Mentalisierungsfähigkeit und Behandlungserfolg in der Psychosomatischen Rehabilitation

Peters, Meinolf; Budde, Andrea; Jeising, Astrid; Lindner, Joachim; Schulz, Holger

doi:10.13109/zptm.2022.68.4.397

Cited by 3 publications

(7 citation statements)

References 25 publications

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“…In our sample, patients reported a significant improvement of mentalizing and psychological distress during inpatient rehabilitation, which was in line with previous research (32). Not surprisingly, patients with lowest mentalizing at baseline also showed the largest improvements of mentalizing as well as the largest decrease in depression, anxiety, and somatization during rehabilitation.…”

Section: Discussionsupporting

confidence: 91%

“…However, patients with high mentalization capabilities reported comparable scores to individuals from the German general population (38). Both pre-and post-treatment, MZQ scores were almost identical with the recently published study by Peters et al (32), who also reported a significant improvement of mentalizing with moderate effect size during inpatient rehabilitation. In line with their results, in our sample the improvement of mentalizing was significantly associated with decreased depression, anxiety and somatization as well as improved quality of life, specifically in terms of social functioning and social participation -an indication of restored social learning from and engagement with a helpful social environment that deserves further replication and further mechanistic understanding.…”

Section: Discussionsupporting

confidence: 83%

“…In previous studies, improved mentalizing was identified as a potential critical success factor for psychosomatic rehabilitation (32) and as an effective element in psychotherapy (33)(34)(35). Nevertheless, evidence on the role of epistemic trust and mentalizing as mediators in psychotherapeutic treatments and especially in psychosomatic rehabilitation is still scarce.…”

Section: Introductionmentioning

confidence: 99%

“…The aim of the study was to assess the association of mentalizing and epistemic trust with the improvement of overall psychological distress during psychosomatic inpatient rehabilitation. Based on our previous studies, we hypothesized that (a) improvement in mentalizing would mediate improvement of psychological symptoms during rehabilitation (25,32) and that (b) levels of epistemic trust would be positively associated with improvement in mentalizing while for epistemic disruption (mistrust and credulity) a negative impact would be observed (31).…”

Section: Introductionmentioning

confidence: 99%

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Mentalizing and epistemic trust as critical success factors in psychosomatic rehabilitation: results of a single center longitudinal observational study

et al. 2023

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BackgroundInpatient psychosomatic rehabilitation is a key treatment for patients with mental health issues. However, knowledge about critical success factors for beneficial treatment outcomes is scarce. The aim of this study was to evaluate the association of mentalizing and epistemic trust with the improvement of psychological distress during rehabilitation.MethodsIn this naturalistic longitudinal observational study, patients completed routine assessments of psychological distress (BSI), health-related quality of life (HRQOL; WHODAS), mentalizing (MZQ), and epistemic trust (ETMCQ) before (T1) and after (T2) psychosomatic rehabilitation. Repeated measures ANOVA (rANOVAs) and structural equation models (SEMs) were calculated to investigate the association of mentalizing and epistemic trust with the improvement in psychological distress.ResultsA total sample of n = 249 patients were included in the study. Improvement in mentalizing was correlated with improvement in depression (r = 0.36), anxiety (r = 0.46), and somatization (r = 0.23), as well as improved cognition (r = 0.36), social functioning (r = 0.33), and social participation (r = 0.48; all p < 0.001). Mentalizing partially mediated changes in psychological distress between T1 and T2: the direct association decreased from β = 0.69 to β = 0.57 and the explained variance increased from 47 to 61%. Decreases in epistemic mistrust (β = 0.42, 0.18–0.28; p < 0.001) and epistemic credulity (β = 0.19, 0.29–0.38; p < 0.001) and increases in epistemic trust (β = 0.42, 0.18–0.28; p < 0.001) significantly predicted improved mentalizing. A good model fit was found (χ2 = 3.248, p = 0.66; CFI = 0.99; TLI = 0.99; RMSEA = 0.000).ConclusionMentalizing was identified as a critical success factor in psychosomatic inpatient rehabilitation. A key component to increase mentalizing in this treatment context is the improvement of epistemic mistrust.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Mentalizing and epistemic trust as critical success factors in psychosomatic rehabilitation: results of a single center longitudinal observational study

et al. 2023

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“…Deficits in mentalization ability in old age are not irreversible. Peters et al’s study (2021) shows that the effect sizes related to the improvement of mentalization ability in a psychosomatic clinic are just as good in older patients as in younger patients.…”

Section: Discussionmentioning

confidence: 97%

Trauma and Mentalization Ability in Older Patients

Peters¹

2021

GeroPsych

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Abstract. The topic of trauma and aging has been studied more frequently in the recent past from the perspective of the consequences of early trauma experiences, especially in the context of war experiences. However, trauma can also occur later in life and have lasting consequences into older age. The study presented here assumed that these consequences can also manifest themselves in an impairment of mentalization ability. It examined a sample of patients between 40 and 80 years of age from a psychosomatic clinic ( N = 150) was examined with the Essen Trauma Inventory (ETI) and two mentalization instruments. Results show that, as age increased, stressful events in adulthood correspond with impairment in mentalization ability in old age. Regarding posttraumatic symptomatology, the influence of intrusions increased as age increased. Finally, the results are discussed in a theoretical and therapeutic context.

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Epistemic Trust Is a Critical Success Factor in Psychosomatic Rehabilitation—Results from a Naturalistic Multi-Center Observational Study

Riedl,

Kampling,

Kruse

et al. 2023

JCM

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Knowledge about critical success factors underpinning beneficial treatment outcomes in psychosomatic inpatient rehabilitation is scarce. The aim of this study was to evaluate the influence of patients’ epistemic stance in relation to the improvement of psychological distress during rehabilitation. In this naturalistic longitudinal observational study, n = 771 patients completed routine assessments for psychological distress (BSI-18), health-related quality of life (HRQOL; WHODAS), and epistemic trust (ETMCQ) before (T1) and after (T2) psychosomatic rehabilitation. Patients were grouped as best, average, and worst responders based on their mean BSI-18 changes during treatment, and their mean change in epistemic trust, mistrust, and credulity was compared using repeated measures analyses of variance (rANOVAs). No associations of performance with sex (p = 0.09), age (p = 0.11), or relationship status (p = 0.58) were found. Best responders reported significantly improved epistemic trust (p = 0.001) and reduced epistemic mistrust (p < 0.001), whereas worst responders reported a significant increase in epistemic mistrust (p < 0.001) and credulity (p < 0.001). Average responders did not change for either epistemic trust (p = 0.11), mistrust (p > 0.99), or credulity (p = 0.96). Our results underscore the role of the epistemic stance in psychosomatic and psychotherapeutic treatments. These results help to better understand what might determine psychosomatic rehabilitation outcomes and indicate the role of epistemic trust as a critical success factor.

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Mentalisierungsfähigkeit und Behandlungserfolg in der Psychosomatischen Rehabilitation

Cited by 3 publications

References 25 publications

Mentalizing and epistemic trust as critical success factors in psychosomatic rehabilitation: results of a single center longitudinal observational study

Mentalizing and epistemic trust as critical success factors in psychosomatic rehabilitation: results of a single center longitudinal observational study

Trauma and Mentalization Ability in Older Patients

Epistemic Trust Is a Critical Success Factor in Psychosomatic Rehabilitation—Results from a Naturalistic Multi-Center Observational Study

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