Relationship satisfaction and self-esteem in patients with breast cancer and healthy women: the role of expected and actual personal projects support from the partner.

BACKGROUND: For breast cancer patients, the partner's support for personal projects can serve as a means of adaptation. We aimed to investigate the associations between the intimate partner's personal project support and women's well-being. METHODS: A sample of 274 Hungarian women (breast cancer patients n = 137, control n = 137) took part in the study. Expected and actually received autonomy-, directive- and emotional project support was assessed by the procedure of Personal Project Assessment. Well-being was measured by the Relationship Assessment Scale and the Rosenberg Self-Esteem Scale. For investigating the associations between project support and well-being in a multivariate way, structural equation modelling was used. RESULTS: Except for autonomy support, participants expected more support than they received. A path model indicated multiple associations between types of project support and relationship satisfaction and self-esteem. The partner's emotional project support was predictive of women's relationship satisfaction and self-esteem, while directive support was predictive of self-esteem only. The associations showed similar patterns in the subgroups of patients with breast cancer and control. CONCLUSIONS: Our results highlight the importance of involving women's subjective perspectives regarding the partner's project support while also have implications for praxis. Teaching women how to communicate their needs to their partner effectively (whether it is the need for autonomy or directive guidance) can help close the gap between expected and received support, which may in turn enhance relationship satisfaction and self-esteem.

Medical educators' experiences on medically unexplained symptoms and intercultural communication-an expert focus group study.

BACKGROUND: Medically unexplained symptoms (MUS) are highly prevalent and remain challenging in healthcare and medical education, along with the increase in the importance of intercultural issues regarding MUS. However, less is known about the challenges of professionally addressing patients with MUS in the interprofessional and intercultural contexts. Thus, the present study aims to provide the first exploration of the experiences of medical specialists regarding treating MUS in intercultural contexts and inputs for training development on the intercultural aspects of MUS. METHODS: Three focus groups (total n = 13) consisting of medical specialists from a Hungarian university who were teaching at the medical faculty in intercultural settings and also worked for the university health services were interviewed. The topics covered the participants' personal experiences on addressing MUS and the challenges of intercultural communication and the intercultural educational context. Thematic analysis was used to yield a qualitative account of the interviews as guided by the research questions. RESULTS: Representing the different aspects of medical specialists, the study identified three main themes in the experiences of medical specialists, namely, 1) the need to adapt to the personal world of patients and search for common frames to understand MUS, 2) the need to discover methods for adapting to cultural differences and 3) the need to enhance the interprofessional coordination of knowledge and practices. CONCLUSIONS: The results are in line with the distinct conclusions of previous studies. Moreover, an integrated educational program on the intercultural aspects of MUS may address the main themes separately and, subsequently, support their integration. Therefore, the study discusses the manner in which an integrated educational program on the intercultural aspects of MUS may address the needs recognized in these aspects.

Cooperation and conflict in romantic partners' personal projects: the role of life domains.

Personal projects represent a person's pursuits in different life domains. The present study examines the orientations of adults' personal projects and how these orientations are embedded in the dynamics of romantic relationships. Cross-sectional data from 249 married or cohabitating Hungarian heterosexual couples were collected (mean age 42 ± 10.76 and 39.64 ± 10.21 years for male and female partners, respectively). An adapted version of the Personal Project Assessment procedure was completed by both partners individually. Four of their chosen projects were evaluated based on perceived cooperation and conflict regarding these projects and other predefined aspects. First, after applying a person-oriented approach, four meaningful content domains emerged from the thematically coded data using cluster analysis: (1) Practical, (2) Work-Life Balance, (3) Relationships, and (4) Learning and Growth orientations. For both genders, people with Learning and Growth orientation were younger than those with Practical orientation, and among women, the Work-Life Balance orientation group was older. Second, we linked the content domains to relationship experiences on the dyadic level. Both partners with Learning and Growth orientation goals perceived less cooperation. Female partners whose spouses had Work-Life Balance or Learning and Growth orientation goals perceived less conflict regarding their own goals. Overall, Learning and Growth-oriented goals can be considered more distant from the dynamics of romantic relationships because they involve fewer joint experiences and less cooperation and conflict.

[Social anxiety and the use of environmental self-regulation strategies].

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.

Does optimism weaken the negative effects of being lonely on suicide risk?

The present study investigated loneliness and optimism as predictors of suicide risk, specifically, depressive symptoms and suicidal ideation, in 457 Hungarian college students. Beyond the expected role of loneliness in suicide risk, being optimistic buffered the positive association between loneliness and suicide. The findings implicate the importance of fostering optimism for potentially lowering suicide risk among lonely college students.

Future orientation and suicide risk in Hungarian college students: Burdensomeness and belongingness as mediators.

We tested a model consistent with the notion that perceived burdensomeness and thwarted belongingness mediate the association between future orientation and suicide risk (viz., depressive symptoms and suicide ideation) in college students. The sample was comprised of 195 Hungarian college students. Results indicated that the negative associations found between future orientation and suicide risk outcomes were accounted for by both perceived burdensomeness and thwarted belongingness. The present findings highlight the importance of studying positive future cognitions in suicide risk and provide support for perceived burdensomeness and thwarted belongingness as potential proximal mechanisms associated with heighted suicide risk in adults.

Validity of the Frequency of Suicidal Ideation Inventory in Hungarian adults.

The present research examined the validity of the Hungarian Frequency of Suicidal Ideation Inventory (FSII-H). In Study 1, among 457 Hungarian college students, confirmatory factor analysis supported a 1-factor model. In Study 2, among 241 Hungarian college students, the FSII-H correlated positively with measures of suicide risk factors, and negatively with suicide protective factors. The present findings are the first to provide promising evidence for the validity of a brief measure of suicide ideation frequency in a Hungarian population.

[Measurement of unemployment-related psychological stress: Validation of the Unemployment Stress (USS)]. / A munkanélküliség következtében kialakuló stress mérése: A Munkanélküliség Skála (MS Skála) validálása.

BACKGROUND: Nowadays the theme of unemployment and the given answers of it are up to date questions in psychology. In spite of this fact, the psychological methods measuring this phenomenon are often missing. That is why the Unemployment Stress Scale (USS) is presented in this article. AIM: The aim of our study is to develop a scale called USS and test it's validity and reliability. METHOD: There were 287 adult unemployed persons asked in this study. Besides the USS we used the Beck Depression Scale, the Spielberger Anxiety Scale (TRAIT), the Sense of Coherence Scale (Hungarian version) and the Rosenberg Self Esteem Scale. RESULTS: According to our results, USS has showed an excellent criterion and construct validity. A useful scale has been formed according to test-retest results. (Cronbach-alfa: 0.88 and 0.86 according to the samples). Moreover our scale has a strong correlation with the Spielberger Anxiety Scale (TRAIT) and the Beck Depression Scale. These chracteristics of the new scale proved that we fond a factor, independent from the self esteem and the sense of coherence, which represents the stress level in the situation of unemployment. CONCLUSIONS: This scale is a professional construction to measure stress contributed to unemployment. The USS can be a useful scale in clinical practice because after measuring with this scale we can protect the personality of the unemployed by representing the actual unemployment stress level. That is why professionals can help earlier in a crisis like this.

[Psychometric characteristics of the Shortened Hungarian Cloninger Temperament and Character Inventory (TCI55) based by nationwide samples].

INTRODUCTION: The shortened Hungarian 55-item version (TCI55) of the Cloninger Temperament and Character Inventory (TCI) is presented in the article. The goal of the examination was testing the psychometric parameters of the shortened questionnaire. The Cloninger TCI based by psychobiological model is the most recent personality inventory. Cloninger divides the personality to temperament dimensions into those that are determined by genetic attributes, and into the character dimensions that evolve by environment. The inventory includes four temperament factors (Novelty Seeking, Harm Avoidance, Reward Dependence, and Persistence) and tree character factors (Self- Directedness, Cooperativeness, and Self-Transcendence). The temperament dimensions characterized by automatic answers to emotional stimuli are related on the main neurotransmitters (dopamine, serotonin and norandrenalin). The character dimensions are based on the concepts of myself, others, and world, and represent the purposes, goals, and attitudes of the person. METHODS: The validation of the shortened 55-item version inventory was tested by surveys: one on a normative sample consisting 2861 persons (Rozsa, 2002), and two other samples that had been representative by sex, age, education, and habitation, and consisted 5020 and 2000 persons (HEP 2006 and HS 2013, respectively). RESULTS: The reliability and validity of the shortened inventory had been sufficient, the selected items represent sufficiently the original questionnaire. CONCLUSION: Based on results, TCI55 is an opportunity to measure the socialbiological model of personality, when the testing of original 240-items version questionnare is not possible.

The leading role of personality in concerns about autonomous vehicles.

Development of autonomous vehicles (AVs) is growing in a rapid rate, however, the most dominant barriers in their adoption seem to be rather psychological than technical. The present online survey study aimed to investigate which demographical and personality dimensions predict attitudes towards AVs on a Hungarian sample (N = 328). Data was collected by convenience and snowball sampling. Three-level hierarchical regression models were applied: in the first level, demographical variables, then general personality traits and third, attitude-like personality factors were entered. We demonstrated that the predictive effect of age, gender and education disappeared when personality dimensions were included into the models. Importantly, more positive general attitudes towards technology and higher optimism regarding innovations predicted eagerness to adopt AVs. On the other hand, individuals with more negative attitudes and higher dependence on technology as well as those with lower level of Sensory Sensation Seeking and higher level of Conscientiousness were more concerned about AVs. Our results suggest that AV acceptance cannot be regarded as a one-dimensional construct and that certain personality traits might be stronger predictors of AV acceptance than demographical factors.

Enhancing self-management of patients with inflammatory bowel disease: the role of autonomy support in health goal pursuit.

Background: Inflammatory bowel disease (IBD) is a chronic condition that significantly affects patients' physical, mental, and social health, as well as their overall quality of life. Effective management of the disease demands self-management skills, enabling patients to navigate the daily challenges associated with IBD, such as unpredictable flare-ups, frequent hospitalization, severe symptoms, pain, and physical changes. Objectives: This study examines the motivational aspects of self-management for patients with IBD and focuses on the role of autonomy and directive support from healthcare professionals in enhancing their self-concordance and self-efficacy. Design: From November 2022 to February 2023, a cross-sectional questionnaire study was conducted at the IBD Center of Internal Medicine Clinic in Szeged, Hungary. Methods: A total of 374 adult patients with IBD completed the paper-pencil questionnaire, of whom 241 patients (64.4%) had Crohn's disease, and 133 patients (35.6%) had ulcerative colitis. Results: Based on the findings of the path analysis (χ2 (8) = 18.914, p = 0.01, comparative fit index = 0.935, TLI = 0.837, root mean squared error of approximation = 0.06), autonomy support positively predicted self-concordance (ß = 0.48) and self-efficacy (ß = 0.02), particularly during disease relapse. In addition, self-concordance and self-efficacy predicted more positive (ßs = 0.28 and 0.35) and fewer negative emotional experiences (ßs = -0.09 and -0.20). The model's associations varied between the relapse and remission groups, indicating distinct impacts on different states of the disease. Conclusion: Overall, autonomy support from healthcare professionals has been shown to enhance self-management in patients with IBD, particularly during disease relapse. Meanwhile, self-concordance and self-efficacy act as positive internal factors, thus reducing negative emotional experiences, especially during remission. In sum, this study underscores the need for further exploration of the motivational aspects of self-management and provides insights into developing interventions that promote the health behaviors of patients with IBD.

Self-management of inflammatory bowel disease patients Autonomy support from healthcare professionals has been shown to significantly improve the effectiveness of self-management in patients with inflammatory bowel disease (IBD) (especially during disease relapse), by enhancing their self-concordance and self-efficacy. In this case, the interplay between disease activity, positive and negative emotions, and self-regulatory mechanisms underscores the importance of examining the motivational aspects for developing interventions that promote health behaviors in patients with IBD.

Positive cardiovascular health: longitudinal investigation of sustained health behavior in a cross-lagged model.

Objective: Our study focuses on the role of psychological states in the development of cardiovascular disease (CVD) and explores the potential of positive psychological factors in reducing CVD risk. While existing research has predominantly examined negative mental states and risk behavior, this longitudinal study takes a novel approach by investigating positive psychological wellbeing and its impact on sustained health behavior. Method: The research involved participants (n = 502) with medium to high cardiovascular risk who underwent a comprehensive risk assessment in 2012, followed by written risk communication. Health behavior and psychological variables were measured in 2012 and 2019. A cross-lagged panel was employed to repeat measures of a cardiovascular health index with latent factors. Results: Results indicated an excellent fit for the model (RMSEA = 0.0644, CFI = 0.936, TLI = 0.921, SRMR = 0.050), with significant associations between the observed variables (p < 0.05) and created latent factors. Furthermore, the model implied significant bivariate correlations (p < 0.05) between latent constructs of sustained health behavior and positive psychological states in 2012 and 2019. A significant regression relationship between Health Awareness Index 2012 and 2019, between Psychological wellbeing in 2012 and 2019 (B = 1.103 p = 0.038), latent factors could be identified (B = 1.103 p = 0.038) using cross-lagged panel model. Results highlighted the importance of cardiovascular health awareness, subjective risk perception, and self-directed efforts in facilitating health behavior change. Conclusion: Relationships between psychological wellbeing and health awareness emphasize that positive experiences and reinforcement are crucial in sustaining optimal health behavior. Our findings offer a new perspective on cardiovascular risk screening and preventive interventions. Extending cardiovascular risk screening with psychological measures may broaden prevention opportunities by including psychological elements reinforcing positive psychological states. The findings suggest that an effective prevention program must consider stabilizing and maintaining positive psychological states to achieve lasting improvements in cardiovascular health.

German and Italian validation of the Dyadic Coping Inventory-Sexual Minority Stress (DCI-SMS) scale.

Lesbian, gay, bisexual, and transgender individuals (hereafter people with minoritized sexual orientation and/or gender identities) have limited legal rights and access to resources because of their marginalized status in society. These limitations are associated with notable health disparities and increase experiences of minority stress. For those in a romantic relationship, being able to communicate and cope with one's partner-dyadic coping-can help buffer stress' deleterious effects on well-being. Given the promise of understanding how dyadic coping can mitigate experiences of sexual minority stress, the Dyadic Coping Inventory-Sexual Minority Stress (DCI-SMS) was recently created and validated with those living in the United States to assess how partners cope with sexual minority stress. Answering a global call to expand psychological science beyond a U.S. centric perspective, the purpose of this study was to validate the DCI-SMS in German and Italian using samples from Austria, Germany, Switzerland, and Italy, respectively. Confirmatory factor analysis results, along with tests of convergent and discriminant validity, and measurement invariance, suggest that the DCI-SMS is a valid measure of stress communication and dyadic coping behaviors for those in a same-gender relationship in the countries sampled. Important future directions include examining its efficacy in other countries, such as those with more adverse sociopolitical climates for people with minoritized sexual orientation and/or gender identities in a same-gender relationship. Limitations and future directions for research and clinical practice are presented. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Cognitive emotion regulation strategies moderate the effect of parenting self-efficacy beliefs on parents' anxiety following their child's surgery.

OBJECTIVE: To explore the role of cognitive emotion regulation (CER) in the association between parenting self-efficacy (PSE) and state anxiety in parents of children undergoing surgery. METHOD: In a prospective design, parents of 114 children admitted to hospital for planned surgical interventions completed self-report questionnaires assessing PSE, CER, and state anxiety. Mediational and moderational analyses were conducted to test competing theoretical models regarding the role of CER in the relationship between PSE and parents' anxiety. RESULTS: The mediational model was rejected, whereas the findings supported a moderational model. The use of nonadaptive CER moderated the effect of PSE on parents' anxiety. Higher PSE only predicted lower postsurgery anxiety when low use of nonadaptive CER was present. CONCLUSIONS: Interacting cognitive factors contribute to parents' anxiety after a child's surgery. Both PSE and CER should be targeted in parent interventions promoting successful adjustments to surgery on children.

Implicit motive profile of treatment-seeking opiate users: high affiliation and low achievement.

Research on basic human motives (achievement, affiliation, and power) encoded at the emotional level recently returned to the forefront of scientific research. To date, there are only a few studies on the pattern of implicit motives of substance users, so the present study examined opiate users participating in methadone maintenance treatment (N = 80) along these dimensions, comparing them to 40 non-substance users. Participants were asked to create stories on the basis of the pictures of the Thematic Apperception Test. The stories were analyzed using the content analysis method of David Winter (1991). Like other substance user groups, opiate-dependent persons used less achievement and more affiliation notions in creating stories, while there was no significant difference between the two groups concerning power notions. The results proved to be independent of the presence of anxiety and depression symptoms, despite substance users reporting higher levels of these, and suggest that motivational factors are worth considering in treatment planning.

Flourishing Together: The Longitudinal Effect of Goal Coordination on Goal Progress and Life Satisfaction in Romantic Relationships.

Goal pursuit shapes people' everyday experiences and is deeply embedded within close relationships. Several studies have shown that goal support from romantic partners facilitates goal progress, and individual goal progress contributes to wellbeing. However, few pieces of research have examined the whole process, how efficient goal coordination in a romantic relationship contributes to life satisfaction through goal progress. In these studies, short time frames were used and only one aspect of goal coordination was examined. To generate more complex, long-term understanding we collected data from 148 married or cohabitating Hungarian heterosexual couples (mean age 39.71 ± 10.40 and 38.57 ± 10.00 years for men and women, respectively) in a two-wave longitudinal study with a year-long time window. Both partners individually completed an adapted version of the Personal Project Assessment and evaluated four chosen projects associated with project coordination (emotional support, communication, and cooperation) at baseline, and project attainment (progress, success, satisfaction) in the follow up. Life satisfaction was assessed during both waves. Results from the actor-partner interdependence mediation modeling revealed complete mediation, where project coordination increased project attainment one year later, and consequently associated with higher life satisfaction for both partners. The direct effect between project coordination and life satisfaction remained nonsignificant. This association indicates that for long-term life satisfaction, it is crucial to experience better goal outcomes as the result of the couple's collaborative effort.

Health Psychology Services for People in Disadvantaged Regions of Hungary: Experiences from the Primary Health Care Development Model Program.

BACKGROUND: The importance of community health psychology in providing complex bio-psycho-social care is well documented. We present a mixed-method outcome-monitoring study of health psychology services in the public-health-focused Primary Health Care Development Model Program (2012-2017) in four disadvantaged micro-regions in northeast Hungary. METHODS: Study 1 assessed the availability of the services using a sample of 17,003 respondents. Study 2 applied a follow-up design to measure the mental health outcomes of the health psychology services on a sample of 132 clients. In Study 3, we conducted focus-group interviews to assess clients' lived experiences. RESULTS: More mental health issues and higher education predicted a higher probability of service use. Follow-up showed that individual and group-based psychological interventions resulted in less depression and (marginally) higher well-being. Thematic analysis of the focus-group interviews indicated that participants deemed topics such as psychoeducation, greater acceptance of psychological support, and heightened awareness of individual and community support important. CONCLUSIONS: The results of the monitoring study demonstrate the important role health psychology services can play in primary healthcare in disadvantaged regions in Hungary. Community health psychology can improve well-being, reduce inequality, raise the population's health awareness, and address unmet social needs in disadvantaged regions.

[Health goals amongst patients with Crohn's disease.] / Egészséggel kapcsolatos célok Crohn-betegek körében.

INTRODUCTION: Inflammatory bowel diseases, including Crohn's disease, have a significant impact on patients' lifestyle, requiring lifelong attention to health behavior. OBJECTIVE: The aim of our study was to investigate health-related goals, emotions related to health goals, the use of infocommunication tools and their associations. METHOD: 79 patients with Crohn's disease (59.5% female, mean age 40.7 years, SD = 11.89) participated in the study. They answered demographic and health behaviour questions and completed the Personal Health Plans Questionnaire, which assessed their personal health goals, positive and negative emotions about health goal(s), support for personal health goals from their physician, negative and positive effects (barriers/support) of achieving health goals, and digital technology and internet use. RESULTS: 70% of patients had at least 1 health goal. The health goals were classified into four categories: physical activity (43.6%), stress management (25.4%), nutrition (18%) and smoking cessation (7%). 71% of participants experienced at least average levels of positive emotions related to the health goal, but about 50% also experienced negative emotions. 51% of those with a health goal regularly use the internet and apps on smartphones. Infocommunication device use showed a medium-strength correlation with perceived health goal-related barrier/support (ρ = 0.55, p<0.01), support from the person's doctor (ρ = 0.45, p<0.05) and physical activity (ρ = 0.40, p<0.01). DISCUSSION: More than two-thirds of patients had a health goal; most of the goals were related to health behaviours that are also relevant to Crohn's disease, but few had healthy eating and smoking cessation as health goals. Half of those with a health goal regularly use the internet and apps on smartphones. Among health behaviours, physical activity was associated with infocommunication device use. CONCLUSION: It is recommended to investigate patients' health goals and infocommunication device use in the care of patients with Crohn's disease. This would allow the development of specific interventions to improve their health behaviour, which could increase the quality of life and disease prognosis. Orv Hetil. 2023; 164(28): 1102-1110.

[Relationship between cardiovascular risk assessment and health behavior in the light of psychosocial factors.] / A cardiovascularis rizikóbecslés és az egészségmagatartás kapcsolata pszichoszociális tényezok tükrében.

INTRODUCTION: Even though preventive measures have been taken to reduce cardiovascular risk, cardiovascular mortality is increasing. Cardiovascular screening can be a population strategy that contributes to the reduction of mortality over the long term when implemented in a systematic, protocol-based, expanded manner. OBJECTIVE: In this study, we examine changes in participants' health behavior between 2012 and 2019 as a follow-up to the Budakalász Epidemiological Study (BEV). METHOD: A cardiovascular health index was developed to enable effective follow-up. This study included subjects with medium and high cardiovascular risks who participated in the BEV complex cardiovascular risk assessment in 2012 (n = 502). Besides the basic data from the BEV baseline study (demographics, healthy lifestyle, risk behavior, diseases treated by medicine), the 2019 follow-up questionnaire included newly added psychological questionnaires (Perceived Stress, WHO Well-being, Beck Hopelessness Scale, Health-Related Social Support, ABCD Risk Questionnaire). RESULTS: All factors of the cardiovascular health index created in our analysis showed an improvement of over 70% between 2012 and 2019. 37.6% of the participants did something for their health, according to their confession, by 30.3%, BEV had a big or very big impact on their lives from the 2012 BEV test in the year after the test, and by 24.7%, BEV had and still has a big or very big impact on their lives. The improving health indices show a significant correlation with psychological factors. Psychological factors showed a positive correlation with well-being (tau_b = 0.344) and a negative correlation with perceived stress (tau_b = -0.225) and hopelessness (tau_b = -0.206). CONCLUSION: The participants in the study showed a significant change in health behavior seven years after the BEV cardiovascular risk assessment. A higher level of mental well-being is associated with improved values. By analyzing the impact of BEV on the health behavior change and the lifestyle, we can conclude that the cardiovascular risk assessment facilitates health behavior change. Orv Hetil. 2023; 164(4): 119-131.