Exploring personality correlates of psychiatric hospitalization: A cross-sectional comparison of section ii personality disorder model and alternative model for personality disorders.

Our cross-sectional study provides a head-to-head comparison of Section II and Section III of Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) diagnostic models of personality disorders (PDs) in identifying significant personality correlates of psychiatric hospitalization (PH). PH is an indicator of a breakdown in one's existing ability to manage mental crisis. The sample was recruited from psychiatric clinical services (N = 60) as well as universities and the local community (N = 49). We used the Structured Clinical Interview for DSM-5 PD (SCID-5-PD) for Section II DSM-5 diagnosis, the Self and Interpersonal Functioning Scale (SIFS) for Criterion A and the Personality Inventory for DSM-5 (PID-5) for Criterion B. Separate logistic regressions analyses showed high discriminative utility for all diagnostic models: the number of Section II diagnosis, level of personality functioning, and five maladaptive traits (AUC between .89 and .97). Binomial logistic regression with a forward stepwise procedure showed that Section II number of diagnoses revealed incremental utility over Criteria A and B in distinguishing between individuals experiencing a mental health crisis requiring PH and those not requiring immediate intervention. We conclude that each diagnostic model, when considered individually, exhibits a high degree of discriminatory performance. However, employing all these models concurrently for identifying personality correlates of PH proves impractical. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Mentalization, emotional dysregulation and attachment to alternative attachment figures in retrospectively defined earned secure adults.

BACKGROUND: Researchers have tried to identify mechanisms through which an individual overcomes negative life experiences, proposing earning security as one of them. Retrospectively defined earned secures are recognized as individuals exhibiting secure attachments to their parents while evaluating the quality of their childhood care as low. This study aimed to examine attachment, mentalization, and emotional dysregulation in this group. We hypothesized that earned secures will report better mentalizing, lower emotion dysregulation, and more secure attachment to figures other than parents than insecure individuals. PARTICIPANTS AND PROCEDURE: female adult sample (N = 272) completed the Experiences in Close Relationships-Relationship Structures questionnaire, Parental Bonding Instrument, Difficulties in Emotion Regulation Scale, and Mental State Task. The time devoted to psychotherapy and demographics were also controlled as contextual variables. RESULTS: We identified an 'earned secure' group (14% of the sample), exhibiting secure attachment to mothers in adulthood despite reported inadequate care during childhood, along with the continuously secure, insecure, and 'lost secure' groups. People from the earned secure and secure groups reported better emotional regulation and some aspects of mentalization than those in the insecure and lost secure groups. They equally frequently reported the presence of an adult other than parents who were important to them in childhood, but the attachment to them was more secure. We did not find evidence of differences between the groups in the duration of psychotherapy. CONCLUSIONS: Secure attachment to alternative attachment figures, along with some mentalization and emotional regulation aspects, may be considered significant factors for earning security.

Polish adaptation and validation of the Mentalization Scale (MentS) - a self-report measure of mentalizing. / Polska adaptacja i walidacja Skali mentalizacji (MentS) ­ samoopisowego narzedzia do pomiaru mentalizowania.

OBJECTIVES: The aim of the research was to determine the reliability, factor structure, as well as validity of the Mentalization Scale (MentS) - a self-report measure of mentalization. METHODS: Two groups of subjects were examined. The first group (N = 202) consisted of students from Poznan universities; the other group (N = 229) consisted of individuals employed in various positions, with different education levels. The following measures were used: Mentalization Questionnaire, the Borderline Personality Inventory, the Experiences in Close Relationships Scale-Revised, the short version of the International Personality Item Pool NEO Personality Inventory, short version of Empathy Quotient and the Trait Emotional Intelligence Questionnaire. RESULTS: Reliability analysis showed high internal consistency of all three MentS subscales, and the factor analysis supports the three-factor structure of the questionnaire. Mentalization as measured by MentS was positively linked with mentalization-related constructs: empathy and emotional intelligence. Obtained relations between mentalization and attachment dimensions, borderline features and personality traits as well as observed gender differences also support the validity of the MentS. CONCLUSIONS: The verification of the hypotheses formulated in the present study has led to the conclusion that the Polish version of the Mentalization Scale (MentS) - a new measure of mentalization - has high psychometric value and may be used for brief yet multifaceted measurement of mentalization.