ArticleEarly intervention in psychiatry2026
Parental Psychiatric Symptoms and Child Emotional and Behavioural Difficulties: Exploring the Mediating Role of Parental Reflective Functioning in Parents With Mental Disorders.
Article in Early intervention in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionChildren of parents with a mental disorder are at increased risk of developing mental health problems. A potentially important construct in the intergenerational transmission of mental health problems is parental mentalizing, referred to as parental reflective functioning (PRF). The aim of this study was to examine the links between parental psychiatric symptom severity, PRF, and child emotional and behavioural difficulties among parents with a mental disorder. Furthermore, we sought to explore the potential mediating role of PRF.
methodsThe study involved parents with various diagnosed mental disorders (N = 70) with a child aged 0-17. Psychiatric symptom severity was assessed using the Brief Symptom Inventory, PRF was assessed with the Parental Reflective Functioning Questionnaire, and child emotional and behavioural difficulties were assessed with the Strengths and Difficulties Questionnaire. Linear regressions and Hayes PROCESS macro were utilised to examine the links between the variables and test for the mediating role of PRF.
resultsParental psychiatric symptom severity was significantly related to higher levels of child emotional and behavioural difficulties. Parental psychiatric symptom severity was closely associated with maladaptive PRF, as indicated by higher levels of pre-mentalizing, which in turn was related to child emotional and behavioural difficulties. PRF did not mediate the relationship between parental psychiatric symptom severity and child emotional and behavioural difficulties.
conclusionParental psychiatric symptom severity and PRF are important for child emotional and behavioural difficulties. However, the relationship between parental psychiatric symptom severity and child emotional and behavioural difficulties was not mediated by PRF.
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