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

Yu Lien Huang · Peter Fonagy · Janet Feigenbaum · P. Read Montague · Tobias Nolte

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Child Abuse and Trauma Psychoanalysis and Psychopathology Research Posttraumatic Stress Disorder Research

Abstract

INTRODUCTION: 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.

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References

1999Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives 1988Structural equation modeling in practice: A review and recommended two-step approach.1969Attachment and Loss 2003Development and validation of a brief screening version of the Childhood Trauma Questionnaire 2018Affect Regulation, Mentalization, and the Development of the Self 2000An item response theory analysis of self-report measures of adult attachment.2026Procedures for Identifying Infants as Disorganized/Disoriented During the Ainsworth Strange Situation 1999Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae

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