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Improvements in mentalization predict improvements in interpersonal distress in patients with mental disorders
Author(s) -
Hayden Markus C.,
Müllauer Pia K.,
Gaugeler Richard,
Senft Birgit,
Andreas Sylke
Publication year - 2018
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22673
Subject(s) - mentalization , psychology , interpersonal communication , distress , interpersonal relationship , clinical psychology , emotional distress , psychiatry , psychotherapist , anxiety , social psychology
Objectives Associations between interpersonal problems and mentalization have rarely been investigated. In this study, we explored patterns of interpersonal problems, mentalization, symptom severity, and attachment during inpatient treatment and at follow‐up. Additionally, we investigated whether mentalization predicts a decrease in interpersonal distress. Method We analyzed time‐series data from patients with mental disorders. Data were collected at the beginning and at the end of inpatient treatment, and approximately 6 months after discharge from hospital. Results Patterns of correlations were stable from admission to the hospital until follow‐up. Treatment significantly increased the levels of mentalization and decreased the levels of interpersonal problems and symptom severity, whereas attachment was only partially targeted. Improvements in mentalization significantly predicted reduction in interpersonal distress at each point in time. Conclusion Results revealed characteristic patterns of interpersonal problems, mentalization, symptom severity, and attachment. Mentalization was found to play a key role in the reduction of interpersonal distress.