Introduction: Given the vulnerability of children during the COVID-19 pandemic, paying close attention to their wellbeing at the time is warranted. The present protocol-based systematic mixed-studies review examines papers published during 2020–2022, focusing on the impact of the COVID-19 pandemic on children's internalizing/externalizing symptoms and the determinants thereof.Method: PROSPERO: CRD42022385284. Five databases were searched and the PRISMA diagram was applied. The inclusion criteria were: papers published in English in peer-reviewed journals; papers published between January 2020 and October 2022 involving children aged 5–13 years; qualitative, quantitative, and mixed studies. The standardized Mixed Method Appraisal Tool protocol was used to appraise the quality of the studies.Results: Thirty-four studies involving 40,976 participants in total were analyzed. Their principal characteristics were tabulated. The results showed that children's internalizing/externalizing symptoms increased during the pandemic, largely as a result of disengagement from play activities and excessive use of the internet. Girls showed more internalizing symptoms and boys more externalizing symptoms. Distress was the strongest parental factor mediating children's internalizing/externalizing symptoms. The quality of the studies was appraised as low (n= 12), medium (n= 12), and high (n= 10).Conclusion: Gender-based interventions should be designed for children and parents. The studies reviewed were cross-sectional, so long-term patterns and outcomes could not be predicted. Future researchers might consider a longitudinal approach to determine the long-term effects of the pandemic on children's internalizing and externalizing symptoms.Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022385284, identifier: CRD42022385284.

According to parentification theory, when the siblings of a brother/sister with disabilities assume parent-like duties, this role reversal is known as sibling-focused parentification. It has a significant impact on these siblings’ distress and the quality of their family relationships; 605 Italian adult siblings (19–26 years) of people with disabilities completed the online survey. Measures of siblings’ parentification, distress, quality of family relationships, social support, and perceived benefits of parentification were used. The hypothesized model aims to test, on the target sample, the distress and the quality of the relationship with parents as mediators on the interplay between the siblings’ parentification and their sibling relationship. Additionally, social support and perceived benefits of parentification as protective factors were considered. Results showed that the distress and the low quality of the relationship with parents negatively affected the interplay between the siblings’ parentification and the relationship with their own brother/sister with disabilities. Social support and the perceived benefits of parentification decreased the siblings’ distress levels; the perceived benefits of parentification served as a protective factor for the quality of the relationship with parents. Current findings extend the knowledge regarding the risk and protective factors of the siblings’ mental health when disability occurs in the family. Additionally, they inform family-based intervention programs, which should involve the whole family system for reducing distress and improving the wellbeing of siblings without disabilities.

Background: The main traits of Autism Spectrum Disorder (ASD) are difficulties in social communication and interactions. Autism is frequently related to motor impairments. In the last decades, to develop and promote the social and motor skills of autistic people, several sports training programmes have been designed. In the present systematic narrative review, we aimed at providing an overview of studies evaluating the effectiveness of these sports training programmes to synthesize their strengths and weaknesses. Method: To formulate the eligibility criteria for the systematic review, the PICO protocol was used. The PRISMA protocol was applied to four databases for the search strategy. 30 papers were reviewed, and their main features were tabulated and critically discussed. Results: Findings highlighted that 8 types of sports were applied to autistic individuals and that the majority of them were focused on two individual sports (i.e., swimming and horseback riding). In sum, findings revealed that sports training programmes provided positive benefits both on motor/social skills as well as on autistic traits (e.g., repetitive behaviours) and individual functioning. The narrative synthesis revealed also that future studies should enroll more autistic females and preschoolers. To encourage the social inclusion of autistic individuals, a group of typically developing peers should be involved in future sports training programmes. Discussion: In conclusion, professionals trained on autistic traits and knowledgeable in the target sport are required; consultations with the autistic community as guidance for designing novel sports training programmes are recommended.

Following Wright’s theory, the process of acceptance of disability helps persons with an acquired disability to change their attitudes toward it. Consequently, a sense of self-satisfaction was developed, a de-emphasis on disability salience was placed, and compensatory behavioral qualities were acquired. Together, these factors promote an individual’s adjustment according to disability-related strengths and difficulties. Our cross-sectional study examines how acceptance of disability influences flourishing, characterized by high well-being and low distress. Due to the exploratory nature of the study, two research questions were formulated: Would each factor of acceptance of disability positively predict each dimension of well-being? (RQ1); Would each factor of acceptance of disability negatively predict distress? (RQ2). Additionally, we considered gender effects. 107 Italian adults with acquired physical disabilities [M_year (SD) = 48.12 (14.87)] filled out an e-survey. Measures of acceptance of disability, well-being, and distress were used. The results indicate that self-satisfaction is a key predictor of flourishing while de-emphasizing disability salience only predicts purpose in life. Compensatory behavioral qualities predicted personal growth, positive relationships, life purposes, and self-acceptance. Gender did not significantly affect outcomes. Despite being preliminary, these initial results support the acceptance of disability as a personal resource for promoting flourishing. They suggest the potential for interventions to help individuals with disabilities process grief and accept their new self-representation.

Background. Parents of autistic children face challenges that can negatively affect the quality of the parent–child relationship. This study aimed to explore the potential protective role of parental resolution about positive (closeness) and negative (conflict and dependence) aspects of the parent–child relationship, with parenting stress and caregiving burden as mediators. Methods. A cross-sectional study (ethical approval: CE n. 92949) was conducted with 51 Italian parents of autistic children. A multiple mediation model was tested. Results. Parental resolution had a significant total effect (β = 0.012; BootLLCI = 0.002; BootULCI = 0.024) and a significant direct effect on the parent–child relationship (β = 0.223; BootLLCI = 0.058; BootULCI = 0.389), indicating that resolving the child’s diagnosis could potentially influence parents’ perceptions of their relationship with their child, possibly leading to views of it being somewhat closer, experiencing fewer conflicts, and involving a lower degree of dependence. An indirect effect via parenting stress was also significant (β = −0.130; BootLLCI = −0.009; BootULCI = −0.291), while caregiving burden did not show a mediating effect. Conclusion: Despite the exploratory and cross-sectional nature of this study, the findings highlight the importance of promoting family well-being in the context of autism. The findings may inform future research on parental resources and guide clinicians in developing intervention programmes to mitigate the emotional impact of receiving a child’s autism diagnosis.

Objective: Building on Bowlby's attachment theory and Marvin and Pianta's framework, the current study investigated the role of the resolution of the diagnosis as a potential protective factor in shaping the quality of affective sibling relationships. The study examined whether the typically developing (TD) siblings' resolution of the diagnosis of their brother/sister with a disability would predict the quality of their affective relationship in terms of closeness, conflict, jealousy, self-marginalization, and worry (HP1). The potential predictive role of parental resolution on typically developing sibling resolution has been investigated (HP2). In addition, we explored whether being an older vs. younger typically developing sibling would impact the resolution of the diagnosis and the quality of the affective sibling relationship.Methods: A total of 365 parent–sibling dyads [parents: M_age(SD) = 51.2 (6.95) years, age range = 25–64 years; mothers = 78.4%; TD siblings: M_age(SD) = 23.2 (3.60) years, age range = 18–39 years; females = 53.7%] from families of individuals with neurodevelopmental disorders or physical disabilities filled out the e-survey (CE n° 92,949/2,023).Results: The results supported both hypotheses, highlighting the potential protective role of typically developing siblings' resolution of the diagnosis in fostering high-quality sibling relationships in terms of high closeness and low conflict, jealousy, self-marginalization, and worry. In addition, parental resolution of the diagnosis emerged as a potential predictor of typically developing siblings' resolution, supporting the intergenerational transmission of internal working models. Regarding the research question (RQ), younger typically developing siblings reported higher resolution scores than their older counterparts, suggesting that typically developing sibling birth order may shape the reaction to the diagnosis process.Conclusion: The results underscored the importance of systemic interventions that devote attention not only to parental resolution but also to that of typically developing siblings. Future research should deepen the role played by socio-demographic factors and long-term outcomes on typically developing siblings' mental health and caregiving duties.