The Role of Mentalization in Linking Trauma, Attachment Styles, and Rejection Sensitivity to Interpersonal Relationships
Downloads
Objective: The goal of this study was to investigate how trauma, attachment issues, and rejection sensitivity impact interpersonal relationships, and how mentalization plays a role in mediating these effects among both male and female clients at psychology and counseling clinics.
Methods and Materials: The current research was a descriptive-correlational study utilizing a cross-sectional research design. The structural model method and path analysis were employed to investigate the impact of the mediator variable. The statistical population for this study comprised all male and female individuals seeking services at psychology and counseling clinics in Tehran from July to October 2023 (Male (%49.7) and female (%50.3)). A total of 191 participants were randomly selected to form the statistical sample. Research instruments utilized in this study 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 analysis was performed in the descriptive statistics and Pearson correlation section using SPSS version 27 software, and path analysis and model fitting were performed using SMARTPLS version 4. Statistical analysis was performed with a p-value of 0.05.
Findings: According to the study results, rejection sensitivity adversely affected interpersonal relationships through mentalization (β = -0.087, p = 0.002). Similarly, trauma was correlated to a detrimental impact on interpersonal relationships via mentalization (β = -0.132, p = 0.001). Additionally, research showed that individuals with an avoidant attachment style experienced significant negative consequences in their interpersonal relationships (β = -0.229, p = 0.001). On the other hand, mentalization was discovered to have a favorable impact on interpersonal relationships (β = 0.303, p < 0.001).
Conclusion: This research underscores the significance of mentalization and secure attachment style in enhancing interpersonal relationships and brings attention to the detrimental impact of rejection sensitivity and trauma. These results have the potential to assist psychologists and counselors in offering more efficient therapies through a focus on mentalization, attachment style, and minimizing the repercussions of trauma and rejection sensitivity.
Downloads
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
Copyright (c) 2025 International Journal of Body, Mind and Culture

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.