{"title":"[Risk factors of suicide attempt in adults: childhood trauma, adult attachment, temperament, and character].","authors":"Kamilla Fanni Herpay, Ágoston Schmelowszky, Noémi Mónika Szeifert","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is a severe public health problem. Impacts of childhood traumas, unsecure adult attachment styles and personality traits have been suggested as possible risk factors for suicide attempts. The aim of this cross-sectional, case-controlled study is to investigate the impact of childhood traumas, adult attachment styles and personality traits on suicide attempt.</p><p><strong>Methods: </strong>The sample consisted of psychiatric patients who attempted suicide (n=101) on the one hand and those who did not attempt suicide (n=114) on the other. The questionnaires used were the Hungarian validated versions of Adult Attachment Scale (AAS), Childhood Trauma Questionnaire (CTQ), Temperament and Character Inventory (TCI) and a demographic questionnaire.</p><p><strong>Results: </strong>Results indicated that Novelty Seeking (NS) temperament trait [EH=1.043; 95% C.I.=(0.950-1.145)] p=0.376; emotional abuse [EH=1.034; 95% C.I.=(0.966-1.107)] p=0.336; emotional neglect [EH=1.022; 95% C.I.=(0.936-1.116)] p=0.626; and sexual abuse [EH=1.047; 95% C.I.=(0.959-1.142)] p=0.305 were associated with nonsignificant increases in the odds of suicide attempts. Whereas secure attachment style [EH=0.908; 95% C.I.=(0.842-0.980)] p=0.013 appeared to be a significantly protective factor (c2(1)=6.515 p=0.011). Furthermore, when examining the connection between childhood traumas and adult attachment styles it was found that the anxious attachment style had a positive significant correlation with emotional abuse (rs(197)=0.293) p<0.001, avoidant attachment style with emotional neglect (rs(197)= 0.273) p<0.001.</p><p><strong>Conclusion: </strong>Our findings suggest that individuals with avoidant attachment style and childhood traumas are likely to present a higher suicide risk. However secure attachment style likely to present a lower risk for suicide.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 2","pages":"128-141"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983464","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":"[Challenges and resolutions in mental health support for medical students. Mental Health Counseling Service at Semmelweis University].","authors":"Imola Sándor, György Purebl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The prevalence of mental health problems is on the rise worldwide, and there appears to be a significant increase in young university students as well - a British study found a fivefold increase in the prevalence of mental health problems in adolescents over a 10-year period. In the world of medical universities, full of stressful challenges and a competitive atmosphere, the above factors put even more pressure on students. The less favorable mental state of medical students compared to students of other universities is well known and cannot be considered as specific to Hungary. There are several national and international studies that emphasize the multicausal origin of this phenomenon. In order to support the mental and physical well-being of students, to reduce dropout rates and to prevent various psychiatric disorders, the development of well-being services is advocated worldwide. In our paper, we present the curricular and extracurricular mental health promotion opportunities available to students at Semmelweis University, with a special focus on the Student Counselling Service.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159227","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":"[On the 100th anniversary of the death of Professor Ernô Emil Moravcsik (1858-1924) the founder of the Department of Neurology and Psychiatry at \"Balassa\" street].","authors":"Gáborné Parcsami, János Réthelyi, Lajos Simon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Who was actually the director of the Department of Neurology and Psychiatry at Balassa Street, for a long time also referred to as the Moravcsik Clinic? A polymath, a genius, or rather a knight of fortune who wanted to draw attention to himself by building a clinic for himself? We looked into this on the occasion of his death anniversary. How did he get from the head of the department to the founding of the Psychiatry and Neurology Clinic? He dreamed up every corner of the Department, which was the most impressive and patient-friendly clinic of its time even in European terms. The building was not only used for the recovery of patients, but also for the continuous medical training of doctors. His books and publications stand out from his work. Analyzing his school-creating activities, we can see that his students became famous psychiatrists. From the descriptions left by his contemporaries, it is clear that he was characterized by goodness and love. He could rejoice at the recovery of one of his patients as if he himself had been the lucky one. His correspondence with his most unique colleague, József Brenner, i.e. the writer Géza Csáth, can be found in the archives. The Moravcsik Foundation, a non-profit organization for psychiatric care, preserves his name to this day and nurtures his intellectual heritage.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 3","pages":"292-300"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984460","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":"[Elements of high-grade iatrogenic risk in care of patients with somatic symptom disorder].","authors":"Péter Rajna","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Author analyses the process of care of somatic symptom disorder in the general medical practice with special concern to iatrogenic harms. In his opinion the latency of the patients' first appointment with a psychiatrist or clinical psychologist is caused by multiple factors. Patients do not have knowledge on the basic activities of central nervous system necessary to recognize the pathomechanism. On the other hand, physicians do not know the real clinical picture and the cutpoints of the illness. For laypersons the official nosological definition(s) can be very deceptive and frustrating. While somatic symptom disorder is recently an exclusional diagnosis, there are plenty of unnecessary expensive medical appointments and investigations prior to the first efficient intervention. There is a lack of aimed guidelines and protocols. Consequently both pharmaco- and psychotherapy start late and not in the optimal (individually tailored) way. Considering the real capacities in general practice and also in psychiatry, author points to the most urgent steps which can improve the medical care of patients living with somatic symptom disorders.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 3","pages":"235-241"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984390","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":"Use of Bibliotherapy for Depression in Pediatric Cancer Patients.","authors":"Hüseyin Çaksen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, we discuss the use of bibliotherapy for depression in pediatric cancer patients, to attract attention to the importance of this method, overlooked by most health professionals. Cancer in children and adolescents is one of the most serious health problems worldwide. There is a subgroup of children with cancer at increased risk for anxiety and depression, and post-traumatic stress disorder. Psychosocial providers offer a wide range of psychotherapeutic interventions to pediatric cancer patients and their families. Bibliotherapy (also referred to as book therapy or reading therapy), a form of psychotherapy, involves using any text to improve physical, social, mental, and spiritual health, through reading, discussing, and facilitating a better understanding. Studies have shown that bibliotherapy is effective in reducing symptoms of depression in children, adolescents and adults. Bibliotherapy is also effective in decreasing symptoms of depression in adult patients with cancer; however, to the best of our knowledge, no study has been reported about use of bibliotherapy for depression in pediatric cancer patients. Therefore, we strongly recommend that randomized controlled studies should be conducted on the use of bibliotherapy for depression in children and adolescents with cancer.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"39 3","pages":"254-257"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984665","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}