Multidirectional Pathways between Attachment, Mentalizing, and Posttraumatic Stress Symptomatology in the Context of Childhood Trauma

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dc.contributor.authorHuang, Yu Lienen
dc.contributor.authorFonagy, Peteren
dc.contributor.authorFeigenbaum, Janeten
dc.contributor.authorMontague, P. Readen
dc.contributor.authorNolte, Tobiasen
dc.contributor.departmentFralin Biomedical Research Instituteen
dc.date.accessioned2020-12-23T20:06:36Zen
dc.date.available2020-12-23T20:06:36Zen
dc.date.issued2020-05en
dc.description.abstractIntroduction:Exposure to traumatic stressful events in childhood is an important risk factor for the development of posttraumatic symptomatology. From a mentalization-based developmental perspective, childhood adversity can affect attachment in children and may result in insecure attachment and impaired mentalizing abilities, which increase the lifetime risk for psychopathology. The present cross-sectional study examined the potential mediating role of attachment insecurity and impaired mentalizing on the relationship between childhood trauma and posttraumatic symptomatology. Method: Adults who had experienced childhood neglect and abuse (n = 295, 184 patients with personality disorder and 111 community controls) completed self-report measures of posttraumatic stress disorder (PTSD) symptoms, dissociative experiences, adult attachment insecurity, and mentalizing. Results: Structural equation modelling results revealed that attachment insecurity together with lower mentalizing mediated the link between childhood trauma and PTSD symptoms, and lower mentalizing mediated the link between childhood trauma and dissociative experiences. Conclusion: The findings show that attachment insecurity and lower mentalizing play significant mediating roles in the reporting of posttraumatic symptomatology among survivors of childhood abuse and neglect, with treatment implications for mentalization-based therapy as beneficial for individuals with a history of childhood trauma.en
dc.description.notesThe authors gratefully acknowledge funding by the Wellcome Trust (Read Montague) under a Principal Research Fellowship, and the Kane Foundation (Read Montague). Tobias Nolte is supported by the Wellcome Trust Principal Research Fellowship Award to Prof. Read Montague. Peter Fonagy is in receipt of a National Institute for Health Research Senior Investigator Award (NF-SI-0514-10157). Peter Fonagy was in part supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames at Barts Health NHS Trust. Yu Lien Huang was in receipt of the Ministry of Science and Technology of Taiwan for a Postdoctoral Research Fellowship Award (104-2917-I564-003-A1). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. The authors would like to thank all the research assistants and students who helped with data collection.en
dc.description.sponsorshipWellcome TrustWellcome Trust; Kane Foundation; National Institute for Health Research Senior Investigator Award [NF-SI-0514-10157]; National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames at Barts Health NHS TrustNational Institute for Health Research (NIHR); Ministry of Science and Technology of TaiwanMinistry of Science and Technology, Taiwan [104-2917-I564-003-A1]en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1159/000506406en
dc.identifier.eissn1423-033Xen
dc.identifier.issn0254-4962en
dc.identifier.issue1en
dc.identifier.pmid32294649en
dc.identifier.urihttp://hdl.handle.net/10919/101627en
dc.identifier.volume53en
dc.language.isoenen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectAttachmenten
dc.subjectChildhood traumaen
dc.subjectDissociationen
dc.subjectMentalizingen
dc.subjectPosttraumatic stress disorderen
dc.titleMultidirectional Pathways between Attachment, Mentalizing, and Posttraumatic Stress Symptomatology in the Context of Childhood Traumaen
dc.title.serialPsychopathologyen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.dcmitypeStillImageen

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