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超越诊断:非临床人群青少年的跨诊断视角下的心理化与心理健康。

Beyond diagnosis: Mentalization and mental health from a transdiagnostic point of view in adolescents from non-clinical population.

机构信息

Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain.

Department of Psychobiology and Methodology of Health Sciences, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain.

出版信息

Psychiatry Res. 2018 Dec;270:755-763. doi: 10.1016/j.psychres.2018.10.048. Epub 2018 Oct 21.


DOI:10.1016/j.psychres.2018.10.048
PMID:30551321
Abstract

An increasing volume of evidence suggests that mentalization (MZ) can be an important factor in the transition from mental health to mental illness and vice versa. However, most studies are focused on the role of MZ in specific disorders. This study aims to evaluate the relationship between MZ and mental health as a trans-diagnostic process. A sample of 172 adolescents aged 12 to 18 years old (M = 14.6, SD = 1.7; 56.4% of girls) was assessed on measures of MZ, psychopathology and psychological functioning from a multimethod and multi-informant perspective. Contrary to predictions, MZ was not associated with general psychopathology and comorbidity, even when explored from a broad, trans-diagnostic perspective. However, we observed a robust association linking MZ to functioning and well-being across many dimensions, involving social, role and several psychological indicators of adjustment and mental health. These results suggest that MZ may contribute to mental health beyond symptoms, not so much associated with psychopathology, but rather resilience and well-being.

摘要

越来越多的证据表明,心理化(MZ)可以是从心理健康到心理疾病以及反之的重要因素。然而,大多数研究都集中在 MZ 在特定障碍中的作用。本研究旨在评估 MZ 与心理健康之间作为一种跨诊断过程的关系。一个由 172 名 12 至 18 岁的青少年组成的样本(M=14.6,SD=1.7;56.4%的女孩),从多方法和多信息来源的角度评估了 MZ、精神病理学和心理功能。与预测相反,MZ 与一般精神病理学和共病无关,即使从广泛的、跨诊断的角度进行探讨也是如此。然而,我们观察到 MZ 与许多方面的功能和幸福感之间存在着强大的联系,涉及社交、角色以及调整和心理健康的几个心理指标。这些结果表明,MZ 可能有助于超越症状的心理健康,与其说与精神病理学有关,不如说与适应能力和幸福感有关。

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[3]
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[5]
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[8]
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A Digital Intervention to Improve Mental Health and Interpersonal Resilience in Young People Who Have Experienced Technology-Assisted Sexual Abuse: Protocol for a Nonrandomized Feasibility Clinical Trial and Nested Qualitative Study.

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