Linking mentalizing capacity, shame, and depressive symptoms in the context of childhood maltreatment

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dc.contributor.authorSchwarzer, Nicola-Hansen
dc.contributor.authorNolte, Tobiasen
dc.contributor.authorFonagy, Peteren
dc.contributor.authorFeigenbaum, Janeten
dc.contributor.authorCasas, Brooksen
dc.contributor.authorRüfenacht, Evaen
dc.contributor.authorGingelmaier, Stephanen
dc.contributor.authorLeibowitz, Judyen
dc.contributor.authorPilling, Steveen
dc.contributor.authorMontague, P. Readen
dc.date.accessioned2024-08-30T19:29:37Zen
dc.date.available2024-08-30T19:29:37Zen
dc.date.issued2024-08-01en
dc.description.abstractBackground: Experiences of childhood maltreatment have been shown to be a crucial predictor of depressive symptoms. Objective: This study investigated the association between a history of maltreatment and depressive symptoms in a mixed sample of adults, exploring whether feelings of shame and impairments in mentalizing mediate this association and potentially represent health-affecting factors associated with an increase in depressive symptoms. Further, the association between feelings of shame and depressive symptoms was expected to be moderated by impairments in mentalizing. Participants and setting: A mixed sample of 796 adults, including clinical and non-clinical participants, completed questionnaires assessing retrospectively rated experiences of childhood maltreatment, feelings of shame, mentalizing capacities, and current depressive symptoms in a cross-sectional design. Methods: The hypotheses were tested using structural equation modelling. Results: Associations were found between childhood maltreatment, feelings of shame, impairments in mentalizing, and depressive symptoms. Impairments in mentalizing and feelings of shame partially mediated the link between maltreatment and depressive symptoms. However, impairments in mentalizing did not moderate the link between shame and depressive symptoms. Conclusion: The current study provides evidence for the role of metacognitive processes that affect mental health problems in the domain of depression. Psychological treatments that promote mentalizing capacities might be helpful in reducing feelings of shame, and consequently in reducing depressive symptoms.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier107787 (Article number)en
dc.identifier.doihttps://doi.org/10.1016/j.childyouth.2024.107787en
dc.identifier.issn0190-7409en
dc.identifier.urihttps://hdl.handle.net/10919/121043en
dc.identifier.volume163en
dc.language.isoenen
dc.publisherElsevieren
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectChildhood maltreatmenten
dc.subjectShameen
dc.subjectMentalizingen
dc.subjectDepressive symptomsen
dc.subjectReflective functioningen
dc.titleLinking mentalizing capacity, shame, and depressive symptoms in the context of childhood maltreatmenten
dc.title.serialChildren and Youth Services Reviewen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherJournal Articleen
pubs.organisational-groupVirginia Techen
pubs.organisational-groupVirginia Tech/Faculty of Health Sciencesen
pubs.organisational-groupVirginia Tech/All T&R Facultyen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicineen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicineen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicine/Secondary Appointment-Psychiatry and Behavioral Medicineen
pubs.organisational-groupVirginia Tech/University Research Institutesen
pubs.organisational-groupVirginia Tech/University Research Institutes/Fralin Biomedical Research Institute at VTCen

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