Sleep problems and sleep disorders in pediatric primary care: treatment recommendations, persistence, and health care utilization.

Study Objective: This study examined documented treatment recommendations provided for sleep disorders and sleep problems in pediatric primary care, the persistence of sleep problems and sleep disorders in children and adolescents, and the relationship between sleep issues and health care utilization.

Methods: In-depth chart review of pediatric primary care patient visits (n = 750 patients) from 2007 through 2010.

Results: Only 26 children (5.

The impact of age on outcomes in chronic obstructive pulmonary disease differs by relationship status.

Alpha-1 antitrypsin deficiency (AATD) is a genetic condition that can lead to early-onset chronic obstructive pulmonary disease (COPD). The objective of this study was to examine the impact of age on psychological and clinical outcomes among individuals with AATD-associated COPD. 468 individuals with AATD-associated COPD (age 32-84 at baseline) completed questionnaires at baseline, 1- and 2-year follow-up.

Behavioral and characterological self-blame in chronic obstructive pulmonary disease.

Objective: To assess behavioral and characterological self-blame, identify demographic and relational correlates of self-blame, and determine the association of self-blame with psychological and clinical outcomes of chronic obstructive pulmonary disease (COPD).

Methods: Data were collected via self-report questionnaires completed by 398 individuals with COPD who had at least a 10 pack-year history of smoking. Behavioral and characterological self-blame were measured, and multiple regression was used to identify correlates of both types of self-blame.