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OBJECTIVE: Guided by the Transactional Model of Stress and Coping, this study seeks to (1) examine the independent relationships between the level of distress among burn survivors, pre-morbid psychiatric history, and burn severity on length of hospital stay, and (2) to examine the relationship between having a premorbid psychiatric history and level of distress following a burn injury., METHODS: Data collected by the National Institute on Disability, Independent Living, Rehabilitation Research funded Burn Model System (N = 846) was used to theoretically link psychological distress with the length of hospital stay for survivors of burn injuries. Structural Equation Modeling was used to evaluate the aims of this study., RESULTS: Although counterintuitive, and while significant, burn severity was found to have a rather modest association with a burn survivor's level of distress, indicating that one's ability to cope may be a better predictor of distress rather than burn severity alone. Premorbid psychiatric history was significantly associated with increased levels of distress. While burn severity was associated with length of stay, level of distress did not act as a partial mediator. Length of stay was, however, significantly related to having a premorbid-psychiatric history. Of notable interest, a significant racial, ethnic, and gender difference exists in level of distress. Women and people of color experience higher levels of distress holding constant burn severity and psychiatric history., CONCLUSION: A need exists to assess for and address premorbid and current mental health challenges of burn survivors, specifically the ability to cope, especially among people of color and women, regardless of the burn size or severity. Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.
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The widespread integration of technology into children’s lives poses significant challenges for parents aiming to promote healthy technology use. This systematic review synthesized findings from twelve studies to explore effective parenting strategies and interventions. Results indicate that authoritative parenting, characterized by high responsiveness and control, and active mediation, involving open communication and collaborative rule-setting, are most effective in managing children’s technology use. Parental digital literacy emerged as a crucial factor in successfully implementing these strategies. Interventions like the “Game Over” and “Movie Models” programs showed potential but require further refinement. The review underscores the importance of co-using technology with children, modeling healthy technology habits, and employing available tools for monitoring and limiting screen time. Future research should focus on developing standardized diagnostic criteria for problematic technology use, empirically tracking screen time, and exploring the role of schools in promoting healthy technology use. Consistent definitions and comprehensive strategies are essential for addressing the evolving digital landscape. © 2025 Taylor & Francis Group, LLC.