Pathways from childhood trauma to aberrant salience: A structural equation approach to mentalization model.

affective symptoms attachment theory childhood adversity clinical high risk mentalizing psychosis schizotypy

Journal

Psychology and psychotherapy
ISSN: 2044-8341
Titre abrégé: Psychol Psychother
Pays: England
ID NLM: 101135751

Informations de publication

Date de publication:
09 Oct 2023
Historique:
revised: 21 09 2023
received: 24 04 2023
accepted: 22 09 2023
medline: 9 10 2023
pubmed: 9 10 2023
entrez: 9 10 2023
Statut: aheadofprint

Résumé

The aim of this study was to explore the relationship between affective disturbances and aberrant salience in the context of childhood trauma, attachment, and mentalization in an analogue study. Using a cross-sectional design, an online community sample completed self-report measures of key variables. Structural equation modelling was used to test childhood trauma's influence on aberrant salience via a set of intermediate risk factors (depression, negative schizotypy, and insecure attachment). These intermediate risk factors were assumed to lead to the proximal risk factors of aberrant salience (i.e., disorganized schizotypy and disorganized attachment) depending on the vulnerability of mentalizing capacity to elevated stress. The sample (N = 1263) was 78% female and aged between 18 and 35 years. The tested models closely fitted the observed data, revealing significant pathways from childhood trauma to aberrant salience via the hypothesized pathways. The direct effect of childhood trauma on aberrant salience was significant. Findings suggest that the pathway to aberrant salience may be characterized by disorganization of self-state and intersubjectivity as a function of diminishment in mentalizing ability. This may relate to changes in attachment organization and socio-cognitive capacity, which could constitute possible risk factors signalling development of aberrant salience.

Identifiants

pubmed: 37811853
doi: 10.1111/papt.12503
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of The British Psychological Society.

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Auteurs

Ercan Ozdemir (E)

Section of Clinical Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.

Angus MacBeth (A)

Section of Clinical Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.

Helen Griffiths (H)

Section of Clinical Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.

Classifications MeSH