{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:16:10Z","timestamp":1788394570841,"version":"build-2803163510"},"reference-count":49,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T00:00:00Z","timestamp":1677196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012550","name":"Nemzeti Kutat\u00e1si, Fejleszt\u00e9si \u00e9s Innovaci\u00f3s Alap","doi-asserted-by":"publisher","award":["\u00daNKP-21-4 New National Excellence Program of the Ministry for Innovation and Technology"],"award-info":[{"award-number":["\u00daNKP-21-4 New National Excellence Program of the Ministry for Innovation and Technology"]}],"id":[{"id":"10.13039\/501100012550","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011019","name":"Nemzeti Kutat\u00e1si Fejleszt\u00e9si \u00e9s Innov\u00e1ci\u00f3s Hivatal","doi-asserted-by":"publisher","award":["KKP126835, K131635"],"award-info":[{"award-number":["KKP126835, K131635"]}],"id":[{"id":"10.13039\/501100011019","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012550","name":"National Research, Development and Innovation Fund","doi-asserted-by":"crossref","award":["\u00daNKP-22\u20134-II-ELTE-158"],"award-info":[{"award-number":["\u00daNKP-22\u20134-II-ELTE-158"]}],"id":[{"id":"10.13039\/501100012550","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>\n                    Although it is a widely used questionnaire, limitations regarding the scoring procedure and the structural validity of the eight-item Reflective Functioning Questionnaire (RFQ-8) were raised. The present study aimed to examine further the latent dimensionality of the RFQ-8 and to examine linear and non-linear associations between mentalization difficulties and maladaptive psychological characteristics. Data from two separate representative samples of young adults (\n                    <jats:italic>N<\/jats:italic>\n                    = 3890; females: 51.68%; mean age: 27.06 years [\n                    <jats:italic>SD<\/jats:italic>\n                    = 4.76]) and adults (\n                    <jats:italic>N<\/jats:italic>\n                    = 1385; females: 53.20%; mean age: 41.77 years [\n                    <jats:italic>SD<\/jats:italic>\n                    = 13.08]) were used. In addition to the RFQ-8, standardized questionnaires measured the levels of impulsivity, sensation seeking, rumination, worry and well-being. Confirmatory factor analysis (CFA) was used to test the model fit of competing measurement models. CFA revealed that a revised, seven-item version of the RFQ (RFQ-R-7) with a unidimensional structure showed the most optimal levels of model fit in both samples. Impulsivity, sensation seeking, rumination and worry consistently presented significant, positive, linear associations with general mentalization difficulties in both samples. Significant quadratic associations were also identified, but these relationships closely followed the linear associations between the variables and increased only marginally the explained variance. The supported unidimensional measurement model and the associations between the general mentalization difficulties factor and maladaptive psychological characteristics indicated that the RFQ-R-7 captures a dimension of hypomentalization ranging between low and high levels of uncertainty. Increasing levels of hypomentalization can indicate a risk for less adaptive psychological functioning. Further revisions of the RFQ-8 might be warranted in the future to ensure adequate measurement for hypermentalization.\n                  <\/jats:p>","DOI":"10.1371\/journal.pone.0282000","type":"journal-article","created":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T13:31:30Z","timestamp":1677245490000},"page":"e0282000","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":23,"title":["The Reflective Functioning Questionnaire\u2013Revised\u2013 7 (RFQ-R-7): A new measurement model assessing hypomentalization"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9088-8186","authenticated-orcid":true,"given":"Zsolt","family":"Horv\u00e1th","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orsolya","family":"Demetrovics","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Borb\u00e1la","family":"Paksi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Unoka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Demetrovics","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,2,24]]},"reference":[{"issue":"7","key":"pone.0282000.ref001","doi-asserted-by":"crossref","first-page":"e0158678","DOI":"10.1371\/journal.pone.0158678","article-title":"Development and Validation of a Self-Report Measure of Mentalizing: The Reflective Functioning Questionnaire","volume":"11","author":"P Fonagy","year":"2016","journal-title":"PLOS ONE"},{"issue":"1","key":"pone.0282000.ref002","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1146\/annurev-clinpsy-071919-015355","article-title":"The Mentalizing Approach to Psychopathology: State of the Art and Future Directions","volume":"16","author":"P Luyten","year":"2020","journal-title":"Annu Rev Clin Psychol"},{"key":"pone.0282000.ref003","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and statistical manual of mental disorders (5th ed.)","author":"American Psychiatric Association","year":"2013"},{"issue":"3","key":"pone.0282000.ref004","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1093\/schbul\/sbt048","article-title":"A Meta-Analysis of Mentalizing Impairments in Adults With Schizophrenia and Autism Spectrum Disorder.","volume":"40","author":"YS Chung","year":"2014","journal-title":"Schizophr Bull."},{"issue":"2","key":"pone.0282000.ref005","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.cpr.2013.12.003","article-title":"Reflective functioning: A review","volume":"34","author":"H. Katznelson","year":"2014","journal-title":"Clin Psychol Rev"},{"issue":"5","key":"pone.0282000.ref006","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1080\/08039488.2019.1707869","article-title":"The mentalization profile in patients with eating disorders: a systematic review and meta-analysis.","volume":"74","author":"CB Simonsen","year":"2020","journal-title":"Nord J Psychiatry."},{"issue":"12","key":"pone.0282000.ref007","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1016\/j.jaac.2012.09.018","article-title":"Mentalization-Based Treatment for Self-Harm in Adolescents: A Randomized Controlled Trial","volume":"51","author":"TI Rossouw","year":"2012","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"issue":"4","key":"pone.0282000.ref008","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1111\/papt.12194","article-title":"Is mentalization\u2010based therapy effective in treating the symptoms of borderline personality disorder? 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M\u00fcller","year":"2021","journal-title":"J Pers Assess."},{"issue":"1","key":"pone.0282000.ref012","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1080\/0803706X.2021.1873418","article-title":"Mentalizing and emotion regulation: Evidence from a nonclinical sample.","volume":"30","author":"NH Schwarzer","year":"2021","journal-title":"Int Forum Psychoanal."},{"issue":"6","key":"pone.0282000.ref013","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/j.jaac.2011.01.017","article-title":"Theory of Mind and Emotion Regulation Difficulties in Adolescents With Borderline Traits","volume":"50","author":"C Sharp","year":"2011","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"issue":"1","key":"pone.0282000.ref014","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1080\/02673843.2021.1931376","article-title":"The relationship between mentalization and borderline personality features in adolescents: mediating role of emotion 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Bateman","year":"2016","edition":"1"},{"issue":"12","key":"pone.0282000.ref018","doi-asserted-by":"crossref","first-page":"e0145892","DOI":"10.1371\/journal.pone.0145892","article-title":"The French Version of the Reflective Functioning Questionnaire: Validity Data for Adolescents and Adults and Its Association with Non-Suicidal Self-Injury","volume":"10","author":"D Badoud","year":"2015","journal-title":"PLOS ONE"},{"issue":"3","key":"pone.0282000.ref019","doi-asserted-by":"crossref","first-page":"216","DOI":"10.22365\/jpsych.2020.313.216","article-title":"Psychometric properties and factor structure of the Greek version of Reflective Functioning Questionnaire","volume":"31","author":"F Griva","year":"2020","journal-title":"Psychiatriki"},{"issue":"11","key":"pone.0282000.ref020","doi-asserted-by":"crossref","first-page":"e0206433","DOI":"10.1371\/journal.pone.0206433","article-title":"The Italian version of the Reflective Functioning Questionnaire: Validity data for adults and its 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Spitzer","year":"2021","journal-title":"PPmP\u2014Psychother \u00b7 Psychosom \u00b7 Med Psychol"},{"issue":"6","key":"pone.0282000.ref023","doi-asserted-by":"crossref","first-page":"e20161878","DOI":"10.1542\/peds.2016-1878","article-title":"National Trends in the Prevalence and Treatment of Depression in Adolescents and Young Adults","volume":"138","author":"R Mojtabai","year":"2016","journal-title":"Pediatrics"},{"issue":"2","key":"pone.0282000.ref024","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.cpr.2009.11.004","article-title":"Emotion-regulation strategies across psychopathology: A meta-analytic review","volume":"30","author":"A Aldao","year":"2010","journal-title":"Clin Psychol Rev"},{"issue":"4","key":"pone.0282000.ref025","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s10608-006-9055-4","article-title":"Evidence of Broad Deficits in Emotion Regulation Associated with Chronic Worry and Generalized Anxiety Disorder.","volume":"30","author":"K Salters-Pedneault","year":"2006","journal-title":"Cogn Ther Res"},{"issue":"4","key":"pone.0282000.ref026","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1037\/abn0000258","article-title":"The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies.","volume":"126","author":"R Kotov","year":"2017","journal-title":"J Abnorm Psychol"},{"issue":"3","key":"pone.0282000.ref027","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1159\/000376585","article-title":"The WHO-5 Well-Being Index: A Systematic Review of the Literature.","volume":"84","author":"CW Topp","year":"2015","journal-title":"Psychother Psychosom"},{"issue":"1","key":"pone.0282000.ref028","first-page":"184","volume":"23","author":"B Paksi","year":"2021","journal-title":"Mar"},{"issue":"2","key":"pone.0282000.ref029","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1556\/2006.2020.00030","article-title":"The 21-item Barratt Impulsiveness Scale Revised (BIS-R-21): An alternative three-factor model","volume":"9","author":"M Kapit\u00e1ny-F\u00f6v\u00e9ny","year":"2020","journal-title":"J Behav Addict"},{"issue":"6","key":"pone.0282000.ref030","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1002\/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1","article-title":"Factor structure of the barratt impulsiveness scale","volume":"51","author":"JH Patton","year":"1995","journal-title":"J Clin Psychol"},{"issue":"3","key":"pone.0282000.ref031","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0191-8869(01)00032-0","article-title":"Reliability and validity of a brief measure of sensation seeking","volume":"32","author":"RH Hoyle","year":"2002","journal-title":"Personal Individ Differ"},{"issue":"1","key":"pone.0282000.ref032","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1093\/ntr\/ntp174","article-title":"Smoking outcome expectancies mediate the association between sensation seeking, peer smoking, and smoking among young adolescents","volume":"12","author":"R. Urb\u00e1n","year":"2010","journal-title":"Nicotine Tob Res"},{"issue":"12","key":"pone.0282000.ref033","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1080\/08870446.2016.1235166","article-title":"Rumination in migraine: Mediating effects of brooding and reflection between migraine and psychological distress","volume":"31","author":"G Kokonyei","year":"2016","journal-title":"Psychol Health"},{"issue":"3","key":"pone.0282000.ref034","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1023\/A:1023910315561","article-title":"Rumination reconsidered: A psychometric analysis.","volume":"27","author":"W Treynor","year":"2003","journal-title":"Cogn Ther Res"},{"issue":"3","key":"pone.0282000.ref035","doi-asserted-by":"crossref","first-page":"e745","DOI":"10.1038\/tp.2016.19","article-title":"Distinct effects of folate pathway genes MTHFR and MTHFD1L on ruminative response style: a potential risk mechanism for depression.","volume":"6","author":"N Eszlari","year":"2016","journal-title":"Transl Psychiatry"},{"issue":"4","key":"pone.0282000.ref036","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1002\/cpp.724","article-title":"Preliminary validation of an ultra-brief version of the Penn State Worry Questionnaire","volume":"18","author":"D Berle","year":"2011","journal-title":"Clin Psychol Psychother"},{"issue":"3","key":"pone.0282000.ref037","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1027\/1015-5759\/a000221","article-title":"Hungarian Validation of the Penn State Worry Questionnaire (PSWQ): Method Effects and Comparison of Paper-Pencil Versus Online Administration.","volume":"31","author":"P Pajkossy","year":"2015","journal-title":"Eur J Psychol Assess"},{"issue":"4","key":"pone.0282000.ref038","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1159\/000289073","article-title":"The WHO (Ten) Weil-Being Index: Validation in Diabetes.","volume":"65","author":"P Bech","year":"1996","journal-title":"Psychother Psychosom"},{"issue":"3","key":"pone.0282000.ref039","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1556\/Mental.7.2006.3.8","article-title":"A WHO j\u00f3l-l\u00e9t k\u00e9rd\u0151\u00edv r\u00f6vid\u00edtett (WBI-5) magyar v\u00e1ltozat\u00e1nak valid\u00e1l\u00e1sa a Hungarostudy 2002 orsz\u00e1gos lakoss\u00e1gi eg\u00e9szs\u00e9gfelm\u00e9r\u00e9s alapj\u00e1n","volume":"7","author":"\u00c9 Sus\u00e1nszky","year":"2006","journal-title":"Ment\u00e1lhig \u00c9s Pszichoszomatika"},{"key":"pone.0282000.ref040","first-page":"462","volume-title":"Confirmatory factor analysis for applied research. Second edition","author":"TA Brown","year":"2015"},{"key":"pone.0282000.ref041","volume-title":"Mplus User\u2019s Guide. Eight Edition.","author":"LK Muth\u00e9n","year":"2017"},{"issue":"3","key":"pone.0282000.ref042","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1177\/0049124114543236","article-title":"The Performance of RMSEA in Models With Small Degrees of Freedom.","volume":"44","author":"DA Kenny","year":"2015","journal-title":"Sociol Methods Res."},{"issue":"2","key":"pone.0282000.ref043","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1177\/0013164418783530","article-title":"Understanding the Model Size Effect on SEM Fit Indices.","volume":"79","author":"D Shi","year":"2019","journal-title":"Educ Psychol Meas."},{"issue":"9","key":"pone.0282000.ref044","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1111\/acer.12131","article-title":"Multidimensionality in Impulsivity and Alcohol Use: A Meta-Analysis Using the UPPS Model of Impulsivity","volume":"37","author":"A Coskunpinar","year":"2013","journal-title":"Alcohol Clin Exp Res"},{"issue":"1","key":"pone.0282000.ref045","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1002\/bdm.1784","article-title":"Individual Differences in Risky Decision Making: A Meta-analysis of Sensation Seeking and Impulsivity with the Balloon Analogue Risk Task: Personality and Risky Decision Making.","volume":"27","author":"M Lauriola","year":"2014","journal-title":"J Behav Decis Mak."},{"key":"pone.0282000.ref046","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.drugalcdep.2016.09.016","article-title":"UPPS-P model impulsivity and marijuana use behaviors in adolescents: A meta-analysis.","volume":"168","author":"JD VanderVeen","year":"2016","journal-title":"Drug Alcohol Depend"},{"issue":"11\u201312","key":"pone.0282000.ref047","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/S0005-7967(96)00050-2","article-title":"Modelling cognition in emotional disorder: The S-REF model.","volume":"34","author":"A Wells","year":"1996","journal-title":"Behav Res Ther"},{"key":"pone.0282000.ref048","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jad.2021.06.024","article-title":"Metacognitions, rumination, and worry in personality disorder","volume":"293","author":"MM Spada","year":"2021","journal-title":"J Affect Disord"},{"issue":"2","key":"pone.0282000.ref049","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1002\/jclp.22147","article-title":"Metacognition and Mentalizing in the Psychotherapy of Patients With Psychosis and Personality Disorders: Metacognition and Mentalizing.","volume":"71","author":"G Dimaggio","year":"2015","journal-title":"J Clin Psychol."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0282000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T13:31:58Z","timestamp":1677245518000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0282000"}},"subtitle":[],"editor":[{"given":"Marco","family":"Innamorati","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,2,24]]},"references-count":49,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,2,24]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0282000","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,24]]}}}