Evidence map›Paper›PMID 40785276›Full record

ArticleThe British journal of clinical psychology2026

Assessing mentalization in practice: Reliability of the mentalization-based treatment research adherence and competence scale.

Karen Yirmiya, Sophie Marjoribanks, Peter Fonagy, Anthony Bateman

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Article in The British journal of clinical psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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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

4 authors.

Karen YirmiyaResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.ORCID https://orcid.org/0000-0001-7580-3957
Sophie MarjoribanksResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Peter FonagyResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.ORCID https://orcid.org/0000-0003-0229-0091
Anthony BatemanResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMentalization-Based Treatment (MBT) requires rigorous fidelity assessment to ensure accurate delivery and validate treatment efficacy. This study introduces the Mentalization-Based Treatment Research Adherence and Competence Scale (MBT-RACS), a new instrument developed initially for research purposes to align with contemporary MBT principles and address psychometric and conceptual limitations found in earlier adherence assessment approaches.

methodsInter-rater reliability of the MBT-RACS was evaluated using 126 recorded MBT sessions (104 group, 22 individual), rated by 17 trained coders.

resultsThe results indicated strong overall reliability, with most domains demonstrating good to excellent inter-rater agreement across both group and individual sessions, irrespective of ratings from two or three raters. Total adherence intraclass correlation coefficients (ICCs) were notably high for both group (.84) and individual (.95) sessions rated by two coders, substantially exceeding the reliability typically reported for comparable adherence instruments.

conclusionsThese findings suggest that the MBT-RACS's format, which emphasizes broader, clinically meaningful domains, may contribute to improved consistency in ratings. The scale's robust reliability supports its applicability in research and clinical supervision, enhancing methodological rigour, quality assurance and targeted feedback for effective MBT training and implementation.

Indexed as

MentalizationPsychometricsAdultFemaleHumansMaleMiddle AgedReproducibility of ResultsYoung Adultadherencecompetenceinter‐rater reliabilityMBT‐RACSmentalization‐based treatmentpsychotherapy researchtreatment fidelity

Identifiers

PMID40785276
PMCPMC12889206

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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.