TY - JOUR AU - Kenézlői, Eszter AU - Csernela, Eszter AU - Nemoda, Zsófia AU - Lakatos, Krisztina AU - Czéh, Boldizsár AU - Unoka, Zsolt AU - Simon, Mária AU - Réthelyi, János TI - 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 JF - BORDERLINE PERSONALITY DISORDER AND EMOTION DYSREGULATION J2 - BORDERLINE PERSONAL DISORD EMOT DYSREGUL VL - 10 PY - 2023 IS - 1 PG - 12 SN - 2051-6673 DO - 10.1186/s40479-023-00239-8 UR - https://m2.mtmt.hu/api/publication/34377784 ID - 34377784 N1 - * Megosztott szerzőség AB - Compelling 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.Altogether 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).The 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.Our 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. LA - English DB - MTMT ER - TY - JOUR AU - Békés, Vera AU - Szabó, Dominik AU - Lévay, Erika Evelyn AU - Salgó, Ella AU - Unoka, Zsolt TI - Moral Injury and Shame Mediate the Relationship Between Childhood Trauma and Borderline Personality Disorder, PTSD, and Complex PTSD Symptoms in Psychiatric Inpatients JF - JOURNAL OF PERSONALITY DISORDERS J2 - J PERS DISORD VL - 37 PY - 2023 IS - 4 SP - 406 EP - 423 PG - 18 SN - 0885-579X DO - 10.1521/pedi.2023.37.4.406 UR - https://m2.mtmt.hu/api/publication/34168417 ID - 34168417 N1 - Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, United States Doctoral School of Mental Health Sciences, Semmelweis University, Budapest, Hungary Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary Export Date: 20 November 2023 CODEN: JPDIE Correspondence Address: Békés, V.; Ferkauf Graduate School of Psychology, 1165 Morris Park Ave., United States; email: vera.bekes@yu.edu AB - Moral injury (MI) has received increased research attention in the past decades. However, despite its detrimental mental health consequences, MI has not been studied in psychiatric patients. We aimed to establish the relationship between childhood trauma, MI, and borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), and disturbances in self-organization symptoms (DSO), a core diagnostic criterion of complex PTSD besides PTSD symptoms, and shame as a moral emotion in an inpatient psychiatric sample (N = 240). We found that the impact of childhood trauma on present BPD, PTSD, and DSO symptoms was mediated by MI and shame; the models accounted for up to 31% of variance in symptomatology. To our knowledge, this study is the first to investigate MI in a psychiatric sample, and our results highlight the importance of considering MI as a critical factor of patient experiences in relation to childhood trauma that potentially contributes to the development of psychiatric symptoms. LA - English DB - MTMT ER - TY - JOUR AU - Szily, Dorottya AU - Kelemen, Rebeka AU - S. Nagy, Zita AU - Szabó, Dominik AU - Unoka, Zsolt TI - Disturbed body schema, perceptual body image, and attitudinal body image in patients with borderline personality disorder JF - FRONTIERS IN PSYCHIATRY J2 - FRONT PSYCHIATRY VL - 14 PY - 2023 PG - 8 SN - 1664-0640 DO - 10.3389/fpsyt.2023.1168611 UR - https://m2.mtmt.hu/api/publication/34168259 ID - 34168259 LA - English DB - MTMT ER - TY - JOUR AU - Szabó, Dominik AU - Békés, Vera AU - Lévay, Erika Evelyn AU - Salgó, Ella AU - Unoka, Zsolt TI - Moral injury in psychiatric patients with personality and other clinical disorders: development, psychometric properties, and validity of the Moral Injury Events Scale–Civilian Version JF - EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY J2 - EU J PSYCHOTRAUMA VL - 14 PY - 2023 IS - 2 PG - 13 SN - 2000-8198 DO - 10.1080/20008066.2023.2247227 UR - https://m2.mtmt.hu/api/publication/34125513 ID - 34125513 LA - English DB - MTMT ER - TY - JOUR AU - Bajzát, Bettina AU - Soltész, Péter AU - Soltész-Várhelyi, Klára AU - Lévay, Erika Evelyn AU - Unoka, Zsolt TI - Impaired decision-making in borderline personality disorder JF - FRONTIERS IN PSYCHOLOGY J2 - FRONT PSYCHOL VL - 14 PY - 2023 PG - 10 SN - 1664-1078 DO - 10.3389/fpsyg.2023.1109238 UR - https://m2.mtmt.hu/api/publication/34088764 ID - 34088764 N1 - Funding Agency and Grant Number: Hungarian National Research, Development and Innovation Fund [NKFI-132546] Funding text: Funding ZU was also supported by the Hungarian National Research, Development and Innovation Fund (Grant no NKFI-132546). LA - English DB - MTMT ER - TY - CHAP AU - Kovács, Lilla Nóra AU - Reinhardt, Melinda AU - Klein, Mária AU - Drubina, Boglárka AU - Hammer , Angéla Márta AU - Szőke, Júlia AU - Unoka, Zsolt AU - Kökönyei, Gyöngyi ED - Kulcsár, Gabriella ED - D. Horváth, Vanessza TI - A rumináció és a nem-szuicidális önsértés kapcsolatának vizsgálata klinikai populációban T2 - Találkozás a változásban - Változások a találkozásban PB - Magyar Pszichológiai Társaság CY - Budapest SN - 9786158234603 PY - 2023 SP - 130 EP - 131 PG - 2 UR - https://m2.mtmt.hu/api/publication/34079698 ID - 34079698 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Grasa, Eva AU - Seppälä, Jussi AU - Alonso-Solis, Anna AU - Haapea, Marianne AU - Isohanni, Matti AU - Miettunen, Jouko AU - Caro Mendivelso, Johanna AU - Almazan, Cari AU - Rubinstein, Katya AU - Caspi, Asaf AU - Unoka, Zsolt AU - Farkas, Kinga AU - Usall, Judith AU - Ochoa, Susana AU - van der Graaf, Shenja AU - Jewell, Charlotte AU - Triantafillou, Anna AU - Stevens, Matthias AU - Reixach, Elisenda AU - Berdun, Jesus AU - Corripio, Iluminada TI - m-RESIST, a Mobile Therapeutic Intervention for Treatment-Resistant Schizophrenia: Feasibility, Acceptability, and Usability Study JF - JMIR FORMATIVE RESEARCH J2 - JMIR FORM RES VL - 7 PY - 2023 PG - 13 SN - 2561-326X DO - 10.2196/46179 UR - https://m2.mtmt.hu/api/publication/34045752 ID - 34045752 LA - English DB - MTMT ER - TY - JOUR AU - Rácz, Anna AU - Horváth, Zsolt AU - Vizin, Gabriella AU - Berán, Eszter AU - Unoka, Zsolt TI - Measuring post-traumatic stress disorder and complex post-traumatic stress disorder using the International Trauma Questionnaire: results from a Hungarian clinical and non-clinical sample JF - EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY J2 - EU J PSYCHOTRAUMA VL - 14 PY - 2023 IS - 1 PG - 16 SN - 2000-8198 DO - 10.1080/20008066.2022.2152929 UR - https://m2.mtmt.hu/api/publication/33753450 ID - 33753450 N1 - 33531533 másolata. LA - English DB - MTMT ER - TY - JOUR AU - Horváth, Zsolt AU - Demetrovics, Orsolya AU - Paksi, Borbála AU - Unoka, Zsolt AU - Demetrovics, Zsolt TI - The Reflective Functioning Questionnaire–Revised– 7 (RFQ-R-7): A new measurement model assessing hypomentalization JF - PLOS ONE J2 - PLOS ONE VL - 18 PY - 2023 IS - 2 PG - 18 SN - 1932-6203 DO - 10.1371/journal.pone.0282000 UR - https://m2.mtmt.hu/api/publication/33668655 ID - 33668655 N1 - Cited By :3 Export Date: 11 October 2023 CODEN: POLNC Correspondence Address: Horváth, Z.; Institute of Psychology, Hungary; email: horvath.zsolt@ppk.elte.hu AB - Although it is a widely used questionnaire, limitations regarding the scoring procedure and the structural validity of the eight-item Reflective Functioning Questionnaire (RFQ-8) were raised. The present study aimed to examine further the latent dimensionality of the RFQ-8 and to examine linear and non-linear associations between mentalization difficulties and maladaptive psychological characteristics. Data from two separate representative samples of young adults ( N = 3890; females: 51.68%; mean age: 27.06 years [ SD = 4.76]) and adults ( N = 1385; females: 53.20%; mean age: 41.77 years [ SD = 13.08]) were used. In addition to the RFQ-8, standardized questionnaires measured the levels of impulsivity, sensation seeking, rumination, worry and well-being. Confirmatory factor analysis (CFA) was used to test the model fit of competing measurement models. CFA revealed that a revised, seven-item version of the RFQ (RFQ-R-7) with a unidimensional structure showed the most optimal levels of model fit in both samples. Impulsivity, sensation seeking, rumination and worry consistently presented significant, positive, linear associations with general mentalization difficulties in both samples. Significant quadratic associations were also identified, but these relationships closely followed the linear associations between the variables and increased only marginally the explained variance. The supported unidimensional measurement model and the associations between the general mentalization difficulties factor and maladaptive psychological characteristics indicated that the RFQ-R-7 captures a dimension of hypomentalization ranging between low and high levels of uncertainty. Increasing levels of hypomentalization can indicate a risk for less adaptive psychological functioning. Further revisions of the RFQ-8 might be warranted in the future to ensure adequate measurement for hypermentalization. LA - English DB - MTMT ER - TY - JOUR AU - Csukly, Gábor AU - Farkas, Kinga AU - Fodor, Tímea AU - Unoka, Zsolt AU - Polner, Bertalan Kristóf TI - Stronger coupling of emotional instability with reward processing in borderline personality disorder is predicted by schema modes JF - PSYCHOLOGICAL MEDICINE J2 - PSYCHOL MED VL - 53 PY - 2023 IS - 14 SP - 6714 EP - 6723 PG - 10 SN - 0033-2917 DO - 10.1017/S0033291723000193 UR - https://m2.mtmt.hu/api/publication/33641806 ID - 33641806 N1 - Funding Agency and Grant Number: Hungarian National Research, Development and Innovation Fund [NKFI-132546]; Janos Bolyai Research Scholarship of the Hungarian Academy of Sciences; National Research, Development and Innovation Office [NKFI/OTKA FK 138385] Funding text: This work was supported by the Hungarian National Research, Development and Innovation Fund. Award Number: NKFI-132546 Recipient: Zsolt Unoka PI.; Bertalan Polner was supported by the Janos Bolyai Research Scholarship of the Hungarian Academy of Sciences.; Gabor Csukly was supported by the National Research, Development and Innovation Office (NKFI/OTKA FK 138385). AB - Background. Mood instability and risk-taking are hallmarks of borderline personality disorder (BPD). Schema modes are combinations of self-reflective evaluations, negative emotional states, and destructive coping strategies common in BPD. When activated, they can push patients with BPD into emotional turmoil and a dissociative state of mind. Our knowledge of the underlying neurocognitive mechanisms driving these changes is incomplete. We hypothesized that in patients with BPD, affective instability is more influenced by reward expectation, outcomes, and reward prediction errors (RPEs) during risky decision-making than in healthy controls. Additionally, we expected that these alterations would be related to schema modes. Methods. Thirty-two patients with BPD and thirty-one healthy controls were recruited. We used an established behavioral paradigm to measure mood fluctuations during risky decision-making. The impact of expectations and RPEs on momentary mood was quantified by a computational model, and its parameters were estimated with hierarchical Bayesian analysis. Model parameters were compared using High-Density Intervals. Results. We found that model parameters capturing the influence of RPE and Certain Rewards on mood were significantly higher in patients with BPD than in controls. These model parameters correlated significantly with schema modes, but not with depression severity. Conclusions. BPD is coupled with altered associations between mood fluctuation and reward processing under uncertainty. Our findings seem to be BPD-specific, as they stand in contrast with the correlates of depressive symptoms. Future studies should establish the clinical utility of these alterations, such as predicting or assessing therapeutic response in BPD. LA - English DB - MTMT ER -