The Role of Mentalization in Linking Trauma, Attachment Styles, and Rejection Sensitivity to Interpersonal Relationships
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Objective: This study examined the influence of trauma, attachment difficulties, and rejection sensitivity on interpersonal relationships, with a focus on the mediating role of mentalization among clients in psychology and counseling clinics.
Methods and Materials: A descriptive–correlational cross-sectional design was employed. The sample consisted of 191 male (49.7%) and female (50.3%) clients attending psychology and counseling clinics in Tehran between July and October 2023. Participants were selected randomly. Research instruments included the Revised Adult Attachment Scale (RAAS), Childhood Trauma Questionnaire (CTQ), Rejection Sensitivity Questionnaire (RSQ), Communication Skills Questionnaire (CSQ), and Reflective Function Questionnaire (RFQ). Data were analyzed using descriptive statistics and Pearson correlation in SPSS (v.27). At the same time, path analysis and structural model testing were performed with SMARTPLS (v.4). A significance level of p = 0.05 was applied.
Findings: Results demonstrated that rejection sensitivity negatively affected interpersonal relationships via mentalization (β = –0.087, p = 0.002). Trauma also exerted a detrimental influence through mentalization (β = –0.132, p = 0.001). Avoidant attachment style showed a significant adverse effect on interpersonal relationships (β = –0.229, p = 0.001). Conversely, mentalization was positively associated with relationship quality (β = 0.303, p < 0.001).
Conclusion: The study highlights the crucial role of mentalization and secure attachment in improving interpersonal relationships. It also emphasizes the harmful consequences of trauma, rejection sensitivity, and avoidant attachment. These findings may guide psychologists and counselors toward interventions that strengthen mentalization and attachment security while addressing the negative effects of trauma and rejection sensitivity.
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Araújo, E., Santos, A., Oliveira, C., Cruz, O. S., & Moreira, D. (2024). Beliefs and Violent Behavior in Interpersonal Relationships of Young Adults: A Systematic Review. International journal of environmental research and public health, 21(11), 1500. https://doi.org/10.3390/ijerph21111500
Asadi, S. S., Bakhshipour Roudsari, A., Mahmoud Alilou, M., & Seyed Mousavi, P. S. (2022). The relationship between attachment security and emotional dysregulation of adolescents: The mediating role of mentalization ability. Rooyesh, 10(12), 85-96. http://frooyesh.ir/article-1-3190-fa.html
Behrouzi, H., Pakdaman, M., & Sahebdel, H. (2023). Prediction of psychological security of secondary school students based on childhood trauma and cognitive errors. Rooyesh-e-Ravanshenasi Journal (RRJ), 12(6), 133-140. http://frooyesh.ir/article-1-4728-en.html
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., & Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child abuse & neglect, 27(2), 169-190. https://doi.org/10.1016/S0145-2134(02)00541-0
Borroni, S., Ruotolo, G., Geminiani, C., Masci, E., & Fossati, A. (2024). DSM-5 Personality Dysfunction in a mentalization perspective: the interplay among personality dysfunction, emotion dysregulation, and mentalization ability in a sample of Italian community-dwelling adults. Mediterranean Journal of Clinical Psychology, 12(1), 1-37. https://hdl.handle.net/20.500.11768/165296
Bosmans, G., Bakermans-Kranenburg, M. J., Vervliet, B., Verhees, M. W., & van Ijzendoorn, M. H. (2020). A learning theory of attachment: Unraveling the black box of attachment development. Neuroscience & Biobehavioral Reviews, 113, 287-298. https://doi.org/10.1016/j.neubiorev.2020.03.014
Burton, G. E. (1990). Management exercises. Houghton Mifflin.
Chen, X., Huang, B., & Lin, W. (2023). The effect of interpersonal relationships and epidemic attention on negative emotion among medical students: the mediating role of social satisfaction. BMC psychiatry, 23(1), 610. https://doi.org/10.1186/s12888-023-05113-z
Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Routledge. https://doi.org/10.4324/9780203771587
Collins, N. L. (1996). Revised adult attachment scale. Behavior therapy. https://doi.org/10.1037/t19162-000
Downey, G., & Feldman, S. I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of personality and social psychology, 70(6), 1327. https://doi.org/10.1037/0022-3514.70.6.1327
Ebrahimi, S., & Mousavian Khatir, S. E. (2023). The mediating role of rejection sensitivity and self-esteem in the relationship between mindfulness and psychological well-being among adolescents. Journal of Modern Psychological Researches, 17(68), 1-11. https://doi.org/10.29252/rme.17.68.1
Ha, C., Sharp, C., Ensink, K., Fonagy, P., & Cirino, P. (2013). The measurement of reflective function in adolescents with and without borderline traits. Journal of Adolescence, 36(6), 1215-1223. https://doi.org/10.1016/j.adolescence.2013.09.008
Hardy, A., Keen, N., van den Berg, D., Varese, F., Longden, E., Ward, T., & Brand, R. M. (2024). Trauma therapies for psychosis: A state-of-the-art review. Psychology and Psychotherapy: Theory, Research and Practice, 97(1), 74-90. https://doi.org/10.1111/papt.12499
Hosseini, J., Hosseini, S. A., & Dosti, M. (2014). The relationship between communication skills and interpersonal relationships of sport managers in Guilan province. Sport Management and Development, 3(2), 91-104. https://jsmd.guilan.ac.ir/article_1224_en.html
Hou, Y., & Li, T. (2021). The Relationship Between Rejection Sensitivity and Dormitory Interpersonal Relations in Female College Students: The Mediating Effect of Coping Style. 2020 3rd International Seminar on Education Research and Social Science (ISERSS 2020),
Hughesdon, K. A., Ford, J. D., Briggs, E. C., Seng, J. S., Miller, A. L., & Stoddard, S. A. (2021). Interpersonal trauma exposure and interpersonal problems in adolescent posttraumatic stress disorder. Journal of Traumatic Stress, 34(4), 733-743. https://doi.org/10.1002/jts.22687
Kumpasoğlu, G. B., Saunders, R., Campbell, C., Nolte, T., Montague, R., Pilling, S., & Fonagy, P. (2025). Mentalizing, epistemic trust, and interpersonal problems in emotion regulation: A sequential path analysis across common mental health disorders and community control samples. Journal of Affective Disorders, 372, 502-511. https://doi.org/10.1016/j.jad.2024.12.050
Liu, H., Li, T. W., Liang, L., & Hou, W. K. (2021). Trauma exposure and mental health of prisoners and ex-prisoners: A systematic review and meta-analysis. Clinical psychology review, 89, 102069. https://doi.org/10.1016/j.cpr.2021.102069
Long, M., Verbeke, W., Ein-Dor, T., & Vrtička, P. (2020). A functional neuro-anatomical model of human attachment (NAMA): Insights from first-and second-person social neuroscience. Cortex, 126, 281-321. https://doi.org/10.1016/j.cortex.2020.01.010
Mishra, M., & Allen, M. S. (2023). Rejection sensitivity and romantic relationships: A systematic review and meta-analysis. Personality and individual differences, 208, 112186. https://doi.org/10.1016/j.paid.2023.112186
Oehlman Forbes, D., Lee, M., & Lakeman, R. (2021). The role of mentalization in child psychotherapy, interpersonal trauma, and recovery: A scoping review. Psychotherapy, 58(1), 50. https://doi.org/10.1037/pst0000341
Parada‐Fernández, P., Herrero‐Fernández, D., Oliva‐Macías, M., & Rohwer, H. (2021). Analysis of the mediating effect of mentalization on the relationship between attachment styles and emotion dysregulation. Scandinavian journal of psychology, 62(3), 312-320. https://doi.org/10.1111/sjop.12717
Ramadas, L., Doba, K., Mesquita, A. R., Wawrziczny, É., & Nandrino, J. L. (2024). Role of emotion regulation and mentalizing in rejection sensitivity: The specific relationship to potentially psychologically traumatic events. Personality and individual differences, 218, 112461. https://doi.org/10.1016/j.paid.2023.112461
Rasooli, M. Z. (2022). Comparing Interpersonal Problems and Attachment Styles in Adults With and Without Attention-Deficit/Hyperactivity Disorder. https://www.sid.ir/paper/1120947/fa#downloadbottom
Sahi, R. S., & Eisenberger, N. I. (2021). Why don't you like me? The role of the mentalizing network in social rejection. The Neural Basis of Mentalizing, 613-628. https://doi.org/10.1007/978-3-030-51890-5_32
Saunders, K. R., McGuinness, E., Barnett, P., Foye, U., Sears, J., Carlisle, S., & Trevillion, K. (2023). A scoping review of trauma-informed approaches in acute, crisis, emergency, and residential mental health care. BMC psychiatry, 23(1), 567. https://doi.org/10.1186/s12888-023-05016-z
Seyed Hashemi, S. G., Fathi Ahmadabadi, Z., Yaghoubi, H., Hosseinzadeh Khanmiri, B., & Shokrani, R. (2022). Explaining hypersexual behaviors based on attachment styles, psychological dysregulation, and coping strategies in Iranian adolescents. Knowledge & Research in Applied Psychology, 23(2), 169-179. https://doi.org/10.30486/jsrp.2020.1892094.2278
Zhang, X., Huang, P. F., Li, B. Q., Xu, W. J., Li, W., & Zhou, B. (2021). The influence of interpersonal relationships on school adaptation among Chinese university students during the COVID-19 control period: Multiple mediating roles of social support and resilience. Journal of Affective Disorders, 285, 97-104. https://doi.org/10.1016/j.jad.2021.02.040
Zhao, G., Wang, M., Xu, J., Lu, J., Akezhuoli, H., & Wang, F. (2022). Health status and association with interpersonal relationships among Chinese children from urban migrant to rural left-behind. Frontiers in Public Health, 10, 862219. https://doi.org/10.3389/fpubh.2022.862219
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