Table 2: Categories and Sub-categories.
Category Sub-category Label
Stressors Examination- and treatment-related distress Needle-stick pain
Invisible site of puncture
Pain without anesthesia
Pain due to inappropriate puncture
Being immobilized during the procedure
The doctor wearing a gown, performing the gown technique
Odors in the treatment room
Repetition
Vulnerability associated with family relationships Nausea and vomiting after intraspinal injection
Examination- and treatment-related limitations in daily life activities Bedrest after examination
Fasting
Depressive feelings when waiting for examination
Vulnerability factors Vulnerability associated with family relationships Encouragement by other family members
Vulnerability associated with medical or nursing services Repeated encouragement
Explanations on the previous day
Detailed explanations
Side effects of anesthesia
Stress responses Sense of disgust Hatred toward its name, procedure, and everything
Disgusting to the point of tears
100 times worse than blood sampling and drips
Never wanting to undergo it anymore
Hatred to the point of attempting to escape
Sense of fear Extremely frightening
Unbearable fear that psychologically affects him/her
Need for family to enter the “scary” treatment room
Protective factors Personality traits Future-oriented thoughts
Positive thoughts
Self-respect
Support from other family members Rewards
Being accompanied by family
Avoiding examination- and treatment-related issues during conversations
Support from medical and nursing staff Anesthesia
Explanations on the previous day
Ordinary topics
Resilient responses Self-denial Accepting behavior
Proactive preparedness Motivation
Coping Games
Awareness of falling into unconsciousness
Psychological preparations
Concentrating on diversions, avoiding thinking about unpleasant issues
Emotional adjustments Diversions
Less painful
Sense of security
Adaptation observed in the absence of PTSD at the time of the study No re-experience Not remembering
Having overcome treatment