A5040707154- Autism Spectrum Disorder Research
- Family and Disability Support Research
- Child and Adolescent Psychosocial and Emotional Development
- Child Nutrition and Feeding Issues
- Child and Adolescent Health
- Child Abuse and Trauma
- Infant Development and Preterm Care
- Prenatal Substance Exposure Effects
- Attention Deficit Hyperactivity Disorder
- Adolescent and Pediatric Healthcare
- Child Development and Digital Technology
- Pediatric Urology and Nephrology Studies
- Urological Disorders and Treatments
- Migration, Health and Trauma
- Homelessness and Social Issues
- Birth, Development, and Health
- Infant Health and Development
- Maternal Mental Health During Pregnancy and Postpartum
- Child Welfare and Adoption
- Children's Physical and Motor Development
- Grief, Bereavement, and Mental Health
- Genetics and Neurodevelopmental Disorders
- Neuroscience of respiration and sleep
- Intimate Partner and Family Violence
- Bullying, Victimization, and Aggression
Boston University
2015-2024
Boston Medical Center
2014-2024
BMC Software (United States)
2022
University Medical Center
2014-2019
University School
2001-2018
Children's Hospital of Los Angeles
2011-2017
University of Southern California
2010-2017
Universidad del Desarrollo
2016
Clínica Alemana
2016
Boston Children's Hospital
2010-2014
BACKGROUND AND OBJECTIVES: Mobile devices are a ubiquitous part of American life, yet how families use this technology has not been studied. We aimed to describe naturalistic patterns mobile device by caregivers and children generate hypotheses about its effects on caregiver–child interaction. METHODS: Using nonparticipant observational methods, we observed 55 eating with 1 or more young in fast food restaurants single metropolitan area. Observers wrote detailed field notes, continuously...
By current estimates, at any given time, approximately 11% to 20% of children in the United States have a behavioral or emotional disorder, as defined Diagnostic and Statistical Manual Mental Disorders, Fifth Edition. Between 37% 39% will disorder diagnosed by 16 years age, regardless geographic location States. Behavioral problems concerns adolescents are not being reliably identified treated US health system. This clinical report focuses on need increase screening offers potential changes...
care for young children involves matching the needs and expectations of families with organizational structure clinical practices pediatric providers.There is growing evidence deficiencies in quality health children, including low rates preventive services, 1 persistent disparities status, 2 lack a usual source among ethnic racial minorities low-income families. 3pecific limitations have been noted related to developmental behavioral services first 3 years life, 4-7 particularly regarding...
To examine associations between exposure to potentially traumatic events (PTEs) and clinical patterns of symptoms disorders in preschool children. Two hundred thirteen referred non-referred children, ages 24 48 months (MN = 34.9, SD 6.7 months) were studied. Lifetime PTEs (family violence non-interpersonal events) recent stressful life assessed with the Preschool Age Psychiatric Assessment (PAPA) Child Life Events Scale. psychiatric parent-reports PAPA, a comprehensive, developmentally...
This study examined how maternal distress mediates the link between exposure to community violence (CV) and development of early child behavior problems. Research was conducted among 160 children, 3,0 5,11 in age, who resided high‐crime neighborhoods. Using structural equation modeling, latent variables were constructed identify model components: socioeconomic status (SES) public assistance status, CV (maternal perceptions local violence, social disorder, fear crime; frequency cowitnessing...
Objective: The purpose of this study was to examine the psychiatric comorbidity between children presenting with Post Traumatic Stress Disorder (PTSD) and traumatized not developing disorder. Design: One-hundred seventeen severely maltreated were examined for evidence PTSD. Analyses probed diagnostic relationships PTSD other formal diagnoses on Diagnostic Interview Children Adolescents, Revised Version (DICA-C-R). Participants: All presented before a juvenile/family court due severe child...
<h3>Importance</h3> The prevalence of psychological distress among mothers children with autism spectrum disorder (ASD) suggests a need for interventions that address parental mental health during the critical period after child’s diagnosis when parents are learning to navigate complex system services. <h3>Objective</h3> To investigate whether brief cognitive behavioral intervention, problem-solving education (PSE), decreases parenting stress and maternal depressive symptoms immediately...
CASE: Kendra is a 4-year-old girl with autism spectrum disorder (ASD) who presents for follow-up of feeding problems to her pediatric clinician. She an only child in family where both parents are scientists. Feeding concerns date infancy, when she was diagnosed Gastroesophageal Reflux Disease (GERD) associated persistent bottle refusal and the acceptance few pureed foods. At 13 months, milk peanut allergies were diagnosed. Following clinic evaluation at 24 prescribed soy supplement H2...
<h3>Importance</h3> Early identification of autism spectrum disorder (ASD) is associated with improved cognitive and behavioral outcomes. Targeted strategies are needed to support equitable access diagnostic services ensure that children from low-income racial/ethnic minority families receive the benefits early ASD treatment. <h3>Objective</h3> To test efficacy family navigation (FN), an individually tailored, culturally informed care management strategy, increase likelihood achieving...
Individuals with a neurodevelopmental disability (NDD) face significant health care barriers, disparities in outcomes, and high rates of foregone adverse experiences. The Supporting Access for Everyone (SAFE) Initiative was developed to establish principles improve equity youth NDDs through an evidence-informed consensus-derived process. With the Developmental Behavioral Pediatric Research Network, SAFE cochairs convened consensus panel composed diverse professionals, caregivers, adults who...
Objectives. The objectives of this study were 1) to assess whether there is an independent association between the level prenatal cocaine exposure and infants’ developmental test scores after control potential confounding variables; 2) if such exists, determine which biological social variables, individually in interaction with each other, may modify it. Methods. In a prospective, longitudinal 203 urban term infants, 3 groups defined by maternal report infant meconium assay: unexposed,...
Abstract The purpose of this study was to evaluate whether children with a history disorganized attachment in infancy were more likely than without exhibit symptoms posttraumatic stress disorder (PTSD) at school age following trauma exposure. sample consisted 78 8.5-year-old from larger, ongoing prospective evaluating the effects intrauterine cocaine exposure (IUCE) on children's growth and development birth adolescence. At 12-month visit, status scored videotapes infant–caregiver dyads...
Objective To address a pressing need for measures of clinically significant social–emotional/behavioral problems in young children by examining several validity indicators brief parent-report questionnaire. Methods An ethnically and economically diverse sample 213 referred nonreferred 2- 3-year-olds was studied. The the Brief Infant–Toddler Social–Emotional Assessment (BITSEA) Problem Index Internalizing Externalizing scales evaluated relative to "gold standard" diagnostic interview, as well...
Objective: Emerging evidence suggests that autism spectrum disorder (ASD) can be diagnosed by age 18 months and early intensive behavioral intervention positively affects ASD core deficits. This pilot randomized controlled trial examined the feasibility of using an adapted form patient navigation, Family Navigation (FN), to improve timely diagnosis in low-income families from racial-ethnic minority groups. Methods: Forty children referred for diagnostic assessment were randomly allocated...
CASE: “George” is a 2-year, 9-month-old boy who presented for Developmental Behavioral Pediatric evaluation with the concern of global developmental delay and autistic behaviors. He had been receiving early intervention support since he turned 2 years, parent coaching model specialist. During clinical interview, parents endorsed limited expressive language skills felt that his receptive outpaced skills. They reported consistent response to name when called integration eye contact other...
Healthy Steps (HS) represents a significant innovation in the way pediatric primary care can be delivered. Based on standards and principles of Bright Futures American Academy Pediatrics Health Supervision Guidelines, HS enhances expands traditional by including child development specialist (Healthy specialist) as part practice team. Services offered this person, typically nurse, early childhood educator, or social worker, include more time to spend discussing preventive issues during...
OBJECTIVE. The goal was to determine how violence exposure affects the relationship between maternal depression, cognitive ability, and child behavior. METHODS. A multivariate regression analysis of data for a nationally representative sample kindergarten students performed. Maternal depression were measured with standardized parent interviews. Standardized T scores derived from direct testing children in reading, mathematics, general knowledge; behavior reported by teachers. RESULTS. total...
One-hundred and fifty-six children were randomly evaluated at an inner-city juvenile/family court. These removed from their parent's custody subsequent to a finding of severe child maltreatment. From our original sample 156 children, 62 met strict criteria for Post Traumatic Stress Disorder (PTSD). Fifty-two these successfully recruited participated in the 2 year re-examination. Each PTSD diagnosis was conferred by Diagnostic Interview Children Adolescents (DICA). 52 re-examined after years,...
In a commentary published previously, we communicated our concern regarding the plight of children who witness violence.1 Research suggests that violence suffer significant psychologic and behavioral problems interfere with their ability to function in school, at home, peers. The primary focus was witnessed community violence. Our ongoing clinical experience, heightened by media attention on domestic violence, including O.J. Simpson case, leads us revisit silent victims sole those Domestic...
Objective To evaluate whether prenatal cocaine exposure (PCE), or the interaction between PCE and contextual variables, is associated with children's language at age 6 9.5 years, adjusting for relevant covariates. Methods Analyses were based on 160 low-income, urban children from a prospective study who completed standardized assessment years. was determined using neonatal meconium assays maternal self-report. Results Significant effects of outcomes found in multivariate longitudinal...