Balázs Fábián
57202769869
Publications - 2
The salient role of childhood neglect in single and multiple suicide attempts among adult psychiatric inpatients
Publication Name: European Journal of Psychotraumatology
Publication Date: 2026-01-01
Volume: 17
Issue: 1
Page Range: Unknown
Description:
Background: A growing body of evidence identifies childhood trauma, encompassing both abuse and neglect, as a potent predictor of suicide attempts across the lifespan. Clear delineation of its mechanisms is essential for advancing trauma-informed psychiatric care. Objective: This study examined the role of childhood maltreatment in single and multiple suicide attempts among adult psychiatric inpatients. Method: In this cross-sectional study, 300 adult psychiatric inpatients, with and without a history of suicide attempts, were assessed using the Childhood Trauma Questionnaire–Short Form (CTQ-SF), alongside the collection of sociodemographic and clinical data. Binary logistic regression was employed to evaluate the associations between childhood trauma, psychiatric diagnoses, and suicide attempt history, distinguishing between single and multiple attempts. Results: All CTQ-SF domains were significantly intercorrelated (p <.01), with the strongest associations between emotional neglect and physical neglect (ρ = 0.708) and between emotional neglect and emotional abuse (ρ = 0.683). Emotional neglect was the most prevalent trauma type (93%), whereas sexual abuse was the least common (27%); 90% of participants reported two or more trauma types. Emotional abuse was associated with increased odds of any suicide attempt [odds ratio (OR) = 1.04], while physical neglect was associated with increased odds of multiple attempts (OR = 1.14). Conclusion: Our findings indicate that most forms of childhood trauma may contribute to repeated suicide attempts. Neglect exerts a heightened effect when co-occurring with other maltreatment types, suggesting a dose–response relationship. This synergistic impact underscores the need for comprehensive trauma assessments that capture both the severity and multiplicity of adverse experiences.
Open Access: Yes
Translation, cross-cultural adaptation, validity, and reliability of the Turkish version of the Raynaud Specific Quality of Life Questionnaire (RQLQ)
Publication Name: Clinical Rheumatology
Publication Date: 2026-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Objective: The aim of this study was to translate and cross-culturally adapt the Raynaud-Specific Quality of Life Questionnaire (RQLQ) into Turkish, and to evaluate the psychometric properties of the Turkish version of RQLQ in patients with Raynaud’s phenomenon. Methods: Patients with Raynaud’s phenomenon completed the Turkish RQLQ and several validated questionnaires including the WHO-5 Well-being Index, Brief Illness Perception Questionnaire (B-IPQ), Short Form-12 (SF-12), Health Assessment Questionnaire-Disability Index (HAQ-DI), Hospital Anxiety and Depression Scale (HADS), Disabilities of the Arm, Shoulder, and Hand (DASH), and Jenkins Sleep Evaluation Scale (JSS). Construct validity was examined using correlation analyses between the Turkish RQLQ and related outcome measures. Structural validity was assessed using exploratory factor analysis (EFA). Regarding reliability, internal consistency was evaluated using Cronbach’s alpha and test–retest reliability was assessed using the intraclass correlation coefficient (ICC). Results: The study included 88 patients with a mean age of 50.8 ± 12.2 years and RQLQ total score of 94.8 ± 28.1. The Turkish RQLQ demonstrated excellent internal consistency (Cronbach’s α = 0.95) and high test–retest reliability (ICC = 0.90, 95% CI 0.81–0.95; p < 0.001). Exploratory factor analysis supported a five-factor structure consistent with the original questionnaire, explaining 69.6% of the total variance (Kaiser–Meyer–Olkin = 0.875; Bartlett’s test p < 0.001). Significant correlations (p < 0.001) between the Turkish RQLQ and B-IPQ (r = − 0.646), SF-12 Physical Component Summary (r = 0.676), WHO-5 (r = 0.381), HAQ-DI (r = − 0.490), DASH (r = − 0.607), HADS-A (rho = − 0.470), and HADS-D (rho = − 0.460) supported construct validity. No substantial floor or ceiling effects were observed for the RQLQ total score (< 15%). Conclusion: The Turkish version of the RQLQ is a valid and reliable instrument for assessing disease-specific quality of life in patients with Raynaud’s phenomenon.
Open Access: Yes