{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T17:20:35Z","timestamp":1771608035907,"version":"3.50.1"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the effect of a structured, DBT-based parental resilience training program on non-suicidal self-injury (NSSI) and related psychological symptoms in adolescents with cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This pre\u2013post study without a control group enrolled 38 adolescent cancer patients (aged 13\u201318) with a history of NSSI, along with one of their parents. From March 2023 to May 2024, parents participated in a 4-week intervention consisting of three structured skills-training sessions (90 minutes each), weekly family group skills training, ongoing telephone counseling, and weekly consultations with a psychological support team. The Ottawa Self-Injury Scale was used to assess NSSI recurrence in adolescents. Anxiety and depression symptoms in adolescents were measured using the Generalized Anxiety Disorder Scale (GAD-7) and the Patient Health Questionnaire (PHQ-9). Parental resilience was evaluated with the Connor-Davidson Resilience Scale (CD-RISC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All administered questionnaires were fully completed and valid, yielding a 100% response rate. Following the 4-week intervention, the recurrence rate of NSSI was 13.16% (5\/38). Adolescents demonstrated significant reductions in both GAD-7 and PHQ-9 scores from pre- to post-treatment (P &amp;lt; 0.05), indicating marked improvements in anxiety and depression symptoms. Parental CD-RISC scores increased significantly (P &amp;lt; 0.05), reflecting enhanced resilience. Subgroup analyses revealed that these improvements were significant across both genders and age groups (&amp;lt;15 years vs. \u226515 years), with no statistically significant differences in the magnitude of change between subgroups (P &amp;gt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A short-term, DBT-based parental resilience training program may improve caregiver resilience, reduce adolescent anxiety and depression, and lower short-term NSSI recurrence in adolescents with cancer. However, the lack of a control group and short follow-up limit the generalizability of findings. Further controlled studies with larger samples and longer follow-up are warranted.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1618280","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T05:23:50Z","timestamp":1757481830000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Influence of parental resilience on non-suicidal self-injury in adolescent cancer 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