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Zabo V, Purebl G, Olah A, Gonda X, Harangozo J, Keri S, Vincze A, Patko D, Bognar J, Erat D, Vargha A. Mental Health Profiles in Clinical and Non-clinical Samples in Light of the Maintainable Positive Mental Health Theory: Protocol Paper. Neuropsychopharmacol Hung 2022; 24:180-184. [PMID: 36776110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
Clinical psychology has invested a lot of energy in the thorough examination of the characteristics of mental disorders, but less in the implication of the accessible mental health capacities in the recovery phase. Our aim in the present study is to verify the two-continuum mental health model in clinical and non-clinical samples in the light of the Maintainable Positive Mental Health Theory. A further aim is to investigate the interrelationship between positive mental health and mental disorder by examining various groups of mental disorders with different levels of severity. We also examine the prevalence of the diagnostic categories of the Complete Mental Health Model. Furthermore, we aim to identify mental health profiles and their correlates. In the present paper, we introduce the protocol for the ongoing research. A cross-sectional, case-control design is employed to investigate the two-continuum model of mental health. The clinical sample (n = 400) is recruited from four Hungarian hospitals. The non-clinical sample (n = 400) is collected using an online self-report survey-based research design. The two-continuum model of mental health will be tested using exploratory factor analysis and confirmatory factor analysis, with the symptoms of mental disorders and mental health as outcome variables. We will then separate groups of mental disorders according to the leading symptoms. Analysis of variance will be used to examine mental health as the dependent variable at a certain severity level in different mental disorder groups. Analysis of covariance will be used to identify the effect of different sociodemographic indicators.The prevalence of the diagnostic categories of the Complete Mental Health Model will be calculated and compared using chi-square tests. Finally, mental health profiles will be identified using latent profile analysis. Our study draws attention to the fact that "optimal human functioning" can be understood in ways that includes, and not excludes, people living with mental disorder.
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Affiliation(s)
- Virag Zabo
- Doctoral School of Psychology, Eötvös Loránd University, Budapest, Hungary.,Institute of Psychology, Faculty of Education and Psychology, Eötvös Loránd University, Budapest, Hungary.,Institute of Behavioural Sciences, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Gyorgy Purebl
- Institute of Behavioural Sciences, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Attila Olah
- Doctoral School of Psychology, Eötvös Loránd University, Budapest, Hungary.,Institute of Psychology, Faculty of Education and Psychology, Eötvös Loránd University, Budapest, Hungary
| | - Xenia Gonda
- Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary.,NAP-3-SE Neuropsychopharmacology Research Group, Semmelweis University, Budapest
| | - Judit Harangozo
- Community Psychiatry Center, Semmelweis University - Awakenings Foundation, Budapest, Hungary
| | - Szabolcs Keri
- National Institute of Mental Health, Neurology, and Neurosurgery, Nyírő Gyula Hospital, Budapest, Hungary.,Department of Cognitive Science, Budapest University of Technology and Economics, Budapest, Hungary
| | - Agnes Vincze
- Doctoral School of Psychology, Eötvös Loránd University, Budapest, Hungary.,Institute of Psychology, Faculty of Education and Psychology, Eötvös Loránd University, Budapest, Hungary.,National Institute of Mental Health, Neurology, and Neurosurgery, Nyírő Gyula Hospital, Budapest, Hungary
| | - Domotor Patko
- Community Psychiatry Center, Semmelweis University - Awakenings Foundation, Budapest, Hungary.,National Institute of Mental Health, Neurology, and Neurosurgery, Nyírő Gyula Hospital, Budapest, Hungary
| | - Judit Bognar
- Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - David Erat
- University of Pécs, Institute of Social and Media Studies, Department of Sociology
| | - Andra Vargha
- Person- and Family-Oriented Health Science Research Group, Institute of Psychology, Faculty of Humanities and Social Sciences, Károli Gáspár University of the Reformed Church in Hungary, Budapest, Hungary
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Zabo V, Gonda X, Olah A, Harangozo J, Purebl G, Keri S, Vincze A, Patko D, Bognar J, Llewellyn VZ, Vargha A. Seeds that bloom on stony ground - Concept paper of the future perspectives of the unexploited capacities of positive clinical psychology in Hungary. Neuropsychopharmacol Hung 2022; 24:113-119. [PMID: 36356176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Positive psychology has fully examined the flourishing among healthy people but neglected to understand how "optimal human functioning" can apply to the life experiences of a vulnerable person. Considering methodological issues, this article gives a brief overview on how the conceptualization of mental health and mental disorders affects the consideration of strengths along with the presence of dysfunction with the emergence of positive psychology. First, we summarize the shortcomings of the applicability of clinical positive psychology, focusing especially on Hungarian clinical practice. Second, we discuss the problems with the conceptualization of mental health in positive psychological framework. Third, we propose a model, the Maintainable Positive Mental Health Theory based on capacities and competences. Finally, we conclude with methodological questions and present a research protocol. The key finding of our review is that the opportunity exists for psychiatrists and psychologists to embrace disability as part of human experiences and to show how people with vulnerabilities can be supported to recover. (Neuropsychopharmacol Hung 2022; 24(3): 113-119).
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Affiliation(s)
- Virag Zabo
- Positive Psychology Research Group, Institute of Psychology, Faculty of Education and Psychology, Eötvös Loránd University, Budapest
- Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest
- Institution of Research on Adult Education and Knowledge Management, ELTE Eötvös Loránd University, Budapest
| | - Xenia Gonda
- Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest
- NAP-2-SE New Antidepressant Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest
| | - Attila Olah
- Positive Psychology Research Group, Institute of Psychology, Faculty of Education and Psychology, Eötvös Loránd University, Budapest
- Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest
| | - Judit Harangozo
- Community Psychiatry Center, Semmelweis University - Awakenings Foundation, Budapest
| | - Gyorgy Purebl
- Institute of Behavioural Sciences, Faculty of Medicine, Semmelweis University, Budapest
| | - Szabolcs Keri
- National Institute of Mental Health, Neurology, and Neurosurgery, Nyírő Gyula Hospital, Budapest
| | - Agnes Vincze
- Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest
- National Institute of Mental Health, Neurology, and Neurosurgery, Nyírő Gyula Hospital, Budapest
| | - Domotor Patko
- Community Psychiatry Center, Semmelweis University - Awakenings Foundation, Budapest
- National Institute of Mental Health, Neurology, and Neurosurgery, Nyírő Gyula Hospital, Budapest
| | | | - Van Zyl Llewellyn
- Human Performance Management Group, Department of Industrial Engineering and Innovation Sciences, Technical University of Eindhoven
- Optentia, North West University, Potchefstroom
| | - Andras Vargha
- 2 Person- and Family-oriented Health Science Research Group, Institute of Psychology, Faculty of Humanities and Social Sciences, Károli Gáspár University of the Reformed Church in Hungary, Budapest
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Harangozo J, Reneses B, Brohan E, Sebes J, Csukly G, López-Ibor JJ, Sartorius N, Rose D, Thornicroft G. Stigma and discrimination against people with schizophrenia related to medical services. Int J Soc Psychiatry 2014; 60:359-66. [PMID: 23788438 DOI: 10.1177/0020764013490263] [Citation(s) in RCA: 54] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To investigate whether people with schizophrenia experience discrimination when using health care services. METHODS A cross-sectional survey in 27 countries in centres affiliated to the INDIGO Research Network, using face-to-face interviews with 777 participants with schizophrenia (62% male and 38% female). We analysed the data related to health issues, including health care, disrespect of mental health staff, and also personal privacy, safety and security, starting a family, pregnancy and childbirth. Discrimination was measured by the Discrimination and Stigma Scale (DISC), which consists of 36 items comprising three sub-scales: positive experienced discrimination; negative experienced discrimination; and anticipated discrimination. RESULTS More than 17% of patients experienced discrimination when treated for physical health care problems. More than 38% of participants felt disrespected by mental health staff, with higher ratings in the post-communist countries. CONCLUSIONS Mental health service providers have a key role in decreasing stigma in their provision of health care, and by doing more against stigmatizing and discriminating practices on the therapeutic and organizational level. This will require a change of attitudes and practices among mental and physical health care staff.
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Affiliation(s)
- J Harangozo
- Centre for Community Psychiatry, Semmelweis Medical University, Budapest, Hungary
| | - B Reneses
- Instituto de Psiquiatría, Instituto de Investigación biomédica del Hospital Clínico San Carlos, Departamento de Psiquiatría, Universidad Complutense, Madrid, Spain
| | - E Brohan
- Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK
| | - J Sebes
- Department of Psychiatry, Bajcsy-Zsilinszky Hospital, Budapest, Hungary
| | - G Csukly
- Department of Psychiatry and Psychotherapy, Semmelweis Medical University, Budapest, Hungary
| | - J J López-Ibor
- Instituto de Psiquiatría, Instituto de Investigación biomédica del Hospital Clínico San Carlos, Departamento de Psiquiatría, Universidad Complutense, Madrid, Spain
| | - N Sartorius
- Association for the Improvement of Mental Health Programmes, Geneva, Switzerland
| | - D Rose
- Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK
| | - G Thornicroft
- Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK
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Falloon IRH, Mizuno M, Murakami M, Roncone R, Unoka Z, Harangozo J, Pullman J, Gedye R, Held T, Hager B, Erickson D, Burnett K. Structured assessment of current mental state in clinical practice: an international study of the reliability and validity of the Current Psychiatric State interview, CPS-50. Acta Psychiatr Scand 2005; 111:44-50. [PMID: 15636593 DOI: 10.1111/j.1600-0447.2004.00405.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To develop a reliable standardized assessment of psychiatric symptoms for use in clinical practice. METHOD A 50-item interview, the Current Psychiatric State 50 (CPS-50), was used to assess 237 patients with a range of psychiatric diagnoses. Ratings were made by interviewers after a 2-day training. Comparisons of inter-rater reliability on each item and on eight clinical subscales were made across four international centres and between psychiatrists and non-psychiatrists. A principal components analysis was used to validate these clinical scales. RESULTS Acceptable inter-rater reliability (intra-class coefficient > 0.80) was found for 46 of the 50 items, and for all eight subscales. There was no difference between centres or between psychiatrists and non-psychiatrists. The principal components analysis factors were similar to the clinical scales. CONCLUSION The CPS-50 is a reliable standardized assessment of current mental status that can be used in clinical practice by all mental health professionals after brief training.
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Affiliation(s)
- I R H Falloon
- OTP European Coordinating Centre, ARIETE, Perugia, Italy.
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Falloon IRH, Montero I, Sungur M, Mastroeni A, Malm U, Economou M, Grawe R, Harangozo J, Mizuno M, Murakami M, Hager B, Held T, Veltro F, Gedye R. Implementation of evidence-based treatment for schizophrenic disorders: two-year outcome of an international field trial of optimal treatment. World Psychiatry 2004; 3:104-9. [PMID: 16633471 PMCID: PMC1414683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/24/2023] Open
Abstract
According to clinical trials literature, every person with a schizophrenic disorder should be provided with the combination of optimal dose antipsychotics, strategies to educate himself and his carers to cope more efficiently with environmental stresses, cognitive-behavioural strategies to enhance work and social goals and reducing residual symptoms, and assertive home-based management to help prevent and resolve major social needs and crises, including recurrent episodes of symptoms. Despite strong scientific support for the routine implementation of these 'evidence-based' strategies, few services provide more than the pharmacotherapy component, and even this is seldom applied in the manner associated with the best results in the clinical trials. An international collaborative group, the Optimal Treatment Project (OTP), has been developed to promote the routine use of evidence-based strategies for schizophrenic disorders. A field trial was started to evaluate the benefits and costs of applying evidence-based strategies over a 5-year period. Centres have been set up in 18 countries. This paper summarises the outcome after 24 months of 'optimal' treatment in 603 cases who had reached this stage in their treatment by the end of 2002. On all measures the evidence-based OTP approach achieved more than double the benefits associated with current best practices. One half of recent cases had achieved full recovery from clinical and social morbidity. These advantages were even more striking in centres where a random-control design was used.
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Affiliation(s)
- Ian R H Falloon
- OTP Coordinating Center, ARIETE, 06055 Mercatello, Perugia, Italy
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