ArticleEuropean child & adolescent psychiatry2019
Attachment and reflective functioning in children with somatic symptom disorders and disruptive behavior disorders.
Article in European child & adolescent psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 52 citations in OpenAlex.
- Mapping the Adolescent Mind: Profiles of Reflective Functioning and Epistemic Trust in Adolescent Psychopathology.Journal of adolescence · 2026Article
- Mentalization Profiles of Adolescents with Internalizing Disorders: Domain-specific Differences Compared to Typically Developing Adolescents.Indian journal of psychological medicine · 2026Article
- Attachment-Based Mentalization Profiles of Iranian Children: A Mixed-Method Approach.Children (Basel, Switzerland) · 2024Article
- The catcher in the mind: validation of the brief-mentalized affectivity scale for adolescents in the Italian population.Research in psychotherapy (Milano) · 2023Article
- Inflammatory Bowel Disease and Irritable Bowel Syndrome: What Differences in Mentalization Abilities? A Scoping Review.International journal of environmental research and public health · 2023Article
- Mentalization in Typically and Atypically Developing Iranian Children and Its Associations with Age, Sex, and Externalizing/Internalizing Symptoms.Children (Basel, Switzerland) · 2023Article
- eCONNECT Parent Group: An Online Attachment-Based Intervention to Reduce Attachment Insecurity, Behavioral Problems, and Emotional Dysregulation in Adolescence.International journal of environmental research and public health · 2023Article
- Article
- The Italian version of the Reflective Functioning Questionnaire: Validity within a sample of adolescents and associations with psychological problems and alexithymia.Journal of clinical psychology · 2022Article
- Advancement in the child attachment interview and the child and adolescent reflective functioning scale using a PDM-2 framework: case reports.Research in psychotherapy (Milano) · 2022Article
- Assessing therapist and clinician competency in parent-infant psychotherapy: The REARING coding system (RCS) for the group attachment based intervention (GABI).Research in psychotherapy (Milano) · 2022Article
- Physiological Factors Linking Insecure Attachment to Psychopathology: A Systematic Review.Brain sciences · 2021Review
- What's Happened to Italian Adolescents During the COVID-19 Pandemic? A Preliminary Study on Symptoms, Problematic Social Media Usage, and Attachment: Relationships and Differences With Pre-pandemic Peers.Frontiers in psychiatry · 2021Article
- Longitudinal Relationships Between Reflective Functioning, Empathy, and Externalizing Behaviors During Adolescence and Young Adulthood.Child psychiatry and human development · 2020Article
- Exploring mentalization, trust, communication quality, and alienation in adolescents.PloS one · 2020Article
- Modeling the relationship between attachment styles and somatic symptoms with the mediating role of emotional processing.Journal of education and health promotion · 2020Article
- Psychobehavioral B-Criteria of Somatic Symptom Disorder Are Associated with Somatic Symptom Reporting in a Large Sample of Psychosomatic Outpatients.Complex psychiatryArticle
- Mentalisation in Parents and Adolescents With Somatic Symptom Disorder: A Cross-Sectional Case-Control Study.Clinical psychology & psychotherapyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Our goal in conducting this study was to examine whether children with somatic symptom disorders (SSD) and disruptive behavior disorders (DBD) have higher rates of insecure or disorganized attachment and difficulties in mentalizing (operationalized as reflective functioning) as compared to a control group. Participants were 131 children (8-15 years) spanning two groups-a clinical group (n = 85), comprised of children fitting the criteria of our target diagnostic classifications (SSD: N = 45; DBD: N = 40), as well as a comparison group of healthy control children (n = 46). Children completed the Child Attachment Interview, which was later coded by reliable raters for attachment security and reflective functioning (RF). Consistent with our predictions, children in the clinical group had significantly lower RF and were significantly more likely to have insecure (over 80%) and disorganized attachment (over 40%) than children in the comparison group. In addition, RF was significantly lower in children with DBD than children with SSD. Furthermore, in the SSD group, children's RF regarding self was significantly lower than RF regarding others. Finally, consistent with prior studies, RF and attachment were associated. The findings indicate that school-aged children with SSD and DBD have higher rates of insecure and disorganized attachment. Consistent with theory, RF and attachment were loosely coupled, but RF alone differentiated among the diagnostic subgroups. Implications for treatment and prevention are discussed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.