Psychiatria Hungarica最新文献

{"title":"[A study of the psychosocial characteristics of psychiatric teams in Hungary].","authors":"László Molnár, Sára Kalotaszegi, Bence Gergely, Szabolcs Takács, Ágnes Zana","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>In this study, we examined psychiatric teams in a Hungarian sample before the COVID-19 pandemic. The aim of our research is to examine Hungarian psychiatric teams along different workplace psychosocial factors (collaboration management, organization and job, workplace requirements, work-life balance, trust, health and well-being) in order to assess them in terms of hierarchy and competence. Moreover we examine the mental and somatic effects of these factors.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey of Hungarian mental health care workers (N =79). The main question of the study was how perceived hierarchy and competence boundary violations are associated to psychosocial factors of the COPSOQ-II questionnaire (Copenhagen Psychosocial Questionnaire II) in general, and among employees in different job groups.</p><p><strong>Results: </strong>Based on bootstrapped binary logistic regression performed on the full sample, we found that perceived hierarchy is associated with control, social support of co-workers and stress, while violation of competence boundaries is associated with job recognition, job clarity and fairness.</p><p><strong>Discussion: </strong>Our results show that where mental health care workers experienced less perceived hierarchy within the team, they were more likely to feel that they had control over their work. Furthermore, in hierarchies perceived as superior-subordinate relations, the quality of the relationships within the team seems to be much more important.</p><p><strong>Conclusions: </strong>This research can be the starting point for a comprehensive study of other psychiatric teams with the aid of a widely used measure, providing an opportunity for comparison with other health teams at an international level.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 3","pages":"218-231"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048020","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":"[Introduction of a psychoeducational and support group for caregivers of patients living with schizophrenia].","authors":"Julia Markovits, Anna Nyulászi, János Réthelyi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In recent years there has been a shift in the long-term treatment of patients living with schizophrenia, the institutional focus being increasingly replaced by outpatient and community-based interventions. Relatives of patients with schizophrenia play a key role in treatment, greatly assisting the monitoring of patients' condition and facilitating their involvement in long-term care. The challenges associated with the varied symptoms of schizophrenia place an increased burden on family members, including psychological distress often accompanied by a deterioration in quality of life. In this context, the literature and international protocols highlight the need for interventions involving the patients' family, which in most cases focus on psychoeducation and development of communication skills. At the Department of Psychiatry and Psychotherapy, Semmelweis University, we have initiated and organized psychoeducational support groups for relatives of patients living with schizophrenia since August 2019. The first half of the 10-session training focuses on providing information about the disease, therapeutic options, and relapse prevention, reflecting on the family members' own experiences. In the second half of the training, we focus on the psychological difficulties that family members face in their daily lives, such as stress management and communication problems within the family, stigmatization and decreased self-care. In this article besides summarizing the literature, we present the structure of the training for relatives and our experiences with the process of the groups, including our future plans and possibilities for improvement.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 3","pages":"260-266"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048024","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 Barratt Impulsiveness Scale-Brief-8 in an Incarcerated Sample: Suicide Risk, Impulsivity and Mindfulness].","authors":"Irina Horváthné Pató, Tamás Szekeres, Szilvia Kresznerits, Dóra Perczel-Forintos","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide attempts and their consequences have been the leading causes of death among prisoners. Meta-analyses suggest that the main risk factors are current suicidal ideation, the presence of a mental disorder, high perceived stress levels, previous suicidal attempts or self-harm, and institutional and criminogenic variables. Empirical evidence is consistent with the integrated motivational-volitional model of suicidality, which also emphasizes the role of impulsivity in suicidal behaviour. The main objectives of our research are: (a) factor analysis of the Barratt Impulsiveness Scale-Brief-8 (BIS-R-8); (b) examination of the mental health status of prisoners, and the suicidal risk factors in our sample; (c) modeling the effect of mindfulness skills on the main risk factors.</p><p><strong>Methods: </strong>In our cross-sectional survey, we matched a sample of inmates to a convenience sample according to gender and age (N=378). Based on our hypotheses, we examined the factor structure and reliability of the BIS-R-8. An independent sample t-test was used for comparison, and a two-step linear regression and mediation modeling were used to examine the risk of suicide.</p><p><strong>Results: </strong>Based on factor analysis, the BIS-R-8 can be used as a unidimensional scale. A two-factor structure with cognitive and behavioral impulsivity subscales has also been confirmed. However, the internal and external reliability of the one-factor structure proved to be better. Depression, hopelessness, perceived stress and impulsivity turned out to be of higher level in the prisoner sample; lower levels of coping skills, self-esteem, mindfulness skills and well-being were also confirmed. Depression and perceived stress level seems to be the main modifiable risk factors for suicidal thoughts in the total and prisoner's sample. Previous suicide attempts and non-suicidal self-harm are the main unmodifiable risk factors of suicidal thoughts. Low level of mindfulness skills directly and indirectly via perceived stress explains 50% of the heterogeneity in depression.</p><p><strong>Discussion: </strong>In correctional institutions BIS-8-R can be a suitable screening tool for measuring impulsivity as a suicide risk factor. Mindfulness-based interventions seem promising for improving the mental health status of prisoners and reducing the risk of suicide.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 3","pages":"203-217"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048026","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":"[Art and equality: Budapest Art Brut Gallery and PsychArt® 24 Art Marathon].","authors":"Lajos Simon, Emese Kovács, Zsuzsa Kardos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In our society, the perception of psychiatric patients is not favourable, and negative prejudices do not promote the social reintegration of the persons concerned. Many covert and overt stigmatisations and discriminations in the public mood, as in the public discourse and in the functioning of institutions repeatedly affect people with psychiatric illnesses, those involved in psychiatric treatment and psychiatric institutions. In 2009, the Moravcsik Foundation established the Budapest Art Brut Gallery (BAB Gallery) which provides a showcase for art brut and outsider artists, art therapy workshops and contemporary artists. The mission of the gallery is to contribute to a positive change in the social attitudes and prejudices towards people with mental illnesses and marginalised people, and to create equal opportunities in the cultural and artistic life. Another important mission of the gallery is to showcase and promote the works of art created by people with mental illnesses. The basic idea behind the creation of PsychArt® 24 is to bring participants closer together through joint creative work, using the language and expressive means of art, and to get to know each other's perspectives, thoughts and ways of seeing. The creative session which lasts for 24 hours in a shared space and the spontaneous unconditional communication create opportunities and help individuals with mental illnesses to distinguish between themselves and their illnesses with confidence, strengthen their social relationships and increase their self-esteem. Through the community of PsychArt® 24, opportunity, support and security are not only offered to people with a psychiatric illness, but also for the other participants who create with them and can experience the uplifting experience of being together and the removal of their prejudices and fears. The PsychArt® 24 Art Marathon anti-stigma programme helps to reduce prejudice against people with psychosocial disabilities and to create cultural equality through raising awareness.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 4","pages":"301-308"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672859","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":"[Bibliometric analysis of Hungarian-related publications in suicidal behavior research of the last three decades].","authors":"Márk Bérdi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Digitized databases of scientific publications provide an opportunity to study the development and structure of science as a whole or a discipline. Qualitative methods of bibliometrics help with this, and the multidisciplinary approach, known as the \"Science of Science\", provides a thinking framework and methods. There is no example for the analysis of the bibliometric characteristics of Hungarian suicidology publications.</p><p><strong>Method: </strong>In this study, the author analyzes publications related to suicidal behavior published between 1992 and 2021, with the participation of at least one Hungarian author, using statistical, data visualization, and network analysis methods. The analysis used publications in English, Hungarian, and other languages found in the Scopus database.</p><p><strong>Results: </strong>The present research could identify 426 Hungarian publications in the three decades examined. The number of studies increased 5.8 times between the first and last five-year periods. The growth is not linear; there was a sudden increase in the number of studies around 2004. The doubling time for the number of studies is 9.6 years. The analysis identified five larger and five smaller clusters in the authors' network of relationships, representing well-known domestic suicidal research groups. In suicidology, Lotka's law also applies to the Hungarian sample. That is, few authors write the majority of studies, while the vast majority write only a few publications during their careers. A study's average number of authors increased significantly during the examined period. Multi-author studies received significantly more citations than single-author studies. 74.4% of the announcements are in English, and 21.6% are in Hungarian.</p><p><strong>Conclusions: </strong>The methods of bibliometric analysis and the \"science of science\" can help research groups identify new research directions. All of this can ultimately contribute to a better understanding of suicidal behavior, allowing answering social and scientific problems. The focus of future bibliometric research, in addition to foreign databases, could be the analysis of a broader time interval with the help of Hungarian databases (e.g., MATARKA).</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 3","pages":"189-202"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048021","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":"[Fortification of drinking water with lithium to reduce suicide in the population].","authors":"Zoltán Rihmer, Zsuzsanna Bélteczki, Péter Döme","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Antimanic and phase-prophylactic features of lithium (Li) in subjects with affective disorders has been known for a long while. Furthermore, it has also been proven for decades that - partially due to its aforementioned effects - Li has marked antisuicide properties in subjects with mood disorders. Intriguingly, consistent findings from several studies conducted in the last 15 years suggest that the antisuicide effect of Li can also be detected in those members of the population who consume drinking water with high Li contents (in connection with this, we must note that the level of Li in tap water is several orders of magnitude less than the therapeutic dose of Li). Based on these results, and also taking into the consideration the long-known anti-goiter effect of iodized table salt, some experts suggest considering the enrichment of tap water with microdose Li. This paper paper briefly summarizes our current knowledge on this topic as well as the related clinical and ethical dilemmas.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 3","pages":"256-259"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048023","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":"[Eco-emotions: The Psychological Consequences of the Climate Crisis].","authors":"Lilla Kegyes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Global climate crisis is a phenomenon that not only affects the environment but also has an impact on every person on Earth, including their physical and mental well-being. This paper aims to provide an overview of the indirect mental impacts of the climate crisis by presenting the most discussed eco-emotions. Eco-emotions are affective phenomena related to global climate crisis, such as eco-anxiety, eco-grief, and eco-guilt. The study also summarizes the social groups that are most vulnerable to experiencing the negative mental effects of climate change. Additionally, the paper gives a brief summary of adaptive and maladaptive coping mechanisms for dealing with eco-emotions, as well as therapeutic considerations that experts should take into account when working with affected individuals.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 3","pages":"232-244"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048022","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 encounter of the 'Golden Priestess' with Sanyika - An analysis of the creative dynamics of the Weöres-Károlyi couple from the perspective of Amy Károlyi's oeuvre].","authors":"Balázs Matuszka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The circumstances of the encounter of the Weöres-Károlyi couple, as well as some dynamic details of their marriage, have been surrounded by considerable literary and public interest during the past decades. This interest however largely focused on the poetic oeuvre of Sándor Weöres and on his struggle with alcohol. However, the impact of this legendary encounter on Amy Károlyi's art has been a subject of few analyses. The purpose of this study is to gain a deeper understanding on the impact of this encounter with Sándor Weöres and the life- and creative fellowship with him had on Amy Károlyi's art and life, as well as what creative influences can be identified in the couple's oeuvre. The study identifies the most common beliefs (\"legends\") regarding the Weöres-Károlyi couple, as well as the most important literary imprints of their marital and creative community and their effects on Károlyi's poetry through an overview of Károlyi's confessional works. Based on the revealed biographical and artistic associations, it can be concluded that despite the fact, that Amy Károlyi's literary work was fulfilled in her marriage, and creative fellowship with Weöres, her figure still appears in literary memory as the support and \"savior\" of her husband, Weöres.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 4","pages":"406-417"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672863","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":"[Self-harming behavior and suicide attempts in autism spectrum disorder: A systematic overview].","authors":"Brigitta Kakuszi, Szilvia Hetesy, Pál Czobor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent research indicates that the risk of suicide attempts in autism spectrum disorder is substantially higher than in the general population. Although a number of factors may play a role in suicide, in the present review we focused on the meta-analyses that examined self-injurious behavior and suicide attempts in autism due to the importance of these factors. Results to date suggest that the risk of self-harming behavior and suicide attempts in autism is approximately three-times higher than in the general population. Of concern, are findings that suggest that women with autism are 5-13 times more likely to complete suicide than women without autism. It is noteworthy that the high-functioning autistic group has a significantly higher risk of suicide than the low-functioning group. By contrast, the risk of death from somatic causes is higher in the low-functioning autistic group. The results of this systematic overview of the available meta-analyses may help health care professionals, decision-makers, affected persons and their relatives to recognize self-injurious behavior and suicide risk in time, thereby facilitating prevention.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 3","pages":"245-255"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048025","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":"[Lou Salomé - the woman with whom Nietzsche,Rilke and Freud were in love].","authors":"Attila Németh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lou Salomé (1861-1937) left her native Russia at the age of nineteen and began her university studies in Zurich. During her long life, the famous and less famous men who came into contact with her almost without exception came under her influence. Some had passionate love, some had platonic love, and some had a \"more than\" master and student relationship. Was she a muse or a femme fatale? An analysis of her special life path provides an answer to the question.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"38 4","pages":"344-360"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672861","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}