ArticleScientific reports2022
Mentalization and dissociation after adverse childhood experiences.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed.
- Cracks in the foundation: disrupted epistemic trust as a link between trauma, PTSD and disturbances in self-organization.Translational psychiatry · 2026Article
- Baseline Mentalization Predicts Depression and Alexithymia Following Brief Psychoanalytic Psychotherapy in Students Seeking Help at a University Clinic: A Pre-Post Study.International journal of environmental research and public health · 2026Article
- Mentalization as a mediator of the effects of early life stress on borderline personality disorder in a South Korean clinical sample.Borderline personality disorder and emotion dysregulation · 2026Article
- Emotion dysregulation and dissociation mediate the association between alexithymia and depressive symptoms in individuals with alcohol use disorder.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Mentalization Profiles of Adolescents with Internalizing Disorders: Domain-specific Differences Compared to Typically Developing Adolescents.Indian journal of psychological medicine · 2026Article
- The Impact of Adverse Childhood Experiences on Nicotine Withdrawal Symptoms.International journal of mental health and addiction · 2026Article
- Associations between childhood adverse experiences and medication adherence in asthma patients: a dual variable-centered and person-centered analysis of attachment security and mentalization.Frontiers in psychiatry · 2026Article
- Article
- Adverse Childhood Experiences and Parenting Stress in Foster Families: Mentalizing as a Pathway to Strain.Journal of child and family studies · 2026Article
- Poly-victimization and post-traumatic stress symptoms in care experienced youth: the mediating role of mentalizing.European journal of psychotraumatology · 2025Article
- Dissociative experiences in individuals with subclinical psychosis and a history of developmental trauma: a qualitative study.European journal of psychotraumatology · 2025Article
- Trait dissociation in borderline personality disorder: influence on immediate therapy outcomes, follow-up assessments, and self-harm patterns.European journal of psychotraumatology · 2025Article
- Mentalization in Asylum Seekers with Post-Traumatic Stress Disorder.International journal of environmental research and public health · 2025Article
- Neural Correlates of Borderline Personality Disorder (BPD) Based on Electroencephalogram (EEG)-A Mechanistic Review.International journal of molecular sciences · 2025Review
- Long-Term Improvements of Complex Post-Traumatic Stress Disorder (CPTSD) Symptoms After Multimodal Psychodynamic Inpatient Rehabilitation Treatment-An Observational Single Center Pilot Study.Journal of clinical psychology · 2025Observational
- Mentalizing, Loneliness and Pain-Related Depressive Symptoms Are Associated with Pain Severity in Patients with Rheumatic Diseases: Results of a Cross-Sectional Secondary Analysis.Journal of clinical medicine · 2025Article
- Adverse Childhood Experiences (ACEs) in Specific Vulnerable Developmental Periods Can Increase the Likelihood of Chronic Pain in Adulthood-Results from a Cross-Sectional Study.Diagnostics (Basel, Switzerland) · 2025Article
- Transgenerational association of mentalization with child mental health: A scoping review.Family process · 2025Article
- The impact of different adverse childhood experiences on the dimensions of emotional dysregulation in adults with major depression.Frontiers in psychology · 2025Article
- Reliability and validity of the Mentalization Questionnaire in a potentially depressed group of Chinese college students.Frontiers in psychiatry · 2025Article
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4 authors.
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Abstract
.Impairment of mentalization may impact coping strategies, regulation of affect and stress. The influence of impaired mentalization on dissociation in patients with adverse childhood experiences (ACEs) could be important for treatment strategies. The aim of this study is to assess the relationship between ACEs, mentalizing and dissociation in adult individuals. Sixty-seven patients with ACEs completed the Mentalization Questionnaire (MZQ), the Essener Trauma Inventory (ETI) and the Brief Symptom Inventory-18 (BSI-18). The SPSS PROCESS macro tool was applied to test if mentalization mediated the relationship of ACEs and dissociation. ACEs were significantly associated with higher dissociation (β = 0.42, p < 0.001) and lower mentalization (β = - 0.49, p < 0.001). When mentalization was added to the model as a predictor, the association of ACEs with dissociation was no longer significant (β = 0.11, p = 0.31) and a statistically significant indirect effect was found (β = 0.32, 95% CI 0.16-0.47). The overall explained variance of dissociation notably improved after inclusion of mentalization (17.5% to 49.1%). Thus, the results indicated that the association of ACEs on dissociation was fully mediated by mentalization. Our results suggest that ACEs are associated with lower mentalization and higher dissociation. Lower mentalization was also associated with worse depression, anxiety, somatization and PTSD symptoms. These findings underline the increasing importance of early treatment of individuals affected by ACEs with a focus to foster the development of mentalization.
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