Szilvia Ádám | Semmelweis University (original) (raw)
Papers by Szilvia Ádám
Semmelweis University Repository (Semmelweis University), 2015
LAM (Lege Artis Medicinæ), 2004
Orvosi Hetilap, Mar 1, 2013
Bevezetés: Az egészségügyi szakdolgozók körében a depresszió és a kiégés előfordulása magas, ugya... more Bevezetés: Az egészségügyi szakdolgozók körében a depresszió és a kiégés előfordulása magas, ugyanakkor megelőzésükről kevés magyarországi kutatási adat áll rendelkezésre. Célkitűzés: A tanulmány a megküzdési stratégiák mediáló szerepét vizsgálja a munkahelyi stressz, a depresszió és a kiégés viszonylatában. Módszer: Keresztmetszeti vizsgálat 1333 egészségügyi szakdolgozó bevonásával. A résztvevők validált önkitöltős kérdőívek segítségével ítélték meg munkahelyi stresszterheltségüket, kiégettségüket, a depressziós tünetek jelenlétét, valamint megküzdésistratégiapreferenciáikat. Az elemzés strukturális egyenletmodellezéssel történt. Eredmények: A súlyos depresszió prevalenciája 5,6%-os volt. A minta csaknem 50%-a súlyos személyes teljesítménycsökkenésről számolt be. A munkahelyi stressz közvetlenül és közvetetten-a megküzdési stratégiák mediálása által-is előre jelezte a kiégést, illetve a depressziós panaszokat. A megküzdési stratégiák közül a problémahelyzetek reális szemléletét erősítő kognitív átstrukturálás csökkentette a kiégés és depressziós tünetek megjelenésének valószínűségét. Következtetések: A vizsgálat új adatokkal szolgál kognitív szempontú intervenciós stratégiák tervezéséhez, valamint kiemeli a megküzdési stratégiák jelentőségét a depresszió és a kiégés megelőzésében.
Ép lélekben ép test Corpus sanum in mente sana ABSZTRAKT KÖTET A problémamegoldó megküzdési strat... more Ép lélekben ép test Corpus sanum in mente sana ABSZTRAKT KÖTET A problémamegoldó megküzdési stratégiák kapcsolata a hallgatói kiégéssel
Mentálhigiéné és pszichoszomatika, Mar 1, 2010
Psychiatria Hungarica : A Magyar Pszichiátriai Társaság tudományos folyóirata, 2010
This study represents the continuation of previous research published in Psychiatria Hungarica in... more This study represents the continuation of previous research published in Psychiatria Hungarica in two papers, "The health of psychiatrists in Hungary" and "Hungarian psychiatrists' views on their career and future", which evaluated the quality of life of Hungarian psychiatrists. To explore work-related stressors including workload among psychiatrists in Hungary. Epidemiological study of a sample of psychiatrists (N=220) to explore the objective and subjective dimensions of workload and the level of burnout. We have found high prevalence of work-related stressors both in terms of objective factors (e.g., high number of work hours and multiple employment) and subjective factors (e.g., feeling stressed, over-loaded with work, lack of peer support, effort-reward inbalance). We have also found low levels of personal accomplishment, one of the dimensions of burnout. High levels of workload and work stress may adversely impact psychiatrists' health status and ma...
Psychiatria Hungarica : A Magyar Pszichiátriai Társaság tudományos folyóirata, 2010
A growing body of evidence in the international literature suggests that the prevalence of psychi... more A growing body of evidence in the international literature suggests that the prevalence of psychiatric morbidity including suicide is high among psychiatrists. Based on these data, we hypothesised that the prevalence of psychiatric and somatic morbidity is higher among psychiatrists in Hungary compared to the other graduate population. Aims. To assess the psychiatric and somatic health status of psychiatrists in Hungary. Data for this epidemiological study were collected from 160 female and 60 male psychiatrists using questionnaires. 1,754 white collar female and male workers from a representative survey (Hungarostudy 2002) and 407 representative physicians served as controls. We found that the prevalence of chronic somatic morbidity among both female and male physicians was significantly higher than that in the respective control groups. The prevalence of malignancies, diabetes, renal impairment, depression, hypertension, myocardial infarction and cardiovascular diseases, other inf...
Orvosi hetilap, Jan 26, 2005
A growing body of evidence in the international literature suggests that the prevalence of psychi... more A growing body of evidence in the international literature suggests that the prevalence of psychiatric morbidity including suicide is high among physicians. In addition, data published by Hungarian researchers in the early 1990-ies showed high prevalence of somatic morbidity in this population. Based on these data, it is hypothesised that the prevalence of psychiatric and somatic morbidity is higher among physicians in Hungary compared to the white collar population. To assess the psychiatric and somatic health status of physicians as well as the prevalence of role conflict among female physicians in Hungary using a representative sample. Data for this epidemiological study were collected from 407 physicians using questionnaires. 1752 white collar female and male workers from a representative survey (Hungarostudy 2002) served as controls. It is found that the prevalence of chronic somatic morbidity among both female and male physicians was significantly higher than that in the respe...
European Psychiatry, 2012
The aim of the study was to evaluate the associations between self-reported suicidal behaviours (... more The aim of the study was to evaluate the associations between self-reported suicidal behaviours (i.e., ideators, attempters, and multiple attempters) and socio-demographic as well as psychosocial characteristics in the Hungarian population. Methods: Data obtained from two cross-sectional studies performed in 1995 and 2002 with 12,527 and 12,653 respondents, respectively, which were representative of the adult (aged 18 and older) Hungarian population for sex, age, and place of residence. Results: The prevalence of suicidal behaviours decreased between 1995 and 2002, however, in both studies, suicidal behaviours were significantly more frequent among women, the unemployed, people with no partners (divorced/separated), with lower educational attainment, Protestants, and Jews compared to their respective controls. High levels of depressive symptomatology, maladaptive coping strategies such as excessive eating/drinking, misuse of alcohol or medication, or risk-taking behaviour, as well as previous suicide in the family, hostile attitude (primarily within the family), low levels of perceived social support (from one's partner, parents, children and co-workers) have been associated with suicidal behaviours. Conclusion: Although suicidal behaviours share several common psychosocial background factors, high level of depressive symptomatology was the most important risk factor, while the order of the other potential risk factors differed considerably among the different forms of self-reported suicidal behaviour.
Magyar Pszichológiai Szemle, 2015
Háttér és célkitűzés A kiégés a segítő foglalkozásúak gyakori szindrómája, mely az egyéni terheke... more Háttér és célkitűzés A kiégés a segítő foglalkozásúak gyakori szindrómája, mely az egyéni terheken túl az egészségügyi ellátó rendszer nehézségeihez vezet. Megelőzése alapvető fontosságú egyéni és szervezeti szinten egyaránt. Áttekintő tanulmányunkban a kiégés megelőzésének újabb módszereit összegezzük. Módszer Az utóbbi évtized irodalmi adatainak áttekintése. Elsősorban az újabb eljárásokat bemutató és hatékonyságot elemző kutatásokra támaszkodtunk (például az „e-mental health” terén végzett vizsgálatokra). Eredmények Az elsődleges, másodlagos és harmadlagos prevencióban gyakran alkalmaznak hagyományos módszereket (például relaxációkat, kognitív-viselkedésterápiás elemeket). Az újabb eljárások között említendők a stresszmenedzsment programjai, a mindfulness alkalmazása. A legmodernebb eszközök az új információs technológiák, amelyekkel egyre több prevenciós program él. Az új prevenciós stratégiák között ki kell emelni a prevenciós eszközök személyre szabott alkalmazását, valamint a...
Analyses to explore intercorrelations among study variable as well as the level and prevalence of... more Analyses to explore intercorrelations among study variable as well as the level and prevalence of perceived work-family conflict among physicians .
![Research paper thumbnail of [Facilitating the diagnosis of depression and burnout by identifying demographic and work-related risk and protective factors among nurses]](https://attachments.academia-assets.com/80736077/thumbnails/1.jpg)
](Orvosi hetilap, Jan 9, 2015
Depression and burnout are frequent comorbidities among nurses. Despite similar symptoms, their m... more Depression and burnout are frequent comorbidities among nurses. Despite similar symptoms, their management differ. Therefore, their timely diagnosis is essential. To identify demographic and work-related risk and protective factors of burnout and depression, and facilitate their diagnosis. A cross-sectional study among 1,713 nurses was carried out. Depression and burnout were assessed by the shortened Beck Depression Questionnaire and Maclach Burnout Inventory, respectively. Risk and protective factors were explored using t-tests and analysis of variance. The prevalence of depression and moderate-to-high burnout was 35.1% and 34-74%, respectively. Having a partner/child and longer employment in the outpatient setting protected from burnout. Lack of a partner and male sex emerged as risk factors of depression and depersonalisation, respectively. High prevalence of depression and burnout among nurses poses a significant public health issue. Familiarity with the disease-specific risk a...
Ideggyógyászati szemle, 2015
BACKGROUND AND PURPOSE Poor mental health among health care professionals may have a significant ... more BACKGROUND AND PURPOSE Poor mental health among health care professionals may have a significant impact on public health. There is limited information about the prevalence and potential consequences of burnout and depression among nurses in Hungary. The objective of this study is to explore the relationship between burnout as well as depression and somatic symptoms as well as comorbidities among nurses in Hungary. METHODS Cross-sectional study with self-administered questionnaires among 1,713 nurses. Burnout and depression were assessed by the Maslach Burnout Inventory (MBI-HSS) and the Shortened Beck Depression Questionnaire, respectively. Somatisation was measured by the Patient Health Questionnaire (PHQ-1 5). Correlates of burnout and depression were assessed by logistic and linear regression analyses. RESULTS The prevalence of depressive symptom and clinical depression was 35% and 13%, respectively. The prevalence of moderate and high level emotional exhaustion, depersonalisation, and decreased personal accomplishment was 44%, 36% and 74%, respectively. We identified burnout and depression as a predictor of high prevalence of subjective somatisation. Whilst burnout showed a strong association with increased prevalence of hypertension, depression predicted almost all examined diseases, in particular, cardiac and cerebrovascular diseases, as well as neoplasms. CONCLUSION We found high prevalence of burnout and depression among nurses in Hungary. As depression has been shown to be associated with higher prevalence of comorbidities than burnout, its consequences may be more significant. Appropriate prevention, diagnosis, and adequate treatment of burnout and depression may decrease the prevalence of ensuing comorbidities.
Orvosi Hetilap, 2015
Introduction: Depression and burnout are frequent comorbidities among nurses. Despite similar sym... more Introduction: Depression and burnout are frequent comorbidities among nurses. Despite similar symptoms, their management differ. Therefore, their timely diagnosis is essential. Aim: To identify demographic and work-related risk and protective factors of burnout and depression, and facilitate their diagnosis. Method: A cross-sectional study among 1,713 nurses was carried out. Depression and burnout were assessed by the shortened Beck Depression Questionnaire and Maclach Burnout Inventory, respectively. Risk and protective factors were explored using t-tests and analysis of variance. Results: The prevalence of depression and moderate-to-high burnout was 35.1% and 34–74%, respectively. Having a partner/child and longer employment in the outpatient setting protected from burnout. Lack of a partner and male sex emerged as risk factors of depression and depersonalisation, respectively. Conclusions: High prevalence of depression and burnout among nurses poses a significant public health is...
Mentálhigiéné és Pszichoszomatika, 2015
Mentálhigiéné és Pszichoszomatika, 2012
Semmelweis University Repository (Semmelweis University), 2015
LAM (Lege Artis Medicinæ), 2004
Orvosi Hetilap, Mar 1, 2013
Bevezetés: Az egészségügyi szakdolgozók körében a depresszió és a kiégés előfordulása magas, ugya... more Bevezetés: Az egészségügyi szakdolgozók körében a depresszió és a kiégés előfordulása magas, ugyanakkor megelőzésükről kevés magyarországi kutatási adat áll rendelkezésre. Célkitűzés: A tanulmány a megküzdési stratégiák mediáló szerepét vizsgálja a munkahelyi stressz, a depresszió és a kiégés viszonylatában. Módszer: Keresztmetszeti vizsgálat 1333 egészségügyi szakdolgozó bevonásával. A résztvevők validált önkitöltős kérdőívek segítségével ítélték meg munkahelyi stresszterheltségüket, kiégettségüket, a depressziós tünetek jelenlétét, valamint megküzdésistratégiapreferenciáikat. Az elemzés strukturális egyenletmodellezéssel történt. Eredmények: A súlyos depresszió prevalenciája 5,6%-os volt. A minta csaknem 50%-a súlyos személyes teljesítménycsökkenésről számolt be. A munkahelyi stressz közvetlenül és közvetetten-a megküzdési stratégiák mediálása által-is előre jelezte a kiégést, illetve a depressziós panaszokat. A megküzdési stratégiák közül a problémahelyzetek reális szemléletét erősítő kognitív átstrukturálás csökkentette a kiégés és depressziós tünetek megjelenésének valószínűségét. Következtetések: A vizsgálat új adatokkal szolgál kognitív szempontú intervenciós stratégiák tervezéséhez, valamint kiemeli a megküzdési stratégiák jelentőségét a depresszió és a kiégés megelőzésében.
Ép lélekben ép test Corpus sanum in mente sana ABSZTRAKT KÖTET A problémamegoldó megküzdési strat... more Ép lélekben ép test Corpus sanum in mente sana ABSZTRAKT KÖTET A problémamegoldó megküzdési stratégiák kapcsolata a hallgatói kiégéssel
Mentálhigiéné és pszichoszomatika, Mar 1, 2010
Psychiatria Hungarica : A Magyar Pszichiátriai Társaság tudományos folyóirata, 2010
This study represents the continuation of previous research published in Psychiatria Hungarica in... more This study represents the continuation of previous research published in Psychiatria Hungarica in two papers, "The health of psychiatrists in Hungary" and "Hungarian psychiatrists' views on their career and future", which evaluated the quality of life of Hungarian psychiatrists. To explore work-related stressors including workload among psychiatrists in Hungary. Epidemiological study of a sample of psychiatrists (N=220) to explore the objective and subjective dimensions of workload and the level of burnout. We have found high prevalence of work-related stressors both in terms of objective factors (e.g., high number of work hours and multiple employment) and subjective factors (e.g., feeling stressed, over-loaded with work, lack of peer support, effort-reward inbalance). We have also found low levels of personal accomplishment, one of the dimensions of burnout. High levels of workload and work stress may adversely impact psychiatrists' health status and ma...
Psychiatria Hungarica : A Magyar Pszichiátriai Társaság tudományos folyóirata, 2010
A growing body of evidence in the international literature suggests that the prevalence of psychi... more A growing body of evidence in the international literature suggests that the prevalence of psychiatric morbidity including suicide is high among psychiatrists. Based on these data, we hypothesised that the prevalence of psychiatric and somatic morbidity is higher among psychiatrists in Hungary compared to the other graduate population. Aims. To assess the psychiatric and somatic health status of psychiatrists in Hungary. Data for this epidemiological study were collected from 160 female and 60 male psychiatrists using questionnaires. 1,754 white collar female and male workers from a representative survey (Hungarostudy 2002) and 407 representative physicians served as controls. We found that the prevalence of chronic somatic morbidity among both female and male physicians was significantly higher than that in the respective control groups. The prevalence of malignancies, diabetes, renal impairment, depression, hypertension, myocardial infarction and cardiovascular diseases, other inf...
Orvosi hetilap, Jan 26, 2005
A growing body of evidence in the international literature suggests that the prevalence of psychi... more A growing body of evidence in the international literature suggests that the prevalence of psychiatric morbidity including suicide is high among physicians. In addition, data published by Hungarian researchers in the early 1990-ies showed high prevalence of somatic morbidity in this population. Based on these data, it is hypothesised that the prevalence of psychiatric and somatic morbidity is higher among physicians in Hungary compared to the white collar population. To assess the psychiatric and somatic health status of physicians as well as the prevalence of role conflict among female physicians in Hungary using a representative sample. Data for this epidemiological study were collected from 407 physicians using questionnaires. 1752 white collar female and male workers from a representative survey (Hungarostudy 2002) served as controls. It is found that the prevalence of chronic somatic morbidity among both female and male physicians was significantly higher than that in the respe...
European Psychiatry, 2012
The aim of the study was to evaluate the associations between self-reported suicidal behaviours (... more The aim of the study was to evaluate the associations between self-reported suicidal behaviours (i.e., ideators, attempters, and multiple attempters) and socio-demographic as well as psychosocial characteristics in the Hungarian population. Methods: Data obtained from two cross-sectional studies performed in 1995 and 2002 with 12,527 and 12,653 respondents, respectively, which were representative of the adult (aged 18 and older) Hungarian population for sex, age, and place of residence. Results: The prevalence of suicidal behaviours decreased between 1995 and 2002, however, in both studies, suicidal behaviours were significantly more frequent among women, the unemployed, people with no partners (divorced/separated), with lower educational attainment, Protestants, and Jews compared to their respective controls. High levels of depressive symptomatology, maladaptive coping strategies such as excessive eating/drinking, misuse of alcohol or medication, or risk-taking behaviour, as well as previous suicide in the family, hostile attitude (primarily within the family), low levels of perceived social support (from one's partner, parents, children and co-workers) have been associated with suicidal behaviours. Conclusion: Although suicidal behaviours share several common psychosocial background factors, high level of depressive symptomatology was the most important risk factor, while the order of the other potential risk factors differed considerably among the different forms of self-reported suicidal behaviour.
Magyar Pszichológiai Szemle, 2015
Háttér és célkitűzés A kiégés a segítő foglalkozásúak gyakori szindrómája, mely az egyéni terheke... more Háttér és célkitűzés A kiégés a segítő foglalkozásúak gyakori szindrómája, mely az egyéni terheken túl az egészségügyi ellátó rendszer nehézségeihez vezet. Megelőzése alapvető fontosságú egyéni és szervezeti szinten egyaránt. Áttekintő tanulmányunkban a kiégés megelőzésének újabb módszereit összegezzük. Módszer Az utóbbi évtized irodalmi adatainak áttekintése. Elsősorban az újabb eljárásokat bemutató és hatékonyságot elemző kutatásokra támaszkodtunk (például az „e-mental health” terén végzett vizsgálatokra). Eredmények Az elsődleges, másodlagos és harmadlagos prevencióban gyakran alkalmaznak hagyományos módszereket (például relaxációkat, kognitív-viselkedésterápiás elemeket). Az újabb eljárások között említendők a stresszmenedzsment programjai, a mindfulness alkalmazása. A legmodernebb eszközök az új információs technológiák, amelyekkel egyre több prevenciós program él. Az új prevenciós stratégiák között ki kell emelni a prevenciós eszközök személyre szabott alkalmazását, valamint a...
Analyses to explore intercorrelations among study variable as well as the level and prevalence of... more Analyses to explore intercorrelations among study variable as well as the level and prevalence of perceived work-family conflict among physicians .
Orvosi hetilap, Jan 9, 2015
Depression and burnout are frequent comorbidities among nurses. Despite similar symptoms, their m... more Depression and burnout are frequent comorbidities among nurses. Despite similar symptoms, their management differ. Therefore, their timely diagnosis is essential. To identify demographic and work-related risk and protective factors of burnout and depression, and facilitate their diagnosis. A cross-sectional study among 1,713 nurses was carried out. Depression and burnout were assessed by the shortened Beck Depression Questionnaire and Maclach Burnout Inventory, respectively. Risk and protective factors were explored using t-tests and analysis of variance. The prevalence of depression and moderate-to-high burnout was 35.1% and 34-74%, respectively. Having a partner/child and longer employment in the outpatient setting protected from burnout. Lack of a partner and male sex emerged as risk factors of depression and depersonalisation, respectively. High prevalence of depression and burnout among nurses poses a significant public health issue. Familiarity with the disease-specific risk a...
Ideggyógyászati szemle, 2015
BACKGROUND AND PURPOSE Poor mental health among health care professionals may have a significant ... more BACKGROUND AND PURPOSE Poor mental health among health care professionals may have a significant impact on public health. There is limited information about the prevalence and potential consequences of burnout and depression among nurses in Hungary. The objective of this study is to explore the relationship between burnout as well as depression and somatic symptoms as well as comorbidities among nurses in Hungary. METHODS Cross-sectional study with self-administered questionnaires among 1,713 nurses. Burnout and depression were assessed by the Maslach Burnout Inventory (MBI-HSS) and the Shortened Beck Depression Questionnaire, respectively. Somatisation was measured by the Patient Health Questionnaire (PHQ-1 5). Correlates of burnout and depression were assessed by logistic and linear regression analyses. RESULTS The prevalence of depressive symptom and clinical depression was 35% and 13%, respectively. The prevalence of moderate and high level emotional exhaustion, depersonalisation, and decreased personal accomplishment was 44%, 36% and 74%, respectively. We identified burnout and depression as a predictor of high prevalence of subjective somatisation. Whilst burnout showed a strong association with increased prevalence of hypertension, depression predicted almost all examined diseases, in particular, cardiac and cerebrovascular diseases, as well as neoplasms. CONCLUSION We found high prevalence of burnout and depression among nurses in Hungary. As depression has been shown to be associated with higher prevalence of comorbidities than burnout, its consequences may be more significant. Appropriate prevention, diagnosis, and adequate treatment of burnout and depression may decrease the prevalence of ensuing comorbidities.
Orvosi Hetilap, 2015
Introduction: Depression and burnout are frequent comorbidities among nurses. Despite similar sym... more Introduction: Depression and burnout are frequent comorbidities among nurses. Despite similar symptoms, their management differ. Therefore, their timely diagnosis is essential. Aim: To identify demographic and work-related risk and protective factors of burnout and depression, and facilitate their diagnosis. Method: A cross-sectional study among 1,713 nurses was carried out. Depression and burnout were assessed by the shortened Beck Depression Questionnaire and Maclach Burnout Inventory, respectively. Risk and protective factors were explored using t-tests and analysis of variance. Results: The prevalence of depression and moderate-to-high burnout was 35.1% and 34–74%, respectively. Having a partner/child and longer employment in the outpatient setting protected from burnout. Lack of a partner and male sex emerged as risk factors of depression and depersonalisation, respectively. Conclusions: High prevalence of depression and burnout among nurses poses a significant public health is...
Mentálhigiéné és Pszichoszomatika, 2015
Mentálhigiéné és Pszichoszomatika, 2012