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

MZQ attachment epistemic trust mental disorders mentalization mentalizing psychosomatic rehabilitation

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2023
Historique:
received: 24 01 2023
accepted: 26 04 2023
medline: 30 5 2023
pubmed: 30 5 2023
entrez: 30 5 2023
Statut: epublish

Résumé

Inpatient 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. In 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. A total sample of Mentalizing 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.

Sections du résumé

Background UNASSIGNED
Inpatient 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.
Methods UNASSIGNED
In 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.
Results UNASSIGNED
A total sample of
Conclusion UNASSIGNED
Mentalizing 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.

Identifiants

pubmed: 37252135
doi: 10.3389/fpsyt.2023.1150422
pmc: PMC10213326
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1150422

Informations de copyright

Copyright © 2023 Riedl, Rothmund, Grote, Fischer, Kampling, Kruse, Nolte, Labek and Lampe.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

David Riedl (D)

Ludwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.
University Hospital of Psychiatry II, Department of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria.

Maria Sophie Rothmund (MS)

University Hospital of Psychiatry II, Department of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, Medical University of Innsbruck, Innsbruck, Austria.
Institute of Psychology, University of Innsbruck, Innsbruck, Austria.

Vincent Grote (V)

Ludwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.

Michael J Fischer (MJ)

Ludwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.
VAMED Rehabilitation Center Kitzbuehel, Kitzbuehel, Austria.

Hanna Kampling (H)

Department of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany.

Johannes Kruse (J)

Department of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany.
Department for Psychosomatic Medicine and Psychotherapy, Medical Center of the Philipps University Marburg, Marburg, Germany.

Tobias Nolte (T)

Anna Freud National Center for Children and Families, London, United Kingdom.
Research Department for Clinical, Educational and Heath Psychology, University College London, London, United Kingdom.

Karin Labek (K)

Institute of Psychology, University of Innsbruck, Innsbruck, Austria.

Astrid Lampe (A)

Ludwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.
VAMED Rehabilitation Center, Schruns, Austria.

Classifications MeSH