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A Critical Evaluation of the Reflective Functioning Questionnaire (RFQ)
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Abstract
The Reflective Functioning Questionnaire (RFQ) is an 8-item self-report measure of reflective functioning that is presumed to capture individual differences in hypo- and hypermentalizing. Despite its broad acceptance by the field, we argue that the validity of the measure is not well-established. The current research elaborates on problems of the RFQ related to its item content, scoring procedure, dimensionality, and associations with psychopathology. We tested these considerations across three large clinical and non-clinical samples from Germany and the US (total N = 2289). In a first study, we found that the RFQ may assess a single latent dimension related to hypomentalizing but is rather unlikely to capture maladaptive forms of hypermentalizing. Moreover, the RFQ exhibited very strong associations with measures of personality pathology, while associations with measures of symptom distress were less strong. In a second preregistered study focused on convergent and discriminant validity, however, a commonality analysis indicated that associations with indicators of personality pathology are inflated because some of the RFQ items tap into emotional lability and impulsivity rather than mentalizing. Our findings demonstrate limitations of the RFQ. We discuss key challenges in assessing mentalizing via self-report.
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“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 [65]
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Citations
Cites
R: A Language and Environment for Statistical Computing
R Core Team (2000) · doi:10.32614/r.manuals · Cited by 355,893
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
lavaan : An R Package for Structural Equation Modeling
Rosseel, Y. (2012) · Journal of Statistical Software · doi:10.18637/jss.v048.i02 · Cited by 27,955
Diagnostic and Statistical Manual of Mental Disorders(DSM)
Leong, F. T. L. (2008) · Sage eBooks · doi:10.4135/9781412963978.n182 · Cited by 10,861
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · cited 5×
“Internal consistency of the DERS Impulse Control Difficulties scale was a ¼ .90.”
BackgroundInfluentialBaron-Cohen, S., & Wheelwright, S. (2004) · Journal of Autism and Developmental Disorders · doi:10.1023/b:jadd.0000022607.19833.00 · Cited by 4,093
The PHQ-15: Validity of a New Measure for Evaluating the Severity of Somatic Symptoms
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002) · Psychosomatic Medicine · doi:10.1097/00006842-200203000-00008 · Cited by 3,415
The Rediscovery of Bifactor Measurement Models
Reise, S. P. (2012) · Multivariate Behavioral Research · doi:10.1080/00273171.2012.715555 · Cited by 2,112 · cited 1×
“Second, bifactor models with uncorrelated general and specific factors allow for a clear partitioning of variance in the presence of multidimensionality and a strong general factor (Reise, 2012), as is the case for the PID-5-BF, IPO-16, and OPD-SQS (Zimmermann et al., 2020).”
BackgroundEmotion-based dispositions to rash action: positive and negative urgency
Cyders, M. A., & Smith, G. T. (2008) · Psychological Bulletin · doi:10.1037/a0013341 · Cited by 1,136
Handbook of Mentalizing in Mental Health Practice
Lazar, S. G. (2013) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000426331.79890.cf · Cited by 884
THE SELF-REFLECTION AND INSIGHT SCALE: A NEW MEASURE OF PRIVATE SELF-CONSCIOUSNESS
Grant, A. M., Franklin, J., & Langford, P. (2002) · Social Behavior and Personality: an international journal · doi:10.2224/sbp.2002.30.8.821 · Cited by 772
Holzinger, K. J., & Swineford, F. (1937) · Psychometrika · doi:10.1007/bf02287965 · Cited by 771
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 · cited 33×
“…article, we have elaborated our concerns with respect to the instrument’s validity and the methodology used in prior studies (e.g., Badoud et al., 2015; Fonagy et al., 2016), particularly in reference to its item content, scoring procedure, dimensionality, and associations with psychopathology.”
BackgroundMethodResultInfluentialThe mentalizing approach to psychopathology: State of the art and future directions
Luyten, P., Campbell, C., Allison, E., & Fonagy, P. (2020) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-071919-015355 · Cited by 748
Mentalization-Based Treatment for Personality Disorders
BATEMAN, A. W., & Fonagy, P. (2016) · Oxford University Press eBooks · doi:10.1093/med:psych/9780199680375.001.0001 · Cited by 742
Bender, D. S., Morey, L. C., & Skodol, A. E. (2011) · Journal of Personality Assessment · doi:10.1080/00223891.2011.583808 · Cited by 631
Flora, D. B. (2020) · Advances in Methods and Practices in Psychological Science · doi:10.1177/2515245920951747 · Cited by 599
Ickes, W. J. (1993) · Journal of Personality · doi:10.1111/j.1467-6494.1993.tb00783.x · Cited by 460
Modern Factor Analytic Techniques
Morin, A. J. S., Myers, N. D., & Lee, S. (2020) · Wiley eBooks · doi:10.1002/9781119568124.ch51 · Cited by 361
Testing measurement invariance in longitudinal data with ordered-categorical measures.
Liu, Y., Millsap, R. E., West, S. G., Tein, J.-Y., Tanaka, R., & Grimm, K. J. (2017) · Psychological Methods · doi:10.1037/met0000075 · Cited by 351
Simonsohn, U. (2018) · Advances in Methods and Practices in Psychological Science · doi:10.1177/2515245918805755 · Cited by 343
Weekers, L. C., Hutsebaut, J., & Kamphuis, J. H. (2019) · Personality and Mental Health · doi:10.1002/pmh.1434 · Cited by 317
Handbook of mentalizing in mental health practice
BATEMAN, A. W. (2012) · Cited by 302
Settles, R. E., Fischer, S., Cyders, M. A., Combs, J. L., Gunn, R. L., & Smith, G. T. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0024948 · Cited by 277
Toward a Functional View of the p Factor in Psychopathology
Carver, C. S., Johnson, S. L., & Timpano, K. R. (2017) · Clinical Psychological Science · doi:10.1177/2167702617710037 · Cited by 263
Nimon, K., Lewis, M. E., Kane, R., & Haynes, R. M. (2008) · Behavior Research Methods · doi:10.3758/brm.40.2.457 · Cited by 231
Badoud, D., Luyten, P., Fonseca‐Pedrero, E., Eliez, S., Fonagy, P., & Debbané, M. (2015) · PLoS ONE · doi:10.1371/journal.pone.0145892 · Cited by 177
Zimmermann, J., Altenstein, D., Krieger, T., Holtforth, M. G., Pretsch, J., Alexopoulos, J., Spitzer, C., Benecke, C., Krueger, R. F., Markon, K. E., et al. (2014) · Journal of Personality Disorders · doi:10.1521/pedi_2014_28_130 · Cited by 165
Self-citationEuler, S., Nolte, T., Constantinou, M., Griem, J., Montague, P. R., & Fonagy, P. (2019) · Journal of Personality Disorders · doi:10.1521/pedi_2019_33_427 · Cited by 157
Ehrenthal, J. C., Dinger, U., Schauenburg, H., Horsch, L., Dahlbender, R. W., & Gierk, B. (2015) · Zeitschrift für psychosomatische Medizin und Psychotherapie · doi:10.13109/zptm.2015.61.3.262 · Cited by 136
A Common Metric for Self-Reported Severity of Personality Disorder
Zimmermann, J., Müller, S., Bach, B., Hutsebaut, J., Hummelen, B., & Fischer, F. H. (2020) · Psychopathology · doi:10.1159/000507377 · Cited by 130
Self-citationMorandotti, N., Brondino, N., Merelli, A. A., Boldrini, A., Vidovich, G. Z. D., Ricciardo, S., Abbiati, V., Ambrosi, P., Caverzasi, E., Fonagy, P., et al. (2018) · PLoS ONE · doi:10.1371/journal.pone.0206433 · Cited by 122
Huang, Y. L., Fonagy, P., Feigenbaum, J., Montague, P. R., & Nolte, T. (2020) · Psychopathology · doi:10.1159/000506406 · Cited by 112
Personality Assessment Inventory (PAI)
Murphy, J. M. (2020) · The Wiley Encyclopedia of Personality and Individual Differences · doi:10.1002/9781118970843.ch126 · Cited by 101
Meulemeester, C. D., Vansteelandt, K., Luyten, P., & Lowyck, B. (2017) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000256 · Cited by 96
Linking childhood emotional abuse and adult depressive symptoms: The role of mentalizing incapacity
Li, E. T., Carracher, E., & Bird, T. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104253 · Cited by 88
Zimmermann, J., Benecke, C., Hörz, S., Rentrop, M., Peham, D., Bock, A., Wallner, T., Schauenburg, H., Frommer, J., Huber, D., et al. (2013) · Diagnostica · doi:10.1026/0012-1924/a000076 · Cited by 82
Self-citationMeulemeester, C. D., Lowyck, B., Vermote, R., Verhaest, Y., & Luyten, P. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.09.061 · Cited by 69
Attachment and Reflective Functioning in Women With Borderline Personality Disorder
Badoud, D., Prada, P., Nicastro, R., Germond, C., Luyten, P., Perroud, N. A., & Debbané, M. (2017) · Journal of Personality Disorders · doi:10.1521/pedi_2017_31_283 · Cited by 64
King, K. M., Feil, M. C., & Halvorson, M. A. (2018) · Clinical Psychological Science · doi:10.1177/2167702618785619 · Cited by 64
Spitzer, C., Zimmermann, J., Brähler, E., Euler, S., Wendt, L. P., & Müller, S. (2020) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/a-1234-6317 · Cited by 39
Self-citationThielmann, I., & Hilbig, B. E. (2018) · Journal of Personality · doi:10.1111/jopy.12428 · Cited by 37
Personality Assessment Inventory (PAI)
Murphy, J. M. (2020) · The Wiley Encyclopedia of Personality and Individual Differences · doi:10.1002/9781119547167.ch126 · Cited by 32
Persönlichkeitsfunktionsniveau, maladaptive Traits und Kindheitstraumata
Back, S. N., Zettl, M., Bertsch, K., & Taubner, S. (2020) · Psychotherapeut · doi:10.1007/s00278-020-00445-7 · Cited by 15
Self-citationMüller, S., Wendt, L. P., & Zimmermann, J. (2021) · doi:10.31234/osf.io/jtc3s · Cited by 15
Self-citationInterpreting regression effects custom dialogue: An SPSS plug-In to the R yhat package
Angnakoon, P., & Nimon, K. (2015) · Cited by 5
Research works printed but not linked: 5
- Franke H., 2000, The Brief Symptom Inventory – Deutsche Version
- Horowitz L. M., 2000, Inventar zur Erfassung interpersonaler Probleme: Deutsche Version; IIP-D
- Muthén L. K., 1998, Mplus user’s guide
- Spitzer C., 2021, Psychotherapie, Psychosomatik, Medizinische Psychologie, 71, 124
- World Health Organization, 1998, Wellbeing measures in primary health care / The Depcare Project
Cited by
Sorted by citations
Müller, S., Wendt, L. P., & Zimmermann, J. (2021) · Assessment · doi:10.1177/10731911211061280 · Cited by 95
Self-citationLuyten, P., Campbell, C., Moser, M., & Fonagy, P. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102380 · Cited by 90
Woźniak‐Prus, M., Gambin, M., Cudo, A., & Sharp, C. (2022) · Journal of Personality Assessment · doi:10.1080/00223891.2021.2014505 · Cited by 63
Measurement Properties of the Patient Health Questionnaire–15 and Somatic Symptom Scale–8
Hybelius, J., Kosic, A., Salomonsson, S., Wachtler, C., Wallert, J., Nordin, S., & Axelsson, E. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.46603 · Cited by 49
Natoli, A. P., Bach, B., Behn, A. J., Cottin, M., Gritti, E. S., Hutsebaut, J., Lamba, N., Corff, Y. L., Zimmermann, J., & Lapalme, M. (2022) · Psychological Assessment · doi:10.1037/pas0001176 · Cited by 44
Self-citation
Metadata
- Authors
- Müller, S., Wendt, L. P., Spitzer, C., Masuhr, O., Back, S. N., & Zimmermann, J.
- Affiliations
- University of Kassel (DE)
- Universitätsmedizin Rostock (DE)
- Asklepios Fachklinikum Tiefenbrunn (DE)
- Ludwig-Maximilians-Universität München (DE)
- Corresponding author
- Müller, Sascha
- Wendt, Leon P.
- Venue
- Journal of Personality Assessment
- Publisher
- Informa UK Limited
- Published
- 2021-10-01
- Volume
- 104
- Issue
- 5
- Pages
- 613-627
- ISSN
- 0022-3891 (ISSN-L)
- 1532-7752
- OpenAlex
- W3161900958
- Cited by
- 138
- References
- 49
- Citations by year
- 2026: 35 · 2025: 31 · 2024: 33 · 2023: 20 · 2022: 12 · 2021: 7
- FWCI
- 12.19
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- cc-by
- Locations
- Journal of Personality Assessment (publishedVersion)
- PubMed (publishedVersion)
- PsyArXiv (OSF Preprints) (submittedVersion, cc-by)
- OSF Preprints (OSF Preprints) (submittedVersion)
- PsyArXiv (OSF Preprints) (submittedVersion)
- Funders
- World Health Organization
- Universität Heidelberg
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- reflective functioning, mentalization, personality pathology, psychopathology, emotional lability, impulsivity, convergent and discriminant validity, self-report measures, latent dimensionality
- MeSH terms
- Mentalization, Humans, Impulsive Behavior, Personality Disorders, Surveys and Questionnaires, Self Report
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