Background: Globally, aggressive behavior has become a major problem with a variety of multidimensional serious consequences. It causes varying extent of impairment to the social, emotional, and psychological adjustment of adolescents. Aim: This study intended to explore the correlation between aggressive behavior and psychosocial adjustment among Port Said university adolescent students. Subjects and Method: Design: A descriptive correlational research design was employed. Subjects: The study subjects comprised a sample of 509 adolescent students enrolled in the first grade at faculties affiliated to Port Said University in Port Said Governorate during academic year 2019-2020. Tools: Instruments of data collection: Two tools were utilized to collect data, which were Buss-Perry Aggression Questionnaire, and Psycho-Social Adjustment Scale, in addition to personal characteristics of the studied adolescent students. Results: Four fifths of the studied adolescent students had a high level of aggression. The vast majority the studied students had a mild level of psychosocial adjustment, while the rest of them had a moderate level. Conclusion: There was a statistically significant negative correlation between overall aggression and overall psychosocial adjustment among the studied university adolescent students at p ≤ 0.05. Recommendations: Designing and applying multimedia intervention programs for students regarding training in coping strategies, stress-control techniques, cognitive restructuring and problem-solving techniques, that may help to cope with stressful life events in an adaptive way and without having to use aggression to solve problems or conflicts. Moreover, Faculties should develop student orientation programs, and seminar sessions for the inclusion of formal and informal training on aggressive behavior.

Background: Worldwide, anger rumination has been associated with aversive psychological outcomes including depression and suicidal ideation over time. Psychological pain has been supposed to be a robust predictive variable for suicide. Aim: This study intended to explore the correlation between anger rumination, psychological pain, and suicidal ideations among patients diagnosed with major depressive disorder. Subjects and Method: A descriptive correlational research design was employed. The study subjects encompassed a purposive sample of 84 patients with major depressive disorder recruited from inpatients' departments of Port Said Psychiatric Health and Addiction Treatment Hospital. The participants were asked to fulfill predesigned three Instruments which were; Personal and Clinical Data Questionnaire, Anger Rumination Scale, and Mee-Bunney Psychological Pain Rating Scale. Results: The studied depressed patients with suicidal ideations had statistically significant higher mean scores of overall anger rumination and its sub-dimensions than those without suicidal ideations at p ≤ 0.05.Besides, the studied patients with suicidal ideations had significantly higher mean scores of psychological pain than those without suicidal ideations as p = 0.001. Conclusion: There were statistically significant positive correlations between mean scores of psychological pain and overall anger rumination and its subdimensions among the studied major depressive patients who had suicidal ideations at p ≤ 0.05.Recommendations: Mindfulness based-cognitive behavioral therapy may be ultimately effective in reducing anger rumination and psychological pain through challenging cognitive distortions, exchanging it with rational beliefs, effective coping resources, and execution of problem-solving skills. Consequently, help to reduce suicide risk.

Background: End of Life care is a critical topic for pediatric patients with terminal conditions, aiming at improving their life in spite of prognosis. It is the most traumatic aspect of pediatric nursing due to unpleasant sensations and experiences that obstruct nurses' abilities to apply satisfactory care regarding End of Life. Aim: to identify the association between self-rated anxiety and attitude responses of pediatric nurses surveyed about providing End of Life care. Method: A descriptive correlational design was utilized. The sample composed of 48 nurses in neonatal and pediatric intensive care units in general hospitals in Port Said Governorate. Tools: The 20-item state anxiety questionnaire and the nurses' attitudes toward pediatric end of life care were used to collect data. Results: 46.8% of the studied nurses had demonstrated generally positive attitude toward End of Life care. 33.3% of them had tendered to reported sometimes to have anxiety symptoms, there is a statistical significant relation between level of anxiety and the attitude toward areas with comfort in discussing the pediatric End of Life care, and physician involvement. Conclusion & Recommendation: positive attitude of pediatric nurses concerning End of Life care. Moreover, negative nurses' attitude toward the benefits of pediatric nursing care relating End of Life, and there was a statistical significant relation between level of anxiety and the attitude toward comfort in discussing the pediatric nursing care regarding End of Life, and physician involvement. Therefore, The study findings emphasize the need for acquainting pediatric nurses with effective coping strategies to overcome anxiety to improve their attitude toward End of Life care.

Background: Thalassemia a serious, life-limiting disease that can be life-threatening and cause great disruption in all dimensions of life. Aim: This study aimed to evaluate stress, anxiety and depression in adolescents with thalassemia. Subjects and Method: Design: A descriptive research design was utilized. Setting: Pediatric Hospital in Mansoura University and an inpatient department of El-Tadamon Hospital in Port-Said city. Subjects: The studied subjects consisted of 112 adolescents whom selected from above mentioned settings. Tools: Data were collected through Depression Anxiety Stress Scale (DASS21), in addition to personal and clinical data questionnaire. Results: The study revealed that, approximately half of the studied adolescents (48.2%) had extremely severe level of stress, more than half of them (54.5%) had extremely severe level of anxiety, and less than one quarter of them (23.2%) had extremely severe level of depression. Conclusion: Adolescents suffering from thalassemia are exposed to multiple health problems especially what related to psychological and emotional dimensions represented in severe anxiety and stress. Recommendations: The main recommendation was designing and applying continuous educational programs for adolescents with thalassemia regarding their disease to maintain compliance to the therapeutic regimen and prevent negative impacts of thalassemia on their psychological status. These programs should be led by health professionals.

Medication non-adherence is often a predominant a complicated multifactorial issue among patients with psychotic disorders. Religion often affects positively or adversely on individuals' psychological well-being. Religious factors can play a significant influence in determining engagement and adherence to treatment recommendations. Aim: The current study wished-for exploring the relation between psychotic patients' strength of religious faith and adherence to medication. Subjects and Method: A descriptive correlational design was used, which was conducted in outpatient's clinic at