Reflective functioning as predictor of working alliance and outcome in the treatment of XXXX .

@entity1 @entity308 @entity146
AIMS: Although considerable attention has been paid to the concept of mentalization in psychotherapy, there is little research on mentalization as predictor of psychotherapy process and outcome. Using data from a randomized controlled trial of cognitive-behavioral therapy and interpersonal psychotherapy for @entity308 , we studied mentalization in 85 outpatients with @entity308 ( @entity308 ) according to the Diagnostic and Statistical Manual of @entity146 . It was hypothesized that @entity1 showing lower capacity for mentalization would experience poorer quality of alliance and worse outcome. METHOD: Depressive symptoms were measured each session using the Beck Depression Inventory-II. Mentalization was measured as reflective functioning (RF) on a slightly shortened version of the Adult Attachment Interview. A measure of @entity308 -specific reflective functioning (DSRF), measuring mentalization about depressive symptoms, was also used. The Working Alliance Inventory-Short Form Revised was completed after each session by both therapist and @entity1 . Longitudinal multilevel modeling was used to analyze data. RESULTS: The @entity1 had on average very low RF (M = 2.62, SD = 1.22). Lower pretreatment RF/DSRF predicted significantly lower therapist-rated working alliance during treatment. RF did not affect @entity1 -rated alliance, but lower DSRF predicted lower @entity1 -rated alliance across treatment. @entity1 with higher RF/DSRF had better outcomes on self-rated @entity308 . CONCLUSIONS: The findings showed lower than normal capacity for mentalization in @entity1 with @entity308 . Lower RF/DSRF predicted worse treatment outcome. More research is needed to understand how RF affects psychotherapy response and how RF is affected after recovery from @entity308 . (PsycINFO Database Record
