Total Pain and Fear of Recurrence in Post-treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation

Published: March 15, 2024

Research indicates that painful experiences can significantly affect the fear of cancer recurrence among survivors, which is a distressing concern influences both physiological and psychological recovery. Yet, role potential factors mechanisms in these relationships not fully known. This cross-sectional study aimed to advance our comprehension associa-tions between total pain post-treatment patients by examining two mediators: flexibility mentalization. Three hundred thirty-five participants (aged 22 88, 49.1% female) who had finished their treatment completed self-report assessments pain, recurrence, flexibility, The serial mediation analysis showed all dimensions were positively related indirectly through mentalization, serial. Additionally, gender moderated mediational effects. In line with model, personal capacities face difficult internal/external problems interpret one’s behaviour motivational terms counterbalance patients’ negative emotions feelings illness.

Language: Английский

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Utilization of Mental Health Provision, Epistemic Stance and Comorbid Psychopathology of Individuals with Complex Post-Traumatic Stress Disorders (CPTSD)—Results from a Representative German Observational Study

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(10), P. 2735 - 2735

Published: May 7, 2024

Background: Complex post-traumatic stress disorder (CPTSD) is a severely debilitating recently added symptom cluster in the International Classification of Diseases (ICD-11). So far, only limited information on mental health treatment-uptake and -satisfaction individuals with CPTSD available. The aim this study to investigate these aspects representative sample German general population. Methods: Participants completed Trauma Questionnaire (ITQ) identify participants CPTSD, as well questionnaires treatment uptake satisfaction, adverse childhood experiences, anxiety, depression, working ability, personality functioning, epistemic trust. Results: Of included n = 1918 participants, 29 (1.5%) fulfilled criteria for CPTSD. had received significantly more often than PTSD or depression (65.5% vs. 58.8% 31.6%; p 0.031) but reported less improvement (52.9% 78.0% 80.0%; 0.008). Lower levels trust were associated higher symptoms (p < 0.001). Conclusions: Our shows that while vast majority treatment, subjective rates are not satisfactory. was broad number comorbidities impairments functioning. may partially explain worse outcomes.

Language: Английский

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Unraveling Epistemic Trust

Published: Aug. 27, 2024

This thesis presents the results of our attempt to unravel the, at start this project, still mainly theoretical concept epistemic trust (ET). ET refers capacity consider conveyed knowledge as trustworthy, relevant self, and generalizable other contexts. Early negative childhood experiences may not only lead attachment insecurity impaired mentalizing but also dispose an individual adopt a rigid pervasive hypervigilant position toward information coming from others, resulting in high levels mistrust (EM). disposition EM is believed increase risk developing psychopathology might explain profound rigidity ‘hard reach’ character patients with severe psychopathology. Although essentially transdiagnostic, more intrinsic relationship between development personality disorders (PDs), specifically Borderline PDs (BPD), assumed. The general aim was clarify make assessable by validating clinically feasible measurement instrument generate empirical support for basic assumptions about adversity, attachment, mentalizing, pathology.

Language: Английский

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Validation of the Argentine version of the epistemic trust, mistrust, and credulity questionnaire

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(10), P. e0311352 - e0311352

Published: Oct. 3, 2024

Epistemic trust refers to the in communicated knowledge, specifically an individual's ability regard knowledge conveyed by others as meaningful, relevant oneself, and applicable other contexts. This area has received considerable attention recent psychological literature, though predominantly from a theoretical perspective. The main objective of this study was test factorial validity Trust, Mistrust, Credulity Questionnaire (ETMCQ) on Argentine setting. Based two studies (Study 1, n = 1018; Study 2, 559), structure instrument its internal consistency were examined (S1 Appendix). In second study, confirmed, test-retest reliability analysed, associations between epistemic stances sociodemographic variables, hypomentalisation, attachment styles, childhood traumatic experiences, anxious-depressive symptomatology explored. A satisfactory three-factor solution with 15 items residual correlations found both studies, stable scores over time. Significant positive anxious fearful-avoidant attachment, psychopathological symptomatology. Post-hoc analysis revealed that, one hand, gender acts moderator relationship hypomentalisation mistrust. On economic level educational moderate credulity. Measurement invariance across tested satisfactory, significant differences subsequently observed factor. conclusion, version ETMCQ provides empirical measure for use non-clinical samples. Its application could facilitate clinically theoretically findings.

Language: Английский

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To be a freshman during the COVID‐19 pandemic: A cross‐lagged model of depression, mentalizing, and epistemic trust

Personality and Mental Health, Journal Year: 2023, Volume and Issue: 18(1), P. 80 - 89

Published: Nov. 14, 2023

Abstract Research has shown that severity of depression increased in freshmen during their first months at university due to social and academic pressures. Since the start COVID‐19 pandemic, several cross‐sectional studies have suggested levels students are higher than before but longitudinal data largely lacking. This study investigated negative affect linked pandemic among semester a large Flanders, Belgium. We also whether epistemic trust predicted pandemic‐related problems with reflective functioning (or mentalizing) mediated these relations. Participants this two‐wave prospective were 289 first‐year Faculty Psychology Educational Sciences Belgian university. conducted paired samples t ‐tests cross‐panel analysis answer research question. The number risk clinical by 41% between T1 (early October 2020) T2 (late December 2020). Epistemic mistrust was prospectively associated an increase prevalence T2. Problems mentalizing COVID‐19‐related positively association findings highlight key role development freshmen, presenting additional source uncertainty.

Language: Английский

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Mentalizing-Based Healthcare: Towards a Relational Paradigm for Chronic Illness Management

Published: Jan. 29, 2024

This paper introduces a contemporary psychodynamic attachment approach for managing chronic illnesses with focus on the role of impairments in mentalizing, attachment, and epistemic trust. emphasizes significance relational dynamics healthcare settings may thus provide complementary health psychology which currently primarily targets individual behavioural aspects illness by addressing that are typically involved management.We review empirical evidence highlighting roles trust illness. We propose an mentalizing-based paradigm prioritizes aligns emerging trends, offering holistic to patient care.Finally, we present some practical implications this approach, underscoring importance psychologists working fostering secure mentalizing within patient-provider relationships. involves tailoring interactions psychoeducation needs narratives, enhancing treatment adherence well-being.

Language: Английский

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Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(7), P. 1974 - 1974

Published: March 28, 2024

Background: The research indicates that painful experiences can significantly affect the fear of cancer recurrence among survivors, which is a distressing concern influences both physiological and psychological recovery. This cross-sectional study aims to advance our comprehension associations between total pain in post-treatment patients by examining two potential mediators: flexibility mentalization. Methods: Three hundred thirty-five participants (aged 22 88, 49.1% female) who had finished their treatment completed self-report assessments pain, recurrence, flexibility, Results: serial mediation analysis showed all dimensions were positively indirectly related through mentalization serial. Additionally, gender was found moderate these mediational effects. Conclusions: In line with model, personal capacities face difficult internal/external problems interpret one's behavior motivational terms counterbalance patient's negative emotions feelings illness. Gender factors also determine way manage future anxiety fears.

Language: Английский

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Mentalizing-Based Healthcare: Towards a Relational Paradigm for Chronic Illness Management

Journal of Infant Child and Adolescent Psychotherapy, Journal Year: 2024, Volume and Issue: 23(2), P. 168 - 178

Published: April 2, 2024

This paper introduces a contemporary psychodynamic attachment approach for managing chronic illnesses with focus on the role of impairments in mentalizing, attachment, and epistemic trust. emphasizes significance relational dynamics healthcare settings may thus provide complementary health psychology which currently primarily targets individual behavioral aspects illness by addressing that are typically involved management. We review empirical evidence highlighting roles trust illness. propose an mentalizing-based paradigm prioritizes aligns emerging trends, offering holistic to patient care. Finally, we present some practical implications this approach, underscoring importance psychologists working fostering secure mentalizing within patient-provider relationships. involves tailoring interactions psychoeducation needs narratives, enhancing treatment adherence well-being.

Language: Английский

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Adverse childhood experiences and psychological maladjustment in adolescence: The protective role of epistemic trust, mentalized affectivity, and reflective functioning

Journal of Clinical Psychology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 5, 2024

Abstract Introduction Adverse childhood experiences (ACEs) are psychosocial factors acknowledged as significant contributors to health consequences later in adolescence, including psychological maladjustment. The research suggests that, at a transdiagnostic and transtheoretical level, working on restoring epistemic trust (ET), mentalized affectivity (MA), reflective functioning (RF) adolescents with ACEs assumes central role the therapeutic process. However, there still few studies that attempted investigate specific of these sociocognitive detrimental positive association between levels experienced during maladjustment nonclinical adolescents. Methods A community sample 306 Italian cisgender (61.4% assigned females birth; age range 13–19 years old; M = 16.1, SD 1.64) self‐reported (Childhood Trauma Questionnaire‐Short Form), (Strengths Difficulties Questionnaire), ET (Epistemic Trust, Mistrust Credulity MA (Brief‐Mentalized Affectivity Scale for Adolescence), RF (Reflective Functioning Questionnaire). multiple mediation regression analysis has been performed explore through interaction socio‐cognitive factors. Results predictors adolescence. Regardless gender differences, mistrust credulity, processing expressing emotions, uncertainty about mental states mediated this association, while trust, identifying certainty did not configure mediators. Conclusion Findings suggest disruptions deficits risk factors, is protective factor within link These links help specify development problems who have exposed adverse childhood.

Language: Английский

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Somatische Belastungsstörungen und die Rolle des epistemischen Vertrauens

PiD - Psychotherapie im Dialog, Journal Year: 2024, Volume and Issue: 25(04), P. 33 - 36

Published: Nov. 19, 2024

Viele Patient*innen mit somatischer Belastungsstörung (SSD) berichten von belastenden Kindheitserfahrungen (ACEs). Diese gehen Beeinträchtigungen der Persönlichkeitsfunktionen und Störungen des epistemischen Vertrauens einher sind bei SSD einer deutlich erhöhten Symptomlast assoziiert. Hieraus ergeben sich neue Ansatzpunkte für die Behandlung SSD.

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