Hungarian Version Research Articles

Improving Skills and Knowledge: Adapting a Core Competencies Suicide Risk Assessment Training Program to Support Mental Health Professionals in Hungary

Introduction Competency and skill-based education and assessment have become increasingly significant in mental health professional training. The conventional approach of acquiring knowledge is now being supplemented by emphasizing practical skills and implementing best practices that prove effective in the field. This emphasis on competencies is particularly apparent in the instruction regarding suicide risk evaluation and management. Cramer and colleagues have identified ten core competencies essential for working with patients at risk of suicide and developed a training material (Cramer et al. 2013, Train. Educ. Prof. Psychol; 1 1-11).Objectives We aim to tailor Cramer et al.’s training program to the Hungarian setting and assess its efficacy among mental health experts, including psychiatrists, clinical psychologists, and social workers. Additionally, we aim to validate the Suicide Prevention and Assessment - Competency Assessment Form (SCAF-R), which comprises a ten-item survey to measure the ten core competencies’ levels with Likert scales and textual ratings by observers. Through this training program, we aim to offer mental health professionals an educational framework to enhance their skills in evaluating and managing suicide risk. Our goal is to provide a comprehensive approach to suicide risk assessment and better equip professionals to handle this emotionally difficult clinical task.Methods We have created a Hungarian version of the core competencies training material tailored to the culture. We are assessing changes in attitudes towards suicide behavior and prevention by administering pre- and post-training psychometric measures, such as Willingness to Intervene against Suicide (WISE), Suicide Behavior Attitude Questionnaire (SBAQ), Attitudes Toward Suicide Prevention Scale (ASP), and Suicide Competency Assessment Form - Revised (SCAF-R). A quantitative analysis will be performed on the responses. The research was approved by Péterfy Hospital’s Institutional Review Board (IRB): approval number 07-2023.ResultsThe questionnaires’ results will be summarized with standard statistical methods.ConclusionsImproving mental health education in healthcare with up-to-date knowledge of evidence-based best practices is a top priority. Enhancing skills and knowledge can lower clinicians’ anxiety in this emotionally challenging and burdensome task. There is a high demand for mental health workshop training among healthcare workers in both undergraduate and post-graduate education. We expect positive changes in attitude and self-perceived competencies in participants.Disclosure of InterestNone Declared

A (mérsékelten rizikós) koraszülöttség az IQ hátrány ellenére nem akadályozza az olvasási és helyesírási képességek fejlődését

Background and aims: It is well established that the impacts of prematurity are often long-lasting in the various domains of development, however, the published findings concerning the prevalence, severity, and background of disorders are inconsistent. As yet research into the development of abilities contributing to the academic progress in Hungarian preterm children has been scarce. Our study aimed to find out to what extent prematurity impeded the reading and spelling abilities in school age and to contribute some information on the cognitive background of the performances. Methods: Three groups of 7 – 12 year-old children participated in the study. The target group consisted of moderate-risk preterms. For comparison two groups of full-term children were tested: typically developing good readers and dyslexics. To assess the reading and spelling abilities the Hungarian version of the 3DM (Dyslexia Differential Diagnosis) was used. Cognitive abilities were assessed using the Hungarian adaptation of the WISC-IV and the Rey Complex Figure Test. Results: The reading and spelling performances of the full-term good readers and the preterms did not differ and the preterms scored higher than the dyslexics. The cognitive tests did not offer any direct explanation to this, since the preterms lagged behind the full-term good readers in the WISC-IV full-scale IQ as well as in several specific cognitive measures. The CART Decision Tree served to analyse the relationships, allowing to reveal the interactions and the moderation effects. Discussion: The CHC model as a theoretical framework and the CART Decision Tree statistical analysis proved to be fruitful to disentangle the complex interplay of the cognitive background factors. There are various cognitive paths of acquiring the reading and spelling skills, e.g., in case of relatively lower IQs the sufficient levels of memory and processing speed may ensure success.

Friendship Functions in Adolescence: Hungarian Version of the McGill Friendship Questionnaire

The aim of the study was to explore same-sex and opposite-sex friendship functions among 12 to 13- and 16 to 17-year-old Hungarian adolescents ( n = 304). To explore perceptions of friendship functions, the McGill Friendship Questionnaire (MFQ, 30 items, 6 factors: stimulating companionship, help, intimacy, reliable alliance, self-validation, emotional security) was used. The confirmatory factor analysis did not support the theoretical structure of MFQ. Based on the exploratory factor analysis, the 26-item Hungarian version of MFQ can be used to measure adolescents (the original 6 factors were retained). The internal reliability indices of the MFQ versions (same and opposite sex) were adequate (Cronbach’s α: .69–.88). The results only partially confirmed the age and gender hypotheses. Based on the results, the older students are more likely to acknowledge the achievements and positives of a friend for both same-sex and opposite-sex friends, as well as intimacy for opposite-sex friends. Also among older students, we identified several significant gender differences: for girls, all features of friendship were more important, except self-validation in same-sex friendship. In the opposite-sex relationship, only stimulating companionship and reliable alliance are more important for girls. The results raise the possibility that friendship functions build on and reinforce each other with age.

Driving and mobile phone use: Work addiction predicts hazardous but not excessive mobile phone use in a longitudinal study of young adults.

Work addiction (WA), characterized by dimensions such as overcommitment, difficulties in detachment from work, and work-life imbalance, is presumed to be associated with increased smartphone usage, even during risky activities like driving. The study investigated the connection between WA and future problematic and hazardous smartphone use, considering personality factors: anxiety, rumination, and worry. A three-wave longitudinal study (N=1,866) was conducted from March to July 2019, June to September 2020, and June to November 2021, involving a representative sample of 18-34-year-old residents in Hungary's capital. The study employed Hungarian versions of the Bergen Work Addiction Scale, Problematic Mobile Phone Use Questionnaire, Ruminative Response Scale, Anxiety subscale of the Brief Symptom Inventory 18, and Penn-State Worry Questionnaire. Additionally, author-developed questions on mobile phone use while driving were included. At baseline, those at risk for WA showed more frequent mobile phone use while driving at both time points 2 and 3 compared to the non-risk group. Path analyses revealed rumination, anxiety at time 1, and worry at time 2 as significant mediators between baseline WA and mobile phone use while driving at time 3. However, when analyzing all three mediators together, only anxiety at time 1 and worry at time 2 remained significant. This study demonstrates that WA predicts future mobile phone use while driving through mediation by anxiety and worry. Our findings add to the growing evidence highlighting the detrimental aspects of WA, emphasizing the need for improved prevention and treatment strategies.

Translation and validation of the Hungarian version of the Birth Satisfaction Scale-Revised (BSS-R)

BackgroundEvidence relating maternal birth experience to a range of maternal and neonatal outcomes is increasingly compelling. Consequently valid and reliable self-report of birth experience from the mothers perspective is critical. AimThe current study sought to translate and validate a Hungarian-language version of the Birth Satisfaction Scale-Revised (BSS-R). MethodFollowing forward and backwards translation into Hungarian, the Hungarian BSS-R (HU-BSS-R) was administered to women in a major Transylvanian hospital maternity unit within 72 h postpartum. Key psychometric characteristics were then examined in relation to factor structure, divergent and convergent validity, internal consistency, and known-groups discriminant validity. ResultsTwo-hundred and thirty-two women completed the HU-BSS-R. Confirmatory factor analysis revealed the HU-BSS-R to offer an excellent fit to data for the established tri-dimensional measurement model. The HU-BSS-R was also found to offer excellent convergent and divergent validity and known-groups discriminant validity. No significant differences were observed between internal consistency observations between the current study and the original UK validation study. ConclusionsThe HU-BSS-R is a valid and reliable translation of the original BSS-R, it has proved itself to have excellent psychometric properties and is suitable for use in the Hungarian maternity context.

Validation of the Hungarian version of the Prolapse and Incontinence Knowledge Questionnaire (PIKQ)

ObjectiveThe Prolapse and Incontinence Knowledge Questionnaire (PIKQ) is a self-administered, reliable and valid instrument which assess knowledge regarding urinary incontinence and pelvic organ prolapse. There is no validated Hungarian version of this questionnaire; therefore the aim of this study was to develop a reliable, valid and culturally sensitive Hungarian version of the PIKQ. Study designA cross-sectional study was conducted from March to October 2022 with a sample of 459 women. The PIKQ, which consists of the urinary incontinence and pelvic organ prolapse scales, was translated into Hungarian in accordance with international guidelines. The validity and reliability of the final version of the Hungarian PIKQ was evaluated using construct validity, comparison with known-groups, internal consistency and test-retest reliability. ResultsRegarding construct validity, all fit indices were found acceptable. Healthcare workers had significantly higher knowledge about urinary incontinence and pelvic organ prolapse (p < 0.001) compared to women who had not worked in a medical field. The Hungarian PIKQ had an adequate internal consistency with Cronbach alpha of 0.785 for the urinary incontinence scale and 0.826 for the pelvic organ prolapse scale. The correlation coeffcients between the test and retest was 0.931 for the urinary incontinence scale and 0.964 for the pelvic organ prolapse scale. ConclusionThe Hungarian version of the PIKQ is a reliable and valid tool to measure the level of knowledge about urinary incontinence and pelvic organ prolapse among Hungarian speaking women.

Translation and Validation of the Premenstrual Assessment Form-Short Form Questionnaire in Hungarian.

Premenstrual symptoms, including premenstrual syndrome and its more severe form premenstrual dysphoric disorder, are a set of somatic and psychological symptoms that occur during the luteal phase of the menstrual cycle. Our research aimed to adapt the Hungarian version of the Premenstrual Assessment Form-Short Form (PAF-SF), a questionnaire suitable for assessing premenstrual symptoms, and to examine its reliability, validity, and applicability. The questionnaire was validated according to Beaton's six-step guidelines. Our sample consisted of 198 menstruating women, 50 of whom completed the instrument for a second time to assess reliability. Descriptive statistics were calculated presenting mean (standard deviation), the internal consistency was measured by Cronbach's alpha value, the test-retest reliability using intraclass correlation coefficients, Spearman rank correlation was applied to test the criterion validity of the questionnaire, and discriminant validity was examined using the independent-sample t test using IBM SPSS 28.0 software. The structural validity was evaluated by confirmatory factor analysis (CFA) using IBM AMOS 29.0 software. The level of significance was set at p < 0.05. Our sample (average age 25.37 ± 4.80 years) scored 28.08 ± 9.49 points out of the maximum 60 points when filling out the PAF-SF questionnaire. The result of Cronbach's alpha calculation, which supports the reliability of the questionnaire, was 0.845. During the CFA, the three-factor structure (Affect, Water Retention, and Pain) was supported (root mean-square error approximation [RMSEA] = 0.054; Tucker-Lewis Index = 0.965; Comparative Fit Index = 0.976; χ2 = 48.642; df = 31; p = 0.023; χ2/df = 1.569). The PAF-SF questionnaire proved to be a reliable measuring tool for assessing premenstrual symptoms among women of reproductive age.

Population Norms for the EQ-5D-5L, PROPr and SF-6D in Hungary.

This study aimed to develop population norms for three preference-accompanied measures [EQ-5D-5L, Patient-Reported Outcomes Measurement Information System (PROMIS)-preference scoring system (PROPr) and Short-Form Six-Dimension (SF-6D)] in Hungary. In November 2020, an online cross-sectional survey was conducted among a representative sample of the Hungarian adult general population (n = 1631). Respondents completed the Hungarian versions of the EQ-5D-5L, PROMIS-29+2 version2.1 and 36-item Short Form Survey version 1 (SF-36v1). The association of utilities with sociodemographic and health-related characteristics of respondents was analysed using multivariate regressions. The proportion of respondents reporting problems ranged from 8 to 44% (self-care to pain/discomfort) on the EQ-5D-5L, 39-94% (physical function to sleep) on PROPr and 38-87% (role limitations to vitality) on the SF-6D. Problems related to physical function, self-care, usual activities/role limitations and pain increased with age, while mental health problems decreased in all three measures. In almost all corresponding domains, respondents indicated the fewest problems on the EQ-5D-5L and the most problems on the SF-6D. The mean EQ-5D-5L, PROPr and SF-6D utilities were 0.900, 0.535 and 0.755, respectively. Female gender (PROPr, SF-6D), a lower level of education (EQ-5D-5L, PROPr), being unemployed or a disability pensioner (EQ-5D-5L), being underweight or obese (SF-6D), lack of physical exercise (all) and polypharmacy (all) were associated with significantly lower utilities. PROPr yielded the lowest and EQ-5D-5L the highest mean utilities in 28 of 30 chronic health conditions. This study presents the first set of Hungarian population norms for the EQ-5D-5L, PROPr and SF-6D. Our findings can serve as reference values in clinical trials and observational studies and contribute to the monitoring of population health and the assessment of disease burden in Hungary.

Development of an instrument to assess the mental health of university students: validation of the Outcome Questionnaire-45 in a Hungarian sample.

The Outcome Questionnaire is a self-report questionnaire developed mainly for treatment impact assessment and monitoring of status change because it can measure the cross-sectional condition very accurately by being sensitive to small changes. The present study aimed to psychometrically evaluate and validate the instrument on a sample of Hungarian university students. 7,695 higher education students (28.6% male, 68.8% female, 1% other, M = 23.7, SD = 6.78) participated in the study and completed a questionnaire package (OQ-45, Beck Depression Inventory, WHO Well-being Questionnaire-5, Connor-Davidson Resilience Scale, MOS-Social Support Survey, Maslach Burnout Inventory-SS) online, developed to measure general and more specific mental health conditions. The Hungarian version of the questionnaire has a high internal consistency (Cronbach's alpha = 0.951). Based on the confirmatory factor analysis, the original three-factor version of the instrument (due to inadequate fit indicators) did not gain support in our sample. Five subscales were identified and subjected to content analysis in the exploratory factor analysis. Our final questionnaire consists of 39 items. The full scale and the subscales show a high correlation with other questionnaires measuring similar constructs. The psychometric indicators of the questionnaire are adequate and, therefore, considered reliable. The separation of the five factors was confirmed by construct and convergent validation. The questionnaire's psychometric properties may be worth testing in the future on a clinical sample and a sample of adults from a wider age range. The use of the measurement tool has important implications in research areas beyond therapeutic impact assessment, as it may offer a bridging solution to the methodological problems encountered in the construction of complex questionnaire packages consisting of several instruments. International findings suggest that some items in the questionnaire are particularly sensitive to cultural context, so it is crucial to use a measure adapted to the region of the study sample. Other strengths of the questionnaire include its ability to address subclinical and clinical symptoms in one dimension and provide a comprehensive cross-sectional picture of the bio-psycho-social status of individuals, which allows systematic monitoring of a large and heterogeneous population (higher education students).

Development and Validation of the Hungarian Short ECR-R in a Large Nationally Representative Study and a Large Community Study of Mothers Raising Young Children

Introduction: The Hungarian version of the 36-item self-report Experiences in Close Relationships – Revised (ECR-R-HU) questionnaire assessing adult romantic attachment has been published recently. Short versions provide a useful tool for large-scale research and in the clinical field as well. Aims: The present study reports developing and validating the short form of the Hungarian version of the ECR-R (ECR-R-HU-SF).Methods: The development of the short form, data reduction, and item selection were performed in a nationally representative adult (18+) community sample (N = 958; Study 1). The newly developed ECR-R-HU-SF was then tested and validated in a different national study representative of children aged 3–36 months, using data from respondent mothers with diverse sociodemographic backgrounds (N = 980; Study 2). Results: In Study 1, using randomly split subsamples, the ECR-R-HU-SF retained 8 items and confirmed the original two-factor structure of the measure. The subscales showed very good reliability and correlated highly with their corresponding original long versions. Psychometric properties, construct (convergent) validity, sociodemographic associations, and mean population scores for the short-version subscales (Avoidance, Anxiety) were compared with those of the long version. In Study 2, subscales were highly reliable, and scores correlated in the expected directions with related constructs (depressive mood, perceived stress). Conclusions: In summary, the ECR-R-HU-SF is a valid instrument that can be used as an effective screening tool for measuring adult romantic attachment.

Hungarian Adaptation of Types of Positive Affect Scale: Differentiation Between Activating and Soothing Positive Affect

"Aims and Methods The current study aimed to investigate the factor structure, reliability, measurement invariance, and construct validity of the Hungarian version of the Types of Positive Affect Scale among a sample of university students (N = 1239). Confirmatory factor analyses (CFA), multi-group confirmatory factor analyses, internal consistency analyses, and correlational analyses were conducted. Results For the proposed two-factor model, CFA showed good fit with the data (CMIN = 438,16; DF = 51; CMIN/DF = 8,59; GFI = .94; CFI = .93; SRMR = .04; RMSEA = .07, 95%CI = [.07; .08]), all items were significant predictors of measured factors. The measurement invariance across gender and country, good internal consistency, and construct validity of the scale were also confirmed. Conclusion Findings support the reliability and validity of the Hungarian version of the Types of Positive Affect Scale and enable us to use the subscale scores to differentiate between soothing and activating positive affect. Keywords soothing positive affect, activating positive affect, scale, validation, Hungarian"

Sleep Quality and Perceived Stress among Health Science Students during Online Education-A Single Institution Study.

Recently, online education has been gaining prominence in university life. Our survey aimed to examine sleep quality and perceived stress levels among students at the University of Pécs Faculty of Health Sciences. A cross-sectional, quantitative, descriptive survey was conducted between February and March 2023. The online survey included the Hungarian versions of the internationally validated Athens Insomnia Scale (AIS) and Perceived Stress Scale (PSS). Statistical analysis involved descriptive statistics, independent t-tests, analysis of variance (ANOVA), and Mann-Whitney and Kruskal-Wallis tests (p < 0.05). We analyzed 304 responses, and females dominated (n = 270; 88.8%). Students in a relationship had significantly higher AIS scores (t = -2.470; p = 0.014). Medium average (2.50-3.49) students and those who rarely/never exercise showed significantly higher AIS and PSS (p ≤ 0.05). Students on the phone/watching a series during online education, daily laptop/TV use for more than 2 h, and pre-sleep use of smart devices for more than 60 min also negatively affected AIS and PSS scores (p ≤ 0.05). Nursing, physiotherapy, and radiography students were the most affected regarding insomnia and perceived stress (p ≤ 0.05). Our survey shows that excessive smart device use and lack of exercise are associated with higher stress levels and poorer sleep quality.

Daily Optional Physical Education Does Not Counteract Increasing Inactivity by Age among Adolescents.

This paper describes the outcomes of an integrated health promotion programme implemented in a Hungarian high school offering health education in the curriculum, daily optional physical education, teacher training in applying a person-centered approach in teaching, and parental involvement in school activities. The evaluation used mixed methods of which results of the before-6-months-after quantitative survey among pupils is described. The health status and behaviour of students were assessed by applying the Hungarian version of the HBSC questionnaire. Significant improvement was found in the self-rated health of girls (6.6% increase in being of excellent health, p = 0.04), and the consumption of sweets and sugary soft drinks decreased significantly for both genders (boys: -10.2%, p = 0.01; girls: -6.06%, p = 0.04). However, the proportion of physically inactive girls significantly increased (girls: 11.2%, p = 0.01), and substance use did not change significantly. The intervention had significant positive impacts on subjective health and dietary habits and could counteract the secular trend of increasing tobacco, alcohol, and drug consumption by age among adolescents, but this unfortunately does not include physical inactivity. Offsetting the most widespread health risk behavior, physical inactivity, may require mandatory daily physical education in schools.

PCR108 Pilot Testing the Hungarian Version of Online Elicitation of Personal Utility Functions Tool for Valuing EQ-5D-5L Health States

PCR108 Pilot Testing the Hungarian Version of Online Elicitation of Personal Utility Functions Tool for Valuing EQ-5D-5L Health States

Evaluating real-patient learning in medical education - Hungarian validation of the Manchester Clinical Placement Index.

The Manchester Clinical Placement Index (MCPI) is an instrument to measure medical undergraduates' real-patient learning in communities of practice both in hospital and in GP placements. Its suitability to evaluate the quality of placement learning environments has been validated in an English-language context; however, there is a lack of evidence for its applicability in other languages. Our aim was to thoroughly explore the factor structure and the key psychometric properties of the Hungarian language version. MCPI is an 8-item, mixed-method instrument which evaluates the quality of clinical placements as represented by the leadership, reception, supportiveness, facilities and organization of the placement (learning environment) as well as instruction, observation and feedback (training) on 7-point Likert scales with options for free-text comments on the strengths and weaknesses of the given placement on any of the items. We collected data online from medical students in their preclinical (1st, 2nd) as well as clinical years (4th, 5th) in a cross-sectional design in the academic years 2019-2020 and 2021-2022, by the end of their clinical placements. Our sample comprises data from 748 medical students. Exploratory and confirmatory factor analyses were performed, and higher-order factors were tested. Although a bifactor model gave the best model fit (RMSEA = 0.024, CFI = 0.999, and TLI = 0.998), a high explained common variance (ECV = 0.82) and reliability coefficients (ωH = 0.87) for the general factor suggested that the Hungarian version of the MCPI could be considered unidimensional. Individual application of either of the subscales was not supported statistically due to their low reliabilities. The Hungarian language version of MCPI proved to be a valid unidimensional instrument to measure the quality of undergraduate medical placements. The previously reported subscales were not robust enough, in the Hungarian context, to distinguish, statistically, the quality of learning environments from the training provided within those environments. This does not, however, preclude formative use of the subscales for quality improvement purposes.

Psychometric properties of the Hungarian childhood trauma questionnaire short form and its validity in patients with adult attention-deficit hyperactivity disorder or borderline personality disorder

BackgroundCompelling evidence supports the role of childhood traumatization in the etiology of psychiatric disorders, including adult attention-deficit hyperactivity disorder (aADHD) and borderline personality disorder (BPD). The aim of this study was to examine the psychometric properties of the Hungarian version of the Childhood Trauma Questionnaire Short Form (H-CTQ-SF) and to investigate the differences between patients diagnosed with aADHD and BPD in terms of early traumatization.MethodsAltogether 765 (mean age = 32.8 years, 67.7% women) patients and control subjects were enrolled from different areas of Hungary. Principal component analysis and confirmatory factor analysis were carried out to explore the factor structure of H-CTQ-SF and test the validity of the five-factor structure. Discriminative validity was assessed by comparing clinical and non-clinical samples. Subsequently, aADHD and BPD subgroups were compared with healthy controls to test for the role of early trauma in aADHD without comorbid BPD. Convergent validity was explored by measuring correlations with subscales of the Personality Inventory for DSM-5 (PID-5).ResultsThe five scales of the H-CTQ-SF demonstrated adequate internal consistency and reliability values. The five-factor model fitted the Hungarian version well after exclusion of one item from the physical neglect scale because of its cross-loading onto the emotional neglect subscale. The H-CTQ-SF effectively differentiated between the clinical and non-clinical samples. The BPD, but not the aADHD group showed significant differences in each CTQ domain compared with the healthy control group. All CTQ domains, except for physical abuse, demonstrated medium to high correlations with PID-5 emotional lability, anxiousness, separation insecurity, withdrawal, intimacy avoidance, anhedonia, depressivity, suspiciousness, and hostility subscales.ConclusionsOur study confirmed the psychometric properties of the H-CTQ-SF, an easy-to-administer, non-invasive, ethically sound questionnaire. In aADHD patients without comorbid BPD, low levels of traumatization in every CTQ domain were comparable to those of healthy control individuals. Thus, the increased level of traumatization found in previous studies of aADHD might be associated with the presence of comorbid BPD. Our findings also support the role of emotional neglect, emotional abuse and sexual abuse in the development of BPD.

The psychometric properties of the Hungarian Parental Reflective Functioning Questionnaire

ABSTRACT Parental reflective functioning refers to the ability of parents to understand their child as motivated by internal mental experiences such as thoughts and feelings. This study aimed to examine the factor structure of the Hungarian version of the Parental Reflective Functioning Questionnaire (PRFQ) and to assess its relationships with general reflective functioning (Certainty and Uncertainty), attachment dimensions (Confidence, Relationships as secondary, The need for approval, Discomfort with closeness, Preoccupation with relationships) and the perception of the child (Warmth and Invasiveness) among mothers of children up to five years of age. Two hundred sixty-three mothers completed the PRFQ and The Reflective Functioning Questionnaire, of which 201 mothers also completed the Mothers’ Object Relations Scale and The Attachment Style Questionnaire. Confirmatory factor analyses supported the three-factor solution. Cronbach’s alpha coefficients for Certainty about Mental States and Interest and Curiosity subscales were excellent, while it was lower for Pre-Mentalizing.

Factors influencing maternal control in child feeding in Hungary

Abstract Background Globally, more than 340 million children and adolescents aged 5-19 were overweight or obese in 2016. Obesity in children and poor dietary habits in adulthood are associated with parental feeding practices. This study aimed to characterize the sociodemographic status, lifestyle, and health related factors of mothers associated with child feeding control practices. Methods A questionnaire-based cross-sectional study was carried out in Hungary among 8-13-year-old students and their parents (N = 454). In this analysis only mothers of normal/overweight/obese children were analysed (n = 338). Questions included mothers’ characteristics and their practices in child feeding measured by the Hungarian version of the Child Feeding Questionnaire. It has two main categories: “risk factors and concerns” and “control in child feeding”; we analysed the last one with its three domains (restriction, pressure to eat and monitoring). Factors influencing mothers’ feeding control were analysed by multivariate logistic regression models. Results According to our classification 86.9% of mothers were “monitoring”, 20.0% “pressure to eat”, and 26.9% “restrictive”. Neither of the variables was explored in the regression model of “restrictive” mothers. Mothers of overweight children (79%) and of obese children (89%) were less likely to be “pressure to eat” mothers (p = 0.007, p = 0.036). Women with high education were 2.19 times more likely to be “monitoring” mothers (p = 0.047) than lower educated. Mothers who had hopeless feelings were 94% less likely to be “monitoring” (p = 0.016). Overweight children's mothers were 4.12 times likely to be “monitoring” mothers (p = 0.040) than mothers of normal weighted children. Conclusions In our analysis predicting factors of child feeding were educational level and mental health of mothers and nutritional status of children. Improved education, self-efficacy and mental status are important public health issues from the point of the promotion of healthy nutrition. Key messages • Parents, especially mothers can significantly influence children’s eating experiences, so the evaluation of mothers’ feeding control may be used in the formulation of obesity prevention in children. • The mothers’ feeding strategy and their ideas about child feeding are determined by many factors which can be modified by the promotion of their education and health way of life.

György Márkus, 75% mensch: On the occasion of the publication of the English version of How Is Critical Economic Theory Possible?

In this article I give an overall interpretation of the development of the Budapest School in Australia as political emigres, who initially worked and wrote in Melbourne and Sydney until the final years when Heller and Feher moved on to New York in the mid-1980s and then back to Budapest in 1993. The translation of How Is Critical Economic Theory Possible? has allowed us to better grasp the motivations and theoretical innovations of the Budapest School, to appreciate their internal disputes and to recognise fundamental continuities and difference in these two key thinkers. This book was a gallant retrieval of democratic potentials in Marx. It excavated Marx’s own appreciation of needs produced by, and critical of, the alienations of the capitalist system. Ultimately, this early work was unable to realise its ambition to educate the diverse progressive movements of the times. I will show later that the retrieval of progressive potentials took a more social democratic form in the work of Maria Márkus on needs as she encountered them later in the Hawke Labor Government of Australia from 1983. Introducing the world media to the Budapest School in The Times Literary Supplement on 15 February 1971, Lukács described Márkus as ‘75% mensch’. When Lukács first met him, George already had his own philosophical interests, which he would bring with him when he became a key figure in ‘the Budapest School’. Márkus had studied in Moscow where he wrote his dissertation on the topic History and Consciousness and met his Polish wife, Maria. George used to modestly say that he was an expert only on the works of Karl Marx. That was despite that he had taught the history of modern philosophy at Eotvös Loránd University to Hungary’s most promising philosophers for a decade and later to philosophy students at Sydney University for the next 20 years. In the early 1970s, George invited Janos Kis and György Bence to work on his next project that would become the Hungarian version of Überhaupt, which was to become How Is Critical Economic Theory Possible? The new English translation published by Brill this year opens this important rethinking of the work of Marx to an international readership.

Examination of Physical Activity Patterns of Children, Reliability and Structural Validity Testing of the Hungarian Version of the PAQ-C Questionnaire.

Several studies report on the importance of physical activity (PA) in childhood, which influences attitudes towards health in adulthood. For monitoring PA, trustworthy measurement tools are needed. The study aimed to adapt the Physical Activity Questionnaire for Children (PAQ-C) to the Hungarian language and assess its validity, reliability, and factor structure. A total of 620 children (the average age was 10.62 (SD 2.36)) participated in the cross-sectional study. To assess physical activity, the PAQ-C questionnaire was used. The collected data were analysed using IBM SPSS version 28.0 and IBM SPSS AMOS 29.0 software. The internal consistency was acceptable (alpha = 0.729) and the test-retest reliability showed acceptable agreement (ICC = 0.772). The confirmatory factor favoured a one-factor structure of the questionnaire. The average PAQ-C score for girls was 2.87 (SD 1.07), and for boys it was 3.00 (SD 1.05), which showed a significant difference (p = 0.005). Based on our findings, our study tested the validity and reliability of the one-factor PAQ-C questionnaire, a valid and reliable measurement tool to test the physical activity patterns of primary school children in a Hungarian sample. Further research is needed to develop physical activity monitoring of Hungarian children.