Psychiatria Hungarica最新文献

{"title":"Re-evaluation and revision of the Eating Habits Questionnaire.","authors":"Dávid Simon, Nikolett Bogár, Szilvia Dukay-Szabó, Ferenc Túry","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The Eating Habits Questionnaire (EHQ) is a key tool in evaluating orthorexia nervosa, an obsession with healthy eating. However, the evaluation process of EHQ has witnessed considerable variation, with one item notably excluded from the last phase of its development. This study undertakes a thorough re-evaluation of the English version of the EHQ, focusing on its original 35 items, within two diverse populations (fashion models and university students) where English serves predominantly as a second language.</p><p><strong>Methods: </strong>Through an online survey involving 163 female models and 243 non-models (mean age=26.0 years (SD=4.7) and mean age=25.1 years (SD=5.0), respectively) with various ethnic background (proportion from non-English speaking EU countries: 28.5% and 90.4%, respectively). Participants completed the EHQ along with the Eating Disorder Inventory (EDI) and SCOFF questionnaire.</p><p><strong>Results: </strong>Using confirmatory factor analysis, we analysed the factorial validity of EHQ subscales, eliminating items that did not align with the factor structure. After eliminating 17 items from the original 35-item questionnaire, the fit of the model for EHQ-18 was acceptable. Cronbach's alpha values indicated acceptable reliability. The EHQ-18 problem sub - scale showed significant positive correlations with all EDI subscales, while all EHQ-18 subscales demonstrated significant positive correlations with the EDI Drive for Thinness subscale. Comparison of the groups based on the SCOFF threshold revealed positive and significant differences across all subscales.</p><p><strong>Conclusion: </strong>We examined the impact of replacing an item in the EHQ-21 previously during its development process, and found that this potentially influenced the resulting factor structure. We recommend a new version of EHQ, the 18 item EHQ-18, supported by the analysis of the factorial and convergent validity, as well as the reliability. Furthermore, the findings suggest a potential discriminant validity of EHQ-18 in a diverse population, mostly speaking English as a second language.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 3","pages":"217-226"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Body image dissatisfaction in the light of alexithymia and self-development].","authors":"Petra Balogh, Zita Fekete","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The development of the self is an important factor in body image disorders. The child expects the parents to satisfy the narcissistic needs (mirroring, idealization, twinship needs). Disturbances in self-development can result in the person experiencing himself through the physical self, and the ability to recognize and express emotions is impaired. The body is given a prominent role, whereby changes to the body are associated with major identity changes and it also becomes a means of emotional expression. The aim of our study is to explore the possible relationship between the deficits in self-development and body image dissatisfaction and the role of alexithymic traits in this.</p><p><strong>Methods: </strong>The sample consisted of individuals aged 18 years and older with no psychiatric history (n=131). The Self Psychology Questionnaire translated into Hungarian was used to assess self-development and narcissistic needs, the Toronto Alexithymia Scale to assess alexithymia, and the Body Attitudes Test for women and the Muscle Appearance Satisfaction Scale for men to assess body image dissatisfaction. Data analysis was performed using correlations, linear regression analysis and mediation analysis.</p><p><strong>Results: </strong>Regarding the whole sample the relationship between body image dissatisfaction and alexithymia was confirmed (B=0.41, p<0.001). Regarding the subsample of women, the narcissistic needs had an indirect effect on body image, which contributes to body image dissatisfaction through the mediating effect of alexithymia (B=0.51, p<0.001). Regarding the subsample of men, the dissatisfaction of the need for idealization predicted body image dissatisfaction (B=0.77, p=0.017). In their case, the mediating effect of alexithymia was not detected.</p><p><strong>Conclusions: </strong>While for men the dissatisfaction of the need for idealization necessary for adequate self-development is itself a factor in body image dissatisfaction, for women inadequate self-development is associated with inadequate emotional development, which is associated with body dissatisfaction.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 4","pages":"354-367"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The End of the Smoking Path: The Aspects of Changing Smoking Habits in Psychiatric Care].","authors":"Oguz Kelemen, Adrienn Máttyássy, Gergely Tari, Dávid Pócs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Smoking prevalence is particularly high among individuals with psychiatric disorders, and the low success rate of permanent cessation further exacerbates the situation. However, smoking represents a modifiable risk factor, and addressing it can significantly improve patients' health, quality of life, and life expectancy. This review article explores the most common fears and misconceptions - both from patients and healthcare professionals - that may hinder successful cessation. We examine psychological and pharmacological treatments that support cessation, emphasizing options preferred for psychiatric patients. Special attention is given to the use of nicotine replacement therapies, bupropion, and varenicline, as well as their interactions with psychotropic medications. We also discuss recommended strategies for smoking cessation, the latest guidelines regarding pharmacological interventions, and the direct cessation-supporting effects of psychopharmacological agents. In conclusion, targeted support strategies combined with appropriate pharmacological treatment can significantly increase cessation rates, thereby improving the long-term health outcomes and quality of life for psychiatric patients.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 4","pages":"388-402"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Trieste, free port - Football therapy with psychiatric patients. For the 100th anniversary of Franco Basaglia's birth].","authors":"Mónika Márk, Csaba Mihaldinecz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Franco Basaglia's work is the cornerstone of the radical psychiatric movement in Italy. This culminated in the \"Basaglia Law\" of 1978, which aimed to abolish closed psychiatric institutions. In addition to becoming a symbolic place of movement, Trieste is still trying to preserve and put into practice the Basaglian tradition. The organization called Polisportiva Fuoric'entro implements the integration of marginalized people and groups through various sports activities. Based on the example of this foreign \"good practice\", the initiative in Pécs aimed at organizing and developing a football team of psychiatric patients.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 3","pages":"286-291"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Our visit in the Czech National Institute of Mental Health - experiences and impressions].","authors":"András Lékó, Fanny Kupcsik, Péter Szocsics, Enikő Gergics, István Bitter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In late April 2024, we visited the National Institute of Mental Health (NIMH) with our psychiatry residency class in Klecany, near Prague, the Czech Republic. There is no similar institution in Hungary, so it was worthwhile to learn not only about the research being conducted there, but also how the successful integration of preclinical and clinical research, patient care, and education is achieved in a psychiatric institute. In this article, we briefly describe the history and professional profile of the institute, its capacities, and the work of the research groups and departments that were presented to us during our visit: the Ward of Sleep Disorders, the Psychedelic Research Centre and the Center for Virtual Reality Research. It was instructive to see that in a Central European country of similar size and history to our own, an institution has been created that can provide highly progressive care, with appropriate modern diagnostic facilities (EEG, MRI), allowing detailed differential diagnosis and high quality clinical and translational research.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 4","pages":"415-420"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Csontvary, a Hungarian Painter, Art, Psychiatry. The Analysis according to Rennert].","authors":"István Péter Temesvári","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tivadar Csontváry Kosztka, the great Hungarian artist was called a sort of a \"crazy painter\" by his contemporaries. Retrospectively, he was diagnosed as suffering not from psychosis but a schizotypal personality disorder based on seven out of nine diagnostic criteria. However, we still need a more precise definition of these criteria. It was also said that his paintings are like those made by the mentally ill. But following the principles and methods of the psychopathological art, especially that of Rennert, we find definitely more dissimilitudes than resemblances. In order to obtain a more accurate profile of this extraordinary creator, we still need further research focusing on the facts.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 1","pages":"68-79"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Development of the Long and Short Versions of the Hungarian ECR-R Questionnaire for Measuring Adult Romantic Attachment on a Nationally Representative Sample. Practical Implications].","authors":"Kinga Dupont, Judit Gervai, Szabolcs Török, Ildikó Tóth, Ildikóc Danis","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>We provide an overview of the development and validation of the Hungarian long (ECR-R-HU) and short (ECR-R-HU-SF) versions of the Experiences in Close Relationships - Revised (ECR-R) questionnaire on a nationally representative adult sample and highlight the practical applications of the measurement tool.</p><p><strong>Methods: </strong>The original ECR-R consists of 36 items, while the short form includes 8 items. Both versions have two subscales, Avoidance and Anxiety. Respondents rated the items on a 7-point Likert scale. We assessed the construct validity of the measurement tools using indicators of well-being and family functioning (depressive mood, perceived stress, well-being, and family functioning).</p><p><strong>Results: </strong>Consistent with prior research, skewed distributions were observed in the Hungarian sample; both subscale scores skewed towards attachment security (low scores on both Avoidance and Anxiety). Risk cut-off values for both subscales were determined based on the 75th and 90th percentiles of the population data. Relationship status was the only sociodemographic factor that showed a significant effect across the subscales, with individuals not in a relationship reporting significantly higher scores on both Avoidance and Anxiety. Indicators used to assess construct validity showed weak to moderate correlations with both attachment subscales in the expected directions. These findings were further supported by analyses based on risk groups.</p><p><strong>Conclusions: </strong>The long and short forms of the Hungarian version of the ECR-R are reliable and valid tools with established baseline distributions. We recommend them as scientific assessment tools and as practical instruments for screening and follow-up.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 4","pages":"333-353"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The clinical significance of mindfulness: Hungarian adaptation of the Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF-15)].","authors":"Tamás Szekeres, Liza Takács, Szilvia Kresznerits, Emese Misák, Ágnes Zinner-Gérecz, Dóra Perczel-Forintos","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Mindfulness based interventions belongs to the third wave of cognitive behavioural therapies, where the focus is shifted from restructuring negative automatic thoughts and dysfunctional attitudes to the awareness and acceptance of mental events. The effectiveness of mindfulness based interventions also encouraged researchers to explore more precisely the mechanism of mindfulness. One of the most common measuring instruments is the Five Facet Mindfulness Questionnaire (FFMQ). In recent years, several versions of the questionnaire have been developed, but so far no Hungarian sample has yet been used to assess which version is the most suitable for clinical and research use.</p><p><strong>Objective: </strong>Hungarian adaptation and internal / external validity testing of the short version of FFMQ.</p><p><strong>Method: </strong>In our cross-sectional, non-randomized study, we included 1413 patients from the psychotherapy outpatient clinic of our institution between 2018 and 2022.</p><p><strong>Results: </strong>Compared to the original 39 items, the 15-item version of the FFMQ has better validity indicators. Based on the confirmatory factor analysis, the five-factor model shows an excellent fit. The internal and external reliability of the five-factor structure proved to be better, than the one-factor model. The correlation coefficients also are indicating, that the direction and strength of the relationship are equivalent for the examined variables.</p><p><strong>Conclusions: </strong>The FFMQ-SF-15 version is a reliable and valid instrument for measuring mindfulness in a clinical sample.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 2","pages":"113-127"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The significance of transdiagnostic rating scales and symptom dimensions in fine-mapping and comparing psychiatric disorders: Introduction of the Catatonia-Psychosis-Affective-Negative (CPAN) rating scale].","authors":"Levente Hermán, Ilona Császár, Eszter Komoróczy, Réka Zsigmond, Judit Tolna, János Réthelyi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Psychiatric diagnosis formulation has undergone continuous evolution over the past century and a half, always adapting to the scientific, social, and technological challenges of the given era. During recent decades, there has been a shift towards the dimensional, transdiagnostic approach in many areas, but this had little impact on everyday patient care. In our view, in order to benefit as much as other medical fields from the advances in artificial intelligence and big data analytics, there needs to be a shift towards the dimensional approach in psychiatry. In our study, we present an easy-to-use transdiagnostic tool for assessing the longitudinal course of psychotic disorders, the Catatonia-Psychosis-Affective-Negative/Neurodevelopmental (CPAN) scale. The CPAN is used to assess four basic symptom spectra in the field of psychotic disorders (bipolar affective disorder, schizoaffective disorder, schizophrenia) on a scale of 0-4 (catatonia, psychotic symptoms, affective symptoms and negative/neurodevelopmental symptoms). In addition, it is possible to use binary symptom markers (specifiers) to refine the symptom picture. Currently, the scale is being tested in clinical care and a large-scale validation study is in preparation at the Department of Psychiatry and Psychotherapy, Semmelweis University.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 4","pages":"403-414"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Examining the psychology of Hungarian online trolls and trolling: Interim Findings from an International Internet-based Cross-Sectional Survey Study].","authors":"Edit Vass, Gábor Csukly, Evita March, Viktória Simon, Szonja A Kovács, Júlia Andróczi, Kinga Farkas, Kornél Vajsz, Mikhail Votinov, Ute Habel, Virginia S Y Kwan, Mahamadou Kante, Yitshak Alfasi, Rakshi Rath, Hale Ögel Balaban, Bence Banyoczki, Sándor Békási, David Pineda, Lajos Simon","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Online trolling has gained significant research attention, yet certain aspects remain understudied. Previous studies have focused on defining trolling and exploring dark personality traits, but there is limited research on less dark underlying personality traits of trolls. This study aimed to address these gaps by investigating the motivation, personality traits, and experiences of internet \"trolls\", and exploring social media users' perceptions of trolls versus cyberbullies.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted with a Hungarian sample (N=383), assessing attitudes towards offensive online behavior, social media usage, and experiences as trolling perpetrators or victims.</p><p><strong>Results: </strong>Results showed 48,56% of Hungarian social media users experienced trolling, while 31,07% engaged in it. Facebook had the highest occurrence. Key predictors of trolling behavior were sadism and enjoyment of aggressive humor. Psychopathy showed a negative association with trolling when combined with other variables, indicating trolling is influenced by the complex interplay of personality traits and social factors. The study also found that the prevalence of trolling in Hungary has tripled compared to previous research, indicating a concerning trend.</p><p><strong>Conclusion: </strong>These findings can inform interventions to address trolling behavior, emphasizing positive online norms and respectful communication. By integrating technological solutions, policy frameworks, and educational initiatives, a safer online environment can be created, reducing the prevalence and impact of trolling.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 4","pages":"368-380"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}