Purpose This systematic review aims to examine, from an interdisciplinary perspective, the relationship between posttraumatic stress disorder (PTSD), posttraumatic growth (PTG), and rumination in adolescents after an earthquake. The aim of the review is to provide high‐quality, evidence‐based recommendations that contribute to the roles of psychiatric nurses and the development of psychosocial support systems. Design and Methods This study has been conducted in line with the Centres for Reviews and Dissemination (CRD) guideline which guides preparation for transparent reporting of meta‐analysis and systematic reviews. Findings Despite the limited evidence, it was concluded that it is important to identify the psychological processes that lead to PTG and reduce the incidence of PTSD in earthquake‐affected adolescents. Practical Implications This evidence shows how important it is to raise the awareness of healthcare providers in different disciplines, including psychiatric nurses, around the need for psychosocial support interventions following a natural disaster.

No abstract

Objective: This retrospective study was conducted to present the clinical features and treatment experiences of child and adolescent patients diagnosed with multiple sclerosis (MS). Methods: Demographic data, current complaints and clinical findings of patients in addition to treatment modalities applied and compliance of pediatric patients with MS to treatments were evaluated retrospectively in the context of a data collection form. Results: The data of 40 patients were analyzed in this retrospective study. Of our patients 77.5% were female and the mean age of participants was 16 and the mean of age when patients experienced the first attack was 13.9% approximately half of our patients were receiving interferon beta 1a subcutaneously and 27.5% were receiving glatiramer acetate and their mean duration of use was 18 months. The ratio of patients who did not receive any treatment was 20%. Of the patients receiving treatment, 31.2% experienced side effects due to the drug and 15.6% could not comply with the treatment because of side effects of treatment. The treatment of all patients who failed to comply with the current treatment was changed. In our study, there was a family history of MS in 3 cases. Of patients, 72.5% received intravenous methylprednisolone treatment for between 3 and 10 days during the the first episodes of their illness, and more than half (79.2%) of the patients got completely or nearly completely better. Of patients, 80% had relapsing-remitting MS and 20% had clinical / radiological isolated syndrome. Conclusion: Childhood MS is seen more commonly in girls and the most frequently in the relapsing-remitting form. Interferon beta 1a and glatiramer acetate are mostly used in the treatment of childhood MS. With immunomodulatory treatment, a decrease both in the number of attacks and in the average expanded disability status scale score, besides an improvement for health can be provided.

Multiple skleroz hastalığı kronik ve dejeneratif bir hastalıktır. Multiple skleroz tanılı çocuk hastalarda bazı belirti ve bulguların ortaya çıkması ve bu bulguların hastalığa özgü olmaması, belirsizliğin öncüleri olarak görülmektedir. Sonucunun ne olacağını bilmeden bu belirsizlikle büyümek, çocuklarda ikincil sağlık problemlerine ve yetişkinlik döneminde bazı krizlerin ortaya çıkmasına neden olmaktadır. Bu çocuklar erken yaşlardan itibaren belirsizlik yaşamaya başlarlar ve yetişkinlik dönemine geldiklerinde bu belirsizliğin sonucu olarak karışıklık ve uyum problemleri yaşarlar. Bu karışıklığı gidermek için de değişime giderler ve yaşamdan anlam bulmaya çalışırlar. Böylece artan belirsizlikten adaptasyona doğru bir süreç yaşamış olurlar. 14 yaşında multiple skleroz tanısı alana ve şu anda 21 yaşında olan olgumuz ile iki kere derinlemesine bireysel görüşme yapılmıştır. Bu görüşmelerde yarı yapılandırılmış görüşme formu kullanılmıştır. Olgunun çocukluktan erişkinliğe yaşamış olduğu deneyimlerin ortaya çıkartılması ve bu deneyimlerin Hastalıkta Belirsizlik Kuramına göre açıklanması amaçlanmıştır. Görüşmeler sonucu ortaya çıkan veriler ile, nitel araştırma yöntemlerinden yorumlayıcı fenomenolojik kuramsal temelde, Maxqda Plus v10 nitel veri analiz programı kullanılarak tematik analiz yapılmıştır. Sonuç olarak, olgumuz, çocukluk döneminde belirsizliği tehlike olarak anlamlandırmış ve öfke, kaçınma, içe kapanma, uyumsuzluk gibi etkisiz baş etme stratejilerini kullanmıştır. Erişkin dönemine geldiğinde ise mevcut durumu büyüme fırsatı olarak görmüş ve hastalığı ve tedaviyi kabul ederek daha anlamlı bir yaşam sürmeye başlamıştır.