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Az egyetemi hallgatókat tanulmányaik során különböző pszichés stresszhatások érik, ezek vizsgaidőszakban fokozódhatnak, és hatásukra egyeseknél szorongásos és depressziós tünetek jelentkezhetnek. A temporomandibularis diszfunkció kialakulásában a beteg pszichés állapota mint etiológiai tényező gyakran kerül említésre a szakirodalomban, de az összefüggés jellege nem pontosan tisztázott. Kutatásunkban azt vizsgáltuk, hogy a vizsgaidőszakban megjelennek-e szorongásos vagy depressziós tünetek, illetve változik-e a fogorvostan-hallgatók tüneteinek mértéke, valaminta temporomandibularis diszfunkció tüneteinek és egyes orális parafunkcióknak a gyakorisága, és összefüggést kerestünk az egyes tényezők között. Kérdőíves adatgyűjtést végeztünk két időpontban: egyszer a szorgalmi-, és egyszera vizsgaidőszakban. A kérdőíveket a Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) magyar változatából vettük. Összehasonlítottuk a temporomandibularis diszfunkció tüneteinek gyakoriságát, a szorongás és a depresszió mértékét, valamint az arcfájdalom intenzitásának különbségét a két időpontban. Eredményeink az mutatták, hogy a hallgatók szorongásos és depressziós tünetei szignifikánsan magasabb szintet értek el vizsgaidőszakban, mint szorgalmi időszakban. A temporomandibularis diszfunkció valamennyi vizsgált tünete szintén nagyobb gyakorisággal fordult elő vizsgaidőszakban. Ekkor a tünetek közül a fájdalom több mint kétszer annyi hallgatónál volt jelen, mint szorgalmi időszakban. A fájdalom intenzitása is szignifikánsan magasabb volt vizsgaidőszakban. A vizsgált orális parafunkciók mértékében is jelentős emelkedést találtunk. Eredményeink alapján feltételezhető, hogy vizsgaidőszakban a hallgatók fokozott stressz-szintje növeli a szorongásos és depressziós tünetek mértékét és ez egybeesik a temporomandibularis tüneteik nagyobb arányú és mértékű előfordulásával. A kettő közötti kapcsolat nem bizonyítható, de elképzelhető, hogy az emel-kedett stressz-szint is hozzájárul a temporomandibularis diszfunkció tüneteinek megjelenéséhez vagy fokozódásához.

Introduction and hypothesis The Female Sexual Function Index (FSFI) has been used for clinical and research purposes in many countries. The aim of this study was to translate, adapt and perform a psychometric validation of a Hungarian version of the FSFI. Methods The FSFI was translated into Hungarian, and its precision was ascertained through reverse translation by an expert team. As a first step, 40 volunteers participated in an evaluation of the test-retest reliability of the Hungarian version over a 2-week period. After that, 418 (331 control and 87 with pelvic organ prolapse) women who had been in a stable sexual relationship in the previous 4 weeks participated in the study. The data were summarized using descriptive statistics. The structure validity was examined by confirmatory factor analysis, with which we tested the hypothesized original factor structure, using maximum likelihood model estimation. We calculated the Comparative Fit Index (CFI), root mean square error of approximation (RMSEA), standardized root mean residual and Akaike information criterion (AIC). To test the internal consistency, Cronbach’s alpha coefficients of the full scale were determined. Spearman’s rank correlation was used for testing divergent validity and Mann-Whitney U-test for examining discriminant validity. Results The FSFI was easily understandable and acceptable as well as capable of adequately evaluating and measuring various aspects of female sexual functioning. A high degree of internal consistency was demonstrated by the Cronbach’s alpha value (0.963). Conclusion The FSFI Hungarian version is a valid tool that measures the same functioning as the original English questionnaire.

Physical activity (PA) plays a crucial role in the management of coronary artery disease (CAD). The Health Action Process Approach provides a useful framework for understanding and predicting the process of health behaviors. The aim of the current study was to unveil the role of received social support in the HAPA model, concerning the physical activity of CAD patients. A longitudinal sample of 117 CAD patients filled out a questionnaire during three measurement points (baseline, 2 months, and 6 months later). The constructs within the model were measured by the previously validated HAPA scales. PA was assessed with four items, which were also included in the HAPA questionnaire. To test the direct and indirect associations between the variables, structural equation modeling with latent variables was employed. Received social support was proven to have a significant and strong effect on both action planning and action control, suggesting a synergistic effect on the individual factors, as well as increasing the explained variance of PA. Results confirmed the important role of received social support in the PA of CAD patients. It could be presumed that strengthening the social support from family and friends could support the regular physical activity of CAD patients.

Objective Two previous individual participant data meta-analyses (IPDMAs) found that different diagnostic interviews classify different proportions of people as having major depression overall or by symptom levels. We compared the odds of major depression classification across diagnostic interviews among studies that administered the Depression subscale of the Hospital Anxiety and Depression Scale (HADS-D). Methods Data accrued for an IPDMA on HADS-D diagnostic accuracy were analysed. We fit binomial generalized linear mixed models to compare odds of major depression classification for the Structured Clinical Interview for DSM (SCID), Composite International Diagnostic Interview (CIDI), and Mini International Neuropsychiatric Interview (MINI), controlling for HADS-D scores and participant characteristics with and without an interaction term between interview and HADS-D scores. Results There were 15,856 participants (1942 [12%] with major depression) from 73 studies, including 15,335 (97%) non-psychiatric medical patients, 164 (1%) partners of medical patients, and 357 (2%) healthy adults. The MINI (27 studies, 7345 participants, 1066 major depression cases) classified participants as having major depression more often than the CIDI (10 studies, 3023 participants, 269 cases) (adjusted odds ratio [aOR] = 1.70 (0.84, 3.43)) and the semi-structured SCID (36 studies, 5488 participants, 607 cases) (aOR = 1.52 (1.01, 2.30)). The odds ratio for major depression classification with the CIDI was less likely to increase as HADS-D scores increased than for the SCID (interaction aOR = 0.92 (0.88, 0.96)). Conclusion Compared to the SCID, the MINI may diagnose more participants as having major depression, and the CIDI may be less responsive to symptom severity.

Until now, no valid Hungarian questionnaire has existed to evaluate the sexual quality of life of women with pelvic floor disorders. The aim of this study was to translate the Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR), into Hungarian and to validate the translated PISQ-IR. PISQ-IR was translated and validated using three steps, as guided by the IUGA international protocol: forward translation by two urogynecologists, a community review process consisting of one-on-one cognitive interviews with 20 patients, and backward translation by a native English speaker. The final version was approved by the IUGA Working Group comprising the original authors. Among sexually active women, good internal consistency was observed for all scales of the adapted instrument: global quality (Cronbach’s α = 0.75), condition impact (α = 0.87), desire (α = 0.82), arousal/orgasm (α = 0.67), partner-related (α = 0.61) and condition-specific (α = 0.67). Among women who were not sexually active, internal consistency was valid for three scales: condition-specific (α = 0.70), global quality (α = 0.81) and condition impact (α = 0.86). Cronbach’s α could not be determined in the partner-related domain because only two items were included. Criterion validity and reliability showed strong significant correlations with the UI at the Clinical-Q values and the FSFI and PFDI-20 tests. The PISQ-IR Hungarian version is a valid and reliable tool that is equivalent to the original English questionnaire and assesses sexual function in Hungarian women with pelvic organ prolapse, urinary incontinence and/or fecal incontinence.

Elmeleti hatter: Az egyre javulo orvosi ellatas, a gyerekkori onkologiai betegek tulelesi aranyanak novekedese ellenere a trauma kovetkezmenyei a kezelesek befejezeset kovetően is meg eveken keresztul fennmaradhatnak, befolyasolva a mindennapi adaptaciot, szocialis kapcsolatok alakulasat. A megterhelő eletesemenyre adott reakciokat, a hosszabb tavu pszichoszocialis alkalmazkodast a tamogato tarsas kornyezeten tul nagymertekben befolyasolja a gyermek eletkora es a kognitiv erettsege. Cel: Vizsgalatunk celja a nyolceves kor alatt es nyolceves kor feletti eletkorban elszenvedett onkologiai betegseg felnőttkori tarsas kapcsolatokra es ertelmező semakra gyakorolt hatasainak elemzese. Vizsgalati mintank gyermekkori onkologiai betegseget tulelő felnőttekből (N = 59), mig a kontrollcsoport (N = 53) gyermekkori kronikus betegsegben nem szenvedő, a tulelőkhoz hasonlo eletkoru felnőttekből allt. Modszerek: A vizsgalt szemelyek kognitiv sema, megkuzdesi mod, tarskapcsolati, szorongas, depresszio, valamint traumatizac...

The aim of this study was to examine associations between exercise capacity-indexed as the metabolic equivalent of the task-and various aspects of subjective fatigue, physical functionality, and depression in patients with coronary artery disease. A cross-sectional design was used. Patients with stable coronary artery disease (N = 240) underwent an exercise stress test and completed self-report assessments of depression, subjective physical limitations, vital exhaustion, and the impact of fatigue on physical, social, and cognitive functions. Associations between exercise capacity and these self-report variables were assessed using bivariate correlations and a series of multivariate regressions. Exercise capacity was negatively associated with vital exhaustion, physical limitations, and impact of fatigue on physical and social functioning but not on cognitive functioning. There was a marginal association between exercise capacity and depression. The associations between exercise capacity and fatigue remained significant even after controlling for effects of age, body mass index, gender, education, and comorbid diabetes mellitus. The main conclusion of the study is that in patients with coronary artery disease, exercise capacity has the strongest predictability for physical fatigue, but, importantly, it also independently predicts the feeling of loss of energy and malaise.