{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:00:33Z","timestamp":1791464433023,"version":"4.3.4"},"reference-count":56,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Somatization is frequently observed in patients with borderline personality disorder (BPD). BPD is characterized by difficulties in mentalizing capacity. This study aimed to examine somatization in BPD patients compared with a healthy control group, focusing on the roles of self\u2010 and other\u2010mentalizing in the relationship between attachment insecurity and somatic symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 164 individuals, including 82 patients diagnosed with BPD and 82 healthy controls, participated in our study between August 2023 and March 2024. Somatization Scale, Experiences in Close Relationships\u2010Revised, Trait Meta\u2010Mood Scale, Mentalization Scale, Reading the Mind in the Eyes Test were used to assess somatization, dimensions of attachment insecurity, self\u2010 and other\u2010mentalizing. Moderated mediation analysis was conducted using Model 15 in the PROCESS macro added to SPSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Somatization was observed to be more pronounced in patients with BPD compared to healthy controls. Self\u2010 and other\u2010mentalizing were closely related to somatization in BPD patients. It was demonstrated with moderated mediation analysis that clarity of feelings and mind\u2010reading ability mediated the association between attachment anxiety and somatization in BPD patients. In healthy controls, only clarity of feelings partially mediated this association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings suggest that self\u2010 and other\u2010mentalizing may serve as protective factors against the increased somatization observed in patients with BPD. Deficiencies in these mentalizing abilities may be linked to somatization due to difficulties in interpreting bodily signals and dealing with emotional distress from unstable relationships.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.70111","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:33:47Z","timestamp":1791462827000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Somatization in patients with borderline personality disorder compared to healthy controls: The mediating roles of self\u2010 and other\u2010mentalizing in the effect of attachment insecurity"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2081-7817","authenticated-orcid":false,"given":"Osman","family":"Demirci","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine Kafkas University  Kars T\u00fcrkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5896-5858","authenticated-orcid":false,"given":"B. Mert","family":"Savrun","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Cerrahpasa Faculty of Medicine Istanbul University\u2010Cerrahpasa  Istanbul T\u00fcrkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.2307\/1127388","article-title":"Attachment, exploration, and separation: Illustrated by the behavior of one\u2010year\u2010olds in a strange situation","volume":"41","author":"Ainsworth M. D.","year":"1970","journal-title":"Child Development"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cpsp.12300"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2024.111623"},{"key":"e_1_2_13_5_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u20105\u2122","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12409"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0215308"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0010\u20100277(85)90022\u20108"},{"issue":"2","key":"e_1_2_13_9_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1111\/1469-7610.00715","article-title":"The \u201cReading the mind in the eyes\u201d test revised version: A study with normal adults, and adults with Asperger syndrome or high\u2010functioning autism","volume":"42","author":"Baron\u2010Cohen S.","year":"2001","journal-title":"Journal of Child Psychology and Psychiatry"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.5080\/u25484"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721003718"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.130.3.201"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2005.08.001"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.14687\/ijhs.v11i2.3007"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000021948.90613.76"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.43.1.1"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.04.022"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2017.1310730"},{"key":"e_1_2_13_19_1","unstructured":"D\u00fclgerler \u015e. &\u00d6zg\u00fcr G.(2000).\u0130lk\u00f6\u011fretim Okulu \u00d6\u011fretmenlerinde Somatizasyon \u00d6l\u00e7e\u011fi Ge\u00e7erlik ve G\u00fcvenirlik \u00c7al\u0131\u015fmas\u0131 [Ege \u00dcniversitesi]. InUnpublished master dissertation Ege University \u0130zmir.https:\/\/scholar.google.com\/citations?view_op=view_citation&hl=tr&user=TZQ48X8AAAAJ&citation_for_view=TZQ48X8AAAAJ:HDshCWvjkbEC"},{"issue":"1","key":"e_1_2_13_20_1","first-page":"51","article-title":"Adaptation and reliability of the structured clinical interview for DSM\u20105\u2010disorders\u2014clinician version (SCID\u20105\/CV) to the Turkish language","volume":"30","author":"Elbir M.","year":"2019","journal-title":"Turk Psikiyatri Dergisi = Turkish Journal of Psychiatry"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci13030459"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579409990198"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479\u2010017\u20100061\u20109"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479\u2010017\u20100062\u20108"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u20103514.78.2.350"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2023.115675"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2018.29"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2015.0279"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13642"},{"key":"e_1_2_13_30_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression\u2010based approach","author":"Hayes A. F.","year":"2022"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2020.110164"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/08039488.2025.2604652"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21156"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.0589"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1159\/000541741"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010071919\u2010015355"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2020.11.003"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000117"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/02668734.2012.678061"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000437"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.08.049"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010024\u201057282\u2010w"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.2190\/PM.38.4.d"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.06.056"},{"key":"e_1_2_13_45_1","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1037\/10182-006","volume-title":"Emotion, disclosure, & health","author":"Salovey P.","year":"1995"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/cpsp.12244"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0119052"},{"issue":"16","key":"e_1_2_13_48_1","first-page":"1","article-title":"Yeti\u015fkin ba\u011flanma boyutlar\u0131 i\u00e7in yeni bir \u00f6l\u00e7\u00fcm: Yak\u0131n \u0130li\u015fkilerde Ya\u015fant\u0131lar Envanteri\u2010II'nin T\u00fcrk \u00f6rnekleminde psikometrik a\u00e7\u0131dan de\u011ferlendirilmesi","volume":"8","author":"Sel\u00e7uk E.","year":"2005","journal-title":"T\u00fcrk Psikoloji Yaz\u0131lar\u0131"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/15289168.2015.1004890"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2019.101781"},{"key":"e_1_2_13_51_1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/978-1-4419-6953-8_15","volume-title":"Emotion regulation and well\u2010being","author":"Subic\u2010Wrana C.","year":"2011"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3181d35e83"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380\u2010022\u201001503\u2010z"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.5080\/u25692"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000195834.37094.a4"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.5080\/u6500"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0140016"}],"container-title":["Psychology and Psychotherapy: Theory, Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.70111","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/papt.70111","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.70111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:33:50Z","timestamp":1791462830000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/papt.70111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":56,"alternative-id":["10.1111\/papt.70111"],"URL":"https:\/\/doi.org\/10.1111\/papt.70111","archive":["Portico"],"relation":{},"ISSN":["1476-0835","2044-8341"],"issn-type":[{"value":"1476-0835","type":"print"},{"value":"2044-8341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"assertion":[{"value":"2026-03-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"papt.70111"}}