Validating measurement tools for mentalization, emotion regulation difficulties and identity diffusion among Finnish adolescents

Mentalization, emotion regulation, and identity diffusion are theoretically and clinically important transdiagnostic psychological constructs that contribute to mental health. In order to advance meaningful empirical research on these constructs, we need measures that are well tested. In this study, we used confirmatory factor analysis to assess the reliability and construct validity of the Mentalization Questionnaire (MZQ), different versions of the Difficulties in Emotion Regulation Scale (DERS), and the Assessment of Identity Development and Identity Diffusion in Adolescence (AIDA) with data from a general population of Finnish adolescents (N = 360). For MZQ, the factor structure and validity of the subscales were not confirmed. For DERS, a short version, that did not include the lack of emotional awareness subscale was the most coherent and recommendable version of the measure, with a good degree of reliability and a reasonable indication of the convergent and discriminative validity between the subscales. For AIDA, the factor structure was confirmed, but when using this measure for research purposes, it should be taken into account that reverse coding items may affect the factor structure by creating a method factor. The reliability of the AIDA was acceptable, but some of the subscales showed poor convergent and discriminative validity.Peer reviewe

Validating measurement tools for mentalization, emotion regulation difficulties and identity diffusion among Finnish adolescents

Mentalization, emotion regulation, and identity diffusion are theoretically and clinically important transdiagnostic psychological constructs that contribute to mental health. In order to advance meaningful empirical research on these constructs, we need measures that are well tested. In this study, we used confirmatory factor analysis to assess the reliability and construct validity of the Mentalization Questionnaire (MZQ), different versions of the Difficulties in Emotion Regulation Scale (DERS), and the Assessment of Identity Development and Identity Diffusion in Adolescence (AIDA) with data from a general population of Finnish adolescents (N = 360). For MZQ, the factor structure and validity of the subscales were not confirmed. For DERS, a short version, that did not include the lack of emotional awareness subscale was the most coherent and recommendable version of the measure, with a good degree of reliability and a reasonable indication of the convergent and discriminative validity between the subscales. For AIDA, the factor structure was confirmed, but when using this measure for research purposes, it should be taken into account that reverse coding items may affect the factor structure by creating a method factor. The reliability of the AIDA was acceptable, but some of the subscales showed poor convergent and discriminative validity

Identity Integration in Adolescents With Features of Gender Dysphoria Compared to Adolescents in General Population

Adolescence is an important period for identity formation and identity consolidation is one of the main developmental tasks. Gender identity is an essential aspect of identity but so far little is known about its development. Neither has the identity development of adolescents with features of gender dysphoria (GD) been extensively studied so far. However, adolescents with features of GD have been shown to present extensive psychiatric psychopathology and could therefore be assumed also to have more problems with identity development. We set out to compare the identity integration of adolescents with features of GD (n = 215; 186 natal females, 29 natal males) and adolescents from general population (n = 400; 244 females, 154 males and 2 who did not report their sex) using a culture-adapted Finnish version of an assessment tool for adolescents and young adults on identity in terms of personality functioning, the Assessment of Identity Development in Adolescence (AIDA). AIDA is a 58-item self-report questionnaire enabling dimensional differentiation between healthy and impaired identity development. The continuous AIDA total score (sum score) and its subscales were analyzed using MANOVA, and dichotomized T-scores differentiating identity development in impaired and healthy range using cross-tabulations with chi-square statistics. Adolescents with features of GD showed identity development similar to adolescents in general population. The slight differences seen in AIDA scores were in favor of the GD group. The proportion scoring to identity impairment was lowest among gender-referred adolescents assigned males at birth. Identity integration of the gender-referred adolescents was further compared to that of 77 adolescents in specialist level psychiatric outpatient treatment (67 females, 10 males). The adolescent psychiatric outpatients scored much higher toward impaired identity on all AIDA scales than did the adolescents with features of GD. These results suggest that features of GD are not associated with problems in identity development in adolescents at large. Adolescents with features of GD may have been required to process their identity more, thereby advancing further in their identity consolidation process than young people on average.publishedVersionPeer reviewe

The role of attachment and emotion regulation in the psychosocial intervention among war-affected children

This study examined (1) how attachment style predicts changes in mental health, and (2) whether change in emotion regulation (ER) intensity mediates that association in the context of psychosocial intervention among war-affected children. Participants were 482 Palestinian children whose school classes were randomized to either intervention (Teaching Recovery Techniques, TRT) or waiting-list groups. Attachment style, emotion regulation, and mental health were measured. The children with secure attachment were more likely to gain improved mental health in both conditions, but also preoccupied-insecure children showed improved mental health in the TRT. In the control group, instead, children with more attachment avoidance reported deteriorated mental health, and no changes in mental health was found among preoccupied children. Changes in the ER intensity did not mediate the association