Psychological Sciences

Introduction: Children and adolescents are not impervious to the unprecedented epidemic of opioid misuse in the United States. In 2016 more than 88,000 adolescents between the ages of 12–17 reported misusing opioid medication, and evidence suggests that there has been a rise in opioid-related mortality for pediatric patients. A major source of prescribed opioids for the treatment of pain is the emergency department (ED). The current study sought to assess the complex relationship between opioid administration, pain severity, and parent satisfaction with children’s care in a pediatric ED.

Methods: We examined data from a tertiary pediatric care facility. A health survey questionnaire was administered after ED discharge to capture the outcome of parental likelihood of providing a positive facility rating. We abstracted patient demographic, clinical, and top diagnostic information using electronic health records. Data were merged and multivariable models were constructed. 

Results: We collected data from 15,895 pediatric patients between the ages of 0–17 years (mean = 6.69; standard deviation = 5.19) and their parents. Approximately 786 (4.94%) patients were administered an opioid; 8212 (51.70%) were administered a non-opioid analgesic; and 3966 (24.95%) expressed clinically significant pain (pain score >/= 4). Results of a multivariable regression analysis from these pediatric patients revealed a three-way interaction of age, pain severity, and opioid administration (odds ratio 1.022, 95% confidence interval, 1.006, 1.038, P = 0.007). Our findings suggest that opioid administration negatively impacted parent satisfaction of older adolescent patients in milder pain who were administered an opioid analgesic, but positively influenced the satisfaction scores of parents of younger children who were administered opioids. When pain levels were severe, the relationship between age and patient experience was not statistically significant.

Conclusion: This investigation highlights the complexity of the relationship between opioid administration, pain severity, and satisfaction, and suggests that the impact of opioid administration on parent satisfaction is a function of the age of the child.

INTRODUCTION: In the United States, sport is a common form of youth physical activity (PA) with demonstrated health benefits. However, limited longitudinal dataexists on the psychosocial determinants and consequences of youth sport participation. This study examined grade 6 (11-12-year-old) predictors of high school organized sport participation and effects of high school sport participation on age 26 behavior, mental health and wellbeing. METHODS: Structural equation models tested relationships using the National Institute for Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD). Half of the sample was male, and played organized sports at ages 15 and 18. Eighty percent of the sample was white. RESULTS: Grade 6 predictors of playing high school sport were: child enjoys PA, parent enjoys PA, parent feels physical education (PE) is important, and vigorous PA minutes/week. Playing sports at ages 15 and 18 was associated with better wellbeing, lower depression, increased sport and fitness activity participation. Enjoyment of PA was directly associated with fitness activities at age 26, more than a decade later. High school sport participation at both age 15 and 18 further mediated relationships between enjoyment with wellbeing and depression at age 26. DISCUSSION: Sport participation is a common accessible means of PA, and participating in sports in high school is associated with better mental health and PA outcomes at age 26. Fostering enjoyment of PA during childhood helps shape PA in early adulthood and adult mental health benefits derived from high school sport participation.

This study compared the processing of non-binary morphemes in Spanish (e.g., todxs, todes) with the processing of canonical grammatical gender violations in Spanish pronouns (e.g., Los maestros… todas…). Using self-paced reading, the study examined how individual differences in working memory and gender/sex diversity beliefs affected language processing at three regions of interest (ROI): the pronoun, the pronoun +1, and the pronoun +2. Seventy-eight Spanish-English bilinguals completed two self-paced reading tasks, one with non-binary pronouns and another with grammatical gender violations, as well as a working memory task, a language dominance questionnaire, and a gender/sex diversity beliefs questionnaire. Processing costs were operationalized as longer reaction times (RTs) or inaccurate responses. Results showed overall processing costs for non-binary morphemes at all 3 ROIs, but no processing costs were observed in terms of accuracy or response times to the comprehension question. The results suggest that processing non-binary pronouns results in a small processing cost that does not affect overall sentence comprehension. The small observed processing cost was moderated by gender/sex diversity beliefs, with gender normative beliefs increasing RTs at the pronoun and affirmation of diverse gender identities beliefs reducing the RTs at the second spillover region. In contrast, grammatical gender violations only showed a processing cost at the first spillover region and were not moderated by working memory nor gender/sex diversity beliefs. Taken together, the results suggest that non-binary pronouns are processed differently than grammatical gender violations and that the small processing cost they impose can lead to good enough comprehension.

Some Latine youth from rural migrant farmworker communities engage in farmwork to help support themselves and their families. Although research has documented their motives for working and some characteristics of their employment, knowledge about how these youth construct their work in the fields and how such experiences relate to their positive development is needed to depict their holistic experiences. Using mixed methods, we explored youths farmwork experiences and examined how these experiences relate to youths prosocial behaviors, civic responsibility, and ego-resiliency. Data are from a mixed-method study of Latine youth and parents in rural and agricultural families in the U.S. Midwest. The present study uses qualitative data from a subsample of 47 youth (Mage = 11.42, 48.8% boys) who participated in interviews and survey activities. Thematic coding of the interviews revealed sociocognitive, socioemotional, skilled-related, and physical experiences, as well as prosocial considerations that included perspective taking, moral reasoning, and empathetic concern. Integrating qualitative and quantitative data showed that these experiences were distinctively associated with higher other-oriented and lower self-oriented prosocial behaviors and higher ego-resiliency. Further, farmworker youth also showed significantly lower civic efficacy, indicating that farmwork may discourage some aspects of civic responsibility. The results can inform policy and program designs on promoting Latine youths positive development in the face of adversity, such as by highlighting character development and bridging youth engagement with civic spheres.

This study investigates the complexities faced by emergency managers in wildfire-prone areas to uncover pressing issues and potential solutions. Four themes are discerned through three focus group discussions with emergency managers from nine counties across California. First, there is unequal access to resources for both risk assessment and response, with counties that have fewer resources facing significant challenges in effectively managing wildfire risks. Second, effective risk communication depends on the available resources and the unique characteristics of each community. Participants stress the need for improved communication tools to reach vulnerable groups (e.g., seniors, individuals with disabilities, non-English-speaking residents). Third, the complexity and confusion surrounding multi-level collaboration in wildfire management is a recurring theme. Participants note that unclear roles and responsibilities between state and federal agencies hinder response efforts, underscoring the need for better coordination and transparent communication at all levels. Fourth, innovative responses (e.g., creative evacuation strategies, collaborative efforts) are recognized as imperative for managing wildfires and their cascading impacts in resource-constrained areas. The findings highlight that achieving equitable and effective preparation, response, and resilience for vulnerable communities requires a comprehensive understanding of wildfire severity and community susceptibility, coupled with active collaboration among emergency managers, policymakers, and both governmental and non-governmental organizations.

The increasing cultural diversity in the United States means more college students identify with racial and ethnic minority backgrounds and may experience acculturative stress. Emerging research has found an association between acculturative stress and maladaptive eating. However, these studies rarely consider other theoretical factors or confounders, and individual differences. Thus, the unique contribution of acculturative stress and the generalizability of previous findings remain unclear.

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