Italian Children Research Articles

Sleep Disturbances and Co-sleeping in Italian Children and Adolescents with Autism Spectrum Disorder.

The current study aimed (1) to provide an analysis of the frequency and prevalence of sleep disturbances in a large Italian sample of children and adolescents with ASD, detecting specific predictors of the presence/absence of sleep disorders, (2) to examine the phenomenon of co-sleeping within a subgroup of participants with ASD. A total of 242 children and adolescents with ASD (194 males, mean age 5.03 ± 3.15years) were included. After the diagnostic procedure, caregivers were requested to complete the Sleep Disturbance Scale for Children (SDSC) to assess sleep disorders among participants. The presence of co-sleeping was investigated in a subgroup of 146 children and adolescents with ASD. An elevated or clinically relevant global score for sleep disorders (≥ 60) was found in 33% of participants. The most prevalent sleep disorder in our group was related to difficulties with sleep onset and sleep maintenance (~ 41% of cases). Sleep disturbances were predicted by higher intelligence quotient (IQ)/developmental quotient (DQ), increased internalizing problems, and elevated parental stress. The subgroup of participants engaged in co-sleeping (N = 87) were younger and had lower IQ/DQ scores, reduced adaptive functioning, and diminished psychological wellbeing than the non-co-sleeping group. Our findings are consistent with the current literature highlighting that insomnia is the most widespread sleep problem associated with ASD. The relationship between IQ/DQ and sleep alterations is a crucial topic that deserves additional research. Future studies should assess sleep by objective measures such as EEG topography to better understand the mechanisms underlying sleep alterations in this neurodevelopmental disorder.

Dietary habits in Italian children with inflammatory bowel disease: A case-control multicenter study.

Patients with inflammatory bowel disease (IBD) tend to self-modify their dietary habits according to disease activity and symptoms. This study aimed to assess the adequacy of the usual diet in Italian children with IBD in comparison to a control group and to the recommended dietary allowances (RDA). Dietary habits of IBD children and age- and gender-matched healthy controls were investigated using a validated Food Frequency Questionnaire in five Italian pediatric IBD centers. Adherence to the Mediterranean diet (MD) was assessed using the KID-MED test. Energy (EI), macro, and micronutrients intakes were compared between the two groups, to the RDA and the predicted total energy expenditure (EI/total energy expenditure [TEE]%). IBD subjects (n = 110) reported a lower EI, EI/RDA%, and EI/TEE% compared to controls (n = 110) (p = 0.012, p < 0.0002, and p = 0.014), lower total protein and fat intakes (p = 0.017, p < 0.0001) and lower minerals/RDA, vitamins/RDA and micronutrients/RDA ratio (%). Poor adherence to the MD was more frequent in IBD children compared to controls (p = 0.013). The total EI and carbohydrate intake were inversely correlated with higher disease activity. Italian children with IBD report an inadequate diet in terms of energy, macro, and micronutrients and have a low adherence to a high-quality MD pattern.

The relationship between receptive vocabulary and word and nonword reading skills in monolingual and language minority bilingual children in Italy across primary school grades

ABSTRACT The role of children's receptive vocabulary knowledge in word and nonword reading (decoding) in an orthographically transparent language is debated. Moreover, we have little understanding of how the role of vocabulary might differ between monolingual children and bilingual children from immigrant families (or language minority bilingual children (LMBC)) at different stages of reading development. This study examined the relation of receptive vocabulary to word and nonword reading accuracy and speed in 140 monolingual and bilingual students attending Grades 1, 3, or 5 in Italy. Both receptive vocabulary and reading performance were assessed using standardized tests in Italian. Regression models showed that for monolingual Italian children receptive vocabulary was related to word reading accuracy and speed in Grade 1 and word reading accuracy in Grade 5. In the LMBC group, receptive vocabulary was related to word and nonword reading accuracy and speed in Grade 1, to word reading accuracy in Grade 3, and to word reading speed in Grade 5. These findings suggest that vocabulary knowledge supports reading even in the earlier stages of reading development in a language with transparent orthography and underscore the importance of strengthening and assessing LMBC's receptive vocabulary for the adequate development of their reading skills.

Academic achievement and healthy lifestyle habits in primary school children: an interventional study.

First, to examine the relationship between primary school children's academic achievement and healthy lifestyle habits. Second, to evaluate the effectiveness of two different 5-month physical education interventions (traditional physical education vs. coordinative physical education) on children's academic achievement. Third, to examine whether variations of anthropometric variables, fitness level, gross motor coordination, physical activity level, sedentary time, attentional performance, fruit and vegetable consumption, meal frequency and type of physical education intervention could predict children's academic achievement variations. Before and after the intervention, Italian language and mathematics skills, anthropometric variables (weight, height, body fat percentage, BMI), physical fitness (aerobic fitness, muscular strength, flexibility), gross motor coordination, attentional performance (processing speed, concentration performance, performance accuracy, attentional and inhibitory control), physical activity level, sedentary time and eating habits (meal frequency, fruit and vegetable consumption) were assessed in 161 Italian primary school children, randomly assigned to a traditional physical education group or to a coordinative physical education group. Physical activity level, gross motor coordination and aerobic fitness moderately predicted mathematics skill (R2 = 17%). Moreover, physical activity level, aerobic fitness and muscular strength moderately predicted Italian language skill (R2 = 21%). Intervention type differently affected academic achievement. Specifically, Italian language and mathematics skills significantly improved only after traditional intervention. Fruit consumption increase was positively associated with the improvement in academic achievement. Coordinative physical education intervention was associated with a lower probability of improvement in Italian language and mathematical skills. Motor ability and lifestyle habits may have a positive influence on academic achievement in children. Unexpectedly, traditional physical education intervention resulted to be more effective on both Italian language and mathematical skills.

Pecos Bill and the campaign against children’s Comics in Postwar Italy

ABSTRACT This essay studies the case of Pecos Bill: The Legendary Hero of Texas, a western comic published in Italy by Mondadori from 1949 to 1954. I analyze the series in the context of the widespread national campaign against comics and in relation to the cultural politics of Mondadori’s corporate partner Walt Disney. Both Catholic and Leftist critics condemned western fictions because of their violent and sexual content. Debates about children’s magazines and their educational purposes, on the other hand, were minimally concerned with how western narratives represented race, ethnicity, or gender. Pecos Bill was blacklisted,even though Mondadori’s cowboy is a wholesome hero who never fires a gun. Starting from this discrepancy, my analysis sheds light on the contradictions within the campaign against comics and explores issues of identity politics in Italian children’s readings. I demonstrate that representations of Mexican and African characters, as well as of whiteness and of American history, promoted the same anti-leftist and racist discourses of Disney’s western fictions at the time of the Cold War.

The relationship between parental anxiety, fear of Covid‐19, partner involvement in children's care and sleep quality during the Covid‐19 pandemic in Italy

AbstractDuring the Covid‐19 pandemic new stressors were added to the usual challenges parents face, changing habits and reduced physical activity, all factors that negatively affect sleep quality in adults and children. This study examines (1) possible changes in the sleep‐wake patterns of parents and children before and after the March–May 2020 lockdown and during the new restrictions imposed by the Italian government in March 2021; (2) possible associations between children and parents' sleep quality reported by parents and intrinsic and extrinsic factors. A total of 264 Italian parents with children aged 1–6 years (M = 40 months, SD = 18.18) completed self‐report questionnaires. Children's sleep habits changed, and parental insomnia symptoms worsened after the March–May 2020 lockdown, while children's insomnia symptoms decreased. Positive associations between children's negative affectivity and insomnia symptoms emerged, as well as between generalized parental anxiety and parental insomnia symptoms and between parental fear of Covid‐19 and sleep‐related habits not in line with paediatric recommendations. Partner's involvement in children's care promoted good sleep habits. Results identified risks and protective factors that could impact Italian parents' and children's sleep during the second wave of the Covid‐19 pandemic, raising awareness among families, education practitioners, healthcare providers and the general public.Highlights Italian children's sleep habits changed, and parental insomnia symptoms worsened after the March–May 2020 lockdown, while children's insomnia symptoms decreased. During the second wave of the Covid‐19 pandemic, higher levels of children's temperamental negative affectivity were associated with higher levels of parental and children's insomnia, higher levels of parental anxiety, and the presence of children's sleep‐related habits not in line with pediatric recommendations. Partner's involvement in children's care promoted good and healthy children's sleep habits.

The role of lexical and prosodic characteristics of mothers' child-directed speech for the early vocabulary development of Italian children with cochlear implants.

Variability in the vocabulary outcomes of children with cochlear implants (CIs) is partially explained by child-directed speech (CDS) characteristics. Yet, relatively little is known about whether and how mothers adapt their lexical and prosodic characteristics to the child's hearing status (before and after implantation, and compared with groups with normal hearing (NH)) and how important they are in affecting vocabulary development in the first 12 months of hearing experience. To investigate whether mothers of children with CIs produce CDS with similar lexical and prosodic characteristics compared with mothers of age-matched children with NH, and whether they modify these characteristics after implantation. In addition, to investigate whether mothers' CDS characteristics predict children's early vocabulary skills before and after implantation. A total of 34 dyads (17 with NH, 17 with children with CIs; ages = 9-32 months), all acquiring Italian, were involved in the study. Mothers' and children's lexical quantity (tokens) and variety (types), mothers' prosodic characteristics (pitch range and variability), and children's vocabulary skills were assessed at two time points, corresponding to before and 1 year post-CI activation for children with CIs. Children's vocabulary skills were assessed using parent reports; lexical and prosodic characteristics were observed in semi-structured mother-child interactions. Results showed that mothers of children with CIs produced speech with similar lexical quantity but lower lexical variety, and with increased pitch range and variability, than mothers of children with NH. Mothers generally increased their lexical quantity and variety and their pitch range between sessions. Children with CIs showed reduced expressive vocabulary and lower lexical quantity and variety than their peers 12 months post-CI activation. Mothers' prosodic characteristics did not explain variance in children's vocabulary skills; their lexical characteristics predicted children's early vocabulary and lexical outcomes, especially in the NH group, but were not related to later language development. Our findings confirm previous studies on other languages and support the idea that the lexical characteristics of mothers' CDS have a positive effect on children's early measures of vocabulary development across hearing groups, whereas prosodic cues play a minor role. Greater input quantity and quality may assist children in the building of basic language model representations, whereas pitch cues may mainly serve attentional and emotional processes. Results emphasize the need for additional longitudinal studies investigating the input received from other figures surrounding the child and its role for children's language development. What is already known on the subject Mothers' CDS is thought to facilitate and support language acquisition in children with various language developmental trajectories, including children with CIs. Because children with CIs are at risk for language delays and have acoustic processing limitations, their mothers may have to produce a lexically simpler but prosodically richer input, compared to mothers of children with NH. Yet, the literature reports mixed findings and no study to our knowledge has concurrently addressed the role of mothers' lexical and prosodic characteristics for children's vocabulary development before implantation and in the first 12 months of hearing experience. What this study adds to the existing knowledge The study shows that mothers of children with CIs produce input of similar quantity but reduced variety, and with heightened pitch characteristics, compared to mothers of children with NH. There was also a general increase in mothers' lexical quantity and variety, and in their pitch range, between sessions. Only their lexical characteristics predicted children's early vocabulary skills. Their lexical variety predicted children's expressive vocabulary and lexical variety only in the NH group. What are the practical and clinical implications of this work? These findings expand our knowledge about the effects of maternal input and may contribute to the improvement of early family-centred intervention programmes for supporting language development in children with CIs.

The interplay between ego-resiliency, math anxiety and working memory in math achievement

Previous research has suggested that math anxiety may contribute to poor math performance by interfering with working memory. However, only a limited number of studies investigated the mediating role of working memory in the math anxiety-math performance link in school-aged children. Unlike math anxiety, ego-resiliency is a personality resource that promotes the management of challenges and has been positively associated with math performance and negatively with anxiety. Nevertheless, there is still limited understanding regarding the specific role of ego-resiliency in math learning and how it relates to math anxiety. This study aimed to investigate conjunctly the interplay between primary school children’s ego-resiliency, math anxiety, working memory, and performance on two different math tasks (i.e., arithmetic task and word problem-solving task), after controlling for general anxiety and age. The study involved 185 Italian children from grades 3 to 5. Serial multi-mediational analyses revealed that: (1) ego-resiliency has a positive indirect effect on math achievement through two paths - math anxiety, and math anxiety and working memory; (2) the study replicated previous findings showing that working memory partially mediated the relationship between math anxiety and math performance; (3) similar patterns of results were found for both math skills. The study identifies ego-resiliency as a possible protective factor in the development of math anxiety and suggests that ego-resiliency could be worth considering when designing interventions aimed at reducing negative emotions towards mathematics.

Children's nocturnal awakenings and sleep duration during the first two years of life in the NASCITA cohort study

PurposePrevious studies have analyzed the characteristics and prevalence of sleep disturbances among Italian children. Less attention has been paid, however, to the factors involved in sleep disturbances in the first two years of life. The goals of the present study were, therefore: 1) to provide a developmental trajectory of Italian infants' night awakenings and duration during the first two years of life and 2) to analyze which factors affect night awakenings the most over time. MethodsData for this study were collected in the NASCITA cohort. During the well-child visits conducted at 6, 12, and 24 months, pediatricians asked parents to report if the child had any sleep disturbances, especially frequent night awakenings. Univariate and multivariable analyses were performed to test the association between child and family variables and the likelihood of frequent awakenings. Results2973 toddlers, out of 5054 initially enrolled newborns, were included in this study; 875 (29.4 %) of whom presented frequent awakenings in at least one visit (peak of prevalence of 19.8 % at 12 months). Bed-sharing (adjusted OR 2.53; 95%CI:2.05–3.12) and living in the northern Italy (aOR 2.25; 95%CI:1.80–2.81) were the variables more strongly associated with an increased likelihood of frequent awakenings in the binomial logistic regression, while sleeping alone was associated with a decreased chance (aOR 0.62; 95%CI 0.45–0.89). A short sleep duration (<11 h/day) was reported for 801 (26.9 %) at 12 months, for 743 (25.0 %) at 24 months of age; in 383 cases, the short sleep duration was reported at both time points. An association was observed between frequent awakenings at 12 or 24 months and short sleep duration (OR 1.23; 95%CI 1.05–1.44 -ꭓ2 6.25, p = 0.012). ConclusionsThe current study identified some early predictors of frequent awakenings during the first two years of life. Since optimal sleep practices in children are essential for their development, effective, early interventions must be defined and integrated into pediatric care practices.

Routine del sonno e risvegli notturni nei bambini durante i primi due anni di vita

Background - Previous studies analyzed the characteristics and prevalence of sleep problems in Italian children. However, less attention is shed on the factors involved in sleep disturbances in the first two years of life. Aims - To provide a developmental trajectory of Italian infants’ sleep patterns during the first two years of life and to analyze what factors affect it most over time. Materials and Methods - Data for this study were collected within the NASCITA cohort. During the well-child visits conducted at 6, 12, and 24 months, paediatricians asked parents to report if their children had any sleep disturbances, particularly frequent night awakenings. Univariate and multivariable analyses were performed to test the association between child and family variables and the likelihood of frequent awakenings. Results - 2,973 toddlers were included in this study; 875 (29.4%) toddlers presented frequent awakenings in at least one visit (peak of prevalence of 19.8% at 12 months). Bed-sharing (adjusted OR 2.53; 95% CI: 2.05-3.12) and living in the North of Italy (aOR 2.25; 95% CI:1.80-2.81) were the variables more strongly associated with an increased likelihood of frequent awakenings in the binomial logistic regression, while sleeping alone was associated with a decreased chance (aOR 0.62; 95% CI 0.45-0.89). Conclusion - The current study identifies some early predictors of frequent awakenings during the first two years of life. Since optimal sleep practices in children are essential for their development, paediatric care practices must define and integrate early effective interventions.

The Intergenerational Transmission of Pro-Environmental Behaviours: The Role of Moral Judgment in Primary School-Age Children

The environmental crisis poses a critical issue for current and future generations, driving research to investigate the key factors and psychological characteristics that motivate individuals to engage in pro-environmental behaviours (PEBs) from an early age. In this context, intergenerational transmission—which refers to how parents influence their children’s behaviour—plays a crucial role in initiating and promoting eco-friendly practices. From a children-centred perspective, the current study focused on the intergenerational transmission of PEBs, addressing the moderating role of children’s moral judgment. This latter was evaluated considering general moral judgment (i.e., moral transgressions, social-conventional transgressions, and non-harmful personal choices) and domain-specific environmental moral judgment (i.e., harmful actions with no specific victim, harmful actions to animals, and harmful actions to plants/trees). This study was carried out with 229 triads of Italian children (Mage = 8.54 years; SDage = 1.46 years; rangeage 6–11 years, 130 girls and 99 boys), fathers (Mage = 45.73 years; SDage = 5.07 years; rangeage 29–64 years), and mothers (Mage = 42.56 years; SDage = 4.67 years; rangeage 28–57 years). Results revealed that only the moral evaluations on harmful actions directed at animals (B = 0.32, SE = 0.15, t = 2.18, CI 95% = [0.030, 0.612]) and those towards plants/trees (B = 0.19, SE = 0.08, t = 2.49, CI 95% = [0.369, 0.342]) moderated the association between parents’ PEBs and children’s PEBs, boosting the intergenerational transmission of PEBs. Overall, this research yielded novel evidence on the main factors affecting the intergenerational transmission of PEBs, suggesting moral judgment as a critical mechanism in nurturing pro-environmental practices in school-age children. Implications, limitations, and future research directions are discussed.

Impact of SARS-CoV-2 Pandemic on Emergency Hospitalizations for Acute Respiratory Infections: The Experience of a Paediatric Tertiary Care Hospital in Italy.

Acute respiratory infections (ARIs) are a major healthcare issue in children. The SARS-CoV-2 pandemic changed the epidemiology of ARIs; the aims of this study are to characterize the epidemiological trend of ARI emergency hospitalizations and virology results and to estimate the association of ARI emergency hospitalizations with respiratory viruses from January 2018 to June 2023. This study was carried out in an Italian tertiary care children's hospital (Bambino Gesù Children's Hospital). The demographic and clinical information of children who accessed the Emergency Department (ED) with ARI and were hospitalized were retrospectively extracted from the electronic health records. Multivariate linear regression model was used to compare the number of ARI hospital admissions with the reported temporal trends in viruses diagnosed from respiratory samples throughout the same time period. During the study period, there were 92,140 ED visits and 10,541 hospitalizations due to ARIs, reflecting an admission rate of 11.4%. The highest proportion of hospitalizations occurred in infants ≤ 1 year of age (n = 4840, 45.9% of total admissions), with a hospitalization rate of 22.6%. Emergency hospitalizations aligned closely with the predictions made by the multivariate regression model; peaks in hospitalizations reflected Respiratory Syncytial Virus (RSV) circulation. ARI hospital urgent admissions are a relevant component of ARI disease burden in children. RSV prevention and control are crucial to limit the risk of urgent hospitalizations due to ARIs.

Bidirectional longitudinal associations between parental self-efficacy and child rule-breaking behaviours: A random-intercept cross-lagged panel study.

Parental self-efficacy (PSE) is a pivotal determinant of change in children's adjustment. However, not only has previous research shown that PSE plays a protective role for children's rule-breaking (RB) behaviours (i.e., parent-driven process), but RB also can reduce parents' PSE over-time (i.e., child-driven process). This study examined the bidirectional longitudinal associations between PSE and RB behaviours by disentangling maternal from paternal influences and between- from within-person effects. In the present seven-wave longitudinal study involving 200 Italian children (T1: Mage = 9.80, SD = 0.65; 50.5% girls), their mothers (N = 200) and fathers (N = 190), two random-intercept cross-lagged panel models (one for mothers and one for fathers) were used to explore whether: (a) stable parts of PSE and RB were related to each other, (b) higher levels of PSE were associated with lower levels of RB at a given time point, and (c) higher levels of PSE at a given time point were associated with future lower levels of RB. Results provided evidence both for a parent- and a child-driven process between mothers' PSE and children's RB behaviours. However, these results were not replicated for fathers. Implications are discussed.

Longitudinal associations between positive parenting and youths’ engagement in sexting behaviors: The mediating role of filial self-efficacy beliefs

Youths who enter emerging adulthood with a background of familial relations grounded in positive parent-child interactions are better equipped to cope with transitional stressors, to voice effectively their opinions with parents, and to resist engaging in risky activities. However, little is known about the longitudinal associations between positive parenting, filial self-efficacy beliefs and youths' engagement in sexting behaviors. This study examined if positive parenting (mothers' and fathers' reports at children ages 13, 14, and 15) were related to youths' engagement in sexting behaviors (child's reports at age 19) both directly and indirectly, through adolescents perceived filial self-efficacy beliefs (child's reports at age 18). Participants included 194 Italian children (MAgeAtTime1 = 13.54, 52.6% girls), their mothers (n = 193), and fathers (n = 150), who provided data across five waves over seven years. The mediation model was tested through a path analysis. Overall, results showed that, controlling for child gender and family SES, the effect of positive parenting on sexting behaviors was fully mediated by higher levels of perceived filial self-efficacy beliefs. The study reveals filial self-efficacy beliefs as central to the benefits conveyed to teens by parents in reducing their sexting behaviors.

No COVID-19 pandemic impact on incidence and clinical presentation of celiac disease in Italian children.

We aimed to evaluate the impact of Coronavirus Disease-19 (COVID-19) pandemic on the incidence and clinical presentation of celiac disease (CD) in children. The diagnoses of CD were compared between the COVID-19 pandemic (from April 2020 to March 2022) and the pre-pandemic period (from April 2018 to March 2020) in three Italian Paediatric Gastroenterology centres (Varese, Como, Catanzaro). Electronic patient records were reviewed and additional information were collected through parental interview. The diagnosis of CD was made according to ESPGHAN criteria. SARS-CoV-2 infection was diagnosed based on pre-vaccination positive serum antibodies or nasopharyngeal swabs. Z test and chi-square were used for statistical analysis. The overall number of paediatric diagnosis of CD did not differ between the two years pre-pandemic and pandemic periods (177 and 172 cases) in the three Italian participating centres. Clinical presentation of CD was also similar throughout the study periods. SARS-CoV-2 infection has been documented in 10.6% of children but only in 5.8% of these occurred before CD diagnosis. Different to what reported for other autoimmune diseases, the incidence and presenting symptoms of CD in our paediatric population did not change during the COVID-19 pandemic compared to the previous 2 years.

Quadrivalent Live-Attenuated Influenza Vaccine in Milan preschools: an Italian experience of school-located flu vaccination within the 2022–2023 season

BackgroundIn Italy, since the 2020–2021 flu season, the flu vaccine recommendation was extended to all children aged 6 months to 6 years and quadrivalent Live-Attenuated Influenza Vaccine (qLAIV) was introduced. Since school-aged children are important carriers of annual influenza epidemics, a school-based influenza vaccination program may potentially increase vaccine uptake. Recent studies, conducted in the UK and the US, show that school-based vaccination can reach higher percentage of paediatric vaccination coverage compared to children vaccinated in other settings.MethodsDuring 2022–2023 flu season in 9 preschools located in Milan healthcare personnel vaccinated children with qLAIV at the end of a school day. A Google Form questionnaire was administered to preschoolers’ parents of all preschools within the Municipality of Milan.ResultsIn the preschools engaged in the vaccination program, 233 out of 1939 children were vaccinated (12%). Among these, 61 (26.2%) had never been vaccinated for influenza before. Vaccination coverage was 11.5% for Italian children and 14.3% for children coming from an immigrant background.We collected 3659 questionnaire responses, divided according to study participation status (371 from preschools that participated in the vaccination program and 3288 from other preschools in Milan). 57% of the families who answered to the questionnaire vaccinated their children for flu. qLAIV accounted for 85.6% of vaccinations. We observed a statistically significant difference in the percentage of vaccinated children between those attending a school participating in the project (67.9%) and children attending other schools (56%) (p < 0.001). Vaccination was administered by family pediatricians (48.9%), in vaccination centers (34.8%), in vaccine hubs (11.3%), in schools (2.6%), by private pediatricians (1.6%) and in other settings (0.7%). Focusing on the responses from families whose children attend schools participating in the vaccination program, 21.8% stated that the vaccination was provided in school.ConclusionAccording to our experience, in Italy, at the moment, only the cooperation between health providers and alternative settings, including schools, may expand flu vaccination coverage. In particular, schools are to be considered a place to inform and reach out to families, useful to increase vaccination coverage.

Evaluation of the Psychometric Properties of the Movement Assessment Battery Second Edition (M-ABC2): A Cross-Sectional Study.

This cross-sectional study assessed the psychometric properties of the movement assessment battery for children second edition (M-ABC2) in Italian children with typical development, focusing on reliability and percentile rank establishment. The M-ABC2 is widely utilized but lacks validation in Italian populations. One hundred and eight children were recruited. Test-retest reliability was evaluated using intra-class correlation coefficients (ICCs), indicating good to excellent reliability across age groups, albeit with outliers requiring further scrutiny. Standard scores and percentile ranks were established, revealing age-related variations in motor performance. Noteworthy differences in completion times and error rates were observed among the age groups, highlighting the dynamic nature of motor development. While the findings provide valuable insights for clinicians and researchers, limitations such as sample size and geographic representation should be addressed in future studies. This study underscores the importance of employing reliable assessment tools for comprehensive understanding and effective intervention in pediatric motor development.

The development of intent-based trust in moral testimony

Research has shown that by age 5–6 years, children fully integrate information about agents’ mental states into their verbal moral judgments: When asked to say whether an agent is morally good or bad, they rely on the agent’s intentions more than on its action’s outcomes. Research has also shown that from an early age, children use a plethora of social and moral cues when deciding whom to trust in learning and testimony situations. Here, for the first time, we asked if and how children’s trust in informants who relay information about the moral character of a novel agent is influenced by the valence of the intentions underlying the informants’ prior actions. Italian children aged 6 to 10 years (n = 219, 112 female) were first presented with two puppets and asked to judge them. One puppet accidentally caused harm (neutral intention, negative outcome), the other attempted but failed to do so (negative intention, neutral outcome). Next, the puppets gave contrasting testimonies about whether a novel agent was good or bad. Findings revealed that the tendency to trust the assessment of the well-intentioned puppet concerning the novel agent emerged at age 8, whereas younger children simply showed to believe that the novel agent was good, regardless of the testimonies they received. These results suggest that despite the ability to generate intent-based moral judgments emerges at age 5–6, the tendency to rely on intentions underlying past actions of informants when assessing informants’ testimonies about the moral character of a third party undergoes significant change in childhood.

Development and Evaluation of the Italian Version of the Dichotic Digit Test: Insights from 39 Normal-Hearing Children Aged 11 to 13 years.

BACKGROUND The dichotic digit test (DDT) is one of the tests for the behavioral assessment of central auditory processing. Dichotic listening tests are sensitive ways of assessing cortical structures, the corpus callossum, and binaural integration mechanisms, showing strong correlations with learning difficulties. The DDT is presently available in a number of languages, each appropriate for the subject's native language. However, there is presently no test in the Italian language. The goal of this study was to develop an Italian version of the one-pair dichotic digit test (DDT-IT) and analyze results in 39 normal-hearing Italian children 11 to 13 years old. We used 2 conditions of presentation: free recall and directed attention (left or right ear), and looked at possible effects of sex and ear side. MATERIAL AND METHODS This study involved 3 steps: creation of the stimuli, checking their quality with Italian speakers, and assessment of the DDT-IT in our subject pool. The study involved 39 children (26 girls and 13 boys), aged 11-13 years. All participants underwent basic audiological assessment, auditory brainstem response, and then DDT-IT. RESULTS Results under free recall and directed attention conditions were similar for right and left ears, and there were no sex or age effects. CONCLUSIONS The Italian version of DDT (DDT-IT) has been developed and its performance on 39 normal-hearing Italian children was assessed. We found there were no age or sex effects for either the free recall condition or the directed attention condition.

Pre-COVID-19-pandemic RSV epidemiology and clinical burden in pediatric primary care in Italy: a comparative analysis across two regions for the 2019/2020 season

BackgroundRespiratory syncytial virus (RSV) infection in children under 5 years have a significant clinical burden, also in primary care settings. This study investigates the epidemiology and burden of RSV in Italian children during the 2019/20 pre-pandemic winter season.MethodsA prospective cohort study was conducted in two Italian regions. Children with Acute Respiratory Infection (ARI) visiting pediatricians were eligible. Nasopharyngeal swabs were collected and analyzed via multiplex PCR for RSV detection. A follow-up questionnaire after 14 days assessed disease burden, encompassing healthcare utilization and illness duration. Statistical analyses, including regression models, explored associations between variables such as RSV subtype and regional variations.ResultsOf 293 children with ARI, 41% (119) tested positive for RSV. Median illness duration for RSV-positive cases was 7 days; 6% required hospitalization (median stay: 7 days). Medication was prescribed to 95% (110/116) of RSV cases, with 31% (34/116) receiving antibiotics. RSV subtype B and regional factors predicted increased healthcare utilization. Children with shortness of breath experienced a 36% longer illness duration.ConclusionsThis study highlights a significant clinical burden and healthcare utilization associated with RSV in pre-pandemic Italian primary care settings. Identified predictors, including RSV subtype and symptomatology, indicate the need for targeted interventions and resource allocation strategies. RSV epidemiology can guide public health strategies for the implementation of preventive measures.