No abstract

Background/Aim: Anti-cancer therapies may deteriorate cognitive functioning, affective functioning and psychological well-being. Materials and Methods: In this prospective longitudinal pilot study, premenopausal and postmenopausal patients received adjuvant endocrine therapy (ET) (tamoxifen with or without LHRH analog or aromatase inhibitor) or were observed only (control group). At baseline testing and 6, 12 and 24 months thereafter, cognitive, depression and anxiety tests and quality of life (QOL) measurements were performed. Results: Overall, 46 cases were evaluated. None of the studied cognitive parameters differed between the subgroups or changed by time. No differences were found regarding anxiety, depression or QOL measures either. Baseline cognitive test and QOL results were in association with later anxiety and depression. Conclusion: No cognitive impairment was found during the two years of ET. Baseline cognitive scores and QOL dimensions proved good predictors of later anxiety and depression.

No abstract

Introduction: Parental burnout might take place when excessive demands overwhelm the parents’ resources. Aims: To develop and validate the Hungarian version of the Parental Burnout Assessment (PBA-HUN), an instrument designed to measure parental burnout; and to determine the prevalence of parental burnout in Hungary. Methods: Data were collected via an online survey from parents with at least one child living in the household (N = 1215; 82.6% mothers; Mage = 38.68 years; SDage = 6.27 years). Confirmatory factor analysis was used to investigate the factor structure of the PBA-HUN. Results: The four-factor structure of the original PBA was replicated, confirming the following factors: exhaustion in one’s parental role, contrast with one’s parental role, feelings of being fed up, and emotional distancing from one’s children. A second-order model with a higher-order factor representing overall parental burnout also fit the data well. The internal consistency of both the subscale and total scores was excellent (α ≥ 0.84). Parental burnout had a moderately strong negative correlation with life satisfaction, and weak or moderate positive correlations with perceived stress, depression, vital exhaustion, and COVID-specific perceived stress supporting the construct validity of the PBA-HUN. The prevalence of parental burnout stood at 5.8% in this sample. The weak relationship between PBA-HUN scores and sociodemographic factors was also similar to those found in prior studies. Parental burnout correlated negatively with the number of hours spent sleeping and engaging in spare time activity, respectively. Conclusions: The PBA-HUN is a reliable and valid tool to assess parental burnout in Hungary.

Public health data show that early mortality in Hungary could be prevented by smoking cessation, reduced alcohol consumption, regular exercise, healthy diet and increased adherence. Doctor-patient encounters often highlight these aspects of health behavior. There is evidence that health behavior change is driven by internal motivation rather than external influence. This finding has led to the concept of motivational interview, which is a person-centered, goal-oriented approach to counselling. The doctor asks targeted questions to elicit the patient's motivations, strengths, internal resources, and to focus the interview around these. The quality and quantity of the patient's change talk is related to better outcomes. In addition, the interview allows the patient to express ambivalent feelings and doubts about the change. The doctor should use various communication strategies to resolve this ambivalence. Furthermore, establishing a good doctor-patient relationship is the cornerstone of the motivational interview. An optimal relationship can evoke change talk and reduce the patient's resistance, which can also result in a better outcome. The goal of the motivational interview is to focus on the 'why' to change health behavior rather than the 'how', and to utilize internal motivation instead of persuasion. This is the reason why motivational interview has become a widely-accepted evidence based approach. Orv Hetil. 2017; 158(34): 1331-1337.