{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:20:59Z","timestamp":1761765659720,"version":"3.40.5"},"reference-count":51,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,9,1]]},"abstract":"<jats:p>Pediatricians are in the unique position of being on the front line of care for children and having access to their families. This article presents both a rationale and the evidence base for identifying the family characteristics and processes that affect child health and suggests approaches that pediatricians can implement to improve the care of children, using data from 3 recent reports of the Institute of Medicine and National Research Council, as well as other recent family research. Evidence regarding the impact on child health of 3 family factors in particular (family composition and living arrangements, family routines, and parental depression) is highlighted, and implications for pediatric practice are described.<\/jats:p>","DOI":"10.1542\/peds.2013-0349","type":"journal-article","created":{"date-parts":[[2013,8,6]],"date-time":"2013-08-06T05:28:52Z","timestamp":1375766932000},"page":"552-559","source":"Crossref","is-referenced-by-count":36,"title":["Rapid Changes in American Family Life: Consequences for Child Health and Pediatric Practice"],"prefix":"10.1542","volume":"132","author":[{"given":"Barbara H.","family":"Fiese","sequence":"first","affiliation":[{"name":"Department of Human and Community Development, University of Illinois at Urbana-Champaign, Champaign, Illinois;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly G.","family":"Rhodes","sequence":"additional","affiliation":[{"name":"Rhodes for Early Learning, LLC, Leesburg, Virginia; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William R.","family":"Beardslee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Boston Children\u2019s Hospital, Harvard University, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2013,9,1]]},"reference":[{"issue":"6 pt 2","key":"2021120902590229400_B1","first-page":"1541","article-title":"Family pediatrics: report of the Task Force on the Family.","volume":"111","author":"Schor","year":"2003","journal-title":"Pediatrics"},{"key":"2021120902590229400_B2"},{"volume-title":"Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities","year":"2009","author":"O'Connell","key":"2021120902590229400_B3"},{"volume-title":"Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention","year":"2009","author":"Institute of Medicine\/National Research Council","key":"2021120902590229400_B4"},{"key":"2021120902590229400_B5","doi-asserted-by":"crossref","DOI":"10.4159\/9780674028845","volume-title":"The Ecology of Human Development","author":"Bronfenbrenner","year":"1979"},{"issue":"1","key":"2021120902590229400_B6","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1097\/IYC.0b013e3182002cfe","article-title":"Why early intervention works: a systems perspective.","volume":"24","author":"Guralnick","year":"2011","journal-title":"Infants Young Child"},{"key":"2021120902590229400_B7","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1017\/CBO9780511529320.009","article-title":"Transactional regulation: the development ecology of early intervention","volume-title":"Handbook of Early Childhood Intervention","author":"Sameroff","year":"2000","edition":"2nd ed."},{"issue":"4","key":"2021120902590229400_B8","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1037\/0893-3200.16.4.381","article-title":"A review of 50 years of research on naturally occurring family routines and rituals: cause for celebration?","volume":"16","author":"Fiese","year":"2002","journal-title":"J Fam Psychol"},{"issue":"1","key":"2021120902590229400_B9","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2011-2663","article-title":"The lifelong effects of early childhood adversity and toxic stress.","volume":"129","author":"Shonkoff","year":"2012","journal-title":"Pediatrics"},{"key":"2021120902590229400_B10"},{"issue":"5","key":"2021120902590229400_B11","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1111\/j.1741-3737.2010.00750.x","article-title":"Marriage and child well-being: research and policy perspectives.","volume":"72","author":"Brown","year":"2010","journal-title":"J Marriage Fam"},{"key":"2021120902590229400_B12"},{"key":"2021120902590229400_B13","first-page":"70","volume-title":"Living arrangements of children: 2004","author":"Kreider","year":"2007"},{"key":"2021120902590229400_B14"},{"volume-title":"Same-Sex Couple Households","year":"2011","author":"Lofquist","key":"2021120902590229400_B15"},{"key":"2021120902590229400_B16","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1111\/j.1741-3737.2010.00797.x","article-title":"The child health disadvantage of parental cohabitation.","volume":"73","author":"Schmeer","year":"2011","journal-title":"J Marriage Fam"},{"issue":"2","key":"2021120902590229400_B17","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.socscimed.2011.04.014","article-title":"Familial instability and young children\u2019s physical health.","volume":"73","author":"Bzostek","year":"2011","journal-title":"Soc Sci Med"},{"issue":"2","key":"2021120902590229400_B18","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1111\/j.1532-7795.2010.00636.x","article-title":"Family structure, family processes, and adolescent smoking and drinking.","volume":"20","author":"Brown","year":"2010","journal-title":"J Res Adolesc"},{"issue":"2","key":"2021120902590229400_B19","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1353\/foc.2010.0002","article-title":"Fragile families and child wellbeing.","volume":"20","author":"Waldfogel","year":"2010","journal-title":"Future Child"},{"issue":"3","key":"2021120902590229400_B20","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1542\/peds.2009-0417","article-title":"Household routines and obesity in US preschool-aged children.","volume":"125","author":"Anderson","year":"2010","journal-title":"Pediatrics"},{"issue":"5","key":"2021120902590229400_B21","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.jneb.2009.11.005","article-title":"The association between family meals, TV viewing during meals, and fruit, vegetables, soda, and chips intake among Latino children.","volume":"43","author":"Andaya","year":"2011","journal-title":"J Nutr Educ Behav"},{"issue":"1","key":"2021120902590229400_B22","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jada.2006.10.010","article-title":"Television watching and frequency of family meals are predictive of overweight onset and persistence in a national sample of school-aged children.","volume":"107","author":"Gable","year":"2007","journal-title":"J Am Diet Assoc"},{"issue":"2","key":"2021120902590229400_B23","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.jadohealth.2008.01.019","article-title":"Family meals and substance use: is there a long-term protective association?","volume":"43","author":"Eisenberg","year":"2008","journal-title":"J Adolesc Health"},{"volume-title":"Family Routines and Rituals","year":"2006","author":"Fiese","key":"2021120902590229400_B24"},{"key":"2021120902590229400_B25"},{"issue":"1","key":"2021120902590229400_B26","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1037\/0893-3200.21.1.95","article-title":"Nighttime waking in children with asthma: an exploratory study of daily fluctuations in family climate.","volume":"21","author":"Fiese","year":"2007","journal-title":"J Fam Psychol"},{"issue":"1","key":"2021120902590229400_B27","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1037\/a0018311","article-title":"Longitudinal relationships between family routines and biological profiles among youth with asthma.","volume":"29","author":"Schreier","year":"2010","journal-title":"Health Psychol"},{"issue":"2","key":"2021120902590229400_B28","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.jpeds.2004.08.083","article-title":"Family asthma management routines: connections to medical adherence and quality of life.","volume":"146","author":"Fiese","year":"2005","journal-title":"J Pediatr"},{"key":"2021120902590229400_B29","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1037\/h0091864","article-title":"Family routines, rituals, and asthma management: A proposal for family based strategies to increase treatment adherence.","volume":"18","author":"Fiese","year":"2001","journal-title":"Fam Syst Health"},{"issue":"7","key":"2021120902590229400_B30","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1111\/j.0956-7976.2005.01575.x","article-title":"The role of chaos in poverty and children\u2019s socioemotional adjustment.","volume":"16","author":"Evans","year":"2005","journal-title":"Psychol Sci"},{"issue":"2","key":"2021120902590229400_B31","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1080\/15295190903212844","article-title":"Parental ADHD symptomology and ineffective parenting: The connecting link of home chaos.","volume":"10","author":"Mokrova","year":"2010","journal-title":"Parent Sci Pract"},{"issue":"3","key":"2021120902590229400_B32","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1037\/a0028331","article-title":"Socioeconomic risk moderates the link between household chaos and maternal executive function.","volume":"26","author":"Deater-Deckard","year":"2012","journal-title":"J Fam Psychol"},{"issue":"6","key":"2021120902590229400_B33","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.1111\/j.1467-8624.1998.tb06174.x","article-title":"Chronic residential crowding and children\u2019s well-being: an ecological perspective.","volume":"69","author":"Evans","year":"1998","journal-title":"Child Dev"},{"issue":"2","key":"2021120902590229400_B34","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1037\/0012-1649.43.2.341","article-title":"Cumulative risk, maternal responsiveness, and allostatic load among young adolescents.","volume":"43","author":"Evans","year":"2007","journal-title":"Dev Psychol"},{"key":"2021120902590229400_B35"},{"key":"2021120902590229400_B36","unstructured":"US Preventive Services Task Force. Screening for depression in adults, topic page. Available at: www.uspreventiveservicestaskforce.org\/uspstf\/uspsaddepr.htm. Accessed February 16, 2012"},{"key":"2021120902590229400_B37","unstructured":"System CCHaDI. Family meal times build strong family bonds. Available at: www.extension.org\/pages\/22968\/family-meal-times-build-strong-family-bonds. Accessed November 7, 2012"},{"issue":"3","key":"2021120902590229400_B38","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.pop.2008.06.002","article-title":"Bedtime problems and night wakings in children.","volume":"35","author":"Moore","year":"2008","journal-title":"Prim Care"},{"issue":"2","key":"2021120902590229400_B39","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/01.DBP.0000267556.80834.ac","article-title":"Society for Developmental and Behavioral Pediatrics 2006 presidential address: Coming full circle: reflections at the interface of developmental-behavioral and general pediatrics.","volume":"28","author":"Dworkin","year":"2007","journal-title":"J Dev Behav Pediatr"},{"issue":"6","key":"2021120902590229400_B40","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1097\/MOP.0b013e3280106239","article-title":"Prevention of behavioral disorders in primary care.","volume":"18","author":"Bauer","year":"2006","journal-title":"Curr Opin Pediatr"},{"journal-title":"J Nutr Educ Behav","article-title":"Six-week Latino family prevention pilot program effectively promotes healthy behaviors and reduces obesogenic behaviors [published online ahead of print May 30, 2013].","author":"Hammons","key":"2021120902590229400_B41"},{"issue":"4","key":"2021120902590229400_B42","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1037\/0893-3200.21.4.703","article-title":"Long-term effects from a randomized trial of two public health preventive interventions for parental depression.","volume":"21","author":"Beardslee","year":"2007","journal-title":"J Fam Psychol"},{"issue":"2","key":"2021120902590229400_B43","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1111\/j.1545-5300.2009.01281.x","article-title":"Adaptation of the preventive intervention program for depression for use with predominantly low-income Latino families.","volume":"48","author":"D\u2019Angelo","year":"2009","journal-title":"Fam Process"},{"issue":"4","key":"2021120902590229400_B44","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1111\/j.1939-0025.2010.01051.x","article-title":"Family Connections: an approach for strengthening early care systems in facing depression and adversity.","volume":"80","author":"Beardslee","year":"2010","journal-title":"Am J Orthopsychiatry"},{"issue":"2","key":"2021120902590229400_B45","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1080\/14623730.2011.9715651","article-title":"Adaptation of a preventive intervention approach to strengthen families facing adversities, especially depression. Costa Rica: initial systems approaches and a case example.","volume":"13","author":"Beardslee","year":"2011","journal-title":"Int J Ment Health Promot"},{"key":"2021120902590229400_B46","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1080\/14623730.2009.9721796","article-title":"Safety, feasibility and family experiences of preventive interventions for children and families with parental depression.","volume":"11","author":"Solantaus","year":"2009","journal-title":"Int J Ment Health Promot"},{"issue":"7","key":"2021120902590229400_B47","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1046\/j.1525-1497.1997.00076.x","article-title":"Case-finding instruments for depression. Two questions are as good as many.","volume":"12","author":"Whooley","year":"1997","journal-title":"J Gen Intern Med"},{"key":"2021120902590229400_B48"},{"issue":"7521","key":"2021120902590229400_B49","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1136\/bmj.38607.464537.7C","article-title":"Effect of the addition of a \u201chelp\u201d question to two screening questions on specificity for diagnosis of depression in general practice: diagnostic validity study.","volume":"331","author":"Arroll","year":"2005","journal-title":"BMJ"},{"issue":"4","key":"2021120902590229400_B50","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1037\/a0024254","article-title":"Family group cognitive-behavioral preventive intervention for families of depressed parents: 18- and 24-month outcomes.","volume":"79","author":"Compas","year":"2011","journal-title":"J Consult Clin Psychol"},{"issue":"1","key":"2021120902590229400_B51","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1093\/sw\/45.1.73","article-title":"Mental health services in faith communities: the role of clergy in black churches.","volume":"45","author":"Taylor","year":"2000","journal-title":"Soc Work"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/132\/3\/552\/1090817\/peds_2013-0349.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/132\/3\/552\/1090817\/peds_2013-0349.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T02:29:41Z","timestamp":1715826581000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/132\/3\/552\/31623\/Rapid-Changes-in-American-Family-Life-Consequences"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,1]]},"references-count":51,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2013,9,1]]},"published-print":{"date-parts":[[2013,9,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2013-0349","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"type":"print","value":"0031-4005"},{"type":"electronic","value":"1098-4275"}],"subject":[],"published":{"date-parts":[[2013,9,1]]}}}