Evidence map›Paper›PMID 37023214›Full record

ArticlePloS one2023

The Spanish version of the reflective functioning questionnaire: Validity data in the general population and individuals with personality disorders.

Eduardo Ruiz-Parra, Guadalupe Manzano-García, Roberto Mediavilla, Beatriz Rodríguez-Vega, Guillermo Lahera, Ana I Moreno-Pérez, Alberto M Torres-Cantero, Juan Rodado-Martínez, Amaia Bilbao, Miguel Ángel González-Torres

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT05899257 narecruitingnot on this map

Effects of Brief Immersive Training on the Metacognitive Capacities and Self-knowledge of Young People

TypeinterventionalSponsorUniversity of BarcelonaRan2023 to 2026Enrolled55ConditionsSelf, Self-Perception, Self EsteemArmsImmersive Training using EYME
NCT06833567 narecruitingnot on this mapstarted 2024, after this paper: background citation

Brief Mentalization-based Group Psychotherapy for Anxiety and Depression Disorders and Spanish Cultural Adaptation and Validation of the Epistemic Trust Questionnaire (QET)

TypeinterventionalSponsorFundación Pública Andaluza para la Investigación de Málaga en Biomedicina y SaludRan2024 to 2026Enrolled100ConditionsAnxiety Disorders, DepressionArmsBrief mentalization-based group psychotherapy, Acceptance and Commitment Therapy group intervention
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Demographic and clinical baseline characteristics from the Spanish SURVIVE prospective cohort study on suicide attempts.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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  4. Adaptation and Vulnerability in Chronic Pain: A Study of Profiles Based on Clinical and Psychological Factors.European journal of investigation in health, psychology and education · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 1 country.

Eduardo Ruiz-ParraDepartment of Neurosciences, Faculty of Medicine and Nursing, University of the Basque Country, Bilbao, Spain.ORCID 0000-0002-9757-2472
Guadalupe Manzano-GarcíaDepartment of Educational Sciences, University of La Rioja, Logroño, Spain.
Roberto MediavillaBiomedical Research Networking Centre in Mental Health (CIBERSAM), Madrid, Spain.ORCID 0000-0001-6411-9439
Beatriz Rodríguez-VegaDepartment of Psychiatry, School of Medicine, Autonomous University of Madrid (UAM), Madrid, Spain.
Guillermo LaheraDepartment of Medicine and Medical Specialties, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Madrid, Spain.ORCID 0000-0002-6152-3564
Ana I Moreno-PérezDepartment of Medicine and Medical Specialties, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Madrid, Spain.
Alberto M Torres-CanteroDepartment of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain.
Juan Rodado-MartínezDepartment of Psychiatry, School of Medicine, University of Murcia, Murcia, Spain.
Amaia BilbaoResearch Unit, Basurto University Hospital, Osakidetza Basque Health Service, Bilbao, Bizkaia, Spain.ORCID 0000-0002-2202-0753
Miguel Ángel González-TorresDepartment of Neurosciences, Faculty of Medicine and Nursing, University of the Basque Country, Bilbao, Spain.ORCID 0000-0002-4017-2785
Universidad de Alcalá · ESUniversity of the Basque Country · ESCentro de Investigación Biomédica en Red de Salud Mental · ESHospital de Basurto · ESHospital Reina Sofía de Murcia · ESHospital Universitario La Paz · ESHospital Universitario Virgen de la Arrixaca · ESUniversidad de La Rioja · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMentalization or reflective functioning (RF) is the capacity to interpret oneself or the others in terms of internal mental states. Its failures have been linked to several mental disorders and interventions improving RF have a therapeutic effect. Mentalizing capacity of the parents influences the children's attachment. The Reflective Functioning Questionnaire (RFQ-8) is a widely used tool for the assessment of RF. No instrument is available to assess general RF in Spanish-speaking samples. The aim of this study is to develop a Spanish version of the RFQ-8 and to evaluate its reliability and validity in the general population and in individuals with personality disorders.

methods602 non-clinical and 41 personality disordered participants completed a Spanish translation of the RFQ and a battery of self-reported questionnaires assessing several RF related constructs (alexithymia, perspective taking, identity diffusion and mindfulness), psychopathology (general and specific) and interpersonal problems. Temporal stability was tested in a non-clinical sub-sample of 113 participants.

resultsExploratory and confirmatory factor analyses suggested a one-factor structure in the Spanish version of the RFQ-8. RFQ-8 understood as a single scale was tested, with low scorings reflecting genuine mentalizing, and high scorings uncertainty. The questionnaire showed good internal consistence in both samples and moderate temporal stability in non-clinical sample. RFQ correlated significantly with identity diffusion, alexithymia, and general psychopathology in both samples; and with mindfulness, perspective taking, and interpersonal problems in clinical sample. Mean values of the scale were significantly higher in the clinical group. DISCUSSION: This study provides evidence that the Spanish version of the RFQ-8, understood as a single scale, has an adequate reliability and validity assessing failures in reflective functioning (i.e., hypomentalization) in general population and personality disorders.

Indexed as

Personality DisordersTranslationsChildHumansReproducibility of ResultsSelf ReportSurveys and Questionnaires

Identifiers

PMID37023214
PMCPMC10079014
OpenAlexW4362661999

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.