Psychiatria Hungarica最新文献

Introduction: In contrast to most other countries, in Hungary, suicide rates increased significantly in the first year (March to December 2020) of the COVID-19 epidemic. Worldwide, the burden of emergency health care tended to decrease in the first period of the pandemic. The main goal of the present research was to assess how the number of suicidal deliberate self-poisoning has changed in the first two years of the pandemic compared to the trend of the previous years (before March 2020) in the capital of Hungary, Budapest, and in Pest County (population approx. 3 million).

Methods: In our retrospective cross-sectional study, we analyzed the results of emergency psychiatric evaluations of patients admitted to the Péterfy Hospital Emergency Department and Clinical Toxicology due to self-intoxication. From the data stored in the hospital's electronic health care system, we recorded two variables: suicidal self-poisoning, that is, suicide attempt, and the gender of the patient. Interrupted time series analysis was used, which relied on negative binomial regression estimates. In addition, the leveling in the trends was examined by changepoint detection.

Results: In males, suicide attempts decreased by 16.6% compared to the pre-pandemic period (p<0.001). A similar and significant decrease was observed in females and the overall population. The trend change took place in August 2020 for women and the total population, and in October for men.

Conclusions: It is suggested that people who have undergone a non-violent drug self-poisoning suicide attempt are less likely to call for help, such as an ambulance. Alternatively, fewer had attempted suicide because they did not want to be hospitalized. This hypothesis is supported by the fact that the change in the examined trend (August and October) coincides with the beginning of the second wave of the epidemic in Hungary.

Introduction: The prevention of social anxiety alone and in the prevention of comorbid diseases is key. In the present research, we examine subclinical-level social anxiety from a previously understudied perspective, in its asso ciation with environmental self-regulatory strategies. We use the theory of favorite places to describe environmental self-regulatory processes. The aim of the research is to determine how subclinical level social anxiety is related to the environmental self-regulatory processes taking place in favorite places.

Methods: In the study, we conducted an online questionnaire survey of 483 adults who were clinically healthy - 329 women (68.11%) and 154 men (31.88%). Respondents' social anxiety was assessed with the Fear of Negative Evaluation Questionnaire (BFNE-S), while environmental self-regulatory strategies were assessed with the Favorite Places Questionnaire.

Results: The extent of social anxiety was correlated with visiting favorite places in positive and negative emotional states, as well as the level of recovering and distressing experiences in the favorite place. Within the subsample characterized by elevated social anxiety, the pattern that visiting a favorite place helps a person regain his or her emotional balance primarily through the regulation of negative experiences was more characteristic. However, we found no correlation between the type of favorite place (e.g., place of residence, natural place) and the person's level of social anxiety.

Conclusion: The research highlights that individuals with subclinical-level social anxiety are particularly active in using environmental self-regulatory processes to achieve their emotional balance. In prevention and clinical practice, it is worthwhile to monitor environmental self-regulatory processes and support for related needs, with particular emphasis on place use patterns.

Today mental health services face various challenges for which they are barely or not at all prepared under current structural, functional and financial circumstances, while the mental effects of the COVID-19 pandemic are yet to be fully recognized. In Hungary, health and social services provide mental health services collectively, although simul taneously: in many cases, vertical and horizontal cooperation tends to be incidental or completely lacking among treatment types and stages, causing perplexing patient journeys, significant regional disparities, and deficiencies in the necessary multidisciplinary approach. In our thesis, first we start from the definition of health by WHO, which brings well-being to the forefront, then we attempt to present a comprehensive assessment of the current situation of the Hungarian social and health care system regarding mental health, introducing international and domestic statistics along with foreign national public policy programmes. Finally, with particular attention to the recommendations of various professional programmes, we present a proposal for the reform and development of integrated social and health care systems. Along with delivering a keynote address, we hope to attract the critical attention of a wide range of mental health professionals with our proposed programme.

Psycho-physiological studies suggest that social rejection leads to social distress and favours impulsivity. We therefore investigated changes in behavioural impulsivity after exposure to social rejection by taking into account impulsive personality traits and changes to affective states. 30 university students were recruited. The Go/No-go task assessed behavioural impulsivity, the Barratt Impulsiveness Scale measured impulsive personality traits, and Likert scales measured affective states. A video clip and a writing exercise were used to induce stress. We found that impulsive error responses increased significantly after exposure. Decreased level of excitement and of loneliness were reported after stress. Distress caused by social rejection increased impulsive behaviour, but the degree of this change could not be associated with trait impulsivity, and was reported subjectively.

Background and aims: Separation from parents and finding an identity are among the most important tasks of adolescence. To successfully solve these tasks parental and family support are essential. Parental socialization goals are a set of values that offers adolescents to identify with on the one hand and affects the parent-child relationship on the other hand. Through identification and relational processes, parental socialization goals could be related to adolescents' satisfaction with life. In our study, we investigated the organization of parental socialization goals in parents of adolescents. On the other hand, we wanted to reveal the potential link between parental socialization goals and adolescents' satisfaction with life.

Method: Ninety-eight families with two biological parents and adolescents (51 boys and 47 girls) participated in our study. Both parents completed a questionnaire on parental socialization goals. We also used a questionnaire to have adolescents report their satisfaction with life.

Results: Maternal and paternal socialization goals with regard to interdependence formed two components. The two components were labelled obedience-oriented parenting goals and other-oriented parenting goals. Maternal and paternal socialization goals with regard to independence formed two components based on the person of the parent. We labelled these components maternal identity-oriented parenting goals and paternal identity-oriented parenting goals. Adolescents' satisfaction with life positively correlated with obedience-oriented parenting goals.

Conclusions: Results are discussed with regard to age-relevant characteristics of the relationship between adolescents and their families. The unexpected positive link between obedience-oriented parenting goals and adolescents' satis faction with life can be solved with a focus on concepts relevant to adolescence (identity development), parenting (parenting practices), and family (family relational schemata).

Objectives: A nationwide survey in Hungary found that 22 out of 58 psychiatric units performed ECT in 2014. Shortly after identifying the first COVID cases, strict control measures were introduced, and the hospital system was fundamentally transformed in the country that affected ECT provision as well. The aim of the current study was to survey the changes in ECT use in Hungary during the four waves of the COVID-19 pandemic.

Methods: All the psychiatric units that indicated they had performed ECT in 2014 were sent a semi-structured question naire requesting information about changes in ECT practice and the treatment profile of the unit. If there was no reply, a follow-up telephone call was made.

Results: There were only 3 centers where ECT was performed throughout all four waves of COVID. In nine centers (47%) ECT was suspended in all four waves. The main reason why ECT was halted during COVID was the restructuring of psychiatric inpatient care: six centers were fully transformed into general COVID units, and in the remaining 13 the number of psychiatric beds was reduced in favor of general COVID care. Staff shortage constituted another barrier to the provision of ECT. The number of infected patients in a wave of COVID-19 showed a significant negative correlation with the number of active ECT centers (p=0.05). No COVID-infected patient received ECT in Hungary.

Conclusions: During the COVID pandemic in Hungary, nearly half of the ECT services were suspended and thus a number of patients missed out on receiving an effective treatment.