Investigating psychometric properties of Parental Reflective Functioning Questionnaire (PRFQ)

Document Type : Research Paper

Authors

1 Ph.D. student in psychology, Department of Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

2 Professor, Department of Education and Counseling Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

3 Associate professor, Department of Education and Counseling Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

4 Associate professor, Department of Pediatrics, Mashhad University of Medical Science, Mashhad, Iran

Abstract

Introduction: Reflective function is one of the important and new areas in the development and pathology of children. This study aimed to determine the reliability and validity and reliability of the parental reflective functioning questionnaire in children.
Materials and Methods: The cases of this study conducted in Mashhad city (the second populous city in Iran) included 300 children aged 3-5 years (150 children with asthma and 150 healthy children). The children with asthma were selected through convenience sampling method from Akbar pediatric hospital and personal office in Mashhad city, and the healthy children selected through multistage cluster sampling from kindergartens of Mashhad in 2019. Mothers completed a parental reflective functioning questionnaire. The reliability of the questionnaire was assessed with Cronbach's alpha coefficient, and its validity with content validity and construct validity method (confirmatory factor analysis).
Results: The reliability coefficient of the questionnaire based on Cronbach’s alpha indicated desirable reliability for the whole scale and all three factors (α=0.60). The results of exploratory factor analysis (EFA) indicated three factors, totally defining 60 percent of the total variance. Also, confirmatory factor analysis indicated acceptable fitness in the determination of factors with new items. These factors were called pre-metallization, certainty about the mental states, and curiosity in the mental states in conformity with the main study.
Conclusion: It seems that the parental reflective functioning questionnaire is an useful questionnaire that has a desirable validity and reliability for measuring parental reflective function in Iranian population.

Keywords

References

1. Luyten P, Fonagy P, Lowyck B, Vermote R. The assessment of mentalization. In: Bateman A, Fonagy P, editors.
Handbook of mentalizing in mental health practice. Washington D.C.: American Psychiatric Publishing; 2012:
43-65.
2. Fonagy P, Gergely G, Jurist E L, Target M. Affect regulation, mentalization, and the development of self. New
York: Other Press; 2002.
3. Fonagy P, Gergely G, Target M. The parent-infant dyad and the construction of the subjective self. Journal of
Child Psychology and Psychiatry 2007, 48(1): 282-88.
4. Sharp C, Fonagy P. The parent’s capacity to treat the child as a psychological agent: Constructs, measures and
implications for developmental psychopathology. Soc Dev 2008; 17(3): 737-54.
5. Slade A. Parental reflective functioning: An introduction. Attach Hum Dev 2005; 7(1): 269-81.
6. Ensink K, Mayes LC. The development of mentalization in children from a theory of mind perspective.
Psychoanal Inq 2010; 30(4): 301-37.
7. Fonagy P, Luyten P, Bateman A, Gergely G, Strathearn L, Target M, et al. Attachment and personality
pathology. In: Clarkin JF, Fonagy P, Gabbard GO. (editors). Psychodynamic psychotherapy for personality
disorders: A clinical handbook. Washington. D.C: American Psychiatric Publishing; 2010; 37-87.
8. Luyten P, Fonagy P, Lemma A, Target M. Depression. In: Bateman AW, Fonagy P. (editors). Handbook of
mentalizing in mental health practice. Washington. D.C.: American Psychiatric Publishing; 2012: 385-417.
9. Sharp C, Pane H, Ha C, Venta A, Patel AB, Sturek J, et al. Theory of mind and emotion regulation difficulties
in adolescents with borderline traits. J Am Acad Child Adolesc Psychiatry 2011; 50(6): 563-73.
PSYCHOMETRIC PROPERTIES OF PARENTAL REFLECTIVE FUNCTIONING QUESTIONNAIRE FATHI ET AL
Fundamentals of Mental Health, 2020 Sep-Oct http://jfmh.mums.ac.ir 310
10. Luyten P, van Houdenhove B, Lemma A, Target M, Fonagy P. A mentalization-based approach to the
understanding and treatment of functional somatic disorders. Psychoanal Psychol 2012; 26(2): 121-40.
11. Luyten P, Mayes LC, Nijssens L, Fonagy P. Parental reflective functioning: Theory, research, and clinical
applications. Psychoanal Stud Child 2017; 70(1): 174-99.
12. Schiborr J, Lotzin A, Romer G, Schulte-Markwort M, Ramsauer B. Child-focused maternal mentalization: a
systematic review of measurement tools from birth to three. Measurement 2013; 46(8): 2492-509.
13. Fonagy P, Target M, Steele H, Steele M. Reflective-functioning manual, Version 5, for application to adult
attachment interviews. London: London University; 1998.
14. Oppenheim D, Koren-Karie N. Infant-parent relationship assessment: parents' insightfulness regarding their
young children's internal worlds. In: Zeanah CH. (editor). Handbook of infant mental health. 3rd ed. New York:
Guilford; 2009: 23-29.
15. Bretherton I, Biringen Z, Ridgeway D, Maslin C, Sherman M. Attachment: The parental perspective. Infant
Ment Health J 1989; 10(3): 203-21.
16. Furrow D, Moore C, Davidge J, Chiasson L. Mental terms in mothers' and children's speech: similarities and
relationships. J Child Lang 1992; 19(3): 617-31.
17. Ruffman T, Slade L, Crowe E. The relation between children's and mothers' mental state language and theoryof-mind understanding. Child Dev 2002; 73(3): 734-51.
18. Schechter DS, Myers MM, Brunelli SA, Coates SW, Zeanah CH, Davies M, et al. Traumatized mothers can
change their minds about their toddlers: Understanding how a novel use of video feedback supports positive
change of maternal attributions. Infant Ment Health J 2006; 27(5): 429-47.
19. Grienenberger J, Kelly K. Maternal reflective functioning, mother infant affective communication, and infant
attachment: exploring the link between mental state sand observed care giving behavior in the intergeneration
altransmission of attachment. Attach Hum Dev 2005; 73: 299-311.
20. Slade A, Bernbach E, Grienenberger J, Levy D, Locker A. Addendum to reflective functioning scoring manual
for use with the parent development interview. Version 3.0. New York: The City College and Graduate Center of
the City University of New York; 2007.
21. Steele M, Kaniuk J, Hodges J, Asquith K, Hillman S, Steele H. Measuring mentalization across contexts:
Links between representations of childhood and representations of parenting in an adoption sample. In: Jurist EL,
Slade A, Bergner S. (editors). Mind to mind: Infant research, neuroscience, and psychoanalysis. New York: Other
Press; 2008: 115-38.
22. Allen JG, Fonagy P, Bateman AW. Mentalizing in clinical practice. Washington. D.C.: American Psychiatric
Publishing; 2008.
23. Levy KN, Beeney JE, Temes CM. Attachment and its vicissitudes in borderline personality disorder. Curr
Psychiatry Rep 2011; 13(1): 50-9.
24. Pazzagli C, Delvecchio E, Raspa V, Mazzeschi C, Luyten P. The parental reflective functioning questionnaire
in mothers and fathers of school-aged children. J Child Fam Stud 2018; 27: 80-90.
25. Slade A, Grienenberger J, Bernbach E, Levy D, Locker A. Maternal reflective functioning, attachment and
the transmission gap: A preliminary study. Attach Hum Dev 2005; 7(3): 283-98.
Journal of Fundamentals of Mental Health
Volume 22, Issue 5
September and October 2020
Pages 301-310

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