Self‐report measure of parental reflective functioning: A study of reliability and validity across three samples of varying clinical risk
Abstract
The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community sample, previous mental health diagnosis, substance use disorder diagnosis). Across samples, the majority (e.g., 75%–78%) of mothers identified as White; all mothers were from the USA. We compared the PRFQ to task‐based measures of mentalization, the Parent Development Interview (PDI), and measures of the parent‐child relationship. The PRFQ was a reliable measure across samples, and it was associated in theoretically consistent ways with task‐based measures of mentalization. Parental RF across the PDI and PRFQ were not highly correlated in a sample of mothers with substance use disorders. Existing RF measures may be tapping into a different component of the broader construct of parental reflective functioning (PRF). The PRFQ was further validated by demonstrating relationships with parent‐report measures of the parent‐child relationship. Taken together, these findings provide additional support for the reliability and validity of the PRFQ.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The validity of self-report measures to assess parenting representations such as parental reflective functioning and caregiving helplessness has been questioned.
“The validity of self-report measures to assess parenting representations such as parental reflective functioning and caregiving helplessness has been questioned [17, 64, 65]”
From Optimizing parenting and child outcomes following parent–child interaction therapy – toddler: a randomized controlled trial (2024) · cites this paper as [17]
Cites
(1978) · Medical Entomology and Zoology · Cited by 12,570 · see citing works
Amazon's Mechanical Turk: A New Source of Inexpensive, Yet High-Quality, Data?
Buhrmester, M., Kwang, T., & Gosling, S. D. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691610393980 · Cited by 9,996 · see citing works
Cicchetti, D. V. (1994) · Psychological Assessment · doi:10.1037/1040-3590.6.4.284 · Cited by 9,349 · see citing works
Baron‐Cohen, S., Wheelwright, S., Hill, J., Raste, Y., & Plumb, I. (2001) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00715 · Cited by 4,555 · see citing works
Abidin, R. R. (1990) · PsycTESTS Dataset · doi:10.1037/t02445-000 · Cited by 1,618 · see citing works
Fearon, R. P., Bakermans-Kranenburg, M. J., Van IJzendoorn, M. H., Lapsley, A.-M., & Roisman, G. I. (2010) · Child Development · doi:10.1111/j.1467-8624.2009.01405.x · Cited by 1,326 · see citing works
Parental reflective functioning: An introduction
Slade, A. (2005) · Attachment & Human Development · doi:10.1080/14616730500245906 · Cited by 1,209 · see citing works
Using Mechanical Turk to Study Clinical Populations
Shapiro, D. N., Chandler, J., & Mueller, P. A. (2013) · Clinical Psychological Science · doi:10.1177/2167702612469015 · Cited by 1,139 · see citing works
Maternal reflective functioning, attachment and the transmission gap: a preliminary study.
Slade, A., Grienenberger, J., Bernbach, E., Levy, D., & Locker, A. (2005) · Attachment & Human Development · doi:10.1080/14616730500245880 · Cited by 785 · see citing works
Fonagy, P., Luyten, P., Moulton-Perkins, A., Lee, Y.-W., Warren, F., Howard, S., Ghinai, R., Fearon, P., & Lowyck, B. (2016) · PLOS ONE · doi:10.1371/journal.pone.0158678 · Cited by 754 · see citing works
Implications of attachment theory for developmental psychopathology
Sroufe, L. A., Carlson, E. A., Levy, A. K., & Egeland, B. R. (1999) · Development and Psychopathology · doi:10.1017/s0954579499001923 · Cited by 664 · see citing works
The Adult Attachment Interview and self-reports of attachment style: An empirical rapprochement.
Roisman, G. I., Holland, A. S., Fortuna, K., Fraley, R. C., Clausell, E., & Clarke, A. (2007) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.92.4.678 · Cited by 533 · see citing works
Oakley, B. F. M., Brewer, R., Bird, G., & Catmur, C. (2016) · Journal of Abnormal Psychology · doi:10.1037/abn0000182 · Cited by 405 · see citing works
Sadler, L. S., Slade, A., Close, N., Webb, D. L., Simpson, T., Fennie, K., & Mayes, L. C. (2013) · Infant Mental Health Journal · doi:10.1002/imhj.21406 · Cited by 313 · see citing works
Parental Reflective Functioning: Theory, Research, and Clinical Applications
Luyten, P., Nijssens, L., Fonagy, P., & Mayes, L. C. (2017) · The Psychoanalytic Study of the Child · doi:10.1080/00797308.2016.1277901 · Cited by 256 · see citing works
Olderbak, S., Wilhelm, O., Olaru, G., Geiger, M., Brenneman, M. W., & Roberts, R. D. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01503 · Cited by 228 · see citing works
Suchman, N. E., DeCoste, C. L., McMahon, T. J., Dalton, R., Mayes, L. C., & Borelli, J. (2017) · Development and Psychopathology · doi:10.1017/s0954579417000220 · Cited by 228 · see citing works
Self-citationSuchman, N. E., DeCoste, C., Castiglioni, N., McMahon, T. J., Rounsaville, B., & Mayes, L. (2010) · Attachment & Human Development · doi:10.1080/14616734.2010.501983 · Cited by 218 · see citing works
Self-citationRutherford, H. J. V., Goldberg, B., Luyten, P., Bridgett, D. J., & Mayes, L. C. (2013) · Infant Behavior and Development · doi:10.1016/j.infbeh.2013.06.008 · Cited by 167 · see citing works
The eyes test as a measure of individual differences: how much of the variance reflects verbal IQ?
Peterson, E., & Miller, S. F. (2012) · Frontiers in Psychology · doi:10.3389/fpsyg.2012.00220 · Cited by 129 · see citing works
Associations between Emotion Regulation and Parental Reflective Functioning
Schultheis, A., Mayes, L. C., & Rutherford, H. J. V. (2019) · Journal of Child and Family Studies · doi:10.1007/s10826-018-01326-z · Cited by 124 · see citing works
Who mothers mommy? Factors that contribute to mothers’ well-being.
Luthar, S. S., & Ciciolla, L. M. (2015) · Developmental Psychology · doi:10.1037/dev0000051 · Cited by 117 · see citing works
Using Mechanical Turk to Study Family Processes and Youth Mental Health: A Test of Feasibility
Schleider, J. L., & Weisz, J. R. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0126-6 · Cited by 112 · see citing works
The Parental Reflective Functioning Questionnaire in Mothers and Fathers of School-Aged Children
Pazzagli, C., Delvecchio, E., Raspa, V., Mazzeschi, C., & Luyten, P. (2017) · Journal of Child and Family Studies · doi:10.1007/s10826-017-0856-8 · Cited by 108 · see citing works
Suchman, N. E., Decoste, C., Rosenberger, P., & McMahon, T. J. (2012) · Infant Mental Health Journal · doi:10.1002/imhj.21311 · Cited by 90 · see citing works
Self-citationHuber, A., McMahon, C. A., & Sweller, N. (2015) · Infant Mental Health Journal · doi:10.1002/imhj.21540 · Cited by 88 · see citing works
Anis, L., Perez, G., Benzies, K., Ewashen, C., Hart, M. J., & Letourneau, N. L. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.574719 · Cited by 87 · see citing works
Mentalization-based treatments with children and families: A systematic review of the literature
Byrne, G., Murphy, S., & Connon, G. (2020) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104520920689 · Cited by 82 · see citing works
Reassessing the validity of the attachment Q‐sort: An updated meta‐analysis
Cadman, T., Diamond, P. R., & Fearon, P. R. M. (2017) · Infant and Child Development · doi:10.1002/icd.2034 · Cited by 70 · see citing works
Borelli, J. L., Hong, K., Rasmussen, H. F., & Smiley, P. A. (2017) · Developmental Psychology · doi:10.1037/dev0000371 · Cited by 55 · see citing works
Self-citationButtitta, K. V., Smiley, P. A., Kerr, M. L., Rasmussen, H. F., Querdasi, F. R., & Borelli, J. L. (2019) · Attachment & Human Development · doi:10.1080/14616734.2019.1582596 · Cited by 55 · see citing works
Self-citationPATERNAL AND MATERNAL REFLECTIVE FUNCTIONING IN THE WESTERN AUSTRALIAN PEEL CHILD HEALTH STUDY
Cooke, D., Priddis, L. E., Luyten, P., Kendall, G. E., & Cavanagh, R. F. (2017) · Infant Mental Health Journal · doi:10.1002/imhj.21664 · Cited by 51 · see citing works
Roo, M. D., Wong, G., Rempel, G. R., & Fraser, S. N. (2019) · JMIR Pediatrics and Parenting · doi:10.2196/11561 · Cited by 43 · see citing works
Latino and Latin American Parenting
Halgunseth, L. C. (2019) · Routledge eBooks · doi:10.4324/9780429398995-2 · Cited by 41 · see citing works
Higher maternal reflective functioning is associated with toddlers’ adaptive emotion regulation
Borelli, J. L., Lai, J., Smiley, P. A., Kerr, M. L., Buttitta, K. V., Hecht, H. K., & Rasmussen, H. F. (2020) · Infant Mental Health Journal · doi:10.1002/imhj.21904 · Cited by 38 · see citing works
Self-citationPajulo, M., Tolvanen, M., Pyykkönen, N., Karlsson, L., Mayes, L. C., & Karlsson, H. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.09.020 · Cited by 28 · see citing works
Milan, S., Zona, K., & Snow, S. T. (2012) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.736357 · Cited by 22 · see citing works
Self-citationLowell, A. F., DeCoste, C., Dalton, R., Dias, H., Borelli, J. L., Martino, S., McMahon, T. J., & Suchman, N. E. (2023) · Infant Mental Health Journal · doi:10.1002/imhj.22043 · Cited by 15 · see citing works
Self-citationUnderstanding Children’s Emotions: Differences in Mothers With a History of Childhood Maltreatment
Milan, S., Carlone, C., Printz, D. M. B., & Perez, S. D. (2020) · Child Maltreatment · doi:10.1177/1077559520972188 · Cited by 9 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Georg, A. K., Meyerhöfer, S., Taubner, S., & Volkert, J. (2023) · Clinical Psychology Review · doi:10.1016/j.cpr.2023.102322 · Cited by 33 · see citing works
Parental mentalization and children’s externalizing problems: A systematic review and meta-analysis
Nieto-Retuerto, M., de Cádiz, B. T. G., & Alonso‐Arbiol, I. (2024) · Development and Psychopathology · doi:10.1017/s0954579424001391 · Cited by 16 · see citing works
Cooke, S. A., Cooke, D., & Hauck, Y. L. (2023) · Infant Mental Health Journal · doi:10.1002/imhj.22080 · Cited by 16 · see citing works
Lowell, A. F., DeCoste, C., Dalton, R., Dias, H., Borelli, J. L., Martino, S., McMahon, T. J., & Suchman, N. E. (2023) · Infant Mental Health Journal · doi:10.1002/imhj.22043 · Cited by 15 · see citing works
Self-citationKungl, M., Gabler, S., White, L. O., Spangler, G., & Vrtička, P. (2024) · Child Psychiatry & Human Development · doi:10.1007/s10578-023-01654-2 · Cited by 18 · see citing works
Kohlhoff, J., Wallace, N., Cibralic, S., Morgan, S., Briggs, N. E., McMahon, C., Hawkins, E., Druskin, L., Owen, C., Lieneman, C., et al. (2024) · BMC Psychology · doi:10.1186/s40359-024-02171-0 · Cited by 11 · see citing works
“…of self-report measures to assess parenting representations such as parental reflective functioning and caregiving helplessness has been questioned [17, 64, 65], and a different result may have been obtained had an interview-based assessment been utilised, e.g., Parent Development Interview [78]…”
Firk, C., & Großheinrich, N. (2024) · Infant Mental Health Journal · doi:10.1002/imhj.22106 · Cited by 10 · see citing works
Stover, C. S., Farren, A. R., Campbell, R. J., Day, M. J., & Sernyak, Z. (2023) · Infant Mental Health Journal · doi:10.1002/imhj.22044 · Cited by 10 · see citing works
Psychometric evaluation of the Parental Reflective Functioning Questionnaire in Polish mothers
Kamza, A., Luyten, P., & Piotrowski, K. (2024) · PLoS ONE · doi:10.1371/journal.pone.0299427 · Cited by 10 · see citing works
Borelli, J. L., Kazmierski, K. F. M., Gaskin, G. E., Kerr, M. L., Smiley, P. A., & Rasmussen, H. F. (2023) · Infant Mental Health Journal · doi:10.1002/imhj.22038 · Cited by 12 · see citing works
Self-citationSteinberg, N., Moshe-Cohen, R., Sheena, L., & Kivity, Y. (2024) · Current Psychology · doi:10.1007/s12144-023-04963-w · Cited by 8 · see citing works
Predicting fidelity and treatment outcomes in savoring interventions among mothers of young children
Borelli, J. L., Perzolli, S., Kerr, M., & Smiley, P. A. (2024) · Infant Mental Health Journal · doi:10.1002/imhj.22130 · Cited by 7 · see citing works
Self-citationReframing caring for parents who struggle with substance‐use disorders
Mayes, L. C. (2023) · Infant Mental Health Journal · doi:10.1002/imhj.22052 · Cited by 5 · see citing works
The significance of parental mentalizing for four-year-old children’s solitary pretend play
Smith‐Nielsen, J., Stuart, A. C., Wendelboe, K. I., Egmose, I., Roos, C. O., & Væver, M. S. (2024) · PLoS ONE · doi:10.1371/journal.pone.0297671 · Cited by 6 · see citing works
“If I could read your mind…”: parental mentalizing in mothers with borderline personality disorder
Zitzmann, J., Georg, A. K., Rosenbach, C., & Renneberg, B. (2025) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-025-00290-7 · Cited by 5 · see citing works
Fiore, S., Luyten, P., Vliegen, N., Flamant, N., Malcorps, S., & Soenens, B. (2025) · Development and Psychopathology · doi:10.1017/s0954579425100849 · Cited by 3 · see citing works
Georg, A. K., Kasper, L. A., Neubauer, A. B., Selic, M., & Taubner, S. (2024) · Psychotherapy Research · doi:10.1080/10503307.2024.2323617 · Cited by 3 · see citing works
Borelli, J. L., DeCoste, C. L., & McMahon, T. J. (2023) · Infant Mental Health Journal · doi:10.1002/imhj.22049 · Cited by 3 · see citing works
Self-citationSlade, A. (2023) · Infant Mental Health Journal · doi:10.1002/imhj.22051 · Cited by 3 · see citing works
Madsen, E. B., Egmose, I., Stuart, A. C., Krogh, M. T., Haase, T. W., Karstoft, K., & Væver, M. S. (2024) · Parenting · doi:10.1080/15295192.2024.2423808 · Cited by 2 · see citing works
Wildner, A., Küçükakyüz, S. M., Marx, A. K. G., Nolte, T., Reck, C., Fonagy, P., Luyten, P., von Tettenborn, A., Müller, M., Zietlow, A., et al. (2024) · PLoS ONE · doi:10.1371/journal.pone.0314074 · Cited by 3 · see citing works
Flykt, M. S., Haarala, H., Pyhältö, K., Minkkinen, J., & Kalland, M. (2025) · Infant Mental Health Journal · doi:10.1002/imhj.70006 · Cited by 2 · see citing works
A preliminary validation of PMQ—A four-factor questionnaire measuring parental mentalizing
Teräsahjo, T., Turunen, T., Lahtinen, O., & Salmivalli, C. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1250092 · Cited by 1 · see citing works
Maternal reflective functioning in pregnancy and parenting during the preschool period
Drury, G., Elezi, J., Kondor, L., Beeghly, M., Trentacosta, C. J., Thomason, M. E., & Stacks, A. M. (2025) · Infant Mental Health Journal · doi:10.1002/imhj.70025 · Cited by 1 · see citing works
Parkin, N., Bird, A. L., Henderson, A. M. E., Risi, A., & Pickard, J. A. (2026) · Infant Mental Health Journal · doi:10.1002/imhj.70072 · Cited by 1 · see citing works
Hultmann, O., Søe, M. A., Broberg, A. G., & Möller, C. M. (2026) · Children and Youth Services Review · doi:10.1016/j.childyouth.2026.108931 · Cited by 1 · see citing works
Steinmassl, K., Eilts, J., & Paulus, M. (2026) · Developmental Review · doi:10.1016/j.dr.2026.101270 · Cited by 1 · see citing works
Massoudi, S., & Behzadpoor, S. (2024) · مجله علمی دانشگاه علوم پزشکی رفسنجان · doi:10.61186/jrums.23.4.193
Kessel, K. V., Aitken, C., & Nilsen, E. S. (2024) · The Journal of Early Adolescence · doi:10.1177/02724316241311131
Perlman, M., Nocita, G., Sokolovic, N., Falenchuk, O., & Jenkins, J. M. (2025) · Early Childhood Research Quarterly · doi:10.1016/j.ecresq.2025.03.002
Kanstinger, L. M., Zeeck, A., Hartmann, A., Eyschen, A. M., Andreas, S., Hüwe, L., Lahmann, C., & Lau, I. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01465-x
Montreuil, T. C., Skinner, J. K., Humez, L., Gratton, C., Herba, C. M., & Côté, S. M. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-110580
Kaas, A. J., Pépin, O., Simonsen, S., Sørensen, P., Vaever, M., Egmose, I., & Hestbæk, E. (2026) · Early Intervention in Psychiatry · doi:10.1111/eip.70208
Mrakovits, J., Mall, V., & Licata‐Dandel, M. (2026) · Frontiers in Developmental Psychology · doi:10.3389/fdpys.2026.1831323
Ruiz-Tagle, F., & Pretorius, I. (2026) · Journal of Child Psychotherapy · doi:10.1080/0075417x.2026.2708990
- Authors
- Carlone, C., Milan, S., Decoste, C., Borelli, J. L., McMahon, T. J., & Suchman, N. E.
- Affiliations
- University of Connecticut (US)
- Yale University (US)
- University of California, Irvine (US)
- Corresponding author
- Carlone, Christina
- Venue
- Infant Mental Health Journal
- Publisher
- Wiley
- Published
- 2023-03
- Volume
- 44
- Issue
- 2
- Pages
- 240-254
- ISSN
- 0163-9641 (ISSN-L)
- 1097-0355
- OpenAlex
- W4322726625
- Cited by
- 35
- References
- 39
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 13 · 2023: 9
- FWCI
- 10.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Infant Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (R01DA017294)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- parental reflective functioning, mentalization, parent-child relationship, psychometric validation, reliability statistics, validity, substance use disorders, mothers
- MeSH terms
- Female, Humans, Mothers, Parents, Surveys and Questionnaires, Reproducibility of Results, Self Report
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review