We aimed to assess the parent-child agreement on various domains of health-related quality of life (HRQoL) in a Hungarian pediatric sample. We examined the associations of demographic, illness-spec...
21 January 2022 in Journal of Personality Assessment
The Experiences in Close Relationships - Revised (ECR-R) is a widely used self-report instrument to assess adult romantic attachment. The present study aimed at examining the factor structure, reliability, construct validity, and temporal stability of the Hungarian version of the ECR-R (ECR-R-HU) in a nationally representative community sample (N = 958). The original avoidance and anxiety dimensions of the ECR-R could only be identified, when reversed-item method factors and residual correlations were included in the confirmatory factor analysis (CFA). The Avoidance and Anxiety subscales of the ECR-R-HU showed high reliabilities and adequate temporal stability over 4 months. The subscales were not significantly associated with respondents’ age, gender, and residence type, while being engaged in a romantic relationship was related to significantly lower scores on both subscales. Correlations with measures of family functioning problems, perceived stress, depressed mood, and well-being were significant and in the expected directions. These results confirm the ECR-R-HU as a reliable and valid assessment tool.
9 December 2021 in European Journal of Mental Health
This study aims to understand how youth living with serious illness retrospectively value their therapeutic recreational (TR) based camp experience. We focus primarily on how they learned to accept their health condition, what they consider the most valuable outcome from camp, and through which mechanisms the camp contributed to these outcomes. The study applied a mixed-method online survey measuring learning outcomes retrospectively in a sample of 18–25-year-old camp alumni (N = 60) from the Hungarian ‘Camp of Courage’ (Bátor Tábor). Questions regarding illness acceptance and health competence formed the quantitative part and were analyzed via descriptive statistics. We assessed the most important camp outcomes with open-ended survey questions in the qualitative part, and applied a deductive thematic analysis method. Our research found that illness acceptance and health competence are important constructs for young adults, and TR-based camps may play a major role in their development. We organized recurring themes under the overarching theme ‘restorative experience and growth’ as the main benefit from camp and under ‘unconditional acceptance’ as the camp mechanism contributing to this benefit. Those campers who have experienced illness-based limitations in life before expressed most benefits in psychosocial domains. They highlighted the acceptance, empathy, and social support at camp, experienced mainly through interactions with peers and camp counselors. We may conclude that Camp of Courage provides a suitable environment for psychosocial rehabilitation of youth affected by childhood cancer or other serious illness. We recommend further research on the roles of illness acceptance and social interactions at camp.
Introduction: The Hungarian version of the 36-item self-report Experiences in Close Relationships – Revised (ECR-R-HU) questionnaire assessing adult romantic attachment has been published recently. Short versions provide a useful tool for large-scale research and in the clinical field as well. Aims: The present study reports developing and validating the short form of the Hungarian version of the ECR-R (ECR-R-HU-SF).Methods: The development of the short form, data reduction, and item selection were performed in a nationally representative adult (18+) community sample (N = 958; Study 1). The newly developed ECR-R-HU-SF was then tested and validated in a different national study representative of children aged 3–36 months, using data from respondent mothers with diverse sociodemographic backgrounds (N = 980; Study 2). Results: In Study 1, using randomly split subsamples, the ECR-R-HU-SF retained 8 items and confirmed the original two-factor structure of the measure. The subscales showed very good reliability and correlated highly with their corresponding original long versions. Psychometric properties, construct (convergent) validity, sociodemographic associations, and mean population scores for the short-version subscales (Avoidance, Anxiety) were compared with those of the long version. In Study 2, subscales were highly reliable, and scores correlated in the expected directions with related constructs (depressive mood, perceived stress). Conclusions: In summary, the ECR-R-HU-SF is a valid instrument that can be used as an effective screening tool for measuring adult romantic attachment.
Family functioning is central to youth adaptation, yet brief measures require validation across informants and clinical contexts. This study evaluated the Hungarian 12-item Family Assessment Device–General Functioning Scale (FAD-GF) and the three-item Brief Assessment of Family Functioning Scale (BAFFS) in 562 respondents from 213 families of adolescents with autism spectrum disorder (ASD), anorexia nervosa (AN), or diabetes mellitus (DM). Analyses included cluster-adjusted ordinal confirmatory and multigroup CFA, exploratory factor and general-factor analyses, internal-consistency estimation, and cluster-robust external-association tests. Prespecified FAD-GF models showed inadequate fit, but exploratory analyses indicated a dominant general factor accompanied by recurring local dependencies. An exploratory one-factor model with seven simultaneously estimated residual covariances showed broadly acceptable fit (CFI = 0.962, TLI = 0.946, RMSEA = 0.078, SRMR = 0.034). Internal consistency was high for the FAD-GF (α = 0.893, ωT = 0.896) and acceptable for the BAFFS (α = 0.747, ωT = 0.756). The FAD-GF supported partial scalar invariance across parents and adolescents, strict invariance across fathers and mothers, and scalar but not strict invariance across ASD and AN parents. The BAFFS supported scalar but not strict invariance across fathers and mothers and metric but not scalar invariance across ASD and AN parents; adolescent-group solutions were inadmissible, and its just-identified CFA could not test unidimensionality. Both scales showed expected associations with stress, well-being, relationship satisfaction, and coping. The findings support use of the FAD-GF total score, whereas the BAFFS is better retained as a brief observed index, particularly in parental reports, pending further cross-group validation.