Positive effects of parent–child group emotional regulation and resilience training on nonsuicidal self-injury behavior in adolescents: a quasi-experimental study

BackgroundNonsuicidal self-injury (NSSI) among adolescents is a growing global concern. However, effective interventions for treating NSSI are limited.MethodA 36-week quasi-experimental study design of parent–child group resilience training (intervention group) for adolescents aged 12–17 years was used and compared with treatment-as-usual (control group). The primary endpoint was the frequency of NSSI assessed with the Ottawa Self-Injury Inventory (OSI), and the secondary endpoints were the levels of depression, hope, resilience, and family adaptability and cohesion as assessed by the 24-item Hamilton depression rating scale (HAMD-24), Herth Hope Scale (HHS), Connor-Davidson Resilience Scale (CD-RISC), and Family Adaptability and Cohesion Evaluation Scale, second edition (FACES-II-CV), respectively.ResultA total of 118 participants completed the trial. Both groups showed a significant reduction in NSSI frequency after 12, 24, and 36 weeks of intervention (p< 0.05), although the intervention group did not differ significantly from the control group. After 12, 24, and 36 weeks of intervention, the CD-RISC, HHS, HAMD-24, and FACES-II-CV scores in the intervention and control groups improved over baseline (p< 0.05). Furthermore, the intervention group had higher scores on the CD-RISC, HHS, and FACES-II-CV and lower scores on the HAMD-24 than the control group after 12, 24, and 36 weeks of intervention (p  < 0.05).ConclusionParent–child group emotional regulation and resilience training showed promise as treatment options for NSSI among adolescents, leading to increased hope, resilience, and improved family dynamics among NSSI teens. Moreover, NSSI frequency significantly decreased in the intervention group compared to baseline

Analysis of Psychological Influences on Navigation Use While Driving Based on Extended Theory of Planned Behavior

As GPS navigation systems become more powerful, they offer the convenience of more efficient travel, and the use of such navigational aids while driving is now prevalent. Numerous issues still exist during actual use, however, such as incomprehensibility and inaccuracy of voice navigation prompts. The majority of studies have focused on humanized design and the influence on driving behavior of GPS navigation systems, while the psychological factors underlying drivers' decisions to use them have received little attention. This study employs the extended theory of planned behavior (TPB) to investigate the psychological factors that influence drivers' use of GPS navigation systems, including the additional variables of navigation involvement, navigation information quality, and distraction perception. Independent t-tests revealed that female, non-professional, novice, and highly educated drivers were more likely to use navigation systems. Factors analysis proved the extended TPB questionnaire to be valid and reliable. Structural equation modeling showed that attitude (0.19), subjective norms (0.14), perceived behavioral control (0.29), navigation involvement (0.36), and information quality (0.16) significantly influenced drivers' intentions on the use of navigation. However, distraction perception (-0.05) had no significant influence. These findings demonstrate the need for navigation systems which serve drivers better. For navigation system manufacturers, the humanized design should be strengthened. For highway transportation agencies, more consistent designs for road signs are needed to improve the cooperativity between navigation and traffic signs

Experience of pediatric nurses in nursing dying children - a qualitative study

Abstract Purpose To explore pediatric nurses’ challenges and effective coping strategies in caring for dying children. Methods A descriptive qualitative study was adopted. Data were collected using a semi-structured interview with ten nurses from the pediatric, pediatric emergency, and neonatology departments. Results Three themes were generated: stressors, consequences, and coping strategies. Ten sub-themes were generalized: negative emotions; helplessness; questioning rescue behavior; fear of communication; lack of workforce for night rescue; compassion fatigue; burnout; changes in life attitudes; self-regulation; leadership approval and no accountability. Conclusions Through qualitative research, nurses’ challenges and effective coping strategies in caring for dying children were found, which provides information for nurses’ career development and related policy formulation in China. Clinical relevance While there are many articles in China on hospice care, there is little research on the nurses’ experience of caring for dying children. Many studies have mentioned the adverse consequences of caring for dying children in foreign countries, leading to post-traumatic stress disorder (PTSD). However, domestic discussion of such problems is rare, and no corresponding coping strategies exist. This study explores pediatric nurses’ challenges and effective coping strategies in caring for dying children