). This ABCD model may provide professionals with pragmatically valid guidance to plan and deliver family-centered healthcare interventions. By covering the multi-dimensional nature of parenting challenges, it provides clinicians with conceptual categories to recognize the specific needs and to choose the most suitable therapeutic action to address them. In addition, it aims to promote an ethical approach to family-centered rehabilitation for children with developmental disabilities, maximizing the potentials of a collaborative assessment approach.


Assuntos
Deficiências do Desenvolvimento , Pais , Criança , Humanos , Lactente , Poder Familiar
13.
Artigo em Inglês | MEDLINE | ID: mdl-34444492

RESUMO

This cluster randomized controlled trial aimed at overweight and obese children compared three treatments. Two psychoeducation interventions for parents and children were conducted: Family Lifestyle (FL) focused on food and physical activity; Family Dynamics (FD) added parenting and healthy emotion management. A third Peer Group (PG) intervention taught social acceptance to children. Crossing interventions yielded four conditions: FL, FL + PG, FL + FD, and FL + FD + PG-compared with the control. Longitudinal BMI data were collected to determine if family- and peer-based psychosocial components enhanced the Family Lifestyle approach. Participants were 1st graders with BMI%ile >75 (n = 538: 278 boys, 260 girls). Schools were randomly assigned to condition after stratifying for community size and percent American Indian. Anthropometric data were collected pre- and post-intervention in 1st grade and annually through 4th grade. Using a two-level random intercept growth model, intervention status predicted differences in growth in BMI or BMI-M% over three years. Children with obesity who received the FL + FD + PG intervention had lower BMI gains compared to controls for both raw BMI (B = -0.05) and BMI-M% (B = -2.36). Interventions to simultaneously improve parent, child, and peer-group behaviors related to physical and socioemotional health offer promise for long-term positive impact on child obesity.


Assuntos
Obesidade Pediátrica , Criança , Exercício Físico , Feminino , Humanos , Masculino , Sobrepeso , Poder Familiar , Obesidade Pediátrica/terapia , Instituições Acadêmicas
14.
Front Public Health ; 9: 671988, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34336768

RESUMO

Background: Over 250 million children in low- and middle-income countries are at risk of not achieving their fullest developmental potential due to co-occurring risks such as poor nutrition and inadequate learning opportunities. Early intervention programs integrating the aspects of nurturing care, that is, good health, adequate nutrition, safety and security, responsive caregiving, and learning opportunities, may ameliorate against the negative impact of these adverse conditions. Methods: This meta-analytic review updates the evidence base of parenting interventions comprising stimulation and responsive caregiving components on developmental outcomes for children under age 2 years in low- and middle-income countries. It also describes and assesses the moderation effects of population characteristics and implementation features on the intervention effectiveness. Studies were identified based on previous systematic reviews and an updated literature search in eight databases and the gray literature up to December 2020. A random-effect model was used to explore the pooled effect sizes accounted for by the intervention for developmental outcome of cognition, language, motor, and social-emotional capacities. Exploratory moderation analyses were also conducted. Results: Twenty-one randomized controlled trials representing over 10,400 children from 12 low- and middle-income countries and regions across three continents (Africa, Latin America, and Asia) were identified. The interventions showed overall small-to-moderate effects on children's cognitive development (ES = 0.44; 95% CI = [0.30, 0.57]); language development (ES = 0.33; 95% CI = [0.18, 0.49]); and motor skills (ES = 0.21; 95% CI = [0.10, 0.32]). The overall effect on social-emotional development was non-significant (ES = 0.17; 95% CI = [-0.01, 0.34]). Effect sizes (ES) varied significantly across the studies. Parenting programs that targeted vulnerable groups, including rural communities and caregivers with lower education levels, had more significant effects on children's development. Group sessions (vs. individual visits) and high program dose (≥12 sessions) were also associated with stronger effects on child development. Further research is needed to determine the effectiveness of the workforce and training on programmatic outcomes. Conclusion: The findings indicate that parenting interventions that encourage nurturing care are effective in improving the early development of children, especially among vulnerable populations. We discuss opportunities to strengthen the implementation of research-based parenting interventions in such contexts.


Assuntos
Desenvolvimento Infantil , Poder Familiar , África , Ásia , Criança , Pré-Escolar , Países em Desenvolvimento , Humanos
15.
Artigo em Inglês | MEDLINE | ID: mdl-34360474

RESUMO

This study assessed the relationships between parents' retrospective recollections of their mothers' child feeding practices (CFP), current disordered eating (DE) and current CFP (how they now feed their children). 174 Israeli parents (136 mothers, 38 fathers; 40.1 ± 6.9 years of age) of children between the ages of 2 and 18, living at home, completed questionnaires online assessing demographics, retrospective recollections of the CFP that their mothers used when they were children, current CFP and current DE. Specific aspects of retrospectively recalled maternal CFP were significantly associated with the same aspects of current CFP. Current DE mediated the association between retrospectively recalled maternal CFP and current CFP and moderated the association between current concern about child's weight and pressure for child to eat. Results highlight that the way adults pass on their feeding practices to their children is strongly influenced by their childhood recollections of their mothers' concern about their weight, pressure for them to eat or restriction of their food intake. People often strive to behave differently from their parents, especially in the realm of food and eating. However, our findings suggest that parental CFP can become entrenched and can be passed on to our children.


Assuntos
Comportamento Alimentar , Mães , Adolescente , Adulto , Índice de Massa Corporal , Peso Corporal , Criança , Comportamento Infantil , Pré-Escolar , Feminino , Humanos , Masculino , Poder Familiar , Estudos Retrospectivos , Inquéritos e Questionários
16.
Artigo em Inglês | MEDLINE | ID: mdl-34360517

RESUMO

Most studies of food-related parenting practices, parental meal involvement, and adolescent dietary intake have focused on maternal influences; studies of paternal influences, particularly among marginalized groups, are lacking. This study examined lower-income, Latino fathers' food parenting practices and involvement in planning meals, buying/preparing foods, and family meal frequency, separately and in combination, to identify relationships with adolescent food intake. Baseline data were used from Latino adolescents (10-14 years, n = 191, 49% boys) participating with their fathers in a community-based overweight/obesity prevention intervention. Fathers reported sociodemographic characteristics. Adolescents reported frequency of fathers' food parenting practices, fathers' food/meal involvement, and family meals and participated in 24 h dietary recalls. The analysis included regression models using GLM (generalized linear mixed model) and PLM (post GLM processing) procedures. Most fathers were married, employed full-time, and had annual incomes below USD 50,000. Favorable fathers' food parenting practices were associated with adolescent intake of more fruit and vegetables and fewer sugar-sweetened beverages, sweets/salty snacks, and less fast food (p < 0.05 or p < 0.01). No independent effects of family meal frequency or fathers' food/meal involvement were observed on adolescent dietary outcomes. Additional analyses showed favorable food parenting practices in combination with frequent family meals were associated with adolescents having a higher intake of fruit (p = 0.011). Latino fathers can have an important positive influence on adolescent dietary intake.


Assuntos
Pai , Poder Familiar , Adolescente , Estudos Transversais , Dieta , Ingestão de Alimentos , Comportamento Alimentar , Feminino , Hispano-Americanos , Humanos , Masculino , Refeições
17.
Artigo em Inglês | MEDLINE | ID: mdl-34360193

RESUMO

The lockdown due to the COVID-19 pandemic has had adverse psychological effects on children and parents. While parenting is essential for positive development, increased parental distress has interfered with children's wellbeing. In our study, we aimed to identify the predictors of parental distress in families of children with neuropsychiatric disorders during lockdown. Seventy-seven parents of children with neuropsychiatric disorders were asked to fill three online questionnaires (a socio-demographic questionnaire, the Child Behavior Checklist (CBCL) and Parental-Stress-Index (PSI-4-SF) to explore the relationship between parental distress, emotional/behavioral problems in children and quarantine-related factors through univariate analyses and multiple mediation models. Significant positive associations between CBCL-internalizing-problems and all PSI-4-SF subscales, and between CBCL-externalizing-problems and "Difficult Child" subscales were found. "Parent-Child Dysfunctional Interaction" subscale and teachers-child relationship quality resulted negatively associated, as well as the "Difficult Child" subscale and peers-child relationship quality. The effect of teachers-child relationship quality on "Parent-Child Dysfunctional Interaction" was mediated by children internalizing problems, while the effect of peers-child relationship quality on "Difficult Child" by the child internalizing/externalizing problems. Internalizing problems in children with neuropsychiatric disorders were among the strongest predictors of parental stress during lockdown, mediating the indirect effects of quarantine-related factors, thus suggesting the importance of their detection during and after emergency situations to provide assistance and reduce parenting pressure.


Assuntos
COVID-19 , Criança , Controle de Doenças Transmissíveis , Estudos Transversais , Humanos , Pandemias , Relações Pais-Filho , Poder Familiar , SARS-CoV-2
18.
Rech Soins Infirm ; (145): 79-90, 2021 07.
Artigo em Francês | MEDLINE | ID: mdl-34372655

RESUMO

Introduction : Sleeping with your infant (known as co-sleeping) is a proximal parenting practice. In some societies, 80 percent of children sleep with their parents. In France, a culture of sleeping separately has emerged, and the practice of co-sleeping has been associated with sudden infant death syndrome (SIDS). International recommendations tend to advise against co-sleeping and to devalue it as a practice.Material and methods : Two focus groups with co-sleepers (n=6) complemented by ten in-depth interviews were organized to identify the motivations and organization that mothers and their partners have when it comes to practicing co-sleeping with their children. A content analysis of what was said in the interviews by individuals and couples enabled us to find out more about the needs that co-sleeping responds to, as well as parents' co-sleeping practices.Results : Co-sleeping, made taboo by SIDS, responds to emotional and practical factors. The couple's life does not seem to be negatively impacted by it. The positive relationship it allows parents to have with their children is valued. Recommendations may often describe this way of sleeping as "unsafe," but co-sleepers support this parenting practice, along with breastfeeding.Conclusion : The results highlight the health education importance for co-sleepers. Being educated about co-sleeping will ensure that their practice is safe and will mean that they do not isolate themselves socially to hide it because they only have partial knowledge of the SIDS safety measures.


Assuntos
Poder Familiar , Morte Súbita do Lactente , Criança , Feminino , Humanos , Lactente , Mães , Pais , Sono , Morte Súbita do Lactente/prevenção & controle
19.
Artigo em Inglês | MEDLINE | ID: mdl-34360118

RESUMO

This study evaluated the feasibility and effects of the Families Understanding Nutrition and Physically Active Lifestyles (FUNPALs) Playgroup on toddler (12-36-month-old) diet and activity behaviors. Parent-toddler dyads were recruited from disadvantaged communities and randomly assigned to receive 10-weekly sessions of the FUNPALs Playgroup (n = 24) or dose-matched health education control group (n = 26). FUNPALs Playgroups involved physical and snack activities, delivery of health information, and positive parenting coaching. The control group involved group health education for parents only. Process outcomes (e.g., retention rate, fidelity) and focus groups determined feasibility and perceived effects. To evaluate preliminary effects, validated measures of toddler diet (food frequency questionnaire and a carotenoid biomarker), physical activity (PA; accelerometers), general and feeding parenting (self-report surveys), and home environment (phone interview) were collected pre and post. The sample comprised parents (84% female) who self-identified as Hispanic/Latino (38%) and/or African American (32%). Retention was high (78%). Parents from both groups enjoyed the program and perceived improvements in their children's health behaviors. Objective measures demonstrated improvement with large effects (η2 = 0.29) in toddler diet (p < 0.001) but not PA (p = 0.099). In conclusion, the FUNPALs Playgroup is feasible and may improve toddler eating behaviors.


Assuntos
Dieta , Estilo de Vida , Pré-Escolar , Estudos de Viabilidade , Feminino , Humanos , Lactente , Masculino , Estado Nutricional , Poder Familiar , Projetos Piloto
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