Opinions about coronavirus vaccination ­ the role of healthcare workers in communication in December 2020 / A koronavírus elleni védooltással kapcsolatos vélekedések - az egészségügyi dolgozók szerepe az ismeretek átadásában 2020 decemberében.

Összefoglaló. Bevezetés: A koronavírus elleni védooltással kapcsolatos vélekedések igen aktuális, társadalmi szempontból fontos területét adják az egészségmagatartással foglalkozó kutatásoknak. Célkituzés: Vizsgálatunk a védooltásról különbözoképpen vélekedo (oltást elutasító, oltást választó, oltáson nem gondolkodó, valamint bizonytalan) csoportok elemzését tuzte ki célul az oltás elonyeinek és hátrányainak, valamint az információforrások használatának tekintetében. Módszer: A mintát "A koronavírus-járvány okozta lelki tényezok utánkövetéses vizsgálatának" 2020 decemberében felvett adatai adják; a vizsgálat során 1009 fo válaszait egyszempontos varianciaanalízissel elemeztük. Eredmények: Eredményeink azt mutatják, hogy a budapestiek és a Közép-Magyarországon élok, az idosebbek, a férfiak, a magasabb iskolai végzettséguek, valamint a házasok választják nagyobb eséllyel a védooltást. Az oltásról különbözoképpen vélekedo csoportokat az oltás elonyei jobban elkülönítik egymástól, mint az oltás hátrányai. Az elonyök közül a csoportokat foképp a társas, társadalmi érdekekre fókuszáló tételek differenciálják, melyek a járvány megfékezésérol, a fertozés átadásáról szólnak. A használt információforrásokat elemezve pedig elmondható, hogy mind a négy csoport jobban támaszkodik a személyes (család, barátok) és az orvosi, egészségügybol érkezo információkra, mint a médiából érkezo hírekre. Következtetés: Az oltási csoportok véleménye az oltás pozitív hozadékait, különösképp társadalmi hasznosságát illetoen tér el, mely vélemények a leginkább a személyes kapcsolatokon, így az egészségügyi dolgozók álláspontján keresztül formálódnak. Tehát az egészségügyben dolgozóknak kiemelkedo szerepük van a hozzájuk tanácsért fordulók differenciált megértésében, szakértoi tájékoztatásában és megfelelo tanácsokkal való ellátásában. Orv Hetil. 2021; 162(24): 931-937. INTRODUCTION: Beliefs regarding coronavirus vaccination provide very actual and socially important area in mental health research. OBJECTIVE: The aim of our study was to differentiate the opinions related to coronavirus vaccination (acceptance, refusal, ignorance, hesitation). We analyzed advantages and disadvantages of vaccination, and the different channels in getting information about the vaccine. METHOD: Our study is part of the "Longitudinal examination of mental factors caused by the coronavirus epidemic" research project, wave of December 2020. We analyzed the responses of 1009 people by one-way analysis of variance tests. RESULTS: Our results show that elder people, males, and those who have higher education are more likely to accept the vaccine. In addition, those who live in Budapest and Cental Hungary are more likely to choose vaccination against the coronavirus than those living in other areas. The groups with different opinions on vaccination are better discriminated by benefit-related than risk-related opinions. Those benefit-related items showed the largest variance between groups, which focused on social usefulness on curbing the epidemics, preventing the spread of the infection. Analyzing the sources of information, we found that all groups rely more on personal (family, friends) and medical health information than on news from the media. CONCLUSION: The opinions of the vaccination groups differ mostly regarding the positive benefits of vaccination, especially the social usefulness. Opinions are mostly formed through personal relationships including relations with healthcare workers. Healthcare professionals therefore have a key role in providing a differentiated understanding of those seeking advice, providing expert information and appropriate advice. Orv Hetil. 2021; 162(24): 931-937.

Gratitude, Religiousness and Well-Being.

BACKGROUND: Previous researches have identified the positive effects of gratitude on happiness and well-being. It has been found that spirituality can enhance gratitude and well-being. Our study aimed to examine the link between gratitude and subjective well-being among religious and non-religious people. Furthermore we tested if a 4-week long gratitude diary has a positive effect on subjective well-being. SUBJECTS AND METHODS: In our online, qualitative investigation the sample consisted of 54 males and 169 females (mean age=39.13, SD=15.90). 54.1% of respondents regarded themselves as "religious with a given religion", 24.8% as "religious on my own way" and 21.2% as "non-religious". The experimental group (leading a gratitude diary for 4 weeks) with 103 individuals and a control group with 120 individuals with no differences in age, gender and religiousness. We compared the questionnaires' results (filled out both before and after the intervention) of the experimental group (n=103) with the results of the control group (n=120) similarly filled out on two different occasions. We applied Gratitude Resentment and Appreciation Test and Subjective Well-being Scale. RESULTS: Our results showed that religious people showed elevated level of gratitude (F(2, 219)=23.66, p<0.001) but same well-being (F(2, 219)=1.97, p=0.142) compared to non-religious groups. In the experiment group the gratitude and the subjective well-being both increased (p<0.01), and there was no significant changes in control group. 2x2 ANOVA showed significant interaction effect (Subjective well-being: (F(1, 221)=13.32, p<0.001); Gratitude: F(1, 221)=12.43, p<0.001). CONCLUSION: Religiousness is linked to higher gratitude and an increase in gratitude can result in an increase in subjective well-being. The importance of gratitude diary both among religious and non-religious people will be discussed.

Cancer as a Source of Posttraumatic Growth: A Brief Review.

The diagnosis and treatment of cancer represents an experience that is potentially psychologically traumatizing for patients. However, cancer can contribute to the experience of positive psychological changes, namely posttraumatic growth. We conducted a review of empirical studies (n=44) on posttraumatic growth in cancer patients. We focused on the relations of posttraumatic growth to socio-demographic, medical, and psychological adjustment correlates. Results from forty-four reviewed articles indicated that age, gender, and ethnicity were consistently associated with posttraumatic growth in cancer. Regarding illness-related factors, the majority of relationships were positive and were found between subjective severity of cancer, chemotherapy, and experienced growth. The review revealed inconsistent relationships between indicators of psychological adjustment (emotional distress, posttraumatic stress symptoms, and quality of life) and perceived positive changes in the case of the cancer patients. Longitudinal studies might resolve this inconsistency by showing that posttraumatic growth has benefits for later psychological adjustment, as other studies have already documented.

Morningness-eveningness, relationship quality, and quality of life among couples living together.

Morningness-eveningness (chronotype) indicates the preferred time of intellectual and physical activity. This cross-sectional study had two main aims. The first aim was to explore associations among chronotype, quality of life, and relationship quality. The second aim of this study was to examine whether the similarities or discrepancies in chronotype between male and female members of the couples were linked to relationship quality. Both members of 143 couples (mean age = 39.44; SD = 10.11y) living together for at least 6 months completed measures of chronotype, marital stress, relationship satisfaction, dyadic coping, satisfaction with life, health-related quality of life, and quality of sleep. Variable-oriented (correlational) and person-oriented (cluster-analytic) analyses were conducted. Variable-oriented analyses showed that morningness was linked to better mental health, and fewer insomnia problems, but less frequent (self-perceived) stress communication for both genders. The discrepancy between the couple's chronotype scores was positively related to the women's sexual and general life satisfaction and more frequent (self-perceived) supportive dyadic coping by the partner. Moreover, ANOVA results showed that Evening-type (E-type) women had the highest mean score on sexual life satisfaction. According to cluster-analytic investigation, couples consisting of two morning-type members had the least frequent stress communication. On the other hand, these couples had better sleeping quality with less insomnia symptoms than couples with two E-type members. In summary, the present findings demonstrate that morningness holds both advantages and disadvantages for both general aspects of life and also the quality of relationships.

[Comparative analysis of the full and shortened versions of the Oldenburg Burnout Inventory]. / Az Oldenburg Kiégés Kérdôív és rövidített változatának összehasonlító elemzése.

Background - The two free-to-use versions of the Oldenburg Burnout Inventory (OLBI) have been increasingly utilised to assess the prevalence of burnout among human service workers. The OLBI has been developed to overcome some of the psychometric and conceptual limitations of the Maslach Burnout Inventory, the gold standard of burnout measures. There is a lack of data on the structural validity of the Mini Oldenburg Burnout Inventory and the Oldenburg Burnout Inventory in Hungary. Purpose - To assess the structural validity of the Hungarian versions of the Oldenburg Burnout Inventory and the Mini-Oldenburg Burnout Inventory. Methods - We enrolled 564 participants (196 healthcare workers, 104 nurses and 264 clinicians) in three cross-sectional surveys. In our analysis we assessed the construct validity of the instruments using confirmatory factor analysis and internal consistency using coefficient Cronbach's α. Results - We confirmed the two-dimensional structure (exhaustion and disengagement) of the Mini-Oldenburg Inventory and a shortened version of the Oldenburg Burnout Inventory Internal consistency coefficient confirmed the reliability of the instruments. The burnout appeared more than a 50 percent of the participants in every subsample. The prevalence of exhaustion was above 54.5% in each of the subsamples and the proportion of disengaged clinicians was particularly high (92%). Conclusions - Our findings provide support for the construct validity and reliability of the Hungarian versions of the Mini-Oldenburg Burnout Inventory and a shortened version of the Oldenburg Burnout Inventory in the assessment of burnout among clinicians and nurses in Hungary.

Gender differences in the relationship of childhood trauma and the course of illness in schizophrenia.

INTRODUCTION: Different types of childhood trauma have been repeatedly shown to contribute to psychotic symptoms. Gender differences in schizophrenia are well known. Some studies argue that trauma history means a significantly higher risk of psychosis for women than men. However, there is evidence of early adverse life events to be associated with higher stress-sensitivity in men. Little is known about the connection of specific type of trauma and specific psychotic symptoms as well as the course of illness with explicit regard to gender differences. METHODS: 102 men and women with schizophrenia spectrum disorder were tested using Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Scale for Assessing Positive Symptoms, Early Trauma Inventory-SR. RESULTS: Although, women had a later age at onset without regarding trauma history (d = 0.74), this difference became non-significant when introducing trauma variables. Patients reporting physical abuse had a significantly earlier age at onset, regardless of their sex (V = 0.13, F = 3.11, p = 0.03. Physical abuse predicted an earlier age at onset only in women (R2 = 0.23). History of general trauma predicted more frequent hospitalizations only in men (R2 = 0.55). CONCLUSIONS: Although women generally tend to have a more favorable course of illness including a later age at onset men, women with CPA seem to lose this "advantage". It is necessary to investigate the contribution of gender interacting with adverse life events in contribution to the phenomenology and etiology of schizophrenia.

Different Characteristics of the Female Sexual Function Index in a Sample of Sexually Active and Inactive Women.

BACKGROUND: The Female Sexual Function Index (FSFI) is a widely used measurement tool to assess female sexual function along the six dimensions of desire, arousal, lubrication, orgasm, satisfaction, and pain. However, the structure of the questionnaire is not clear, and several studies have found high correlations among the dimensions, indicating that a common underlying "sexual function" factor might be present. AIM: To investigate whether female sexual function is best understood as a multidimensional construct or, alternatively, whether a common underlying factor explains most of the variance in FSFI scores, and to investigate the possible effect of the common practice of including sexually inactive women in studies using the FSFI. METHODS: The sample consisted of 508 women: 202 university students, 177 patients with endometriosis, and 129 patients with polycystic ovary syndrome. Participants completed the FSFI, and confirmatory factor analyses were used to test the underlying structure of this instrument in the total sample and in samples including sexually active women only. OUTCOMES: The FSFI is a multidimensional self-report questionnaire composed of 19 items. RESULTS: Strong positive correlations were found among five of the six original factors on the FSFI. Confirmatory factor analyses showed that in the total sample items loaded mainly on the general sexual function factor and very little variance was explained by the specific factors. However, when only sexually active women were included in the analyses, a clear factor structure emerged, with items loading on their six specific factors, and most of the variance in FSFI scores was explained by the specific factors, rather than the general factor. University students reported higher scores, indicating better functioning compared with the patient samples. CLINICAL TRANSLATION: The reliable and valid assessment of female sexual function can contribute to better understanding, prevention, and treatment of different sexual difficulties and dysfunctions. STRENGTHS AND LIMITATIONS: This study provides a rigorous statistical test of the structure of the FSFI and an explicit decision rule for categorizing sexually inactive women. Limitations include a lack of control over the circumstances of data collection. CONCLUSION: This study supports the use of the FSFI as a multidimensional measurement of female sexual function but highlights the need to establish clear decision rules for the inclusion or exclusion of sexually active and inactive respondents. Hevesi K, Mészáros V, Kövi Z, et al. Different Characteristics of the Female Sexual Function Index in a Sample of Sexually Active and Inactive Women. J Sex Med 2017;14:1133-1141.

[HIGH PREVALENCE OF BURNOUT AND DEPRESSION MAY INCREASE THE INCIDENCE OF COMORBIDITIES AMONG HUNGARIAN NURSES]. / A MAGYAR EGÉSZSÉGÜGYI SZAKDOLGOZÓK KÖRÉBEN MEGFIGYELHETO GYAKORI KIÉGÉS ÉS DEPRESSZIÓ MEGNÖVELHETI SZÁMOS BETEGSÉG MEGJELENÉSÉNEK AZ ESÉLYÉT.

BACKGROUND AND PURPOSE: Poor mental health among health care professionals may have a significant impact on public health. There is limited information about the prevalence and potential consequences of burnout and depression among nurses in Hungary. The objective of this study is to explore the relationship between burnout as well as depression and somatic symptoms as well as comorbidities among nurses in Hungary. METHODS: Cross-sectional study with self-administered questionnaires among 1,713 nurses. Burnout and depression were assessed by the Maslach Burnout Inventory (MBI-HSS) and the Shortened Beck Depression Questionnaire, respectively. Somatisation was measured by the Patient Health Questionnaire (PHQ-1 5). Correlates of burnout and depression were assessed by logistic and linear regression analyses. RESULTS: The prevalence of depressive symptom and clinical depression was 35% and 13%, respectively. The prevalence of moderate and high level emotional exhaustion, depersonalisation, and decreased personal accomplishment was 44%, 36% and 74%, respectively. We identified burnout and depression as a predictor of high prevalence of subjective somatisation. Whilst burnout showed a strong association with increased prevalence of hypertension, depression predicted almost all examined diseases, in particular, cardiac and cerebrovascular diseases, as well as neoplasms. CONCLUSION: We found high prevalence of burnout and depression among nurses in Hungary. As depression has been shown to be associated with higher prevalence of comorbidities than burnout, its consequences may be more significant. Appropriate prevention, diagnosis, and adequate treatment of burnout and depression may decrease the prevalence of ensuing comorbidities.

[Facilitating the diagnosis of depression and burnout by identifying demographic and work-related risk and protective factors among nurses]. / A kiégés és a depresszió diagnosztizálásának elosegítése demográfiai és munkahelyi védo- és kockázati tényezoik feltárásával egészségügyi szakdolgozók körében.

INTRODUCTION: Depression and burnout are frequent comorbidities among nurses. Despite similar symptoms, their management differ. Therefore, their timely diagnosis is essential. AIM: To identify demographic and work-related risk and protective factors of burnout and depression, and facilitate their diagnosis. METHOD: A cross-sectional study among 1,713 nurses was carried out. Depression and burnout were assessed by the shortened Beck Depression Questionnaire and Maclach Burnout Inventory, respectively. Risk and protective factors were explored using t-tests and analysis of variance. RESULTS: The prevalence of depression and moderate-to-high burnout was 35.1% and 34-74%, respectively. Having a partner/child and longer employment in the outpatient setting protected from burnout. Lack of a partner and male sex emerged as risk factors of depression and depersonalisation, respectively. CONCLUSIONS: High prevalence of depression and burnout among nurses poses a significant public health issue. Familiarity with the disease-specific risk and protective factors identified in this research may facilitate timely diagnosis and effective disease management.

[From life events to symptoms of anxiety and depression: the role of dysfunctional attitudes and coping]. / Az életeseményektol a depressziós és szorongásos panaszokig: a diszfunkcionális attitudök és a megküzdés szerepe a patogenezis folyamatában.

UNLABELLED: The aim of the present study was a systematic path-analytical investigation between the effects of life events, dysfunctional attitudes and coping strategies in relation with the exhibited depressive and anxiety symptoms in patients with mental disorders. METHODS: Self-report data of 234 patients from our outpatient psychotherapy unit were analyzed. Life events, dysfunctional attitudes, coping strategies as well as symptoms of anxiety and depression were assessed by self-administerd questionnaires. Statistical methods included structural equation modelling, which enables the estimation of the magnitude and strength of individual variables within an overarching casual model, thus yielding a complex view on the possible processes underlying the development of the clinical symptoms of anxiety and depression. RESULTS: Our findings indicate that both the number of negative life events and their subjectively experienced intensity contributed to the increase of dysfunctional attitudes. The presence of dysfunctional attitudes decreased the use of problem-focused coping strategies and increased the use of emotion-focused coping strategies. The use of problem-focused coping decreased symptom occurrence and emotion-focused coping strategies increased the frequency of symptoms of anxiety and depression. Our findings suggest that dysfunctional need for achievement and perfectionism directly increase the probability of depressive symptom manifestation. The attitude of external locus of control showed a significant relationship with anxiety symptoms through emotion-focused coping strategies and directly as well. CONCLUSION: Restructuring dysfunctional attitudes and developing problem-focused coping strategies are an important part of psychotherapeutic interventions aiming to decrease anxiety and depressive symptoms.

[Coping with work-related stress in health care professionals -- strategies for the prevention of burnout and depression]. / A munkahelyi stresszel való megküzdés egészségügyi szakdolgozók körében -- lehetoségek a kiégés és depresszió megelozésének szolgálatában.

BACKGROUND: The prevalence of depression and burnout among health care professionals is high in Hungary. However, there is limited empirical data on disease prevention among these populations. AIMS: This study aims at evaluating the mediating role of coping mechanisms in preventing depression and burnout. METHODS: Cross-sectional survey among 1333 health care professionals. Participants completed self-administered questionnaires about their perception of work stress, burnout and depressive symptoms, as well as their preferred coping strategies. Analyses were performed using structural equation modelling. RESULTS: The prevalence of severe depression and lack of personal accomplishment was 5.6% and nearly 50%, respectively. Work stress predicted symptoms of burnout and depression both directly and indirectly through the mediation by coping strategies. Of the coping strategies, cognitive restructuring, which accentuates the realistic assessment of challenging situations, was found to reduce the probability of the development of burnout and depression symptoms. CONCLUSIONS: This study provides further data for the development of cognitive interventional strategies and highlights the significance of these strategies in the prevention of depression and burnout among Hungarian health care professionals.

Development of Depression Profile: a new psychometric instrument to selectively evaluate depressive symptoms based on the neurocircuitry theory.

BACKGROUND: Although we have several self-report instruments available to assess depression, they yield a composite score and thus do not allow for the differential examination of major symptom clusters associated with depression. However, such an instrument would be a useful tool in subtyping depression and selecting the most appropriate pharmacotherapy for each patient. The neurocircuitry theory describes the biochemical and neuroanatomic background associated with the major symptoms of depression. Based on the neurocircuitry theory, our team has developed a new instrument, the Depression Profile, to selectively assess depressive symptom clusters associated with different neurotransmitter systems and neuroanatomic structures. The aim of our study was to investigate the psychometric characteristics of Depression Profile. METHODS: 339 patients consecutively admitted with DSM-IV major depression in our hospital completed the Depression Profile in the first two weeks of their hospitalisation. 81 patients in an adult outpatient unit also completed the Zung Self-rating Depression Scale. Internal consistency of Depression Profile was tested with item analysis. The external validity of Depression Profile against the Zung Self-rating Depression Scale was tested using Pearson correlations. RESULTS: The internal consistency of Depression Profile proved to be excellent. The Cronbach alpha values of the scales met the expectable minimum level derived from the number of items in the scales. In testing for convergent validity, all Pearson correlation coefficients between Depression profile subscales and the Zung Self-rating Depression Scale were significant and moderate to high which indicates the good external validity of our instrument. DISCUSSION: The initial psychometric evaluation of Depression Profile indicates that our instrument has good reliability and internal and external validity. The instrument also proved to be useful in clinical work to aid the choice of medications and determine the subtype of depressive episodes. Further studies, possibly with biochemical and neuroimaging methodology are needed to validate the 9 main symptom clusters of the Depression Profile subscales with respect to their neuroanatomical and neurochemical bases.