The interplay of mentalization and epistemic trust: a protective mechanism against emotional dysregulation in adolescent internalizing symptoms

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

Language: Английский

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Epistemic mistrust mediates the association between childhood maltreatment and impairments in mentalizing in a sample of university students

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.

Language: Английский

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The Role of Epistemic Trust in Mentalization-Based Treatment of Borderline Psychopathology

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.

Language: Английский

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Epistemic trust: a comprehensive review of empirical insights and implications for developmental psychopathology

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.

Language: Английский

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Iranian adaptation of the Epistemic Trust, Mistrust, and Credulity Questionnaire (ETMCQ): Validity, reliability, discriminant ability, and sex invariance

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.

Language: Английский

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Associations Between Epistemic Trust and the Severity of Personality Disorder

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.

Language: Английский

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Epistemic Trust, Mistrust and Credulity Questionnaire (ETMCQ) validation in French language: Exploring links to loneliness

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.

Language: Английский

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Epistemic Trust Is a Critical Success Factor in Psychosomatic Rehabilitation—Results from a Naturalistic Multi-Center Observational Study

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,

Language: Английский

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Vertrauen schaffen in der Psychotherapie

PDP – Psychodynamische Psychotherapie, Journal Year: 2024, Volume and Issue: 23(1), P. 14 - 26

Published: March 1, 2024

In diesem Beitrag wird epistemisches Vertrauen konzeptuell eingeführt und die jüngste empirische Forschung dazu vorgestellt. Epistemisches Vertrauen, eine Errungenschaft von frühen sicheren Beziehungserfahrungen, ist das basale in Person als sichere Informationsquelle. Das Konzept des epistemischen Vertrauens zentrale Charakteristikum für Beziehungsarbeit Veränderungsprozesse der Mentalisierungsbasierten Therapie an­gesehen, findet aber darüber hinaus auch schulübergreifend Eingang andere Therapieansätze, vor allem Arbeit mit strukturell stärker beeinträchtigten Patient:innen. Die entwicklungspsychologische, interpersonelle Sicht auf Stimulierung epistemischem im Kontext Psychotherapie eröffnet neue Perspektive Rolle therapeutischen Beziehung.

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Epistemic Trust, Mistrust and Credulity Questionnaire (ETMCQ) validation in French language: Investigating association with loneliness

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: May 6, 2024

Abstract The concept of epistemic trust is gaining traction in the mental health field. It thought to play a foundational role as resilience factor against development and maintenance psychopathology by facilitating social learnings useful navigate modern world. primary aim this study validate French language Epistemic Trust, Mistrust, Credulity Questionnaire (ETMCQ). We further investigate associations with key developmental psychological factors (childhood trauma, mentalizing attachment), besides possible mediating roles between childhood traumatic experiences loneliness psychopathology. 302 participants were recruited for analysis via online survey platform Prolific. Along ETMCQ, measures CTQ-SF, RFQ-8, ECR-R, UCLA-LS SCL-90-R administered. Confirmatory Factor Analysis General Linear Model Mediation conducted. Our shows that ETMCQ represents valid instrument assess trust. find an adequate replication original three-factor solution francophone population 12-item version, exhibiting satisfactory psychometric properties external validity. replicate previous findings demonstrated trust’s attachment style related differences, well effect also observed mediates well-described association add momentum framework considers underlying contributor or alleviation Future research should clinical population, where psychopathological expressions are severe, enduring connected, identifying potential intercessors could help target improve interventions.

Language: Английский

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