I don't understand how I feel : mediating role of impaired self-mentalizing in the relationship between childhood adversity and psychosis spectrum experiences
Nonweiler, Jacqueline Grace (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Torrecilla, Pilar (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Kwapil, Thomas (University of Illinois at Urbana-Champaign. Department of Psychology)
Ballespí Sola, Sergi (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Barrantes-Vidal, Neus (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)

Data:	2023
Descripció:	17 pàg.
Resum:	Introduction: Childhood adversity is associated with the severity of multiple dimensions of psychosis, but the mechanisms underpinning the close link between the two constructs is unclear. Mentalization may underlie this relationship, as impaired mentalizing is found in various stages of the psychosis continuum. Nonetheless, the differential roles of self-and other-mentalizing in psychosis are not well understood. Methods: Parallel multiple mediation was conducted for the relationship between a diverse range of childhood adversity types, including intentional and nonintentional harm, and schizotypy (positive, negative, disorganized), psychotic-like experiences (PLE) and paranoia via self-mentalizing (attention to emotions and emotional clarity) and other-mentalizing in n = 1,156 nonclinically ascertained young adults. Results: Significant parallel multiple mediation models were found for all psychotic outcomes except negative schizotypy. The associations between intentionally harmful childhood adversity and psychotic outcomes were significantly mediated by increased attention to emotions for most models and decreased emotional clarity for some models. No significant mediation was found for parental loss. Paternal abuse was only mediated by attention to emotions whereas the effects of maternal abuse were mediated by attention to emotions and emotional clarity. Other-mentalizing only showed mediating effects on one of thirty models tested. Conclusion: Results highlight the mediating role of impaired self-mentalizing in the association between childhood adversity and psychosis. This is consistent with disturbances of self-concept and self-boundary characterizing, in particular, the positive dimension of psychosis. Maternal versus paternal figures may contribute differentially to the development of mentalizing. These results could inform future preventative interventions, focusing on the development and maintenance of self-mentalizing.
Ajuts:	Agencia Estatal de Investigación PID2020-119211RB-I00 Agència de Gestió d'Ajuts Universitaris i de Recerca 2021-SGR-01010 Agència de Gestió d'Ajuts Universitaris i de Recerca 2023 FI-3 00065
Nota:	Altres ajuts: NB-V is supported by the ICREA Academia Award, Generalitat de Catalunya. JN is supported by the European Social Plus Fund.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Childhood adversity ; Mentalization ; Paranoia ; Parental loss ; Psychotic-like experiences ; Schizotypy ; Self-other ; SDG 3 - Good Health and Well-being
Publicat a:	Frontiers in psychiatry, Vol. 14 (2023) , art.1268247, ISSN 1664-0640

DOI: 10.3389/fpsyt.2023.1268247
PMID: 38098634

17 p, 1.2 MB

El registre apareix a les col·leccions:
Articles > Articles de recerca
Articles > Articles publicats