Self- but not other-mentalizing moderates the association between BPD symptoms and somatic complaints in community-dwelling adolescents
Ballespí Sola, Sergi (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Nonweiler, Jacqueline Grace (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Sharp, Carla (Department of Psychology. University of Houston)
Vives Brosa, Jaume (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Barrantes-Vidal, Neus (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)

Data:	2022
Resum:	Objectives: The aim of this study was to evaluate the potential moderator role of poor mentalization in the association between borderline personality disorder (BPD) traits and somatization, specifically focusing on the polarities of self- and other-mentalizing. Design: This is a cross-sectional, general population study evaluating adolescents (n = 162, 61. 3% female; ages 12-18, M = 14. 63, SD = 1. 02). The relationship between BPD traits and somatization was evaluated with self-mentalization (attention to emotions and clarity of emotions) and other-mentalizing as moderator variables. Methods: One hundred sixty-two adolescents without serious mental health disorders were evaluated using self-report measures for borderline personality disorder traits (screening questionnaire for the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II), somatic symptoms using the Somatic Symptoms Questionnaire (SSQ), self-mentalizing using the Trait Meta-Mood Scale-24 (TMMS) and other-mentalizing using the Adolescent Mentalizing Interview (AMI)). Linear regressions were conducted to test the moderation effects of self- and other-mentalizing in the relationship between BPD symptoms and somatic complaints, controlling for age and sex. Moderation analysis was conducted using PROCESS version 3. 5. Results: The association between BPD symptoms and somatic complaints was moderated by a self-mentalizing dimension (emotional clarity) (b = −0. 019, 95% CI = −0. 0379 to −0. 0002, p =. 0476), but not other-mentalizing (b = 0. 027, 95% CI = 0. 000 to 0. 053, p =. 051). The effect of BPD symptoms on somatization disappears when emotional clarity is high, regardless the level of attention to emotions. Conclusions: Self-mentalizing appears to be an adaptive skill as it attenuates the relationship between BPD traits and somatization. Specifically, emotional clarity rather than simple attention to emotions is the aspect of self-mentalizing attenuating this association. These results support that self-mentalization is an important function in the management of body-associated emotions even in non-clinical levels of BPD traits. Findings suggest that strengthening self-mentalizing skills across development might contribute to resilience and salutogenesis.
Ajuts:	Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR1612 Ministerio de Economía, Industria y Competitividad PSI2014-56303-REDT Ministerio de Economía, Industria y Competitividad PSI2017-87512-C2-00 Ministerio de Economía, Industria y Competitividad PSI2018-100675-B-100 Agencia Estatal de Investigación PSI2017-88416-R
Nota:	Altres ajuts: acords transformatius de la UAB
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	BPD traits ; Emotional clarity ; Mentalization ; Resilience ; Self-other polarities ; Somatization
Publicat a:	Psychology and Psychotherapy: Theory, Research and Practice, 2022 , ISSN 2044-8341

DOI: 10.1111/papt.12409
PMID: 35746823

16 p, 609.1 KB

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