Research in Psychotherapy Psychopathology Process and Outcome,
Journal Year:
2024,
Volume and Issue:
26(3)
Published: Jan. 8, 2024
Mentalization
is
the
ability
to
interpret
actions
as
caused
by
intentional
mental
states.
Moreover,
mentalization
facilitates
development
of
epistemic
trust
(ET),
namely,
evaluate
social
information
accurate,
reliable,
and
relevant.
Recent
theoretical
literature
identifies
a
protective
factor,
contrasting
psychopathology
emotional
dysregulation.
However,
few
investigations
have
explored
concurrent
associations
between
mentalization,
ET
emotion
dysregulation
in
context
internalizing
problems
adolescence.
In
present
study,
482
adolescents
from
general
population
aged
12
19
were
assessed
with
mistrust
credulity
questionnaire,
reflective
functioning
questionnaire-
youth,
difficulties
regulation
scale,
youth
self-report.
We
tested
relationship
variables
through
serial
mediation
models.
Results
showed
that
reduces
via
dysregulation;
positively
associated
but
not
symptomatology.
Finally,
both
are
significantly
symptomatology;
those
effects
mediated
differently
regulation.
conclusion,
study
confirms
mentalization's
role
factor
developmental
psychopathology.
Nevertheless,
exploring
different
stances
guarantees
better
understanding
psychopathological
pathways
Child Abuse & Neglect,
Journal Year:
2025,
Volume and Issue:
163, P. 107436 - 107436
Published: April 2, 2025
Mentalizing
is
linked
to
mental
health
development
and
psychosocial
functioning.
Identifying
understanding
the
factors
that
may
be
associated
with
ineffective
mentalizing
crucial
for
creating
targeted
or
psychotherapeutic
interventions.
This
exploratory
study
assesses
whether
experiences
of
childhood
maltreatment,
along
attachment
insecurity
epistemic
mistrust,
are
limitations
in
abilities.
A
total
382
primarily
young
adults
from
different
universities
completed
questionnaires
about
their
maltreatment
(retrospectively
assessed),
insecurity,
mentalizing,
using
a
cross-sectional
design.
All
participants
were
pursuing
degree
educational
fields.
Structural
equation
modeling
was
applied
test
hypothesized
framework.
There
significant
positive
associations
between
mistrust
(β
=
0.32
[0.17-0.46],
p
.001),
0.29
[0.18-0.40],
<
.001).
Epistemic
fully
mediated
relationship
0.17
[0.08-0.28],
However,
did
not
mediate
this
link.
sheds
light
on
impairments,
though
it
limited
by
its
nature,
reliance
self-reporting,
uniformity
sample
mainly
female,
universities.
The
preliminary
findings
suggest
role
might
have
been
overemphasized
previously.
Moreover,
link
deficits
appears
more
intricate,
as
study.
support
notion
addressing
interventions
designed
improve
abilities
compromised.
Journal of Personality Disorders,
Journal Year:
2023,
Volume and Issue:
37(5), P. 633 - 659
Published: Oct. 1, 2023
Building
on
the
notion
of
epistemic
trust
as
facilitating
social
learning,
in
this
article
we
clarify
how
interventions
from
mentalization-based
treatment
(MBT)
for
borderline
personality
disorder
generate
process.
We
suggest
first
that
being
mentalized
is
a
critical
cue
interactions
to
establish
and
second
mistrust
may
represent
final
common
pathway
through
which
aversive
relational
experiences
past
exert
their
influence
treatments—both
disposition
patient
characteristic
therapist-patient
encounter.
By
charting
MBT
initial
assessment
formulation,
individual
group
therapy
sessions,
re-engaging
with
wider
environment,
examine
each
these
can
“we-mode,”
an
interpersonal
experience
associated
unlocks
barrier
posed
by
vigilance.
In
addition,
implications
mentalizing
rupture
repair
within
therapeutic
relationship
are
discussed.
Research in Psychotherapy Psychopathology Process and Outcome,
Journal Year:
2023,
Volume and Issue:
26(3)
Published: Dec. 20, 2023
Originally
rooted
in
philosophy
and
sociology,
the
concept
of
epistemic
trust
has
recently
transitioned
to
developmental
psychopathology,
illuminating
social-cognitive
processes
psychopathology.
This
narrative
review
synthesizes
empirical
evidence
on
inform
future
research.
A
literature
search
highlighted
3
areas:
i)
development
selective
children;
ii)
non-clinical
adults;
iii)
its
link
mental
health.
Young
children
demonstrate
learning
from
reliable
sources
using
cues.
Empirical
studies
beyond
childhood
were
greatly
facilitated
last
2
years
with
introduction
Epistemic
Trust,
Mistrust
Credulity
Questionnaire,
a
self-report
scale
measuring
stance.
Cross-sectional
pinpointed
dysfunctional
strategies
as
factors
health
vulnerability,
some
qualitative
work
offered
initial
linking
restored
effective
psychotherapy.
For
research,
we
propose
focusing
primary
areas.
First,
investigations
adolescent
samples
are
needed,
adolescence
seems
be
pivotal
phase
trust.
Second,
more
experimental
research
is
required
assess
functional
stances
how
they
relate
vulnerability
disorders.
Finally,
intervention
should
explore
dynamics
within
between
therapy
sessions
their
impact
therapeutic
outcomes.
Brain and Behavior,
Journal Year:
2024,
Volume and Issue:
14(3)
Published: March 1, 2024
Abstract
Introduction
Epistemic
trust,
or
trust
in
transmitted
knowledge,
has
been
proposed
as
a
critical
factor
psychopathology
and
psychotherapy.
This
study
aimed
at
evaluating
the
psychometric
properties
of
Trust,
Mistrust,
Credulity
Questionnaire
(ETMCQ)
Iran.
Method
Data
were
collected
from
906
participants.
Along
with
ETMCQ,
measures
mentalizing,
mindfulness,
perspective‐taking,
attachment,
emotion
dysregulation,
borderline
personality
disorder
administered.
Confirmatory
analysis
exploratory
structural
equation
modeling
(ESEM)
used
to
determine
factorial
structure.
Results
The
ESEM
model
showed
an
acceptable
fit
outperformed
confirmatory
model.
A
14‐item
version
ETMCQ
was
retained
after
examining
item
performance.
Our
findings
also
established
criterion‐related
validity
for
mistrust
credulity,
internal
consistency
discriminant
power
credulity
detecting
positive
screens
disorder,
measurement
invariance
across
sexes.
Conclusion
provides
evidence
cross‐cultural
applicability
ETMCQ.
Nonetheless,
subscale
require
particular
attention
future
research.
The Journal of Nervous and Mental Disease,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 20, 2025
Early
childhood
adversity
may
dispose
an
individual
to
adopt
a
rigid
and
pervasive
hypervigilant
position
toward
information
coming
from
others,
resulting
in
high
levels
of
epistemic
mistrust
(EM),
which
is
supposed
increase
the
risk
developing
psychopathology.
A
more
intrinsic
relationship
between
EM
development
personality
disorders
(PDs)
assumed.
Although
theory
trust
(ET)
rather
novel,
it
has
quickly
become
widely
accepted
field,
despite
much
empirical
evidence.
This
first
study
investigating
level
ET
associations
PDs
among
patients
with
PD,
anxiety
disorders,
community
sample.
Our
results
demonstrated
severe
impairments
patients,
found
severity
types
corroborate
theoretically
assumed
model.
Future
research
larger
samples
prospective
designs
needed
explore
further
substantiate
theoretical
assumptions
about
ET.
PLoS ONE,
Journal Year:
2025,
Volume and Issue:
20(3), P. e0303918 - e0303918
Published: March 21, 2025
The
concept
of
epistemic
trust
is
gaining
traction
in
the
mental
health
field.
Epistemic
thought
to
play
a
foundational
role
as
resilience
factor
against
development
and
maintenance
psychopathology
by
fostering
social
learning.
primary
aim
this
study
was
validate
French-language
version
Trust,
Mistrust
Credulity
Questionnaire
(ETMCQ).
We
further
sought
replicate
previously
reported
associations
with
key
developmental
psychological
factors
(childhood
trauma,
mentalizing
attachment)
test
for
trust’s
potential
mediating
roles
between
childhood
traumatic
experiences
psychopathology,
loneliness
psychopathology.
A
total
302
participants
were
recruited
via
online
survey
platform
Prolific.
Confirmatory
analysis
generalized
linear
models
mediation
conducted.
Our
findings
suggest
that
ETMCQ
valid
instrument
assess
French
language.
Satisfactory
psychometric
properties
found
original
three-factor
solution
Francophone
population
12-item
questionnaire,
criterion-related
validity
similar
published
validations
other
languages.
also
previous
reporting
differential
stances
(trust,
mistrust
credulity)
attachment
dimensions
styles,
while
replicating
analyses
showing
relationship
Finally,
we
report
preliminary
evidence
suggesting
mediates
well-described
association
Future
research
should
investigate
clinical
populations
which
psychopathological
expressions
are
severe,
enduring
co-occurring,
where
identifying
mediators
could
help
target
personalize
psychosocial
interventions.
Journal of Clinical Psychology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 12, 2025
ABSTRACT
Background
Complex
post‐traumatic
stress
disorder
(CPTSD)
is
a
severely
disabling
mental
health
condition,
frequently
observed
in
survivors
of
prolonged,
repeated
or
multiple
traumatic
stressors.
While
studies
indicate
that
engaging
psychotherapy
can
reduce
CPTSD
symptom
severity,
data
on
long‐term
effectiveness
interventions
scarce.
The
aim
this
study
was
to
evaluate
trajectories
affected
individuals
after
6‐week
multimodal
psychodynamic
inpatient
rehabilitation
treatment.
Methods
In
observational
single
center
participants
completed
questionnaires
symptoms
(ITQ),
anxiety,
depression,
and
somatization
(BSI‐18),
functional
impairment
(WHODAS‐12),
mentalizing
(MZQ‐6)
epistemic
trust,
mistrust
credulity
(ETMCQ)
before
(T1)
at
the
end
treatment
(T2)
as
well
>
12
months
Repeated
measures
analyses
variance
(ANOVAs)
reliable
change
index
(RCIs)
for
ITQ
primary
outcome
variable
were
calculated
mean
change.
influence
range
potential
factors
affecting
evaluated
using
correlation
coefficients
ANOVAs.
Results
A
total
n
=
38
diagnosed
with
14−28
(median:
21.2)
Participants
reported
significant
reduction
large
effect
sizes
follow‐up
(
p
<
0.001,
d
1.70)
reduced
depression
0.009,
0.84)
anxiety
0.1.24)
improved
social
participation
0.012,
1.06).
At
follow‐up,
59%
no
longer
fulfilled
criteria.
Improved
trust
r
−0.43,
0.007),
0.44,
0.006)
associated
symptoms.
Discussion
To
authors
knowledge,
first
report
results
lasting
identify
improvements
Due
nature
study,
causal
attributions
be
drawn.
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(11), P. 3624 - 3624
Published: May 22, 2025
Background/Objectives:
Patients
with
rheumatic
diseases
often
experience
pain-related
depressive
symptoms,
potentially
exacerbated
by
feelings
of
loneliness
and
social
isolation.
This
study
explores
the
role
mentalizing,
i.e.,
understanding
inner
mental
states
in
oneself
others,
as
a
protective
factor
this
context.
Methods:
In
secondary
analysis,
n
=
76
patients
completed
FESV
depression
scale,
MZQ
UCLA
scale
pain
severity
items
from
German
Pain
Questionnaire.
Structural
equation
models
mediation
analyses
were
employed
to
test
different
theoretical
models.
Results:
The
best
model
fit
was
found
for
Model
3,
which
described
association
(β
0.34,
p
0.004).
fully
mediated
sequential
mentalizing
depression.
Adding
mediators
increased
overall
explained
variance
12%
41%
an
excellent
(CFI
>
0.99;
TLI
RMSEA
0.001).
Conclusions:
suggests
that
patients’
may
be
influenced
interaction
between
loneliness,
symptoms
abilities.
negative
impact
on
underscores
need
their
targeted
management
routine
care
chronic
patients.
Improvement
resilience
these
Journal of Clinical Medicine,
Journal Year:
2023,
Volume and Issue:
13(1), P. 177 - 177
Published: Dec. 28, 2023
Knowledge
about
critical
success
factors
underpinning
beneficial
treatment
outcomes
in
psychosomatic
inpatient
rehabilitation
is
scarce.
The
aim
of
this
study
was
to
evaluate
the
influence
patients'
epistemic
stance
relation
improvement
psychological
distress
during
rehabilitation.
In
naturalistic
longitudinal
observational
study,
