Pediatric Reports

22 pages, 1154 KiB

Open AccessReview

Mental Health, Psychological Features and Psychiatric Comorbidity of Adolescents with Atopic Dermatitis: A Review

by Liborija Lugović-Mihić, Dora Bukal, Lorena Dolački, Lucija Zanze, Ema Barac, Renata Tomašević and Maja Vilibić

Pediatr. Rep. 2025, 17(2), 50; https://doi.org/10.3390/pediatric17020050 - 21 Apr 2025

Abstract

Background/Objectives: Adolescence is a sensitive period of development marked by significant changes. The quality of life (QoL) of adolescents with atopic dermatitis (AD) can be substantially impacted by the disease. The chronic nature of AD is particularly significant: due to recurring (relapsing) skin [...] Read more.

Background/Objectives: Adolescence is a sensitive period of development marked by significant changes. The quality of life (QoL) of adolescents with atopic dermatitis (AD) can be substantially impacted by the disease. The chronic nature of AD is particularly significant: due to recurring (relapsing) skin lesions, adolescents are likely exposed to greater stress and depressive symptoms than those experiencing transient or one-time symptoms. Aesthetic and functional AD skin lesions during adolescence lead to reduced happiness, high stress and depression. Methods: In this review, we wanted to present the current knowledge on mental health, psychological features and psychiatric comorbidity of adolescents with AD, based on the previous studies/research on this topic presented in the PubMed database. Results: Previous studies have confirmed that sleep disturbances, behavioral disorders, internalizing profiles, depression and anxiety, stress symptoms and suicidality represent the most prevalent psychiatric comorbidities and psychological features in adolescents with AD. According to research data, adolescents with AD also reported a tendency toward feelings of sadness and hopelessness, and even suicidal thoughts and attempts. The relationship between sleep disturbances, psychiatric disorders, and suicidality in adolescents with AD is complex and multifaceted. Conclusions: Adequate social competencies are essential for healthy mental development, as their impairments may be associated with psychological alterations or psychiatric disorders in childhood and adolescence that potentially persist into adulthood. These findings highlight the need for continuous psychological evaluation and the implementation of intervention programs from an early age. Psychological interventions, such as cognitive behavioral therapy, accompanied by psychopharmaceuticals, such as selective serotonin reuptake inhibitors (when indicated), seem to be the most beneficial treatment options in AD patients who have the most frequent psychiatric comorbidities: depression and anxiety. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

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17 pages, 1239 KiB

Open AccessArticle

Virtual Reality as a Tool for Upper Limb Rehabilitation in Rett Syndrome: Reducing Stereotypies and Improving Motor Skills

by Rosa Angela Fabio, Martina Semino, Michela Perina, Matteo Martini, Emanuela Riccio, Giulia Pili, Danilo Pani and Manuela Chessa

Pediatr. Rep. 2025, 17(2), 49; https://doi.org/10.3390/pediatric17020049 - 18 Apr 2025

Abstract

Background/Objectives: Rett Syndrome (RTT) is a rare neurodevelopmental disorder that causes the loss of motor, communicative, and cognitive skills. While no cure exists, rehabilitation plays a crucial role in improving quality of life. Virtual Reality (VR) has shown promise in enhancing motor function [...] Read more.

Background/Objectives: Rett Syndrome (RTT) is a rare neurodevelopmental disorder that causes the loss of motor, communicative, and cognitive skills. While no cure exists, rehabilitation plays a crucial role in improving quality of life. Virtual Reality (VR) has shown promise in enhancing motor function and reducing stereotypic behaviors in RTT. This study aims to assess the impact of VR training on upper limb motor skills in RTT patients, focusing on reaching and hand-opening tasks, as well as examining its role in motivation and engagement during rehabilitation. Methods: Twenty RTT patients (aged 5–33) were randomly assigned to an experimental group (VR training) and a control group (standard rehabilitation). Pre- and post-tests evaluated motor skills and motivation in both VR and real-world contexts. The VR training involved 40 sessions over 8 weeks, focusing on fine motor tasks. Non-parametric statistical methods were used to analyze the data. Results: Results indicated significant improvements in the experimental group for motor parameters, including reduced stereotypy intensity and frequency, faster response times, and increased correct performance. These improvements were consistent across VR and ecological conditions. Moreover, attention time increased, while the number of aids required decreased, highlighting enhanced engagement and independence. However, motivation levels remained stable throughout the sessions. Conclusions: This study demonstrates the potential of VR as a tool for RTT rehabilitation, addressing both motor and engagement challenges. Future research should explore the customization of VR environments to maximize the generalization of skills and sustain motivation over extended training periods. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

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15 pages, 539 KiB

Open AccessReview

Reducing Neonatal Mortality in Nepal’s Remote Regions: A Narrative Review of Challenges, Disparities, and the Role of Helping Babies Breathe (HBB)

by Victoria Jane Kain, Ranjan Dhungana and Animesh Dhungana

Pediatr. Rep. 2025, 17(2), 48; https://doi.org/10.3390/pediatric17020048 - 17 Apr 2025

Abstract

Background: Nepal’s diverse geography creates significant challenges for healthcare accessibility, particularly for neonatal care. Rural areas, especially in the mountainous regions, face severe healthcare gaps due to isolation, inadequate infrastructure, and a shortage of skilled staff. Strengthening healthcare in these underserved regions is [...] Read more.

Background: Nepal’s diverse geography creates significant challenges for healthcare accessibility, particularly for neonatal care. Rural areas, especially in the mountainous regions, face severe healthcare gaps due to isolation, inadequate infrastructure, and a shortage of skilled staff. Strengthening healthcare in these underserved regions is essential to reducing neonatal mortality. Helping Babies Breathe (HBB) is a neonatal resuscitation training program designed to reduce neonatal mortality due to birth asphyxia in low-resource settings. Methods: A comprehensive literature search identified studies on neonatal mortality and interventions, particularly HBB, which were analyzed using a narrative synthesis approach. This review examines disparities in neonatal health outcomes, regional differences, and barriers to healthcare access. Findings: This review identifies key themes related to healthcare disparities, neonatal mortality, and birth outcomes in Nepal’s remote regions. Geographical isolation, inadequate healthcare infrastructure, and cultural barriers contribute to persistently high neonatal mortality, particularly in mountainous areas such as Jumla and Dolpa, where rates exceed 60 per 1000 live births. HBB has shown a significant impact, reducing neonatal mortality by up to 60% when effectively implemented. However, infrastructural gaps, lack of emergency transport, and the uneven distribution of skilled birth attendants (SBAs) remain critical challenges. Addressing these disparities requires expanded training, increased availability of neonatal resuscitation equipment, and culturally sensitive healthcare strategies. Full article

(This article belongs to the Special Issue Global Neonatal Screening: Expanding Horizons in Diagnostic Technologies)

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10 pages, 4149 KiB

Open AccessCase Report

The Gollop–Wolfgang Complex: A Case Report

by Jun-Bum Kim, Byung-Ryul Lee, Jong-Seok Park, Chang-Hwa Hong, Sai-Won Kwon, Woo-Jong Kim, Soon-Do Wang, Dong-Woo Lee, Kyeung-Min Nam and Ki-Jin Jung

Pediatr. Rep. 2025, 17(2), 47; https://doi.org/10.3390/pediatric17020047 - 16 Apr 2025

Abstract

Background: The Gollop–Wolfgang complex is a rare congenital limb deformity characterized by a bifid femur, tibial hemimelia, and ectrodactyly of the hand. First described in 1980, fewer than 200 cases have been reported globally, with an estimated incidence of 1:1,000,000 live births. Case [...] Read more.

Background: The Gollop–Wolfgang complex is a rare congenital limb deformity characterized by a bifid femur, tibial hemimelia, and ectrodactyly of the hand. First described in 1980, fewer than 200 cases have been reported globally, with an estimated incidence of 1:1,000,000 live births. Case Presentation: We report a 2-month-old female infant with classic features of the Gollop–Wolfgang complex, including a left bifid femur, complete absence of the left tibia, and contralateral tetradactyly. A clinical examination revealed significant limb length discrepancy, knee instability, equinovarus foot deformity, and skeletal abnormalities confirmed by imaging studies. Extensive investigations, including echocardiography and genetic testing, excluded systemic anomalies and identified non-pathogenic variants in the Collagen Type XI Alpha 2 (COL11A2) and EVC2 genes. A surgical resection of the bifid femur was performed. Results: This case highlights the importance of early diagnosis and a multidisciplinary approach in managing the Gollop–Wolfgang complex. While our case presented with typical features, subtle variations highlight the phenotypic spectrum of the condition. The combination of tibial hemimelia and bifid femur frequently necessitates knee disarticulation due to the absence of a viable tibial anlage, while limb salvage techniques remain challenging. A genetic evaluation identified variants of uncertain significance in the COL11A2 and EVC2 genes, indicating that the genetic basis of the condition is not fully understood. Conclusions: These findings emphasize the need for continued genetic research to clarify the etiology of the Gollop–Wolfgang complex and to improve treatment strategies, particularly in refining surgical approaches and exploring new therapeutic options. Full article

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17 pages, 1593 KiB

Open AccessArticle

Combined Cognitive and Motor Training Improves Reading, Writing and Motor Coordination in Dyslexic Children

by Amal Ben Dhia, Maria-Pia Bucci, Chokri Naffeti, Helmi Ben Saad, Omar Hammouda and Tarak Driss

Pediatr. Rep. 2025, 17(2), 46; https://doi.org/10.3390/pediatric17020046 - 10 Apr 2025

Abstract

Background/Objectives: Different strategies were proposed to enhance dyslexic children’s performance. This study aimed to investigate the effect of combined cognitive and motor training on reading, writing, and motor coordination in dyslexic children. Methods: Twenty-four children with dyslexia (9.33 ± 0.48 years) were randomly [...] Read more.

Background/Objectives: Different strategies were proposed to enhance dyslexic children’s performance. This study aimed to investigate the effect of combined cognitive and motor training on reading, writing, and motor coordination in dyslexic children. Methods: Twenty-four children with dyslexia (9.33 ± 0.48 years) were randomly allocated to either a Control (CG, 9.25 ± 0.45 years, n = 12) or a Trained Group (TG, 9.42 ± 0.51 years, n = 12). The intervention lasted eight weeks with a pre/post measurement (Δ) design in each group. It consisted of a combined cognitive and motor program composed of two 45 min sessions per week in TG. Reading and writing capabilities were measured using the word reading task based on the French battery (BALE) and the word dictation task, inspired by the ODÉDYS-2 French battery, respectively. The visuospatial orientation and the upper limb coordination parameters were evaluated using the Judgment of Line Orientation Test and Bruininks–Oseretsky test of motor proficiency, second edition, short form test, respectively. Results: Two-way ANOVA for repeated measures showed no significant difference between CG and TG in pre-intervention in all tests. Reading (p < 0.001, d = 1.19, Δ% = 15.07) and writing (p < 0.001, d = 1.13, Δ% = 19.69) scores increased significantly at post-compared to preintervention in the TG group. Comparable results were obtained in the visuospatial orientation (p < 0.001, d = 0.97, Δ% = 63.50) and the upper limb coordination (p < 0.001, d = 0.69, Δ% = 110.42) scores. No significant change was observed in CG comparing pre/post-intervention. Conclusions: A combined cognitive and motor training program could allow better cerebellar integration, leading to the improvement in reading, writing, and motor abilities in children with dyslexia. Further studies on a larger number of dyslexic children will be necessary to explore such issues. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

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14 pages, 554 KiB

Open AccessArticle

The Penguin Study: A Randomised, Double-Blinded, Equivalence Trial on the Safety and Suitability of an Infant Formula with Partially Hydrolysed 100% Whey Protein

by Lindsey Otten, Antonia Nomayo, Caroline Gunn, Maher Fuad, Barbara Kuhn-Sherlock, Sophie Gallier, Elisabeth Schelker, Janine Foster and Frank Jochum

Pediatr. Rep. 2025, 17(2), 45; https://doi.org/10.3390/pediatric17020045 - 9 Apr 2025

Abstract

Background/Objectives: This study aimed to demonstrate the safety and suitability of an infant formula manufactured from partially hydrolysed whey protein (PHF) compared to standard formula manufactured from intact cow’s milk proteins (IPF; whey–casein ratio, 60:40) in healthy term infants. Methods: This multicentre, randomised, [...] Read more.

Background/Objectives: This study aimed to demonstrate the safety and suitability of an infant formula manufactured from partially hydrolysed whey protein (PHF) compared to standard formula manufactured from intact cow’s milk proteins (IPF; whey–casein ratio, 60:40) in healthy term infants. Methods: This multicentre, randomised, double-blinded, placebo-controlled trial included infants of mothers who intended to exclusively formula feed. Infants ≤ 28 days of age received PHF or IPF for at least 90 and up to 180 days. A group of exclusively breastfed infants was included for reference. The safety evaluation consisted of an equivalence analysis of weight gain within +/−3 g/d after 90 days, further growth parameters, and adverse events. Results: Of the 249 infants randomised, 143 (76 IPF; 67 PHF), as well as 45 breastfed infants, completed the study per protocol. The mean difference in daily weight gain between the formula groups was within the equivalence margins (−2.4 g/d (95% CI 0.3–4.5)) with estimated means (SEM) of 34.9 (0.78) g/d (IPF) and 32.5 (0.76) g/d (PHF). No significant differences in weight gain, length, and head circumference or in the number, severity, or type of adverse events were observed. Comparable growth patterns were observed in the breastfed group. Conclusions: The PHF is safe and supports adequate infant growth with a daily weight gain non-inferior to a standard IPF. Full article

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13 pages, 4915 KiB

Open AccessArticle

Optimizing Pediatric Chest Compressions: A Randomized Crossover Simulation Trial of Over-the-Head vs. Lateral Techniques

by Malgorzata Kietlinska, Wojciech Wieczorek, Michal Pruc, Lukasz Szarpak, Grazyna Nowak-Starz, Wojciech Flieger, Burak Katipoglu and Monika Tomaszewska

Pediatr. Rep. 2025, 17(2), 44; https://doi.org/10.3390/pediatric17020044 - 8 Apr 2025

Abstract

Background/Objectives: Pediatric cardiac arrest poses considerable obstacles, with survival rates markedly inferior to those of adults. Effective chest compressions are essential for enhancing outcomes; nevertheless, the ideal rescuer attitude is still ambiguous. This study sought to compare the efficacy of lateral (LAT) and [...] Read more.

Background/Objectives: Pediatric cardiac arrest poses considerable obstacles, with survival rates markedly inferior to those of adults. Effective chest compressions are essential for enhancing outcomes; nevertheless, the ideal rescuer attitude is still ambiguous. This study sought to compare the efficacy of lateral (LAT) and over-the-head (OTH) chest compression techniques in pediatric cardiopulmonary resuscitation (CPR) and to ascertain whether OTH presents a viable alternative to the conventional LAT method by assessing compression quality, rescuer fatigue, and ergonomics. Methods: A randomized crossover simulation study was conducted in a high-fidelity medical simulation facility. Thirty-five medical students executed 2 min cycles of chest compressions with both LAT and OTH techniques, interspersed with a 15 min rest period between sessions. Results: OTH showed a tendency for enhanced overall performance (72.94 vs. 64.46; p = 0.08), while the differences lacked statistical significance. The compression rate was somewhat elevated with OTH (116.94 compared to 114.57; p = 0.31). We assessed LAT as somewhat less challenging (4.37 vs. 3.91; p = 0.17) and found less fatigue (4.83 vs. 4.40; p = 0.24). Male rescuers and individuals with elevated BMI attained larger compression depths. Age was negatively connected with the ease and efficiency of compressions. Conclusions: Although no statistically significant differences were detected, OTH demonstrated potential for enhanced performance. The anthropometrics of rescuers affected the quality of CPR, highlighting the necessity for tailored training methods. Future investigations should examine the long-term viability of OTH in clinical and pre-hospital environments. Full article

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16 pages, 264 KiB

Open AccessArticle

Parental Knowledge of Breastfeeding and Nutrition: Influence on Oral Health and Self-Reported Early Childhood Caries in Preschool Children in Croatia

by Marija Badrov, Marija Matijević and Antonija Tadin

Pediatr. Rep. 2025, 17(2), 43; https://doi.org/10.3390/pediatric17020043 - 3 Apr 2025

Abstract

Aim: Parents’ knowledge of oral health plays a key role in shaping their children’s habits and preventing early childhood caries, particularly through breastfeeding and nutrition. This study aimed to assess parents’ knowledge of how dietary habits affect both oral health and early childhood [...] Read more.

Aim: Parents’ knowledge of oral health plays a key role in shaping their children’s habits and preventing early childhood caries, particularly through breastfeeding and nutrition. This study aimed to assess parents’ knowledge of how dietary habits affect both oral health and early childhood caries rates. Materials and methods: An online cross-sectional survey was conducted among 595 parents of children aged 3 to 6 years old using a self-structured questionnaire. Sociodemographic data, the children’s characteristics, breastfeeding practices, daily diet, the perceived effects of diet on orofacial health, and self-reported dental caries were recorded. The data were analyzed using descriptive statistics, chi-square tests, and regression models. Results: One-third of the children had dental caries (200/595). The prevalence of caries was significantly higher among children from rural areas (40.5%) compared to those from urban areas (31.1%) (p = 0.021) and in low-income families (72.7%) compared to middle-income (35.4%) and high-income (25.1%) families (p = 0.002). Breastfeeding duration, bottle feeding, and night feeding were not significantly associated with the occurrence of caries. Only 11.1% of parents recognized the role of extended breastfeeding on a child’s demand over one year in promoting the development of tooth decay. Better knowledge was observed among parents with university degrees, in healthcare workers, and in parents with lower incomes (p < 0.05). Conclusions: Dental caries was prevalent, especially among children from rural areas and low-income families. Although there is no direct correlation between the duration of breastfeeding and dental caries, parental awareness of the preventive benefits of breastfeeding remains low. Education for parents about breastfeeding and nutrition’s impact on oral health can have a substantial effect on preventing ECC. Educational efforts aimed at specific audiences are necessary to boost knowledge and advance preventive strategies. This study must recognize its limitations due to its dependence on self-reported caries data. Subsequent research must include clinical dental evaluations to achieve findings that are both dependable and factual. Full article

19 pages, 494 KiB

Open AccessReview

Subthreshold Autism and ADHD: A Brief Narrative Review for Frontline Clinicians

by Michael O. Ogundele and Michael J. S. Morton

Pediatr. Rep. 2025, 17(2), 42; https://doi.org/10.3390/pediatric17020042 - 3 Apr 2025

Abstract

Background: Epidemiological studies have shown that neurodevelopmental disorders (NDDs), such as autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) are more prevalent in the general childhood population, compared to cases that are formally diagnosed in clinical cohorts. This suggests that many children [...] Read more.

Background: Epidemiological studies have shown that neurodevelopmental disorders (NDDs), such as autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) are more prevalent in the general childhood population, compared to cases that are formally diagnosed in clinical cohorts. This suggests that many children and youths have NDD which are never diagnosed clinically, causing impairments in some domains of their daily life. There is increasing recognition of the concept of a “subthreshold” condition, sometimes used to describe the presence of potentially impairing variations in the neurodevelopmental profile that do not meet criteria for a diagnosis. The aim of this narrative review is to appraise the published literature about common themes regarding subthreshold conditions in relation to autism and ADHD, identifying any practical lessons that may be applicable to frontline neurodevelopmental clinicians. Methods: We searched electronic databases including PMC and PubMed using various combinations of keywords, including “Subthreshold”, “subclinical”, “neurodevelopmental”, “childhood”, “ADHD” and “ASD”. Results: The identified themes include definitions, prevalence, assessment tools, lifetime impairments, NDD classification models, management, raising public awareness, and future research directions. Conclusions: The authors propose that a “subthreshold condition” should be recorded when NDDs do not meet current diagnostic criteria if there is evidence of significant, persisting impairment in at least one setting. Full article

(This article belongs to the Section Pediatric Psychology)

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16 pages, 970 KiB

Open AccessSystematic Review

Impact of Music Therapy on Neurodevelopment of Preterm Infants and Functional Improvement in Children with Neurological Deficits

by Filomeni Armakola, Eleni Potamiti, Anna Tsiakiri, Georgios Felekis, Georgia Tsakni, Athanasios Tsivgoulis, Christos Moschovos, Sotirios Giannopoulos, Vasiliki Georgousopoulou, Markos Sgantzos and Pinelopi Vlotinou

Pediatr. Rep. 2025, 17(2), 41; https://doi.org/10.3390/pediatric17020041 - 28 Mar 2025

Abstract

Background/Objectives: The aim of this systematic review is to assess the effect of music therapy initiated during neonatal intensive care unit (NICU) hospitalization on the early neurodevelopment of infants and to evaluate its impact on functional improvements in children with neurological deficits. Numerous [...] Read more.

Background/Objectives: The aim of this systematic review is to assess the effect of music therapy initiated during neonatal intensive care unit (NICU) hospitalization on the early neurodevelopment of infants and to evaluate its impact on functional improvements in children with neurological deficits. Numerous studies underscore the benefits of neurological music therapy (NMT) for treating various neurological conditions. Methods: This systematic review (SR) specifically includes randomized controlled trials (RCTs) and draws from a comprehensive search of articles in the Scopus and MEDLINE databases. Eligible studies examined the effects of NMT on infants and children with central nervous system static lesions. Eighteen studies met all inclusion criteria, and the overall quality of the evidence was high. Results: However, while NMT appears to be well-tolerated by most neonates and children and holds promise for enhancing functional and physiological development, its impact on specific biomarkers in neurological conditions remains underexplored. Further research is essential to clarify NMT’s potential role in rehabilitation and to optimize therapeutic approaches for neurological support. Full article

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14 pages, 234 KiB

Open AccessArticle

Influence of Behavioral and Sociodemographic Factors on Dental Caries in Mexican Children

by Ángel Pérez-Reyes, Julieta Sarai Becerra-Ruiz and Juan Manuel Guzmán-Flores

Pediatr. Rep. 2025, 17(2), 40; https://doi.org/10.3390/pediatric17020040 - 26 Mar 2025

Abstract

Background: In Mexico, tooth decay is common among children and is on the rise. A strong relationship exists between behavioral, socioeconomic, demographic, and biological factors and the severity and development of dental caries. Objective: The present study analyzed the risk factors contributing to [...] Read more.

Background: In Mexico, tooth decay is common among children and is on the rise. A strong relationship exists between behavioral, socioeconomic, demographic, and biological factors and the severity and development of dental caries. Objective: The present study analyzed the risk factors contributing to dental caries in a Mexican pediatric population. Materials and Methods: This study employed a cross-sectional design. One hundred fifty-one children were evaluated after providing their assent and the informed consent of their legal guardians. The study subjects recruited underwent dental assessments, dietary habits, and physical activity examinations. Results: Only 36 children were classified as overweight or obese, while 121 children had a high quality of life related to oral health. Most of the children showed deficient eating and physical activity habits. Additionally, nearly half displayed severe dental carie lesions. The occurrence of caries was linked to both age and tooth brushing habits. The median of teeth with initial caries lesions was higher among female children. Furthermore, parental education was associated with the presence of fluorosis and the frequency of tooth brushing. Conclusion: Our study revealed deficient eating habits and a high prevalence of dental caries among children aged 6–12. Additionally, parents and guardians demonstrated insufficient knowledge about general oral health issues, the risk factors for caries, and their potential consequences, which means a need for both preventive and corrective treatments. This highlights the need for strategies focused on improving oral health care and prevention. Full article

(This article belongs to the Special Issue Modern Solutions for Diagnosis and Treatment Planning in Pediatric Dentistry and Orthodontics)

13 pages, 560 KiB

Open AccessArticle

Self-Efficacy and Psychological Well-Being in Adolescents: Evaluating the Moderating Role of Socioeconomic Status and Cultural Factors

by Giulia Raimondi, James Dawe, Fabio Alivernini, Sara Manganelli, Pierluigi Diotaiuti, Laura Mandolesi, Michele Zacchilli, Fabio Lucidi and Elisa Cavicchiolo

Pediatr. Rep. 2025, 17(2), 39; https://doi.org/10.3390/pediatric17020039 - 21 Mar 2025

Abstract

Background/Objectives: Adolescence is a crucial developmental stage characterized by significant psychological and emotional changes. Within the school context, academic self-efficacy (ASE) influences students’ emotional well-being, including positive and negative affective states. Research has shown that both ASE and emotional well-being are associated with [...] Read more.

Background/Objectives: Adolescence is a crucial developmental stage characterized by significant psychological and emotional changes. Within the school context, academic self-efficacy (ASE) influences students’ emotional well-being, including positive and negative affective states. Research has shown that both ASE and emotional well-being are associated with socioeconomic status (SES) and immigrant background. This study aims to examine whether SES and immigrant background moderate the relationship between ASE and positive/negative affect among adolescents. Methods: Data were collected from a representative sample of 26,564 10th-grade students in Italian schools. ASE, positive and negative affect, SES, and immigrant background were assessed through validated measures. Multigroup structural equation modeling (multigroup SEM) was conducted to test the moderating roles of SES (low, middle, high) and immigrant background (native, first-generation immigrant, second-generation immigrant) on the relationship between ASE and affective states. Results: The results indicated that ASE significantly predicted positive affect (β = 0.34, p < 0.001) and negative affect (β = −0.17, p < 0.001) across all groups. However, results indicated no significant differences in the ASE–emotional affect relationship across SES and immigrant background groups, indicating that neither SES nor immigrant background moderated these associations. Conclusions: The findings suggest that ASE is associated with both positive affect and negative affect in adolescents, irrespective of SES and immigrant background. This highlights the universal importance of fostering ASE in school settings to support emotional well-being across diverse demographic groups. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

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15 pages, 265 KiB

Open AccessArticle

Fathers Matter Too: Investigating Their Role with the P-CRS

by Alexandro Fortunato, Maria Quintigliano, Costanza Franchini, Marco Lauriola and Anna Maria Speranza

Pediatr. Rep. 2025, 17(2), 38; https://doi.org/10.3390/pediatric17020038 - 18 Mar 2025

Abstract

Background: The development of children is shaped by a complex interplay of biological, psychological, and social factors, yet the role of fathers remains underrepresented in research. This study contributes to addressing this gap by examining paternal involvement through the Parent–Child Relationship Scale (P-CRS), [...] Read more.

Background: The development of children is shaped by a complex interplay of biological, psychological, and social factors, yet the role of fathers remains underrepresented in research. This study contributes to addressing this gap by examining paternal involvement through the Parent–Child Relationship Scale (P-CRS), an observational tool previously validated for mother–child interactions. Methods: The sample included 204 father–child dyads, with children aged 6 months to 5 years (mean age: 43.3 months), encompassing both clinical and non-clinical groups. Experienced clinicians conducted in vivo observations across 4–5 sessions, scoring interactions along three dimensions: parent, child, and interaction. Results: Confirmatory factor analysis (CFA) validated the P-CRS’s applicability to father–child relationships, confirming its psychometric robustness and alignment with the factors observed in mother–child dyads. Conclusions: These findings highlight the unique and complementary role of fathers in shaping developmental trajectories and underscore the importance of incorporating fathers in parenting interventions and assessments. Additionally, they demonstrate the P-CRS’s effectiveness in capturing the nuanced dynamics of early parent–child relationships. Future research should investigate longitudinal differences in parental roles and expand the P-CRS’s application to diverse family structures. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

11 pages, 236 KiB

Open AccessArticle

Influence of the Timing of Gender Dysphoria Presentation and Suicidal Behaviors on Internalizing Symptoms, Emotion Dysregulation, and Body Investment in Adolescents Seeking Gender Affirmation

by Maria Giuseppina Petruzzelli, Federica Annecchini, Flora Furente, Fabio Tarantino, Valeria Carruolo, Elisabetta Lavorato, Maria Pia Riccio, Andrea De Giacomo and Emilia Matera

Pediatr. Rep. 2025, 17(2), 37; https://doi.org/10.3390/pediatric17020037 - 17 Mar 2025

Abstract

Studies have consistently shown that gender-diverse youth experience higher rates of internalizing disorders and self-harm behaviors (SH) compared to their cisgender peers. However, there is limited research on how body investment and emotion regulation influence these symptoms, especially in relation to the age [...] Read more.

Studies have consistently shown that gender-diverse youth experience higher rates of internalizing disorders and self-harm behaviors (SH) compared to their cisgender peers. However, there is limited research on how body investment and emotion regulation influence these symptoms, especially in relation to the age of gender dysphoria (GD) presentation. Objectives: This study aimed to explore the relationship between the timing of GD presentation (early vs. late) and psychological distress in adolescents seeking gender affirmation (GA), specifically focusing on internalizing symptoms, emotion regulation, and body investment. The study also investigated how SH during the year preceding the request for gender affirmation might have impacted these factors. Methods: On a total of 80 adolescents (mean age: 14.88 years) at their first request for GA, participants were divided into two groups: early-presentation GD (EP-GD; mean age: 14.93 years) and late-presentation GD (LP-GD; mean age: 14.83 years). Among the sample, 60% exhibited SH. Internalizing symptoms, emotion regulation, and body investment were assessed using the Youth Self-Report (YSR), the Difficulties in Emotion Regulation Scale (DERS), and the Body Investment Scale (BIS). Results: Results revealed that LP-GD adolescents had significantly higher emotion dysregulation (ED), particularly in the Strategies domain of the DERS (p = 0.040), and more social problems in the YSR (p = 0.047) compared to EP-GD ones. SH were associated with higher internalizing symptoms, including anxiety, withdrawal, and somatic complaints (p < 0.03), as well as increased body dissatisfaction, particularly in the BIS Care and Protection dimensions (p = 0.044; p = 0.034). Conclusions: These findings supported the hypothesis that LP-GD adolescents and youths with a history of SH showed more pronounced emotion regulation difficulties and internalizing symptoms, further emphasizing the need for early intervention programs targeting both GD and co-occurring mental health problems. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

9 pages, 955 KiB

Open AccessBrief Report

Maternal and Neonatal Outcomes of Cervical Colonization in Adolescent Pregnancies: A Brief Report

by Maisa Manasar-Dyrbuś, Jakub Staniczek, Rafał Stojko, Piotr Gibała, Cecylia Jendyk, Ewa Winkowska, Kacper Niziński, Diana Sieroszewska, Aleksander Sieroszewski and Agnieszka Drosdzol-Cop

Pediatr. Rep. 2025, 17(2), 36; https://doi.org/10.3390/pediatric17020036 - 12 Mar 2025

Abstract

Objective: This study examines early neonatal adaptation and birth complications in adolescents with term pregnancies who had positive cervical canal cultures upon hospital admission. Methods: This retrospective study analyzed data from 1 January 2015 to 15 November 2024. Conducted at Bonifraters Medical Center [...] Read more.

Objective: This study examines early neonatal adaptation and birth complications in adolescents with term pregnancies who had positive cervical canal cultures upon hospital admission. Methods: This retrospective study analyzed data from 1 January 2015 to 15 November 2024. Conducted at Bonifraters Medical Center in Katowice, Poland, the study included 267 individuals, with 178 over the age of 19 and 89 under the age of 19. Results: Adolescents exhibited significantly higher rates of positive GBS cultures in the third trimester (62.92% vs. 38.20%; p < 0.001) than older individuals. Neonates of adolescent mothers experienced increased congenital pneumonia (7.87% vs. 1.12%; p = 0.012) and antibiotic administration (10.11% vs. 2.81%; p = 0.026). Lactation failure was markedly higher in adolescent mothers (10.11% vs. 1.12%; p = 0.002). Adolescents also showed more postpartum blood loss (median: 250 mL vs. 200 mL; p < 0.001) and more extended hospital stays (median: 3 vs. 2 days; p = 0.002). Neonatal anthropometric measures revealed shorter body lengths in the adolescent group (median: 53 cm vs. 54 cm; p = 0.003). Conclusions: Adolescent pregnancies are associated with significantly higher rates of complications and adverse neonatal outcomes, especially infectious causes. Although our study results are preliminary, it appears that chronic GBS colonization in pregnant adolescents may impact pregnancy and newborn outcomes. Full article

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32 pages, 690 KiB

Open AccessReview

Treatments for Eating Disorders in People with Autism Spectrum Disorder: A Scoping Review

by Rachele Simeon, Giovanni Galeoto, Serena Cracolici, Francescaroberta Panuccio and Anna Berardi

Pediatr. Rep. 2025, 17(2), 35; https://doi.org/10.3390/pediatric17020035 - 12 Mar 2025

Abstract

Background: This scoping review aims to synthesize existing evidence on non-pharmacological interventions for managing food selectivity in individuals with autism spectrum disorder (ASD). Specifically, it explores sensory, behavioral, and environmental factors influencing intervention outcomes and examines the role of occupational therapists (OTs) within [...] Read more.

Background: This scoping review aims to synthesize existing evidence on non-pharmacological interventions for managing food selectivity in individuals with autism spectrum disorder (ASD). Specifically, it explores sensory, behavioral, and environmental factors influencing intervention outcomes and examines the role of occupational therapists (OTs) within multidisciplinary teams. Methods: A search was conducted across MEDLINE, EBSCO, Web of Science, OTseeker, and SCOPUS from August 2023 to October 2023. Only experimental studies published in English were included, focusing on behavioral treatments and/or occupational therapy interventions. Results: A total of 1618 studies were identified. After removing duplicates (170 records), 259 full-text articles were assessed for eligibility, resulting in 61 studies included for qualitative synthesis. Conclusions: The findings highlight a wide range of interventions, yet methodological inconsistencies and small sample sizes limit the strength of the evidence. While occupational therapists play an increasing role in feeding interventions, their specific impact remains underexplored. Future research should focus on larger, well-designed studies with standardized outcome measures to better define the effectiveness of interventions and the role of OTs within multidisciplinary teams. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

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18 pages, 1250 KiB

Open AccessArticle

Association Between TikTok Use and Anxiety, Depression, and Sleepiness Among Adolescents: A Cross-Sectional Study in Greece

by Angeliki Bilali, Aglaia Katsiroumpa, Ioannis Koutelekos, Chrysoula Dafogianni, Parisis Gallos, Ioannis Moisoglou and Petros Galanis

Pediatr. Rep. 2025, 17(2), 34; https://doi.org/10.3390/pediatric17020034 - 11 Mar 2025

Abstract

Introduction: TikTok use is increasing, especially among children and adolescents. However, the negative effects of TikTok use have not been sufficiently investigated. Aim: To examine the association between TikTok use and anxiety, depression, and sleepiness in adolescents. Methods: We conducted a web-based cross-sectional [...] Read more.

Introduction: TikTok use is increasing, especially among children and adolescents. However, the negative effects of TikTok use have not been sufficiently investigated. Aim: To examine the association between TikTok use and anxiety, depression, and sleepiness in adolescents. Methods: We conducted a web-based cross-sectional study in Greece. We employed a convenience sample of 219 adolescents in Greece. All participants had a TikTok account. We used the TikTok Addiction Scale (TTAS) to measure TikTok use and the Patient Health Questionnaire-4 (PHQ-4) to measure anxiety and depression. We constructed multivariable regression models, and we performed a stratified analysis according to gender. Results: The mean age was 18.5 years (standard deviation: 0.5, range: 18 to 19). In our sample, 81.3% were girls and 18.7% were boys. Mean daily TikTok usage and TTAS scores were statistically higher for girls than for boys. Our multivariable linear regression analysis was adjusted for age and showed that problematic TikTok use was associated with higher levels of anxiety and depression symptoms in both genders. In particular, we found a positive association between mood modification and anxiety score (beta = 0.404, p-value = 0.006). Moreover, we found a positive association between conflict and depression score (beta = 0.472, p-value < 0.001). Additionally, we found that the impact of TikTok on anxiety and depression was greater among boys than girls. We also found that problematic TikTok use was associated with increased sleepiness in both genders (mood modification: beta = 0.655, p-value < 0.001; conflict: beta = 0.674, p-value < 0.001). Conclusions: Our findings showed a positive association between TikTok use and anxiety, depression, and sleepiness. Early identification of problematic TikTok users is essential to promote their mental health and well-being. Healthcare professionals should be alert to recognize symptoms of problematic TikTok use. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

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15 pages, 602 KiB

Open AccessArticle

Adolescent-Reported Interparental Conflict and Related Emotional–Behavioral Difficulties: The Mediating Role of Psychological Inflexibility

by Ludovica Giani, Cecilia Amico, Chiara Crepaldi, Marcella Caputi, Simona Scaini, Giovanni Michelini and Barbara Forresi

Pediatr. Rep. 2025, 17(2), 33; https://doi.org/10.3390/pediatric17020033 - 11 Mar 2025

Abstract

Background/Objectives: Interparental conflict, with its multiple dimensions, represents a risk factor for youth mental health, triggering a series of cascading processes. Despite recent evidence highlighting that psychological inflexibility is a risk factor for adolescents’ psychopathology after stressful events, a limited number of studies [...] Read more.

Background/Objectives: Interparental conflict, with its multiple dimensions, represents a risk factor for youth mental health, triggering a series of cascading processes. Despite recent evidence highlighting that psychological inflexibility is a risk factor for adolescents’ psychopathology after stressful events, a limited number of studies have investigated its role in family conflicts. This study aims to investigate whether psychological inflexibility mediates the impact of conflict characteristics (intensity, frequency, and resolution) and threat appraisal of interparental conflict on the psychological difficulties of adolescent offspring. Methods: A sample of 195 adolescents aged between 15 and 19 years old completed the Children’s Perception of Interparental Conflict Scale, the Strengths and Difficulties Questionnaire, and the Avoidance and Fusion Questionnaire for Youth on Google Forms. Results: The findings revealed that adolescents living in a family environment characterized by high levels of perceived interparental conflicts exhibit a wide spectrum of psychological difficulties, either emotional or behavioral, partially mediated by their psychological inflexibility. However, when conflict between parents is interpreted as threatening, adolescents’ inflexibility appears to mediate the relationship between conflict and psychological difficulties. Conclusions: While future studies are needed to better understand this association, psychological flexibility might represent a relevant treatment target in adolescents exposed to interparental conflict. Full article

(This article belongs to the Special Issue Mental Health and Psychiatric Disorders of Children and Adolescents)

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9 pages, 2301 KiB

Open AccessCase Report

Approach to Macrodactyly: A Case Report and Diagnostic Algorithm for Syndromic and Isolated Forms

by Ioannis Kyriakidis, Iordanis Pelagiadis, Nikolaos Katzilakis and Eftichia Stiakaki

Pediatr. Rep. 2025, 17(2), 32; https://doi.org/10.3390/pediatric17020032 - 7 Mar 2025

Abstract

Background: Macrodactyly (megalodactyly or digital gigantism) is a rare condition of overgrowth affecting one or more fingers or toes. Methods: We report a case of a 16-year-old Caucasian male with macrodactyly, lipomas, nevi, dysmorphic features, and autism. The clinical suspicion for a Proteus-like [...] Read more.

Background: Macrodactyly (megalodactyly or digital gigantism) is a rare condition of overgrowth affecting one or more fingers or toes. Methods: We report a case of a 16-year-old Caucasian male with macrodactyly, lipomas, nevi, dysmorphic features, and autism. The clinical suspicion for a Proteus-like syndrome was high. Results: Targeted PIK3CA, AKT1, and PTEN sequencing for the affected tissue was negative. Subsequent genetic testing revealed a 16p11.2 duplication along with a heterozygous pathogenic variant in PRRT2 (not causally associated with digit malformation). Conclusions: The clinical management of syndromic macrodactyly is well described by consensus guidelines, but isolated macrodactyly also needs pediatricians’ attention and warrants a multidisciplinary approach. After reviewing the literature, a diagnostic algorithm for the approach and differential diagnosis of macrodactyly is provided. Phenotypes associated with PI3K/AKT/mTOR pathway mutations (including PIK3CA-related overgrowth spectrum PROS) are described. Late effects, follow-up schedules, and surveillance for cancer are discussed. Full article

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