Insecure attachment is linked to mentalizing difficulties and psychopathology. The current study aimed to examine if failures in mentalization, as observed in the form of uncertainty about mental states, mediated the relationship between attachment styles and global psychopathology in a group of 812 adults (66.5% females) from the community. Participants completed measures on attachment styles, uncertainty about mental states, and clinical symptoms. The authors found that uncertainty about mental states was a partial mediator of the associations between attachment styles and psychopathology. Furthermore, the findings supported the role of secure attachment in protecting from mentalization failures and psychopathology; on the contrary, increased scores on attachment styles involving a negative view of the self (preoccupied and fearful attachment styles) predicted high levels of uncertainty about mental states and psychopathology. Accordingly, clinicians may wish to promote mentalizing abilities in individuals who display a negative view of the self embedded in their attachment styles.

中文翻译：

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不安全思想的脆弱性：心理化在依恋风格和精神病理学之间的关系中的中介作用。

不安全的依恋与心理化困难和精神病理学有关。目前的研究旨在检查心理化失败，如以精神状态不确定的形式观察到的，是否介导了来自社区的 812 名成年人（66.5% 女性）的依恋风格与全球精神病理学之间的关系。参与者完成了对依恋风格、精神状态的不确定性和临床症状的测量。作者发现，精神状态的不确定性是依恋风格与精神病理学之间关联的部分中介因素。此外，研究结果支持安全依恋在防止心理化失败和精神病理学方面的作用；相反，涉及对自我的负面看法（专注和恐惧的依恋风格）的依恋风格得分的增加预示着对精神状态和精神病理学的高度不确定性。因此，临床医生可能希望提高那些对依恋风格中的自我表现出负面看法的个体的心理化能力。