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Background: Physical Activity 4 Everyone (PA4E1) is a whole-school physical activity program, with demonstrated efficacy (2012–2014). PA4E1 was adapted (scaled-up) and tested in a scale-up trial (2017–2020). This process evaluation study of the scale-up trial had 2 aims. First, to describe the acceptability, appropriateness, and feasibility of PA4E1 in the scale-up trial, from the perspective of school staff involved in the program management and delivery. Second, to generate themes that may explain school staff assessments of acceptability, appropriateness, and feasibility. Methods: Data were collected at various time points throughout the 2-year implementation phase. Online surveys were collected from In-School Champions, Head Physical Education teachers, Principals, and Physical Education teachers (quantitative data). Focus groups and interviews were conducted with In-School Champions, Principals, and Physical Education teachers (qualitative data). Existing published data on website engagement, adaptations, modifications, and the scale-up trial primary outcome (implementation of physical activity practices) were triangulated with the quantitative and qualitative during analysis, to generate themes. Results: School staff delivering PA4E1 reported it was highly acceptable, appropriate, and feasible. Seven themes were generated relating to acceptability, appropriateness, and feasibility. The themes related to how the program was funded, the delivery modes of implementation support, the identification of easy-wins, the recruitment of the right in-school champion, facilitating principal buy-in, mitigating the impact of school staff turnover, and engaging the whole school. Conclusions: Recommendations are made to inform future adaptations for PA4E1 and potentially school-based physical activity programs more generally. The findings may inform future scalability assessments of the suitability of programs for scale-up. [ABSTRACT FROM AUTHOR]

Introduction: Lack of physical activity (PA) is associated with obesity, diabetes, hypertension, cardiovascular diseases, and cancer. Parenting practices influence PA in young children. However, there is little evidence available for adolescents. We examined whether parenting practices were associated with out-of-school PA (OSPA) in US adolescents. Methods: This cross-sectional 2019 study analyzed data from the 2014 FLASHE study, a web-based, quota-sampled survey of parent–adolescent dyads. Inclusion required survey completion and parents to live with their teen (ages 12–17 y old). Physically limited adolescents were excluded. Dyads were stratified by teen age. Exposures included parental modeling, monitoring, facilitation, restriction, guided choice, and pressure. The outcomes of interest were OSPA Youth Activity Profile scores. Odds ratios (ORs) with 95% confidence intervals (CI) were calculated using adjusted logistic regressions. Results: A total of 1109 dyads were included. Guided choice increased odds of OSPA for 15- to 17-year-olds (OR = 2.12; 95% CI, 1.17–3.84). Facilitation increased odds of OSPA for 12- to 14-year-olds (OR = 2.21; 95% CI, 1.13–4.33). Monitoring decreased odds of OSPA for 15- to 17-year-olds (OR = 0.34; 95% CI, 0.20–0.57) and 12- to 14-year-olds (OR = 0.45; 95% CI, 0.27–0.74). Friend support increased odds of OSPA in 15- to 17-year-olds (OR = 4.03; 95% CI, 2.29–7.08) and 12- to 14-year-olds (OR = 3.05; 95% CI 1.69–5.51). Conclusion: Future interventions should prioritize (1) shared decision making for older teens, (2) access to PA opportunities for younger adolescents, and (3) promoting peer PA and friend support for everyone. [ABSTRACT FROM AUTHOR]

We examine whether adolescents' participating in a variety of physical activities, locations, and/or with a variety of people relates to physical activity 16 months later and whether perceptions of variety mediate these relationships. Adolescents (N = 369) completed measures indicating various physical activities they participated in, where they primarily participated, and with whom they primarily participated, at three time points over a year (averaged for baseline measures). Perceptions of variety was measured 8 months later. Physical activity was measured 16 months after baseline. Mediation analyses tested perceptions of variety as a mediator of variety support and physical activity. Results indicated that variety of activities and variety of locations were indirectly associated with physical activity through perceptions of variety. Participating in a breadth of physical activities in a variety of locations during adolescence is positively associated with perceptions of variety, which relates to physical activity 16 months later. [ABSTRACT FROM AUTHOR]

Background: Although 24-hour movement behaviors are known to be interconnected, limited knowledge exists about whether change in one behavior during the COVID-19 pandemic (eg, increased screen time) was associated with change in another (eg, reduced physical activity or sleep). This review estimates mediational associations between changes in children's physical activity, screen time, and sleep during the COVID-19 pandemic. Methods: We included studies published between January 1, 2020 and June 27, 2022, in the PubMed/MEDLINE, Embase, PsycINFO, SPORTDiscus, and Web of Science databases. Summary data were extracted from included studies and analyzed with random-effects meta-regression. Results: This review included 26 studies representing 18,959 children across 18 mid-high-income countries (53% male; mean age, 11.5 [2.9] y). There was very good evidence of decreased total daily physical activity (factor change, 0.62; 90% CI, 0.47–0.81) and strong evidence of increased screen time (1.56; 90% CI, 1.38–1.77). There was very good evidence of decreased moderate to vigorous physical activity (0.75; 90% CI, 0.62–0.90) and weak evidence of increased sleep (1.02; 90% CI, 1.00–1.04). Mediational analysis revealed strong evidence that most of the reduction in total daily physical activity from before, to during, the pandemic was associated with increased screen time (0.53; 90% CI, 0.42–0.67). We observed no further mediational associations. Conclusion: Increased reliance on and use of screen-based devices during the COVID-19 pandemic can be linked with reduced child and adolescent physical activity. This finding links COVID-related restrictions to potential displacement effects within child and adolescent 24-hour movement behavior. [ABSTRACT FROM AUTHOR]

Background: Despite robust evidence demonstrating sociodemographic characteristics may underly some of the disparities in physical activity observed among children and adolescents, the often-overlooked nexus of potential interactions between these characteristics warrants further exploration. This study explored the intersectionality of gender, race/ethnicity, parental education, and household income in relation to device-measured physical activity volume and intensity in a nationally representative sample of US children and adolescents. Methods: Cross-sectional data from 3 cycles of the US National Health and Nutrition Survey (2011–2012; 2012 National Youth Fitness Survey; and 2013–2014) were used. A total of 6116 participants (49% female) between 3 and 17 years of age wore an accelerometer on their nondominant wrist for 7 days. Monitor-independent movement summary units were used to represent physical activity volume and intensity. A Social Jeopardy Index was created to represent increasing levels of intersecting social disadvantages based on combinations of gender, race/ethnicity, parental education, and household income-to-poverty ratio tertiles. Generalized linear regression models were computed. Results: The results showed social disadvantages become increasingly evident among children and adolescents during the most intense 60 minutes of daily physical activity (B = −48.69 [9.94] SE, P <.001), but disparities in total volume were not observed (B = 34.01 [44.96] SE, P =.45). Conclusions: Findings suggest that patterns of physical activity behavior may differ based on intersecting sociodemographic characteristics—more socially disadvantaged children and adolescents appear to accumulate activity at lighter intensities. Collecting contextual information about device-measured physical activity represents an important next step for gaining insight into these sociodemographic differences. [ABSTRACT FROM AUTHOR]

Individuals with low levels of vitamin D are associated with cardiovascular risks, such as elevated blood pressure (BP), and are; therefore, more likely to develop hypertension. Patients with vitamin D deficiency may face an increased risk of cardiovascular events. In this study, a multicenter, cross-sectional, and school-based investigation was conducted as part of the ERICA project. The sample comprised 1152 adolescents aged 12–17 years from 4 Brazilian cities. Anthropometric variables, BP measurements, and hydroxyvitamin D concentrations were assessed. A 2-level linear regression was fitted to examine the relationship between each level of BP and independent variables. Our findings indicate that movement behaviors were not associated with BP levels, with the exception of sleep time, which demonstrated a positive association. However, after adjustment, this association was found to be nonsignificant. Our study's mediation analysis revealed that vitamin D mediates up to 12.9% of the association between physical activity and systolic BP. Vitamin D is inversely associated with BP in adolescents. In addition to mediating the physical activity and systolic BP association, engaging in physical activity, particularly outdoors, can provide a dual benefit for adolescents by increasing serum vitamin D levels and assisting in the control of BP levels. [ABSTRACT FROM AUTHOR]

With the onset of the COVID-19 pandemic, rates of medical hospitalization for severe malnutrition in the context of eating disorders increased dramatically among children and adolescents. (1) First-time presentations rose, [...]

Introduction As artificial intelligence and social media continue to expand into everyday life and pose further risk for credible information, educators, scholars, journalists, and politicians are increasingly focused on addressing [...]

Purpose: To collect and evaluate the available evidence on existing tools used in research and clinical practice to assess and analyse the diet of children and adolescents for its cariogenicity. Materials and Methods: Multiple databases were searched up to October 2022, with no date, publication, or language restrictions, followed by a manual search. Study screening, data extraction, and risk of bias assessment were performed in duplicate. Dietary assessment tools and dental clinical parameters tested were retrieved for qualitative assessment and synthesis. Results: Of the 2896 papers identified, 9 cohort and 23 cross-sectional studies fulfilled the inclusion criteria. To assess dietary data, 13 studies used a 24-h recall, 11 used a food diary, and 7 used a food frequency questionnaire. For analysis, five studies reported using the Healthy Eating Index, ten used a score based on consumption of sugars, and the remaining analysed cariogenic diet based on the weight and frequency of sugars consumed, or the daily caloric intake from free sugars. Risk of bias assessment suggested that 65.7% of the studies were of moderate and 31.5% of high quality. Conclusion: Inconsistency exists regarding methods used for the assessment and analysis of dietary cariogenicity. Although every dietary assessment tool has different strengths and limitations, the 24-h recall was the most commonly used method for the assessment of dietary cariogenicity and the most consistent in detecting a positive relationship between sugary diet and carious lesions. A standardised method for cariogenic analysis of dietary data needs to be determined. [ABSTRACT FROM AUTHOR]

Purpose: Environmental factors modulate oral-health-related quality of life (OHRQoL). The aim of this study was to analyse sociodemographic and behavioural factors affecting the OHRQoL in Spanish adolescents, by using the Child-OIDP (Child-Oral Impacts on Daily Performances) index. Materials and Methods: A cross-sectional study was conducted in 337 adolescent schoolchildren aged 13–15 years. A questionnaire on sociodemographic, behavioural and oral self-perception factors was administered with the Child-OIDP questionnaire. Descriptive statistics, Kruskal-Wallis and Mann-Whitney U-tests, as well as a regression model were used in the data analysis. Results: The overall mean Child-OIDP index was 3.28±6.55. It was statistically significantly higher in females than in males (p < 0.001). Mothers having a managerial job showed statistical association with worse OHRQoL (p < 0.001). Caries experience and history of dental trauma were not associated with the oral-health-related quality of life (p > 0.05). Halitosis statistically significantly affected the activities of daily living (p < 0.001). Perceived dental problems, dental treatment needs, self-assessment of oral health status and satisfaction with oral health were associated with the impact index (p < 0.05). Conclusion: Mothers who were managers, female sex, presence of halitosis, and perceived dental treatment needs were the most important predictors of the impact index, while dietary habits, oral hygiene, and dental visits did not affect it. Knowledge of these factors will help dental professionals to apply adequate preventive and therapeutic measures. [ABSTRACT FROM AUTHOR]

The purpose of the current research was to examine the interaction of teammate and coach support on athlete burnout and engagement, and determine how type of teammate and coach support links with athlete burnout and engagement. Adolescent athletes (N = 176) completed measures of support, burnout, and engagement. Total teammate and coach support accounted for 14.9%–26.0% and 22.4%–36.7% explained variance across dimensions of burnout and engagement, respectively. No meaningful significant interaction was found. Teammate esteem support predicted reduced accomplishment, devaluation, confidence, and vigor (β = −0.31, −0.36, 0.28, and 0.28), while emotional and tangible support predicted dedication (β = 0.29 and 0.20) and enthusiasm (β = 0.30 and 0.22). Coach esteem support predicted reduced accomplishment (β = −0.59) and devaluation (β = −0.27). Findings suggest that support from one key agent can enhance youth athlete well-being, but types of support provided by agents differ in salience. [ABSTRACT FROM AUTHOR]

Background: Adolescence is a critical period filled with life changes. Early implementation of effective health promotion strategies could help alleviate the morbidity and mortality associated with inactivity. This study investigated whether adolescent participation in exercise and sport is associated with device-assessed physical activity (PA) levels in midlife. Methods: A total of 2984 participants (41.2% male) from the 1970 British Cohort Study were included. Participants were surveyed at age 16 years on 5 indicators of exercise and sport participation. Total daily PA and moderate to vigorous PA (MVPA) at age 46 years were measured using a thigh-worn accelerometer, worn for 7 days. Associations between each adolescent exercise or sport indicator and adulthood total daily PA and MVPA were examined using linear regressions, adjusting for sex, wear time, body mass index, smoking, disability, malaise, alcohol consumption, social class, education, and self-rated health. Results: In fully adjusted models, adolescents who reported exercising "much more" than others (8.6 min/d; 95% confidence interval, −0.1 to 17.1), who played sports at the park/playground more than once a week (8.5 [3.0–14.0] min/d), and who exercised on the most recent Saturday (3.8 [0.7–6.9] min/d) had higher adult total PA levels than those who reported the lowest activity levels. There was no evidence of an association between greater sport and exercise participation at age 16 y and MVPA at age 46 y. There was no association between sports at school and either measure of adult PA. Conclusion: Active adolescents, particularly those who engaged in out-of-school exercise, had higher total daily PA levels, but not MVPA levels, in midlife. This highlights the potential of early PA interventions to improve PA levels in adulthood. [ABSTRACT FROM AUTHOR]

This study focuses on teens’ trash-talking behavior while playing internet games. Phenomenology is the method used, and it seeks to reduce individual perceptions of phenomena into descriptions of universal essences or essences. This research aims to discover and examine the trash-talking behavior that has become common among teenagers while playing online games (OG). The findings of this study suggest that markers of trash-talking conduct include insults to intelligence, swearing at prohibited items, and calling animal and dirt names. The symbol of trash-talking conduct represents a release of emotions such as anger and disappointment, sarcasm or criticism, admiration for a good game, and an outpouring of joy. This study’s findings indicate a process of symbolic contact amongst the five informants while playing the Mobile Legends game. On the mental side, three categories are distinguished: being conscious of the situation and conditions in trash-talking conduct, feeling strange if you don’t have trash-talking behavior, and being accustomed to trash-talking behavior. Trash-talking conduct can be classified into two types: showing team closeness and cohesion and disrupting the opposing team’s concentration. Trash-talking conduct is classified as either helping to break down the mood in a freshly established group or producing conflict in the actual world due to feelings of offense. [ABSTRACT FROM AUTHOR]

Annually, tens of thousands of U.S. children and adolescents are hospitalized with seasonal influenza virus infection. Both influenza vaccination and early initiation of antiviral treatment can reduce complications of influenza. Using data from two U.S. influenza surveillance networks for children and adolescents aged <18 years with medically attended, laboratory-confirmed influenza for whom antiviral treatment is recommended, the percentage who received treatment was calculated. Trends in antiviral treatment of children and adolescents hospitalized with influenza from the 2017-18 to the 2023-2024 influenza seasons were also examined. Since 2017-18, when 70%-86% of hospitalized children and adolescents with influenza received antiviral treatment, the proportion receiving treatment notably declined. Among children and adolescents with influenza during the 2023-24 season, 52%-59% of those hospitalized received antiviral treatment. During the 2023-24 season, 31% of those at higher risk for influenza complications seen in the outpatient setting in one network were prescribed antiviral treatment. These findings demonstrate that influenza antiviral treatment is underutilized among children and adolescents who could benefit from treatment. All hospitalized children and adolescents, and those at higher risk for influenza complications in the outpatient setting, should receive antiviral treatment as soon as possible for suspected or confirmed influenza. [ABSTRACT FROM AUTHOR]

An issue devoted to foundational skills and adolescents might center the cognitive skills and practices most needed to accelerate learning. While an understanding of these—whether multisyllabic decoding, fostering comprehension through discussion, or argumentative writing—is important, in this article, we advocate for the importance of attending to principles of motivation. After defining motivation within the context of adolescent literacy instruction, we summarize representative research on the topic. We then present four guiding principles for teachers, each accompanied by practical examples for classroom application. [ABSTRACT FROM AUTHOR]

[Display omitted] • N400 and P600 ERPs evoked in adolescents ignoring sentences with semantic errors. • Semantic processing is fundamentally different in passive versus active contexts. • We provide 22 control adolescent high-density electrophysiological BIDs datasets. Language comprehension requires semantic processing of individual words and their context within a sentence. Well-characterized event-related potential (ERP) components (the N400 and late positivity component (LPC/P600)) provide neuromarkers of semantic processing, and are robustly evoked when semantic errors are introduced into sentences. These measures are useful for evaluating semantic processing in clinical populations, but it is not known whether they can be evoked in more severe neurodevelopmental disorders where explicit attention to the sentence inputs cannot be objectively assessed (i.e., when sentences are passively listened to). We evaluated whether N400 and LPC/P600 could be detected in adolescents who were explicitly ignoring sentence inputs. Specifically, it was asked whether explicit attention to spoken inputs was required for semantic processing, or if a degree of automatic processing occurs when the focus of attention is directed elsewhere? High-density ERPs were acquired from twenty-two adolescents (12–17 years), under two experimental conditions: 1. individuals actively determined whether the final word in a sentence was congruent or incongruent with sentence context, or 2. passively listened to background sentences while watching a video. When sentences were ignored, N400 and LPC/P600 were robustly evoked to semantic errors, albeit with reduced amplitudes and protracted/delayed latencies. Statistically distinct topographic distributions during passive versus active paradigms pointed to distinct generator configurations for semantic processing as a function of attention. Covert semantic processing continues in neurotypical adolescents when explicit attention is withdrawn from sentence inputs. As such, this approach could be used to objectively investigate semantic processing in populations with communication deficits. [ABSTRACT FROM AUTHOR]

This study examined the impact of technology-based non-enculturation sources on Yoruba (Nigerian) teenagers' nuclear and contrastive stress assignment to determine the suitability of the facilities as ancillary models of spoken English in Nigeria. Labov's variability theory and Liberman and Prince's metrical phonology served as theoretical framework. Participants were purposively selected from 300 University of Ibadan teenage undergraduates (UIYTUs) and a Briton, who served as the native baseline (NB). The teenagers' technology (TC) levels were ascertained through a questionnaire. Participants were stratified into High(H), Mid(M) and Low(L) TCs. Their production of a prepared text into Speech Filing System (version 1.54) constituted the data which were analysed statistically, metrically and acoustically. The teenagers' nuclear stress assignment to regular [F(2, 297)=63.78; p<.05] and contrastive [F(2, 297)=50.93; p<.05] Designated Terminal Elements was reflective of their level of technology exposure. HTC exhibited metrical pattern similar to the NB. MTC either imposed stress on metrically weak syllables or assigned stress following the NB pattern. LTC productions were predominantly characterised by stress clash. Sample HTC spectrograms showed the highest amplitude and longest duration for the nuclearly stressed syllable. Although the spectrograms of the MTC displayed some alternation, the nuclearly stressed syllable did not receive its due prominence. Sample LTC spectrograms displayed flatness. Technology-based non-enculturation sources of native English available to teenage Nigerians have the capability of enhancing their spoken English. These technological devices should be explored as alternative model of English pronunciation. [ABSTRACT FROM AUTHOR]

Objective: This study compared the achieved tooth movement to that predicted in the preliminary simulated digital treatment plan between adults and teenagers. Materials and methods: Records of 60 patients (30 adults; mean age: 36.6 ± 11.36 years, and 30 teenagers; mean age: 16.23 ± 2.25 years) were randomly selected. Initial and predicted models were obtained from the initial simulated treatment plan. The first model of the refinement scan was labeled as achieved. SlicerCMF software (version 3.1; https://www.slicer.org) was used to superimpose the achieved and predicted digital models over the initial ones with regional superimposition on relatively stable first molars. 600 teeth were measured in each group for horizontal, vertical, angular movements, and transverse dimensions. Accuracy was defined as the achieved amount of movement minus predicted and was calculated for each individual and compared between teens and adults. Results: The mandibular inter-canine width accuracy was statistically significant between groups (p = 0.050). Significant under-correction in horizontal movements was noted for mandibular first premolars in teenagers compared to adults (p = 0.037). There was considerable over-correction in horizontal movements for mandibular central and lateral incisors between groups (p < 0.05). No significant difference was observed between groups in the vertical plane. Rotations were underachieved for maxillary first premolars, more in adults than teenagers (p = 0.017). Conclusion: The accuracy of achieved versus predicted tooth movement between adults and teenagers was significant for the inter-canine width. Mandibular central and lateral incisors showed significantly greater over-correction in adults in the horizontal plane. The accuracy of rotations and vertical movements was comparable. [ABSTRACT FROM AUTHOR]

AbstractVideo games are designed for enjoyment and can benefit players, but in competitive settings such as esports they may lead to stress, a significant concern for players and coaches in competitive play due to potential negative psychological, social, and physical impacts. Since esports players are mostly adolescents and young adults, the vulnerability of their age underscores the need to investigate their stress experience. To this aim, we conducted semi-structured interviews with 16 First-Person Shooter (FPS) players and coaches (mean age 22.2) across A- to C-tiers. We examined players’ subjective stress experiences, team dynamics, and the broader esports organizational context. Findings reveal the players’ ability to recognize their stress signals and to make sense of stressful events, along with a stronger reliance on individual coping strategies over team-based or organizational resources, which remain largely inaccessible. Finally, we propose design strategies to strengthen esports players’ resilience and coping capacity in stressful environments. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective Method Results Discussion Individuals with anorexia nervosa persistently restrict their food intake while often severely underweight. This maladaptive food choice behavior and related decision‐making processes have mainly been investigated in adults. It is unknown whether the same decision‐making processes drive food choices in adolescents, given their more favorable treatment outcomes. This study investigated maladaptive food choice behavior in adolescents with AN and examined whether they display the same decision‐making processes as adults.Adolescents with AN (n = 42) and age‐matched controls (n = 42) completed a computer‐based food choice task, rating food images for healthiness and tastiness before choosing between two food items.Adolescents with AN chose high‐fat foods less frequently than controls, with food choices more influenced by their perceived “healthiness” and less by their “tastiness” than they did among controls. Relative to controls, adolescents with AN also reported lower overall tastiness ratings and greater habit strength of restrictive eating, which was, however, not related to food choices.Adolescents with AN display the same maladaptive food choice behavior as adults, namely the persistent restriction of high‐fat food choices. Their choices were more strongly influenced by the perceived healthiness of a food item, compared to the choices of controls. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusions This study investigated the trajectories of interpersonal stress and psychological pain and their effects on self‐harm behaviors in adolescents and explored the reciprocal associations between interpersonal stress and NSSI/SA.The participants included 1149 adolescents (50.3% women; Mage = 12.86, SD = 0.69) who participated in three waves of data collection. Latent class growth models and cross‐lagged panel models were used to identify subgroups of individuals and interactions between interpersonal stress and NSSI/SA.Controlling for sex and age, compared to the low interpersonal stress class, the moderate to high and increasing classes have higher risks of NSSI and SA. Compared to adolescents in the low increasing feelings with high increasing avoidance class, those in the low increasing feelings with low decreasing avoidance class reported lower probabilities of NSSI and SA. Pain avoidance and painful feelings mediated the pathway from interpersonal stress to NSSI/SA, whereas pain arousal mediated the pathway from NSSI/SA to interpersonal stress.Shared impact of interpersonal stress and distinct effects of psychological pain over time on maintaining and distinguishing self‐harm behaviors were found. Adolescent crisis interventions should simultaneously focus on building social networks within the school context and regulating maladaptive minds. [ABSTRACT FROM AUTHOR]

In the developmental research, studies on the importance of fathers in the parent–child relationship is insufficient, especially the father-daughter relationship. Thus far, a few studies have investigated whether father presence influences adolescent daughters' resilience. Therefore, this study investigated the extent to which intermediary factors affect the relationship between father presence and daughters' resilience. A total of 718 Chinese female high school students participated in a questionnaire survey. The results showed father presence was positively related to resilience in female high school students. Additionally, psychological security fully mediated the relationship between father presence and daughters' resilience, whereas achievement goal orientation partially mediated this relationship; specifically, the mastery-approach and performance-approach orientations. The results highlight the importance of considering the meaning and implications of father presence and daughter's resilience in Chinese culture. [ABSTRACT FROM AUTHOR]

Introduction: Adolescence is a key developmental period characterized by increased maladaptive risky behaviors. Two related but distinct constructs, urgency (the tendency to act rashly in response to strong negative or positive emotions) and emotion dysregulation, are important risk factors for engaging in maladaptive risky behaviors. Thus far, research has largely agreed that these two risk factors are highly correlated. However, the causal direction between these constructs is less understood. The goal of the current study is to determine whether urgency predicts emotion dysregulation change among adolescents. Method: This project is an analysis of 544 youth (49.8% female, Mage=14.22, SD=0.52). We tested whether urgency at baseline predicts change in emotion dysregulation over a nine-week period, and whether that relationship differs across boys and girls. Results: Two multigroup latent change score path analyses found that negative, but not positive, urgency significantly predicted emotion dysregulation change (negative urgency: b = -0.57, p =0.001; positive urgency: b =0.22, p =0.06). There was no evidence of moderation by gender. Discussion: This work provides initial evidence of a temporal relationship between higher negative urgency and increased emotion dysregulation. The next step is to determine whether negative urgency imparts risk for maladaptive behaviors through its effect on emotion dysregulation. The long-term goal of this program of research is to design and test interventions to reduce the impact of negative urgency for adolescent risk-taking. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to differentiate external and internal training loads during on-snow biathlon training by adding an accelerometer-derived metric. Methods: Eleven adolescent athletes were fitted with a combined heart rate (HR) and accelerometer to be worn during all training sessions. Duration, HR, training impulse (TRIMP), and average net force (A v F N e t ) were used as training variables. All training was divided into either low-intensity training (LIT), or high-intensity training (HIT) based on reported intensity. The training was further categorized as training without any shooting practice (NS) or as a combination of skiing and shooting (COMB). Duration, HR, TRIMP, and A v F N e t were analyzed in a linear mixed model for the different training modalities. Results: All training was similar in duration for LIT and HIT sessions (p =.0521) and NS and COMB sessions (p =.988). TRIMP did not differentiate between LIT or HIT training (p =.350) or for NS compared to COMB (p =.298). While A v F N e t decreased during COMB compared to NS during LIT sessions (p <.001) it remained similar during HIT training (p = 1.00). Conclusion: The study's findings indicated that there were no notable differences in internal training load (TRIMP) when comparing various training intensities and modes. However, the type of training had a significant impact on A v F N e t , especially leading to a decrease during COMB sessions under LIT conditions. Incorporating an external load metric could offer a fresh approach when prescribing and evaluating training, providing deeper insights into the training load. [ABSTRACT FROM AUTHOR]

The article discusses the concept of "The Fraying of Society" and how various leisure activities are intertwined with societal changes. It explores the decline of trust, rise of illiberal ideologies, and movements that challenge civic institutions. The text highlights the impact of political, social, cultural, and economic activities on societies in the United States and Canada. Additionally, it delves into specific topics such as substance abuse, nationalism, online dating, conspiracy theories, and gang membership to understand the complexities of modern society. [Extracted from the article]

Romantic relationships are normative in adolescence, and parents can play a role in supporting or restricting adolescents' romantic experiences. This study examined parents' involvement in adolescents' romantic relationships in a sample of 226 Mexican‐origin families. Findings indicated that, on average, mothers were more supportive of adolescents' romantic relationships than fathers, and parents were more supportive of daughters than of sons. Fathers' (but not mothers') Mexican cultural orientations were associated with greater restrictions on adolescents' romantic relationships. For mothers of boys, higher levels of familism values were linked to lower levels of support, and for fathers of boys, more traditional gender role attitudes were associated with less support. Also, more parent–youth conflict was associated with greater support from mothers but greater restrictions from both mothers and fathers. Finally, less granted autonomy in early adolescence was associated with greater parental restrictions. Discussion focuses on the nature of mothers' and fathers' involvement in adolescents' romantic relationships. Implications for research and practice highlight the importance of recognizing cultural and relational factors that shape mothers' and fathers' parenting around adolescent dating. [ABSTRACT FROM AUTHOR]

ABSTRACT With the introduction of the ICD‐11 diagnostic manual, the need for developing and validating new assessment instruments has become urgent. The International Trauma Questionnaire‐Child and Adolescent version (ITQ‐CA) assesses posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) based on the ICD‐11 diagnostic definition. This study examines the psychometric properties of the Danish version of the ITQ‐CA in a non‐clinical sample of 226 adolescents. Hierarchical multiple regression analyses were performed to study the effects of gender, age, trauma exposure, family dysfunction, and SDQ variables on PTSD and Disturbances in Self‐Organization (DSO). Results showed that 16 participants (7%) met the ITQ‐CA criteria for CPTSD and 11 (5.7%) for PTSD. The full model of gender, age, family dysfunction, trauma exposure, and SDQ variables was found to predict PTSD and DSO. The present study supports the validity of the Danish version of the ITQ‐CA and represents an important step of establishing and applying validated tools for assessing  PTSD and CPTSD in children and adolescents. The results also underscore the need for a broader trauma definition. Future research should examine the sensitivity of the ITQ‐CA. [ABSTRACT FROM AUTHOR]

Objective: To compare the proportion of children and adolescents with incident psychotropic medication use from 2019 through 2022. Methods: This cross-sectional study used the IQVIA PharMetrics® Plus for Academics health plan claims database. Our study sample consisted of children and adolescents ages 6–18 who had at least one psychotropic medication in March 2019–February 2022. We examined psychotropic medication use in three distinct study periods: pre-pandemic (March 2019 to February 2020), pandemic-year-1 (March 2020–February 2021), and pandemic-year-2 (March 2021–February 2022). Incident use was defined as no evidence of psychotropic medication in the 12 months preceding the child and adolescent's first psychotropic dispensing in each study period. We estimated incident psychotropic use in the three study periods. Average marginal effects tested for significant differences in psychotropic initiation, overall and stratified by age and sex. Results: In our sample of 42,346 children and adolescents who were dispensed any psychotropic medication during the study period, incident psychotropic users were 27.8% in pre-pandemic, 26.0% in pandemic-year-1, and 27.8% in pandemic-year-2. Incident use of antidepressants was 51.4% in pandemic-year-1 and 54.6% in pandemic-year-2. The probability of incident psychotropic use was 2.4% lower in pandemic-year-1 than in the pre-pandemic year (p < 0.001). The proportion of 6–11-year-olds and females initiating a psychotropic was higher in pandemic-year-2 than pre-pandemic. Conclusion: Incident psychotropic use was most notable in younger and female children 2 years after the pandemic onset. [ABSTRACT FROM AUTHOR]

Background/Objectives: Children and adolescents with psoriasis can have severe and long-lasting disease requiring early and effective therapy. The range of associated comorbidities is comparable to adult patients with additional problems deriving from their growth and maturation. Therefore, tailored information and interdisciplinary teamwork is necessary to effectively manage pediatric psoriasis. Methods: We reflected on our experience with therapy management of children and adolescents with psoriasis coming to our university outpatient clinic and summarized the challenges and special features of these patients together with approved medications and recommendations for treatment. We present our algorithm for managing these patients in an interdisciplinary setting. Results: Children can develop psoriasis very early in their life, and they show specific patterns of skin involvement depending on age. Scores such as the cDLQI and the PASI help to quantify the clinical severity and burden of the disease, and the upgraded criteria should reflect that children's needs are different from adults'. The choice of medication is limited to a few, but increasing approvals for children and the close exchange of information and preparations with pediatricians and other specialties before initiating systemic therapies are crucial for children to support compliance. We emphasize the focus on vaccinations and the treatment of chronic infections, e.g., the management of TBI, which is different from adults. Conclusions: With the increased options for the systemic treatment of children with psoriasis, clear and adapted information for the child, guardian and pediatrician is essential to assure a well-managed environment and to prevent the unnecessary termination of effective therapy. [ABSTRACT FROM AUTHOR]

This study investigated the extent to which different pedagogical gestures contribute to learners' foreign or second language (L2) narrative recall, and further discussed how task complexity and task difficulty (i.e. working memory capacity or WMC) influence recall performance. Sixty-four adolescent learners, assigned to four different gesture viewing conditions (iconic gestures, deictic gestures, beat gestures, or no gesture), were required to listen to an instructor telling two stories (one complex and one simple) and then retell both stories twice: once immediately after listening (immediate recall) and a second time two weeks later (delayed recall). Recall performance was evaluated by the number of relevant pieces of event and motion information produced in the participants' retelling. The results show that L2 learners who were exposed to deictic and iconic gesture conditions outperformed the other gesture groups, particularly in delayed narrative recall, but only in complex tasks where cognitive demands were increased. It was also found that event and motion information was retained for a longer period of time in the deictic and iconic conditions respectively. Although both high and low WMC groups benefitted from viewing gestures, this finding further indicates that the beneficial effect of gestures on learners could possibly compensate for low WMC by providing scaffolding that reduces cognitive burden in narrative recall. [ABSTRACT FROM AUTHOR]

Objectives: Normal weight obesity can be associated with an increased risk of metabolic abnormalities, systemic inflammation and mortality. The main aim of the study was to analyze the changes in the prevalence of normal weight obesity in 8–18‐year‐olds from Kraków (Poland) between 2010 and 2020. Methods: The study was based on two sets of cross‐sectional, school‐based data obtained in 2010 and 2020. Body height, weight, and fat percentage were obtained. Body mass index was calculated, and only normal‐weight individuals were included. Normal weight obesity was defined as normal BMI with adiposity >85 percentile for age and sex. Results: The prevalence of normal weight obesity among Polish children and adolescents has been alarming for at least the last 10 years. Depending on the sex and age, normal weight obesity was present in more than 10% up to even more than 20% of the examined population. Conclusions: Alarming numbers of Polish children and adolescents suffer from NWO and this problem seems to be present for at least the last decade. A need for a maximally universal definition and cut‐offs to diagnose normal weight obesity should also be stressed, as it will be helpful in providing the best prophylaxis and help to persons already suffering from normal weight obesity. [ABSTRACT FROM AUTHOR]

Meaning in life is the process in which individuals make sense of their lived experiences and the world around them. In adolescence, youth face developmental challenges and stressors that can threaten their well-being. Knowledge of the mechanisms and contributors to protective factors, such as meaning in life, can enhance counselors' and school counselors' delivery of services to adolescents and support their optimal growth. In this study, we conducted multiple regression analyses to examine the relationship between participants' meaning in life, emotional intelligence, and personal growth initiative in a youth sample (n = 203). Our findings indicated that meaning in life was related to students' personal growth initiative and emotional intelligence. Specifically, we identified that meaning in life predicted personal growth initiative and emotional intelligence for participants in this study. Based on our findings, we offer practical implications for school counselors and counselors working with youth. Implications for research are also provided. [ABSTRACT FROM AUTHOR]