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Yayın Healing through art: a systematic review and meta-analysis of art therapy in children and adolescents with chronic illnesses(Taylor and Francis Ltd., 2025-11) Yıldız, Ecemnur; Akçinar, Berna; İnci Namlı, NurChildren and adolescents with chronic illnesses face elevated risks of psychological difficulties, including anxiety and reduced quality of life (QoL). Art therapy (AT) has emerged as a promising intervention. This study systematically reviews and analyzes the effectiveness of AT in improving QoL, anxiety, and pain in this population. A comprehensive search identified a total of 12 randomized controlled trials from 2000 to 2024, including 408 participants aged 0–18. Data were analyzed using Hedges’ g and a random-effects model. Quality assessments followed the Cochrane Risk of Bias 2 (RoB2) tool. Subgroup analyses explored potential moderators. QoL was analyzed separately by child and parent reports. AT showed a moderate, significant effect on child-reported QoL (Hedges’ g =.40, 95% CI [0.27; 0.53], p =.001) but a non-significant effect in parent reports (Hedges’ g =.43, 95% CI [−.03; 1.20], p =.21). A significant large effect was found for pain reduction (Hedges’ g = –.63, 95% CI [−1.19; −0.07], p =.03). For anxiety, AT had a large but non-significant effect (Hedges’ g = –.71, 95% CI [−2.24; 0.82], p =.23). Heterogeneity was substantial, but no significant publication bias was detected. AT appears promising for enhancing QoL, reducing pain in children with chronic illnesses. Further studies are needed to strengthen evidence and clarify clinical applications.Yayın Witnessing the end, supporting the living: A qualitative study of palliative caregiving in end-of-life patients in Türkiye(Cambridge University Press, 2026-02-11) Sert Yurdakul, Selin; Erbay Erşen, Merve; Özel, DilaraObjectives. Palliative care seeks to enhance the quality of life for individuals with serious illnesses and their families by addressing physical, emotional, and psychological needs. This phenomenological study examines the lived experiences of 8 caregivers in palliative care settings in Türkiye, focusing on the challenges they face, the coping mechanisms they employ, and their reflections on the caregiving role. Special emphasis is given to both psychological and somatic signs of stress, along with the possible advantages of body-oriented resilience techniques. Methods. Using a phenomenological qualitative design, semi-structured interviews were conducted with 8 caregivers providing care to relatives in a hospital-based palliative care unit. Data were collected between February and April 2023 and analyzed through conventional content analysis. Results. Four central themes emerged from inductive coding: harmony in healing, navigating difficulties, resilience in palliative care, and reflections on the finite. The findings reveal a dual reality: palliative caregivers derive meaning and satisfaction from compassionate connections, high-quality clinical care, and peer support, yet they also endure significant burdens, including emotional strain, physical exhaustion, disrupted daily routines, and shifting relational dynamics. Anticipatory grief and chronic stress responses were prevalent, frequently manifesting in both psychological and somatic forms (e.g., sleep disturbances, muscle tension, and autonomic arousal). Despite these challenges, palliative caregivers employed spiritual beliefs, peer interactions, and self-care routines as resilience strategies. Significance of results. The mind–body challenges identified in the study emphasize the need for interventions that focus on self-regulation and resilience, including body-oriented approaches that strengthen internal resources, regulate stress responses, and encourage adaptability. Incorporating such approaches into group-based settings may improve mutual support and enhance both individual and relational well-being. The study highlights the importance of comprehensive, caregiver-centered support systems to reduce burden and improve the overall quality of palliative care.
