Hungarian Version Research Articles

Psychometric Properties of the Hungarian Passion Scale-8 (PS-8-HU) in Physically Active and Inactive Adults.

The 8-item Passion Scale (PS-8) is a unidimensional instrument used in dual versus single passion research. The PS-8 was validated in Icelandic, Persian, and Turkish student samples. In this study, we translated the PS-8 and validated it with physically active and inactive adults from Hungary. We also evaluated measurement invariance (across gender, physical activity, exercise frequency, and age groups) of the Hungarian version of the Passion scale (PS-8-HU). Data were collected online between fall 2023 and winter 2024, including a test and retest phase. The sample comprised 729 Hungarian physically active and inactive adults (68% females, 32% males; ages 18-78 years), of whom 196 participated in the retest. We used confirmatory factor analysis (CFA), item analysis, correlations, t-test and ANOVA in checking the scale's validity and reliability, and we used a multigroup CFA to test the measurement invariance.The results supperted a univariate structure of the PS-8-HU. The instrument was invariant for gender (at the strict level), exercise frequency (metric), physical activity (metric), and age (scalar). The internal reliability of the PS-8-HU was .93 and test-retest reliability was .77. The PS-8-HU also exhibited good concurrent and construct validities, high homogeneity, and adequate discriminant validity.

Psychometric evaluation and validation of the Hungarian version of the Physical Activity Affect Scale (PAAS-H)

Background: Feelings and emotions during sports and exercise determine commitment, adherence, and enjoyment of the activity. The Physical Activity Affect Scale (PAAS) combined two earlier instruments, the Exercise-Induced Feelings Inventory and the Subjective Exercise Experiences Scale, to investigate affective states generally characterizing post-exercise feelings based on the circumplex model of affect. Therefore, the PAAS measures positive affect, negative affect, fatigue, and tranquility on a five-point Likert scale having only 12 items. Aim: Its ease of administration and interpretation renders the PAAS a valuable tool in both research and practice, but it is unavailable to Hungarian scholars and sports and exercise professionals due to the lack of adaptation. Hence, this work aimed to develop and validate the Hungarian version of the PAAS. Methods: Three hundred sixty-two recreational exercisers (64.1% women), aged from 18 to 62 (mean of age: 27.0 [SD = 10.0]) years completed the questionnaires before and during their exercise (briefly interrupting activity). Measures: PAAS was used to measure positive affect, negative affect, fatigue and tranquility aspects of internal affective experience. Positive and Negative Affect Schedule (PANAS) was utilized to assess the actual mood state, consisting of positive affect and negative affect subscales. Arousal was measured with Felt Arousal Scale (FAS), while the pleasure–displeasure affective valence was assessed with the Feeling Scale (FS). Results: A confirmatory factor analysis indicated good fit of the four-factor model. The results also revealed configural, metric, and scalar measurement invariance between sexes. The internal reliabilities of the scales varied between (Cronbach’s α) .73 and .85 before and during exercise. PAAS scales largely showed the expected associations with other measures of positive and negative affect and activation. The lowest association was between Tranquility (PAAS) and Felt arousal (r = .14), followed by Tranquility and Feeling (r = .27). Feeling and Felt arousal correlated negatively with Fatigue (PAAS, r = –.42 and r = –.44), as well as with the Negative affect (PAAS, r = –.61 and r = –.40). Positive affect from PAAS (PAAS PA) had a positive correlation with Feeling and Felt arousal (r = .64, r = .54). PAAS PA and Positive affect from PANAS (PANAS PA) correlated strongly (r = .77), similar to the Negative affect from both inventories (r = .78; p < .01 for all cases). Conclusion: Therefore, the Hungarian PAAS could assess exercise-induced affect in a reliable and valid way in recreational exercisers. However, its validity in competitive sports remains to be tested.

Socio-Economic and Health Literacy Inequalities as Determinants of Women's Knowledge about Their Reproductive System: A Cross-Sectional Study.

To support women's informed decisions and reproductive self-care, confident reproductive health-related knowledge is needed, supported by adequate health literacy (HL). No corresponding survey has been carried out in Hungary on inequalities to provide information addressing education. In the current cross-sectional online survey, 301 women of reproductive age (27.16 ± 0.36 years) were asked with the Hungarian versions of validated and standardised questionnaires about reproductive knowledge on hormones, ovulation, menstrual cycle, pregnancy signs and birth control (Knowledge of Female Body Scale-KFB), and HL (Brief Health Literacy Screening Tool-BRIEF). Spearman correlation and multivariable linear regression analyses were utilised, with a significance level set at p < 0.05. IBM SPSS version 28.0 (IBM SPSS, Armonk, NY, USA: IBM Corp.) and G*Power (version 3.1.9.7; Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany) software. The STROBE checklist was followed. The Clinical Trial Registry Nr. is NCT06146673. The KFB composite score was high (20.01 ± 2.33); 86.374% had "high knowledge". Still, lacking information was identified for the mechanisms of certain contraceptive methods and early physical signs of pregnancy. A significant difference was also found in the KFB scores in the case of higher age (p = 0.019), higher education level (p = 0.018) and previous live birth (p = 0.028). A positive correlation was found between KFB and HL (p < 0.001), education (p = 0.005), and age (p = 0.021). A multiple regression analysis (R2 = 0.087, p < 0.001) indicated that both HL (p < 0.001) and age (p = 0.003) are potential positive predictors of adequate reproductive knowledge, whereas induced abortion (p = 0.013) might serve as an inverse predictor. Inequalities in women's knowledge about their reproductive system and HL were found, and it was significantly the lowest in their highest conception probability age. Therefore, in addition to targeted education, HL also needs improvement.

A quick balance assessment tool for all clinical settings: validity and reliability of the Hungarian version of the activities-specific balance confidence scale

ABSTRACT Background The Activities-specific Balance Confidence Scale was developed for testing the balance confidence of elderly individuals, and it has been used extensively for evaluating various patients. No such scale has been adapted for the Hungarian population. Objective To translate and culturally adapt the Activities-specific Balance Confidence Scale and test the reliability and validity of the Hungarian version. Methods The study included 167 independently mobile subjects, of whom 39 filled in the questionnaire twice, 1 week apart. Beaton’s six-step principle was applied for cross-cultural adaptation. Reliability was assessed by internal consistency measured by Cronbach's alpha and through test–retest analysis. Types of validity evaluated were concurrent validity using the Berg Balance Scale and cross-cultural validity. Results Excellent internal consistency was shown by Cronbach’s alpha = 0.977. Test–retest analysis resulted in an Intra-Class Correlation Coefficient of 0.962 (0.865–0.961, 95% CI, p < .001) for the whole test; no floor or ceiling effects were found. The convergent validity of the scale was tested by Spearman’s rank correlation analysis using the Berg Balance scale for external validation and showed a strong positive correlation (Rho = 0.755, p < .001). Receiver Operating Characteristic curve analysis showed an Area Under the Curve of 0.821 (CI 95% 0.75, 0.892). Mean detectable change based on the 95% confidence interval was 10.49% on the scale ranging from 0 to 100%. Conclusions The Hungarian version of the Activities-Specific Balance Confidence Scale provides a valid and reliable picture of the patients’ self-assessed balance. It is recommended both for clinicians and for clinical studies.

Myths about suicide - validating the Hungarian version of the Literacy of Suicide Scale (H-LOSS) on a community sample

BackgroundSuicide was exceptionally high in Hungary in the last century. According to Eurostat, Hungary ranks second in the EU in death by suicide and was among the few countries where the suicidal tendencies increased in 2020. Primary tasks of suicide prevention programs are to develop suicide literacy and dispel myths and misconceptions about suicide. Therefore, the goal of our research was the Hungarian validation of the 26-item Literacy of Suicide Scale (LOSS). Methods: 749 people (382 female (51.0%), 364 male (48.6%), 3 identify as non-binary or other (0.4%); 4 identifying as transgender (0.5%)) participated in our online cross-sectional survey with a mean age of 32.4 years (SD = 14.5 years). The H-LOSS questionnaire was adapted using the 2PL (two-parameter logistic) model with WLSE (weighted least squares) estimation in item response theory method, similarly to the original English version.ResultsScale unidimensionality was confirmed. Model fit indices and internal reliability indicators were acceptable. Item infit and outfit values were adequate, item discrimination values were within range, but one item had extremely high and three items had extremely low item difficulty parameters. Few items had differential item functioning by age, gender and own suidice attempt.ConclusionsThe H-LOSS scale deemed to be appropriate for assessing suicide literacy in Hungarian speaking samples.

Validation of the Hungarian version of the 6-item turnover intention scale among elderly care workers

This research examines the psychometric characteristics and reliability of the 6-item turnover intention scale (TIS-6) by Bothma and Roodt (SA J Hum Resour Manag 11:a507, 2013) on a Hungarian sample. The internal validity of the TIS-6 was assessed using data from 269 Hungarian elderly care institution workers. Confirmatory factor analysis was performed to analyse the structural validity. Convergent and discriminant validity were examined with questions on job characteristics and using the Maslach Burnout Inventory and Effort-Reward Imbalance Scale. IBM SPSS 28.0 software was used for the statistical analysis, and the results were considered significant at p < 0.05. The internal consistency of the questionnaire's scale proved to be acceptable (α = 0.826). Convergent validity was confirmed by the relationships between the components of the questionnaire and burnout (rs = 0.512; p < 0.001; rs = 0.419; p < 0.001) and workplace stress (rs = 0.565; p < 0.001; rs = 0.310; p < 0.001). There were significant differences between the TIS-6 scores among the groups with different degrees of burnout (p < 0.001), which indicated adequate discriminant validity of the questionnaire. The structural validity of the questionnaire was acceptable, and the scale questions fit well. The Hungarian version of the TIS-6 scale is a valid and reliable tool for assessing turnover intention among elderly care institution workers in Hungary.

The Comparison of Several Factorial Structures of the Cornell Critical Thinking Test Level Z

"The Cornell Critical Thinking Test (CCTT) level Z is a broadly applied instrument for the measurement of undergraduate, gifted students’ and adults’ critical thinking abilities, however, there is a lack of studies in the literature investigating its factorial structure. The test developers emphasize the interpretation of the test results as a general critical thinking factor, including different cognitive abilities, but also highlight the overlap between the items of the subfactors. The aim of the study is the investigation of internal consistency, the comparison of different factorial structures (unidimensional, correlated, and hierarchical models), and gender invariance testing of the CCTT level Z. Hungarian-speaking undergraduate students participated in the study (N = 825). For the confirmatory factor analysis (CFA) the Mplus version 8.7, with weighted least squares mean and variance adjusted estimation was used. Measurement invariance of the test across genders was analyzed using Muthén’s two-step procedure for dichotomous data. The results indicated that the correlated four-factor and second-order structures of the test exceeded the acceptable model fit criteria. Post hoc inspection was conducted on the second-order four-factor model, indicating a shortened 22-item version of the test (with a general critical thinking factor, including four subfactors: deduction, meaning and fallacies, induction, assumption identification) with excellent fit indices [χ2 (203) = 259.309, CFI = .967, TLI = .963, RMSEA = .018, SRMR = .056]. Configural and scalar invariance of the abbreviated Hungarian version of the test across genders were confirmed. Keywords: critical thinking, undergraduate students, confirmatory factor analysis, measurement invariance"

Validating the Hungarian versions of MSLQ and MAI intended for use with Hungarian minority students in Slovakia

Learning today provides students with several freedoms, including easy access to the content or learning materials and the flexibility to schedule their own time, in contrast to the traditional techniques of the past, where students had to spend time at school or in the classroom. The cognitive, metacognitive, and motivational skills that enable learners to overcome challenges and organize their learning depend on self-regulated learning. The Motivation Strategies for Learning Questionnaire (MSLQ) is a tool to gauge students’ self-regulated learning (SRL) skills. Schraw and Dennison's Metacognition Awareness Inventory (MAI) was created to measure the metacognitive abilities of the learners. This article aims to explore and assess the relevant literature on students' self-regulated learning and metacognition, SRL theories and concepts. Furthermore, it aims to determine the reliability and validity of these two with a sample of the pedagogy students at János Selye University. The study involved 120 pedagogy students, of which 102 were female. The MSLQ motivation scale in component A has six subscales and their Cronbach's Alphas are as follow: IGO’s α = 0.69, EGO’s α = 0.84, TV’s = 0.86, CLB’s α = 0.52, SE’s α = 0.86, and TA’s α = 0.74. In Component B, which includes nine subscales for learning strategies, R’s α is 0.69; E’s α is 0.75; O’s α is 0.85; CT’s α is 0.60; MSR’s α is 0.80; TSE’s α is 0.66; ER’s α is 0.80; PL’s α is 0.87; and HS’s is 0.57. As far as MAI goes, its two main components’ Knowledge of Cognition (KC) and Regulation of Cognition (RC), Cronbach's Alpha values, were examined. Three subscales make up the KC: PK, DK, and CK. The Cronbach Alpha of each was 0.82, 0.86, and 0.71, respectively. Five subscales make up the RC. The Cronbach Alphas of each is as follow: P’s α is equal to 0.83, IMS’s α is equal to 0.83, CM’s α is equal to 0.77, DS’s α is equal to 0.74, and E’s α is equal to 0.70.

Validity and satisfaction in telehealth aphasia assessment: videoconference administration of the Comprehensive Aphasia Test-Hungarian

ABSTRACT Background The demand for telehealth aphasia assessment is increasing, yet only a limited number of instruments’ validity and feasibility in telehealth have been evaluated. The Comprehensive Aphasia Test (CAT) is a widely available language test with established psychometric properties in several languages, including Hungarian. Aims The current study aimed to evaluate the validity of administering the Hungarian version of the CAT (CAT-H) via videoconference and explore the satisfaction of people with aphasia (PWA) with videoconference assessment compared to in-person assessment. Methods & Procedures Twelve PWA with left hemisphere stroke (mean age = 50.83 years, mean post-onset = 19 months), exhibiting mild-to-moderate aphasia, completed both in-person and videoconference assessments using the CAT-H Language Battery. The study used a comparison design, incorporating elements of counterbalancing and blinding. The assessments were conducted by speech-language pathologists (SLPs), with one person leading the in-person assessment and another leading the videoconference assessment for each participant. The order of administration (in-person or videoconference) was counterbalanced across participants. SLPs leading the second assessments were blind to the results of the first assessments. One key adjustment for the videoconference assessment was the utilisation of the screen sharing and/or control sharing features within the videoconferencing software. Participants also filled out a satisfaction questionnaire after each assessment and expressed their preference between the two assessment methods at the end of the study. Intraclass correlation coefficients (ICCs) were calculated to compare the CAT-H modality summary scores and the CAT-H language battery score between in-person and videoconference assessments. Outcomes & Results There was good-to-excellent agreement between in-person and videoconference assessments, with ICCs ranging from 0.80 to 0.96 (p < 0.001) for the CAT-H modalities and an ICC of 0.97 for the CAT-H language battery score. At the individual level, minor inconsistencies were observed in the language battery score between the two assessments. Participants reported high satisfaction with both assessment methods, with satisfaction levels for the videoconference assessment being comparable to those for the in-person assessment. While the majority of participants did not exhibit a preference between the two methods in terms of understanding the clinician, approximately half of them favoured the in-person assessment for expressing themselves and comfort. Conclusions Obtained results suggest that the CAT-H can be effectively administered via videoconference, offering a viable alternative to in-person assessment when necessary. Future studies should replicate these findings with a larger and more diverse study sample, involving participants with moderately severe and severe aphasia.

The SCREENIVF Hungarian version is a valid and reliable measure accurately predicting possible depression in female infertility patients

Infertility patients, often in high distress, are entitled to being informed about their mental status compared to normative data. The objective of this study was to revalidate and test the accuracy of the SCREENIVF, a self-reported tool for screening psychological maladjustment in the assisted reproduction context. A cross-sectional, questionnaire-based online survey was carried out between December 2019 and February 2023 in a consecutive sample of female patients (N = 645, response rate 22.9%) in a university-based assisted reproduction center in Hungary. Confirmatory factor analysis and cluster and ROC analyses were applied to test validity, sensitivity and specificity in relation to Beck Depression Inventory (BDI) scores. Model fit was optimal (chi-square = 630.866, p < 0.001; comparative fit index = 0.99; root-mean-square error of approximation = 0.018 (90% CI 0.013–0.023); standardized-root-mean-square-residual = 0.044), and all dimensions were reliable (α > 0.80). A specific combination of cutoffs correctly predicted 87.4% of BDI-scores possibly indicative of moderate-to-severe depression (χ2(1) = 220.608, p < 0.001, Nagelkerke R2 = 0.462, J = 66.4). The Hungarian version of the SCREENIVF is a valid and reliable tool, with high accuracy in predicting BDI-scores. Low response rate may affect generalizability. The same instrument with different cutoffs can serve various clinical goals.

Exploration of the Hungarian Version of Test Your Memory in General Practice: A Cross-Sectional Correlational Study of a Convenience Sample of Middle-Aged and Older Adults.

Dementia is a significant health issue worldwide. Mild cognitive impairment (MCI) can transform into dementia over time. General practitioners (GPs) may be the first to notice the cognitive deficit; therefore, it is crucial for them to have access to a screening test that can be administered quickly and efficiently. We explored the Hungarian version of the Test Your Memory self-administered dementia screening test in general practice for the early detection of dementia and cognitive impairment. In the four Hungarian cities with medical universities, 368 patients over the age of 50 attending GPs filled out the questionnaire within the framework of our cross-sectional study. The total scores of the test showed a significant correlation with education and type of occupation and a significant negative correlation with age. The results of this research showed that the clock drawing and recall subtest scores deteriorate at the earliest age. The test can be filled out in a GP's office easily and two of its subtests can raise the possibility that patients may need further assessment, especially if they have symptoms, at an earlier age than the other subtests.

PCR31 Crosscultural Adaptation of the Hungarian Version of Stroke Impact (SIS)

PCR31 Crosscultural Adaptation of the Hungarian Version of Stroke Impact (SIS)

The reflective function questionnaire for youth: Hungarian adaptation and evaluation of associations with quality of life and psychopathology.

An important correlate of mental health problems is mentalizing capacity, which appears to be particularly influential during adolescence. However, quality of life has not been studied in relation to mentalizing capacity among adolescents. This study aimed to translate the Reflective Function Questionnaire for Youth (RFQY) into Hungarian, present its psychometric properties, and assess its relationship with demographic characteristics, psychopathology and quality of life. A community sample of 384 youths aged 12-18 years completed the RFQY, the Measure of Quality of Life for Children and Adolescents, and the Strengths and Difficulties Questionnaire. First, we conducted an exploratory factor analysis with direct oblimin rotation on the RFQY items. Next, we assessed the associations between the RFQY and demographics, quality of life, and psychopathology. The EFA resulted in four factors: Internal-self, Internal-other, Self-other, and Strong emotions. The Cronbach's alpha coefficients of the scales were .81, .82, .67, and .80, respectively. The subscales were uniquely associated with psychopathology and quality of life. Our study provides the first psychometric support for the Hungarian version of the RFQY and indicates that adolescents suffering from internalizing, externalizing symptoms or lower levels of quality of life could benefit from interventions aimed at enhancing mentalizing capacity.

Posttraumatic stress disorder symptomology as measured by PCL-5 and its relationships to resilience, hostility and stress among paramedics and social professionals.

This survey study aimed to contribute to the extensive debate on the dimensionality of the Posttraumatic Stress Disorder Checklist for the DSM-5 (PCL-5) questionnaire by examining the psychometric properties and construct validity of its Hungarian version and relying on the inspection of a conceptual network of related variables, that is, perceived stress, hostility, and resilience. Confirmatory factor analysis (CFA), exploratory structural equation modelling (ESEM) and path analysis were applied on data collected from 177 paramedics and 66 professionals from the social field (58.4% male; Mage=43.5±9.96years). Despite the acceptable fit indices gained with CFA when testing the original four-factor DSM-5 model of PCL-5, strong associations (r=0.69-0.90) between subscales were found. Thus, ESEM was applied and as a result a new, three-factor version of the DSM-5 model of PCL-5 was proposed due to significant crossloadings that was theoretically also supported. The Reexperiencing and Avoidance subscales were merged and named Difficulty with Assimilation of Experience (DAE). In the path analysis only two of the tested associations were not significant using the new factor structure, in which stress fully mediated the relationship between resilience and DAE, and resilience and Hyperarousal. Overall, the hypothesised pathways between variables fit the collected data well. (weighted least squares mean-and variance-adjusted χ2=503.750 (df=270), comparative fit index=0.948, Tucker-Lewis index=0.939, root mean square error of approximation (90% confidence interval)=0.064 (0.055-0.073), weighted root mean square residual=1.024). Our analysis of the Hungarian version of PCL-5 contributes to the testing of a DSM-5-based questionnaire measuring posttraumatic stress disorder symptomology.

Adaptation and analysis of the Hungarian version of the Snaith-Hamilton Pleasure Scale

IntroductionAnhedonia (loss of ability of experience pleasure) is a transdiagnostic symptom which is presented as a prominent complain in several psychiatric disorders, such as depressive disorders, schizophrenia, bipolar disorder, addictive disorders, certain personality disorders etc. Specific instruments for assessment of anhedonia have been published in the international literature but their Hungarian versions are not available so far, however, the prevalence of affective disorders and suicide are also high in Hungary. The Snaith-Hamilton Pleasure Scale (SHAPS) is an instrument developed in 1995 (Snaith et al. Br J Psychiatry1995;167:99-103) which purposley has been constructed with items that can be easily translated into other languages.ObjectivesThe aim of our study was to translate the 14 items into Hungarian and analyse its reability and sensitivity in a Hungarian sample consists of patinets and control persons. Further aim was to explore the differences of anhedonia profiles among diagnostic categories and subgroup of major disorders.MethodsWe recruited 170 subjects (101 controls and 59 patients; 78 men and 82 women; mean age=37,9±6,1y) into our study. Among the patients there were 27 subjects with major depressive disorer (MDD), 10 subjects with bipolar disorder (BD), 9 patients with schizophrenia (SCZ), 6 patients with addictive disorder (AD) and 7 patients with anxiety disorder (ANX)±. We created two major subgorups from the dfferent diagnostic categories: affective and psychotic subgroups to compare the anhedonic profiles. Differences of mean values between case and control, men and women and subgroups were analysed by t-tests and diganostic categories by ANOVA tests performing in SPSS 20.0 software.ResultsAmong the MDD, the BD, the SCZ, the AD and the ANX groups, patients with MDD produced the highest score (6.9±3.5; 3.9±2.4; 5.9±3.9; 2.8±2.7;2.3±1.8, respectively), while controls prohibited 1.6±1.3. The case group scored significantly higher on the SHAPS than the control group (5.3± 3.6 vs. 1.6±1.3; p=0.0001). The means of SHAPS did not differ significantly between the affective subgroup and the psychotic subgroup (6.0±3.7 vs. 4.8±3.2; p=0.24). Among the subgroup of women, the age was significantly associated with the SHAPS score (p=0,04), however, this association has been not detected in men.ConclusionsThe Hungarian version of the SHAPS detected marked difference between cases and controls with good reliability and sensitivity. The instrument can be useful in daily clinical routin becuase subjects could fill it easily and quickly. In case of patients with pronounced anhedonia, treatments with spcifically targeting anhedonia can be preferred (e.g. rTMS as it was demonstrated in our earlier publications, see Lazary et al. Sci Rep 2021,11:8867; Elemery et al. Front Psychiatry 2022, 13:806731). This study was supported by the grant EFOP 5.6.2.Disclosure of InterestNone Declared

Validation of Hungarian Version of Teacher Responsibility Scale in Pre-Service Teachers

Several instruments measure teacher responsibility, but none is available in Hungarian. Thus, this study aimed to adapt a Hungarian version of the Teacher Responsibility Scale (TRS) developed by Lauermann and Karabenick and validate it. The sample was pre-service teachers ( N = 296). The results of exploratory and confirmatory factor analyses supported the hypothesized structure of the Hungarian version of the TRS. The four factors (responsibility for student motivation, student achievement, relationships with students, and teaching) had satisfactory internal consistencies (Cronbach’s alphas = .75–.83), and the test–retest reliability was moderate (intraclass correlation coefficients = .64–.75). Correlation patterns of the TRS with the Teacher Efficacy Scale and the Approaches to Instruction scale confirmed the convergent and divergent validity. Based on these results, the Hungarian version of the TRS is a valid, reliable instrument suitable for use in further research in Hungarian pre-service teachers.

Mentalizing Abilities in Major Depressive Disorder and Borderline Personality Disorder: Measuring Hypermentalization and Implicit Mentalization with the Hungarian Version of the MASC

IntroductionBorderline Personality Disorder (BPD) is the most common personality disorder in psychiatric care. BPD often co-occurs with Major Depressive Disorder (MDD). Both BPD and MDD are associated with various impairments of social functioning. Among these, mentalizing disturbances are the most extensively studied.ObjectivesThe Movie for the Assessment of Social Cognition (MASC) is an ecologically valid video-based test, which is suitable for measuring both hypermentalization and implicit mentalization. Based on the literature, it is sensitive enough to detect mild deficits in mentalization capacities. In this study, we investigated mentalization deficits with a special focus on implicit mentalization and hypermentalization in patients with MDD and MDD+BPD with a set of well-established mentalization tests including MASC.MethodsWe examined patients with MDD (n=43) during the depressive episode. A subgroup of these patients was also diagnosed with BPD (MDD+BPD group; n=23), the other group had no comorbid personality disorder (MDD group; n=20). We assessed the patients’ mentalization abilities using the Hungarian version of the Reading the Mind in the Eyes test, the Faux Pas test, and the MASC test. Additionally, symptom scales (measuring the severity of anxiety, and depression), WAIS (Wechsler Adult Intelligence Scale), the Childhood Trauma Scale, as well as scales measuring affect regulation and attachment were used during the assessment.ResultsThere were no differences between the two groups in terms of age, IQ, or the severity of depression and anxiety. The MDD+BPD group exhibited significantly poorer performance in the MASC total mentalization score (MW U=118, df=1,41, p&lt; 0,001), as well as in the hypermentalization score (MW U=98,5, df=1,41, p&lt; 0,001). The MDD+BPD group achieved significantly lower results on the emotion recognition and mentalization measures in the RMET test (t=2,883, df=1,41, p&lt; 0,001). The MDD+BPD group performed significantly worse on the Faux Pas test measuring mentalization (MW U=144,5, df=1,41, p&lt; 0,001). In the whole sample, MASC performance correlated with overall IQ.ConclusionsThe MASC, RMET, and Faux Pas tests show a consistent trend and indicate significant differences between the mentalization abilities of MDD+BPD and MDD patients. Our findings are in line with data in the literature: BPD patients’ implicit mentalization with a predominance of hypermentalization is impaired. This impairment is detectable when we compare their performance with MDD patients without BPD. In the future, a larger sample size, additional tests, and the inclusion of a control group are needed to further investigate MDD and MDD+BPD patients’ mentalizing deficits. However, our results emphasize the significance of mentalization-based therapies in the therapy of patients with BPD and depression.Disclosure of InterestNone Declared

The impact of family communication patterns on parent-child attachment and child quality of life

IntroductionPrevious research has demonstrated stable patterns of family communication. The Revised Family Communication Pattern Instrument (RFCP) is a common measure of these patterns. It posits two orientations: conformity orientation, characterized by a tendency to seek agreement within the family and by authoritarian decision-making; and conversation orientation, characterized by shared decision-making with the child and frequent family discussion.ObjectivesThe primary aim of our research was to adapt the RFCP questionnaire to the Hungarian language. Based on previous research, we hypothesized a negative relationship of conversation orientation and a positive relationship of conformity orientation with parents’ mentalizing problems, parental stress and burnout. According to our hypothesis, conformity orientation would predict both attachment anxiety and avoidance, whereas conversation orientation would decrease attachment anxiety.MethodsParents of children aged 6–17 (N=269, female=86,2%, mean age=42,64 [SD=6,10] yrs) completed the following online questionnaires: Child Quality of Life Questionnaire (ILK) parent version, Reflective Function Questionnaire (RFQ-8), Experiences of Close Relationships Questionnaire (ECR-RS), Parent Burnout Questionnaire (PBA-HUN), Perceived Stress Questionnaire (PSS) and the RFCP instrument. We conducted a confirmatory factor analysis. Linear regression analyses predicting attachment anxiety and avoidance included two factors of the RFCP, the RFQ-8, the PBA-HUN, and the PSS total score, as predictors. In addition, two factors of the ECR-R were included in the linear regression analyses predicting quality of life.ResultsThe confirmatory factor analysis confirmed the original two-factor structure of RFCP (χ2=5482.21, df=325 p&lt; .001, χ2/df=16.86, CFI=0.91, TLI=0.90, RMSEA=0.075 (90% CI 0.068–0.082)) and their internal reliability (Cronbach’s alpha = .78 and .74). Attachment avoidance (R2=0.12, F(5)=7.38, p&lt; .001) was only predicted by conversation orientation (β=−0.28, p&lt; .001), while attachment anxiety was predicted (R2=25.2, F(5)=17.7, p&lt; .001) by conformity orientation (β=0.24, p&lt; .001), parental mentalization difficulties (ß=0.20, p&lt; .001) and parenting stress (β=0.15, p= .015). Parental report of the child’s quality of life was predicted most strongly by attachment anxiety (β=−0.28, p&lt; .001), followed by conversation orientation (β=0.21, p&lt; .001) and attachment avoidance (β=−0.18, p&lt; .001, R2=28.8, F(7)=15.17, p&lt; .001).ConclusionsThe Hungarian version of the RFCP questionnaire has proven to be a reliable questionnaire. The importance of family communication patterns is demonstrated by the fact that it explains both the quality of parent-child attachment and the parent’s report on the child’s quality of life.Disclosure of InterestNone Declared

Hungarian adaptation of the Honest Open Proud program

IntroductionThe Honest, Open, Proud (HOP) program is an effective peer-led group program to support people with mental health problems in their disclosure to manage self and public stigma. The HOP program will be integrated into the National Anti-stigma Program in Hungary, which was initiated in 2020.ObjectivesOur goal was to develop the Hungarian version of the HOP program. We conducted the following measures to achieve our aim.MethodsThe adaptation process was conducted using community-based participatory research (CBPR) between September 2022 and January 2023. Over ten sessions, a group of eight individuals, consisting of both males and females with varying mental health conditions (mean age = 39.6 ± 8.5), participated in the online-led CBPR. The adaptation process was systematically documented, and regular supervision was provided.ResultsThe program comprises three lessons and a follow-up section. We have translated the text of the manual and workbook into Hungarian and adjusted the tone, language, locations, and examples as per the Hungarian context. Although our adaptation process did not involve changes to the content and implementation strategies, we will perform structural modifications and adjustments to ensure the content is suitable for the predefined number of sessions and Hungarian participants.ConclusionsThe HOP could be feasibly implemented in the National Anti-stigma Program in Hungary; both online and in-person programs are planned. Given the lack of such a program in Hungary, it will likely be warmly welcomed and strongly supported for the benefit of people with mental health problems.Disclosure of InterestD. Őri Grant / Research support from: Fulbright Association supported research, P. Corrigan: None Declared

Diagnosing Trauma-related Dissociative Disorders in Hungary: The Development of the Hungarian Version of MID (MID-HU)

IntroductionThe recognition, diagnostics and treatment of dissociative disorders (DD) in Hungary is currently in its infancy. According to international researches the prevalence of dissociative disorders is similar to that of the major psychiatric disorders (bipolar disorder, schizophrenia, etc.). Due to the lack of valid diagnostic tools no data is available regarding the prevalence of dissociative disorders in Hungary so far.ObjectivesTo fill this gap within our profession; to provide a complex diagnostic tool; developing the hungarian version of the Multidimensional Dissociation Questionnaire (MID-HU)Methods 341 people participated in our study classified into four groups: (1) healthy controls (n=88), (2) patients from private practice diagnosed with DD and all those participants who have DD according to their MID results (n=103), (3) hospitalized psychiatric (mixed sample, n=60) and (4) SUD patients (n=89). The questionnaire package contained the hungarian version of the Multidimensional Inventory of Dissociation (MID-HU), the Dissociative Experience Scale (DES), the Traumatic Antecendents Questionnaire (TAQ), the Self-Report Version of the Dissociative Disorders Interview Schedule (DDIS-SR) and additional questions. Now we present the first results regarding the adaptation process of the hungarian MID (MID-HU).ResultsThe mean age of the participants was 36 years, 61,6% were female and 38,4% male. The MID-HU has strong internal consistency: the alpha coefficients for the 14 facet scales were 0.88 or higher. The alpha coefficients for the 23 dissociation diagnostic scales ranged from 0,74-0,95; 9 were excellent (0,90 or above), 10 were good (0,80 or above), and 4 were fair (0,70 or above). The test-retest correlation of the Mean MID-HU scores is good (0,87). Factor analysis of the MID-HU extracted one main factor: dissociation. The mean MID-HU scores correlated with mean DES scores (0,87), indicating a good convergent validity. We found significant differences between the healthy control group and the dissociatve group in the mean DES (control: 9,5, dissociative: 27,6, Sig:&lt;0,001), mean MID (control: 2,5, dissociative: 27, Sig: &lt;0,001), the 23 dissociative diagnostics scales of the MID, 14 facet scales of the MID, and all diagnostics scales of the DDIS (using Mann-Whitney).ConclusionsThe MID-HU seems to be a valid instrument, that can differentiate between DD patients and healthy people.Disclosure of InterestNone Declared