Both attention-deficit hyperactivity disorder (ADHD) and post-traumatic stress disorder (PTSD) are complicated illnesses that sometimes co-occur in children and adults with significant negative influence on a person’s life and general well-being. This study aims to conduct a systematic review that investigates the comorbidity of PTSD and ADHD in the adult population. A comprehensive search was conducted across five electronic databases (PsycNET, Cochrane, PubMed, Google Scholar, and ClinicalTrials.gov) between October 5 and 20, 2023, using predefined keywords including “ADHD,” “PTSD,” and “comorbidity.” Studies were included if they involved adult participants (≥ 18 years) with both ADHD and PTSD diagnoses. Two independent reviewers conducted screening and data extraction. No meta-analysis was performed due to heterogeneity in study designs. The results were synthesized qualitatively. Out of 818 identified studies, 21 met the inclusion criteria. Studies reported an increased risk of developing PTSD in individuals with ADHD, with the prevalence of comorbidity ranging between 28 and 36%. ADHD in PTSD patients was associated with greater psychosocial impairment, more severe PTSD symptoms, and functional difficulties. Treatment approaches, including pharmacotherapy (atomoxetine, Vyvanse) and mindfulness training, showed potential benefits for managing comorbid symptoms. ADHD and PTSD commonly co-occur in adults, leading to more severe clinical outcomes. Early diagnosis and effective treatment of ADHD may reduce the risk of developing PTSD. Further research is needed to explore the underlying mechanisms and optimal treatment strategies for individuals with ADHD/PTSD comorbidity. PROSPERO CRD42023479631.

Background: Children who are faced with surgical operations may experience anxiety, panic and fear before surgery and they are needed to both physical and psychological preparation. Aim of the study: Evaluate the effect of storytelling on preoperative anxiety and fear among children undergoing surgery. Design: Quasi-experimental research design was utilized in the current study. Subjects: 100 children from 4-8 years were equally and randomly assigned into two groups, the first was the control group and the second was storytelling intervention group. Setting: The current study was conducted at the General Pediatric Surgical Unit at Cairo University Specialized Pediatric Hospital (CUSPH). Tools: an Interview Structured Questionnaire was developed by the researchers, State-Trait Anxiety Inventory for Children, and Children's Fear Scale was utilized for collecting the data. Results: Preoperative anxiety scores and fear were lower among children after storytelling intervention than before. Highly statistically significant differences were detected between the total mean score of anxiety scores and fear in the pretest and posttest before surgery (P=0.000). Conclusion: Storytelling method is an effective distraction technique for reducing preoperative anxiety and fear among children undergoing surgery compared to children in the control group who received routine hospital care. Recommendations: Application of the storytelling technique as non- pharmacological management beside routine hospital programs for children undergoing surgery is recommended among nurses who care children in order to reduce preoperative anxiety, panic and fear level.

(1) Background: the COVID-19 pandemic is still taking over the world, and with new virus strains, the burden on the health systems and healthcare teams is yet to end. The study explored stress and employed resilient coping measures among nurses working with COVID-19 patients. (2) Methods: the current study used a convergent triangulation design using a qualitative and quantitative approach, with a sample of 113 nurses working at Beni-Suef University Hospital between November 2021 and April 2022 using an online form. Data were collected using a sociodemographic characteristics questionnaire, the Nursing Stress Scale, Brief Resilient Coping Scale, and a qualitative interview. (3) Results: the studied nurses experienced severe stress, with moderate-to-low resilient coping in total. There was a strong negative highly statistically significant correlation between stress and coping. Qualitative data analysis showed that attention to the spiritual side, communicating with friends and family, accepting the current situation, and helping others in need were key themes that emerged to moderate studied nurses’ stress. (4) Conclusions: nurses who work with COVID-19 patients experience high levels of stress regardless of their characteristics; spiritual coping strategies, communication with family, and helping others were the dominant resilient coping approaches employed by nurses to moderate stress.

Endometriosis is one of the most common benign gynecological disorders that affects approximately 5-15% of women within their reproductive age. Endometriosis-related pain and fatigue are common and adversely impact several areas of many women's lives. Aim: The study aimed to investigate the effect of nursing program regarding lifestyle modification on selected outcomes among women with endometriosis Design: A quasi-experimental study design control, and study group was used. Setting: The study was conducted at the outpatient gynecological department at Beni-Suef University Hospital. Data collected for 9 months from the beginning first September 2019 to the end of May 2020. Sample: A purposive sample approach of 60 women was included in the study. Tools: Five tools were used for data collection, Sociodemographic characteristics, Self-care practice, Endometriosis health profile questionnaire, Hamilton Rating Scale for depression, and Hamilton Anxiety Rating Scale. A procedure was carried out through four phases as initial assessment, planning, implementation, and evaluation phase. Results: There were statistically significant differences between pre- and post-program implementation in study group regarding all selected outcomes: knowledge (f:0.169, p:0.001), practice (f:3.058, p:0.017), fatigue (f:4.887, p:0.001), pain (f:5.58, p:0.002), and depression (f:2.257, p:0.040). moreover, there were significant statistical differences for all items in the study group regarding lifestyle modification. Conclusion: The implementation of nursing programs regarding lifestyle modifications such as (healthy dietary habits, physical activity, and stress management) for women with endometriosis has shown improvement in their knowledge and reduce endometriosis-related symptoms (depression, anxiety, fatigue, and pain). Recommendation: Nursing programs regarding lifestyle modifications should be applied for all women with endometriosis, and online easily accessible nursing programs regarding lifestyle are also needed, with further research on their utilization and usefulness

Context: Workplace bullying is defined as the perceived situation in which an employee is systematically and repeatedly the target of work-related or personal harmful acts. Workplace bullying is an occupational stressor shown to have particular detrimental health outcomes for those targeted. Aim: The study aimed to evaluate the effect of coping strategies education on knowledge and behaviors of women experienced workplace bullying. Methods: A quasi-experimental (pre/posttest) design was used to achieve this study's aim. The study was conducted at Beni-Suef University affiliated to the Ministry of Higher Education. The study conducted on a convenient sample of 500 women working at Beni-Suef University. They included 360 employee women from different age groups, educational backgrounds, and job positions. The sample also includes 100 nurses and 40 workers. The study used two tools. The researcher designed a structured interview questionnaire to assess the women's socio-demographic profile and their knowledge regarding workplace bullying. The second tool was a coping behavior checklist for workplace bullying designed by the researcher to assess the women's behaviors toward workplace bullying. Results: shows that 36.0% of the studied women were in the age group ≥30 with a mean age of 34.38±4.33. Half of the studied women suffering from all mentioned health effects, followed by absenteeism 15%, then depression 12%, and 7% suffering decreased self-esteem, the least health problems 6% was for a physical problem (cardiovascular, diabetes mellites, and neuromuscular problems). The study reveals a statistically significant improvement of women's knowledge regarding workplace bullying at post compared to pre educational intervention and at follow up phase compared to the post-intervention phase at p <0.001. The results also show a highly statistically significant improvement in the women's behaviors toward workplace bullying between pre and post-intervention phases and between post and follow up phases of intervention at p <0.001. Conclusion: The research hypotheses were supported. The women exposed to the coping strategies education had improved knowledge and behaviors compared to their pre-education level. Effective organizational interventions are recommended to help prevent and address bullying incidents, and robust legislative mechanisms are also recommended to allow for restitution and compensation, particularly for women.