Summary: Initially, it had been assumed that in cases of SARS-CoV-2 infection comorbidity with psychiatric disorders worsens clinical outcomes. This was attributed to patients’ poor overall health conditions, concomitant illnesses and unhealthy lifestyles. However, only schizophrenia is in a statistically significant correlation with very serious conditions leading to death, possibly as a result of underlying immune dysfunctions. Clozapine (an antipsychotic used in therapy of treatment resistant schizophrenia) seems to decrease the likelihood of recovery in COVID-19 patients, however admi nistration of antidepressant medications appears to increase it. It has also been justified that among these antidepressant drugs, fluvoxamin shows to have an effect in inhibiting cytokine storms and reducing the severity of the COVID-19 infection. Most recent data suggest that the well-known antiviral effect of lithium is also present in patients with COVID-19 infection.

Summary: Low sexual desire, also called Hypoactive Sexual Desire Disorder or Sexual Interest/ Arousal Disorder, is a type of Female Sexual Dysfunction (FSD). This article reviews diagnostic considerations, a historical overview of how current Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria was developed, including a crossover from Diagnostic and Statistical Manual of Mental Disorders, fourth edition, Text Revision (DSM-IV-TR) to DSM-5, diagnostic considerations in pharmaceutical treatments for low female sexual desire as well as the predominant sexual response cycle models that DSM-5 criteria was built on. It provides a historical overview of the two majorly divergent camps of perspective, namely the DSM-5 and the ICSM/ ICD classification systems, their theoretical and research basis. It concludes that female sexual desire is a rather complex phenomenon and a mechanism set in motion by intricate hormonal, emotional, relational and biological processes. Psychiatrists are well-suited in both recognizing, diagnosing and treating female sexual desire problems. Authors of this review encourage flexibility and a patient focused approach in clinical practice, which would both require utilizing a biopsychosocial perspective and the use of a multi-specialty team.

Summary: Introduction: Parental reflective function is the ability of a parent to attribute mental states to their child and to themselves. In the English-speaking world, The Parental Reflective Functioning Questionnaire (PRFQ; Luyten, Mayes, Nijssens & Fonagy, 2017) is widely used for the measurement of this construct, the adolescent version of which can be used by parents of children aged 12–18. The aim of our research was to adapt the adolescent version of The Parental Reflective Functioning Questionnaire to Hungarian language and to analyze its factor structure.
Methods: In our cross-sectional, non-clinical study, 240 mothers completed the demographic form, the adolescent version of The Parental Reflective Functioning Questionnaire (PRFQ-A), and the Reflective Function Questionnaire (RFQ; Fonagy et al, 2016; Unoka et al, in press). Results: Confirmatory factor analysis did not confirm the original three-factor structure. The principal component analysis resulted in a two-factor structure. Factors corresponded to the original questionnaire’s certainty in mental states (Alpha=.81) and interest and curiosity subscales (Alpha=.70). When analyzing the relationship between parental reflective function and reflective function, the subscales of the parental reflective function questionnaire were examined with two types of median coding in addition to polar coding (higher values reflect more favorable reflective function). During the first median coding, the frequency of scores in the middle of the scales reflected optimal mentalization, while the frequency of extreme values on the scales corresponded to less favorable forms of reflective functioning – a category that included different kinds of mentalization deficits. With the second median coding, in addition to the optimal mentalization capacity subscale, hypermentalization and hypomentalization subscales were also created based on the frequency of the values achieved on (respectedly) the lower and the upper parts of the scales. The second median transcoding proved to be the most suitable for capturing the relationship between RFQ and PRFQ-A.
Conclusion: The questionnaire proved to be a reliable measure on the Hungarian sample. Based on the results of the current study, we recommend using of the additional subscales of hypomentalization, optimal mentalization capacity, and hypermentalization.

Summary: Introduction: The aim of our study is to provide a theoretical and practical framework to the better under standing of insomnia and its relationship with perceived stress, burnout, cognitive restructuring and gender. The prior findings supported the integration of these constructs into a comprehensive model that helps us identify their complex system. Methods: In our cross-sectional self-report study, 216 responders participated. The gender ratio was 23.6% (N=51) to 76.4% (N=165) with female dominance. The mean age was 22.5 years (MAge=22.51; SDAge=4.38) between 18 and 54.
Results: The applied pathway analysis supported the assumption that insomnia has a mediating role between perceived stress and burnout syndrome with the relevant effects of gender and cognitive restructuring as a way of coping.
Consequences: The increasing number of empirical findings highlights the relevance of sleep-related problems and the importance of the better understanding them in order to identify those components that could serve as key positions to interventions and preventions.

Summary: Studying suicide notes, – last personal documents before a suicide act – as well as investigation of media and internet texts on self-destruction (including contents, „messages”) can have a great significance. Individual and cultural valuations appear in the way farewell notes, media letters and other personal documents present self-destruction. These „messages”, ideas about life, death and suicide are deeply embedded within the public context of culture too. In the present content analysis formal, syntactic and grammatical characteristic features, as well as speech patterns and verbal expressions of selected notes, samples have been investigated. Suicidal – fatal (n=49) and nonfatal group (n=31) of farewell letters were compared with the sample of a control group (n=33). Results have been discussed, interpreted and concluded. These appear to be useful and important not only in understanding of suicidal phenomenon and its psychodynamic background in clinical work or in suicide hotlines, but also in prevention, social-, and clinical intervention of self-destruction. The investigation of these new data may provide a much broader perspective in understanding suicidal process.