TY - JOUR
T1 - General mentalizing, emotional theory of mind and interpersonal mistrust in anorexia nervosa
T2 - The validation of the Hebrew version of the Cambridge mindreading face-task
AU - Rothschild-Yakar, Lily
AU - Goshen, Dor
AU - Enoch-Levy, Adi
AU - Raanan, Hadas
AU - Gur, Eitan
AU - Stein, Daniel
AU - Golan, Ofer
N1 - Publisher Copyright: © 2021 John Wiley & Sons, Ltd.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Objective: This study had two goals. The first was to validate and examine the potential of the Hebrew version of the Cambridge Mindreading face task (CAMHeb)—an ecological measure of emotional theory of mind (eToM)—to assess eToM in individuals with anorexia nervosa (AN). The second goal was to examine whether interpersonal mistrust would mediate the relation between mentalizing and eToM and the severity of AN. Method: The validity of the CAMHeb was examined using well-established measures of mentalizing ability and eToM in 45 young female patients with AN and 53 control participants. Next, the mediation model was assessed using a subsample of 33 AN patients and 34 controls, in which interpersonal mistrust was additionally assessed. Results: The CAMHeb correlated with the measures of mentalizing ability and eToM. The CAMHeb, along with the measure of general mentalizing, significantly differentiated between the AN and control groups. The associations of general mentalizing and CAMHeb with eating disorder (ED) symptoms were mediated by interpersonal mistrust. Conclusion: The CAMHeb is a valid measure of deficient eToM in AN. In therapy, an increase in mentalizing ability and accurate eToM may enhance interpersonal trust, which may further contribute to attenuation of AN symptoms.
AB - Objective: This study had two goals. The first was to validate and examine the potential of the Hebrew version of the Cambridge Mindreading face task (CAMHeb)—an ecological measure of emotional theory of mind (eToM)—to assess eToM in individuals with anorexia nervosa (AN). The second goal was to examine whether interpersonal mistrust would mediate the relation between mentalizing and eToM and the severity of AN. Method: The validity of the CAMHeb was examined using well-established measures of mentalizing ability and eToM in 45 young female patients with AN and 53 control participants. Next, the mediation model was assessed using a subsample of 33 AN patients and 34 controls, in which interpersonal mistrust was additionally assessed. Results: The CAMHeb correlated with the measures of mentalizing ability and eToM. The CAMHeb, along with the measure of general mentalizing, significantly differentiated between the AN and control groups. The associations of general mentalizing and CAMHeb with eating disorder (ED) symptoms were mediated by interpersonal mistrust. Conclusion: The CAMHeb is a valid measure of deficient eToM in AN. In therapy, an increase in mentalizing ability and accurate eToM may enhance interpersonal trust, which may further contribute to attenuation of AN symptoms.
KW - anorexia
KW - eToM
KW - interpersonal mistrust
KW - reflective functioning
UR - http://www.scopus.com/inward/record.url?scp=85108141975&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/cpp.2626
DO - https://doi.org/10.1002/cpp.2626
M3 - Article
C2 - 34110657
SN - 1063-3995
VL - 29
SP - 240
EP - 249
JO - Clinical Psychology and Psychotherapy
JF - Clinical Psychology and Psychotherapy
IS - 1
ER -