Mentalizasyon Ölçeği’nin Psikometrik Özelliklerinin Türk Toplum Örnekleminde İncelenmesi

Yıl 2026, Cilt: 36 Sayı: 1, 147 - 162, 19.01.2026

Yusuf Bilge , Hüseyin Bilge

https://doi.org/10.18069/firatsbed.1635181

Öz

Bireyin diğerlerini ve kendisini doğru bir şekilde yorumlamasında etkili bir unsur olarak görülen mentalizasyon kavramı hem sağlıklı gelişimin hem de psikopatolojinin değerlendirilmesinde önemli bir yere sahiptir. Bu çalışmada mentalizasyonun ölçümünde kullanılan ve daha önce ergen örnekleminde Türkçe adaptasyon çalışması yapılmış olan Mentalizasyon Ölçeği’nin yetişkin Türk toplum örneklemindeki psikometrik özelliklerinin incelenmesi amaçlanmıştır. Katılımcılar, yaş aralığı 18-65 olan (36.06±11.29) 179’u kadın (%46.0) olmak üzere 389 kişilik toplum örnekleminden oluşmaktadır. Katılımcılara Mentalizasyon Ölçeği ile birlikte Perth Aleksitimi Ölçeği, Üç Boyutlu Bağlanma Stilleri Ölçeği ve Çocuklukta Onaylamayan Çevre Ölçeği uygulanmıştır.
Ölçeğin geçerliği için yapılan doğrulayıcı faktör analizi sonucunda, ölçeğim tek (CFI=.91 GFI=.93 AGFI=.91) ve dört faktörlü (CFI=.90 GFI=.93 AGFI=.90) yapılarının doğrulandığı ve ölçek maddeleri faktör yüklerinin .33 ila .73 aralığında değiştiği tespit edilmiştir. Yakınsak geçerlik için gerçekleştirilen korelasyon analizlerinde ise anlamlı korelasyon değerlerine ulaşılmıştır. Ölçeğin Cronbach Alfa güvenirlik katsayılarının toplam ölçek için .85 olduğu ve alt ölçekler için .51 ila .66 arasında değiştiği ve madde toplam korelasyonlarının .31 ila .59 aralığında olduğu saptanmıştır. Sonuç olarak, Mentalizasyon Ölçeği’nin yetişkin Türk toplum örnekleminde güçlü psikometrik özelliklere sahip olduğu ve hem araştırmalarda hem de psikoterapi süreçlerinin değerlendirilmesinde kullanılabilecek geçerli ve güvenilir bir ölçüm aracı olduğu görülmüştür.

Anahtar Kelimeler

Mentalizasyon, , geçerlik, , güvenirlik, , uyarlama

Investigation of Psychometric Properties of Mentalization Scale in Turkish Community Sample

Öz

Mentalization is a powerful factor in the individual's accurate interpretation of others and of self and is important in the assessment of both healthy development and psychopathology. This study examines the psychometric properties of the Mentalization Scale, used to measure mentalization whose Turkish adaptation study was conducted in adolescents, in an adult Turkish community sample. The participants are 389 people, 179 female (46.0%), between 18-65 (36.06±11.29). The Perth Alexithymia Scale, Three Dimensional Attachment Style Scale, and Invalidating Childhood Environment Scale were also applied to participants.
In confirmatory factor analysis conducted for the validity of the scale, it was determined that the single (CFI=.91 GFI=.93 AGFI=.91) and four-factor (CFI=.90 GFI=.93 AGFI=.90) structures of the scale were confirmed and found the factor loadings of items ranged from .33 to .73. In the correlation analyses conducted for convergent validity, positive and significant relationships were found. The Cronbach Alpha reliability coefficients were determined .85 for the total scale and ranged from .51 to .66 for the subscales.
As a result, the Mentalization Scale was found to have strong psychometric properties in the adult Turkish community to be valid and reliable and should be used in research and in the assessment of psychotherapy processes.

Anahtar Kelimeler

Mentalization, , validity, , reliability, , adaptation

Kaynakça

• Allen, J. G., Fonagy, P., & Bateman, A. W. (2008). Mentalizing in clinical practice. American Psychiatric Pub.
• Alpay, E. H., Bellur, Z., Aydın, A. (2018). “Çocuklukta Onaylamayan Çevre Ölçeği (ÇOÇÖ) Türkçe Formu’nun geçerlik ve güvenirlik çalışması”. Düşünen Adam-Psikiyatri ve Nörolojik Bilimler Dergisi, 31(1), 40-49. https://doi.org/10.5350/DAJPN2018310104
• Antonsen, B. T., Johansen, M. S., Rø, F. G., Kvarstein, E. H., & Wilberg, T. (2016). Is reflective functioning associated with clinical symptoms and long-term course in patients with personality disorders?. Comprehensive psychiatry, 64, 46-58. https://doi.org/10.1016/j.comppsych.2015.05.016
• Bartels, A., & Zeki, S. (2004). The neural correlates of maternal and romantic love. NeuroImage, 21(3), 1155–1166. https://doi.org/10.1016/j.neuroimage.2003.11.003
• Bateman, A. W., & Fonagy, P. (2004). Mentalization-Based Treatment of BPD. Journal of Personality Disorders, 18(1), 36–51. https://doi.org/10.1521/pedi.18.1.36.32772
• Bateman, A. & Fonagy, P. (2012). Handbook of mentalizing in mental health practice. Arlington, VA: American Psychiatric Publishing Inc.
• Bateman, A., & Fonagy, P. (2010). Mentalization based treatment for borderline personality disorder. World psychiatry, 9(1), 11-19. https://doi.org/10.1002/j.2051-5545.2010.tb00255.x
• Bateman, A., & Fonagy, P. (2013). Mentalization-Based Treatment. Psychoanalytic Inquiry, 33(6), 595–613. https://doi.org/10.1080/07351690.2013.835170
• Bateman, A., & Fonagy, P. (2016). Mentalization-based treatment for personality disorders: A practical guide. OUP Oxford.
• Bilge, Y. ve Bilge, Y. (2020). Aleksitiminin Dikkat-Değerlendirme Modelinin Ölçümü: Perth Aleksitimi Ölçeğinin Türkçe Psikometrik Özellikleri. Anadolu Psikiyatri Dergisi, 21(Ek sayı 2), 71-79. https://doi.org/10.5455/apd.133183
• Borelli, J. L., Brugnera, A., Zarbo, C., Rabboni, M., Bondi, E., Tasca, G. A., & Compare, A. (2018). Attachment comes of age: Adolescents’ narrative coherence and reflective functioning predict well-being in emerging adulthood. Attachment & Human Development, 21(4), 332–351. https://doi.org/10.1080/14616734.2018.1479870
• Bressi, C., Fronza, S., Minacapelli, E., Nocito, E. P., Dipasquale, E., Magri, L., Lionetti, F., & Barone, L. (2017). Short-Term Psychodynamic Psychotherapy with Mentalization-Based Techniques in Major Depressive Disorder patients: Relationship among alexithymia, reflective functioning, and outcome variables - A Pilot study. Psychology and psychotherapy, 90(3), 299–313. https://doi.org/10.1111/papt.12110
• Büyüköztürk, Ş. (2007). Sosyal Bilimler İçin Veri Analizi El Kitabı (Sekizinci Baskı). Ankara: Pegem Akademi.
• Byrne, B. M. (2001). Structural equation modeling with Amos, Eqs, and Lisrel: Comparative approaches to testing for the factorial validity of a measuring instrument. International Journal of Testing, 1(1), 55-86.
• Calaresi, D., & Barberis, N. (2019). The relationship between reflective functioning and alexithymia. Journal of Clinical & Developmental Psychology, 1(2),12-23. https://doi.org/10.6092/2612-4033/0110-2107 Carpendale, J. I., & Lewis, C. (2004). Constructing an understanding of mind: The development of children's social understanding within social interaction. Behavioral and brain sciences, 27(1), 79-96. https://doi.org/10.1017/s0140525x04000032
• Choi-Kain, L. W. ve Gunderson, J. G. (2008). Mentalization: Ontogeny, assessment, and application in the treatment of borderline personality disorder. American Journal of Psychiatry, 165(9), 1127-1135. https://doi.org/10.1176/appi.ajp.2008.07081360
• Çokluk, Ö., Şekercioğlu, G. ve Büyüköztürk, Ş. (2014). Sosyal bilimler için çok değişkenli istatistik spss ve lisrel uygulamaları. Ankara: Pegem Yayıncılık.
• Dimaggio, G., Carcione, A., Salvatore, G., Nicolò, G., Sisto, A. and Semerari, A. (2011). Progressively promoting metacognition in a case of obsessive-compulsive personality disorder treated with metacognitive interpersonal therapy. Psychology and Psychotherapy: Theory, Research and Practice, 84 (1): 70 – 83. https://doi.org/10.1348/147608310X527240
• Dimitrijević, A., Hanak, N., Altaras Dimitrijević, A., & Jolić Marjanović, Z. (2018). The Mentalization Scale (MentS): A Self-Report Measure for the Assessment of Mentalizing Capacity. Journal of personality assessment, 100(3), 268–280. https://doi.org/10.1080/00223891.2017.1310730
• Durmaz, O., & Baykan, H. (2020). Mentalizing self and others: A controlled study investigating the relationship between alexithymia and theory of mind in major depressive disorder. Indian Journal of Psychiatry, 62(5), 559-565. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_554_19
• Ekeblad, A., Falkenström, F., & Holmqvist, R. (2016). Reflective functioning as predictor of working alliance and outcome in the treatment of depression. Journal of Consulting and Clinical psychology, 84(1), 67. https://doi.org/10.1037/ccp0000055
• Erkuş, A. (2012). Psikolojide ölçme ve ölçek geliştirme 1: Temel kavramlar ve işlemler. Pegem Akademi Yayınları. Erzen, E. (2016). Üç boyutlu bağlanma stilleri ölçeği. İnönü Üniversitesi Eğitim Fakültesi Dergisi, 17(3), 1-21. https://doi.org/10.17679/iuefd.17323631
• Fischer-Kern, M., Fonagy, P., Kapusta, N.D., Luyten, P., Boss, S., Naderer, A., et al. (2013). Mentalizing in female inpatients with major depressive disorder. Journal of Nervous and Mental Disease, 201, 202–207. https://doi.org/10.1097/NMD.0b013e3182845c0a
• Fonagy, P. (1991). Thinking about thinking: Some clinical and theoretical considerations in the treatment of a borderline patient. International Journal of psychoanalysis, 72(4), 639-656.
• Fonagy, P., Steele, M., Steele, H., Moran, G. S., & Higgitt, A. C. (1991). The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant mental health journal, 12(3), 201-218. https://doi.org/10.1002/1097-0355(199123)12:3<201::AID-IMHJ2280120307>3.0.CO;2-7
• Fonagy, P., Target, M., Steele, M. and Steele, H. (1997). Reflective-functioning manual: For application to Adult Attachement Interviews. London: University College London.
• Fonagy, P., & Target, M. (2000). Playing with reality: III. The persistence of dual psychic reality in borderline patients. International Journal of Psychoanalysis, 81(5), 853–873. https://doi.org/10.1516/0020757001600165
• Fonagy, P., & Luyten, P. (2009). A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Development and psychopathology, 21(4), 1355-1381. https://doi.org/10.1017/S0954579409990198
• Fonagy, P., Bateman, A. ve Bateman, A. (2011). The widening scope of mentalizing: A discussion. Psychology and Psychotherapy: Theory, Research and Practice , 84: 98-110. https://doi.org/10.1111/j.2044-8341.2010.02005.x
• Fonagy, P., Luyten, P., Moulton-Perkins, A., Lee, Y. W., Warren, F., Howard, S., Ghinai, R., Fearon, P., & Lowyck, B. (2016). Development and Validation of a Self-Report Measure of Mentalizing: The Reflective Functioning Questionnaire. PloS one, 11(7), e0158678. https://doi.org/10.1371/journal.pone.0158678
• Fonagy, P., Gergely, G., & Jurist, E. L. (2018). Affect regulation, mentalization and the development of the self. London: Routledge.
• Fonagy, P., & Bateman, A. (2019). Introduction. In Handbook of mentalizing in mental health practice (pp. 3–20). American Psychiatric Association Publishing.
• Gallotti, M. ve Frith, C. D. (2013). Social cognition in the we-mode. Trends in cognitive sciences, 17(4), 160-165. https://doi.org/10.1016/j.tics.2013.02.002
• George, D. & Mallery, P. (2010). SPSS for Windows step by step. A simple study guide and reference (10. Ed.). GEN, Boston, MA: Pearson Education, Inc.
• Hausberg, M.C., Schulz, H., Piegler, T., Happach, C.G., Klöpper, M., Brütt, A.L., … Andreas, S. (2012). Is a self-rated instrument appropriate to assess mentalization in patients with mental disorders? Development and first validation of the Mentalization Questionnaire (MZQ). Psychotherapy Research, 22(6), 699-709. https://doi.org/10.1080/10503307.2012.709325
• Iliyaifar, S. G., Hajibaqeri, S., Farjami, M., & Anousheh, F. (2023). The Effect of Attachment Styles and Alexithymia on Psychological Distress With The Mediation of Mentalization in Nurses. Quarterly Journal of Nursing Management (IJNV) Orginal Article, 12(3).
• İlk, G. ve Bilge, Y. (2024). Mentalizasyon Ölçeği’nin Türkçe Geçerlik ve Güvenirlik Çalışması. Yaşam Becerileri Psikoloji Dergisi, 8(15), 67-82. https://doi.org/10.31461/ybpd.1484353
• Juul, S., Simonsen, S., Poulsen, S., Lunn, S., Sørensen, P., Bateman, A., & Jakobsen, J. C. (2021). Detailed statistical analysis plan for the short-term versus long-term mentalisation-based therapy for outpatients with subthreshold or diagnosed borderline personality disorder randomised clinical trial (MBT-RCT). Trials, 22, 1-8. https://doi.org/10.1186/s13063-021-05450-y
• Kalaycı, Ş. (2010). SPSS uygulamalı çok değişkenli istatistik teknikleri. 5. Baskı, Ankara: Asil Yayın Dağıtım.
• Karagöz Y. (2016). SPSS ve AMOS Uygulamaları, İstatistiksel Analizler. 1. Baskı, Ankara: Nobel Akademik Yayıncılık. Kline, R. B. (2013). Exploratory and confirmatory factor analysis, Y. Petscher ve C. Schatsschneider, (Ed.), in Applied quantitative analysis in the social sciences (171-207). New York: Routledge.
• Kline, R. B. (2016). Principles and Practice of Structural Equation Modeling (4. baskı). New York: Guilford. Lemche, E., Klann-Delius, G., Koch, R., & Joraschky, P. (2004). Mentalizing language development in a longitudinal attachment sample: implications for alexithymia. Psychotherapy and Psychosomatics, 73(6), 366-374. https://doi.org/10.1159/000080390
• Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. The Guilford Press.
• Luyten, P., Campbell, C., Allison, E., & Fonagy, P. (2020). The mentalizing approach to psychopathology: State of the art and future directions. Annual review of clinical psychology, 16(1), 297-325. https://doi.org/10.1146/annurev-clinpsy-071919-015355
• Luyten, P., Fonagy, P., Lemma, A., and Target, M. (2012). “Depression” in Handbook of mentalizing in mental health practice. eds. A. Bateman and P. Fonagy (Washington, DC: American Psychiatric Association), 385–417.
• Maerz, J., Buchheim, A., Rabl, L., Riedl, D., Viviani, R., & Labek, K. (2022). The interplay of Criterion A of the Alternative Model for Personality Disorders, mentalization and resilience during the COVID-19 pandemic. Frontiers in psychology, 13, 928540. https://doi.org/10.3389/fpsyg.2022.928540
• Meydan, C. H. ve Şeşen, H. (2015). Yapısal Eşitlik Modellemesi: AMOS Uygulamaları. 2.Baskı. Detay Yayıncılık: Ankara
• Moriguchi, Y., Ohnishi, T., Lane, R. D., Maeda, M., Mori, T., Nemoto, K., ... & Komaki, G. (2006). Impaired self-awareness and theory of mind: an fMRI study of mentalizing in alexithymia. Neuroimage, 32(3), 1472-1482. https://doi.org/10.1016/j.neuroimage.2006.04.186
• Mountford, V., Corstorphine, E., Tomlinson, S., Waller, G. (2007), “Development of a measure to assess invalidating childhood environments in the eating disorders”, Eating behaviors, 8(1), 48-58. https://doi.org/10.1016/j.eatbeh.2006.01.003
• Müller, S., Wendt, L. P., & Zimmermann, J. (2023). Development and Validation of the Certainty About Mental States Questionnaire (CAMSQ): A Self-Report Measure of Mentalizing Oneself and Others. Assessment, 30(3), 651-674. https://doi.org/10.1177/10731911211061280
• Németh, N., Matrai, P., Hegyim P., Czeh, B., Ctopf, L., Hussain, A., et al. (2018). Theory of mind disturbances in borderline personality disorder: A meta-analysis. Psychiatry Research, 270, 143–153. https://doi.org/10.1016/j.psychres.2018.08.049
• Nonweiler, J., Doval, E., Barrantes-Vidal, N., & Ballespí, S. (2024). Spanish Adaptation of the Mentalization Questionnaire (MZQ) in Community Adolescents and Adults. Psicothema, 36(2), 174-183. https://doi.org/10.7334/psicothema2023.47
• Olderbak, S., & Wilhelm, O. (2020). Overarching principles for the organization of socioemotional constructs. Current Directions in Psychological Science, 29(1), 63-70. https://doi.org/10.1177/0963721419884317
• Peres, V., Corcos, M., Robin, M., & Pham-Scottez, A. (2020). Emotional intelligence, empathy and alexithymia in anorexia nervosa during adolescence. Eating and weight disorders: EWD, 25(1), 1–8. https://doi.org/10.1007/s40519-018-0482-5
• Ponti, L., Stefanini, M.C., Gori, S. ve Smorti, M. (2019). The assessment of mentalizing ability in adolescents: The Italian adaptation of the Mentalization Questionnaire (MZQ). Testing, Psychometrics, Methodology in Applied Psychology, 26, 29-38. https://doi.10.4473/TPM26.1.2
• Preece, D., Becerra, R., Robinson, K., Dandy, J. & Allan, A. (2018). The psychometric assessment of alexithymia: Development and validation of the Perth Alexithymia Questionnaire. Personality and Individual Differences,132:32-44. https://doi.org/10.1016/j.paid.2018.05.011
• Preis, M. A., Golm, D., Kröner-Herwig, B., & Barke, A. (2017). Examining differences in cognitive and affective theory of mind between persons with high and low extent of somatic symptoms: an experimental study. BMC Psychiatry, 17, 1-12. https://doi.org/10.1186/s12888-017-1360-9
• Raimondi, G., Samela, T., Lester, D., Imperatori, C., Carlucci, L., Contardi, A., ... & Innamorati, M. (2022). Psychometric properties of the Italian Mentalization Questionnaire: Assessing structural invariance and construct validity. Journal of Personality Assessment, 104(5), 628-636. https://doi.org/10.1080/00223891.2021.1991362
• Riedl, D., Kampling, H., Nolte, T., Lampe, A., Beutel, M. E., Brähler, E., & Kruse, J. (2022). Measuring impairments of Mentalization with the 15-item Mentalization questionnaire (MZQ) and introducing the MZQ-6 short scale: reliability, validity and norm values based on a representative sample of the German population. Diagnostics, 13(1), 135. https://doi.org/10.3390/diagnostics13010135
• Robertson, C. D., Kimbrel, N. A., & Nelson-Gray, R. O. (2013). The Invalidating Childhood Environment Scale (ICES): psychometric properties and relationship to borderline personality symptomatology. Journal of personality disorders, 27(3), 402–410. https://doi.org/10.1521/pedi_2012_26_062
• Rothschild-Yakar, L., Levy-Shiff, R., Fridman-Balaban, R., Gur, E., & Stein, D. (2010). Mentalization and relationships with parents as predictors of eating disordered behavior. The Journal of nervous and mental disease, 198(7), 501–507. https://doi.org/10.1097/NMD.0b013e3181e526c8
• Rothschild-Yakar, L., Stein, D., Goshen, D., Shoval, G., Yacobi, A., Eger, G., Kartin, B., & Gur, E. (2019). Mentalizing Self and Other and Affect Regulation Patterns in Anorexia and Depression. Frontiers in psychology, 10, 2223. https://doi.org/10.3389/fpsyg.2019.02223
• Sarmento, R., & Costa, V. (Eds.). (2017). Comparative approaches to using R and Python for statistical data analysis. IGI Global.
• Semerari A., Carcione A., Dimaggio G., Falcone M., Nicolò G., Procacci M., Alleva G., (2003). How to evaluate metacognitive functioning in psychotherapy? The Metacognition Assessment Scale and its applications. Clinical Psychology and Psychotherapy, 10(4), 238-261. https://doi.org/10.1002/cpp.362
• Skårderud F. (2007). Eating one's words: Part III. Mentalisation-based psychotherapy for anorexia nervosa--an outline for a treatment and training manual. European eating disorders review: The journal of the Eating Disorders Association, 15(5), 323–339. https://doi.org/10.1002/erv.817
• Song, H. ve Choi, H. (2017). Exploration of the factor structure of the Mentalization Questionnaire (MZQ) in 16–17-year-old Korean Adolescents. Korean Journal of Clinical Psychology, 36(3), 391-401.
• Souza, A. C. D., Alexandre, N. M. C. & Guirardello, E. D. B. (2017). Psychometric properties in instruments evaluation of reliability and validity. Epidemiologia e Serviços de Saúde, 26(3), 649-659. https://doi.org/10.5123/S1679-49742017000300022
• Stein, H. (2006). Does mentalizing promote resilience. In J. G. Allen & P. Fonagy (Eds.), The handbook of mentalization-based treatment (pp. 308–326). West Sussex, UK:Wiley.
• Swart, M., Kortekaas, R., & Aleman, A. (2009). Dealing with feelings: characterization of trait alexithymia on emotion regulation strategies and cognitive-emotional processing. PloS one, 4(6), e5751. https://doi.org/10.1371/journal.pone.0005751
• Swenson, C. R., & Choi-Kain, L. W. (2015). Mentalization and dialectical behavior therapy. American Journal of Psychotherapy, 69(2), 199-217. https://doi.org/10.1176/appi.psychotherapy.2015.69.2.199
• Şeker, H., & Gençdoğan, B. (2006). Psikolojide ve eğitimde ölçme aracı geliştirme. Ankara: Nobel Yayın Dağıtım. Tabachnick, B. G., Fidell, L. S. (2015). The use of multivariate statistics. Baloglu M, Çev. Ed. 6. Baskı, Ankara: Nobel Akademik Yayıncılık,
• Tavşancıl, E. (2010). Tutumların ölçülmesi ve SPSS ile veri analizi. Ankara: Nobel Yayınevi.
• Törenli Kaya, Z., Alpay, E. H., Türkkal Yenigüç, Ş., & Özçürümez Bilgili, G. (2023). Zihinselleştirme Ölçeği'nin Türkçe Çevirisinin Geçerlik ve Güvenirlik Çalışması. Türk Psikiyatri Dergisi, 34(2),118-124. https://doi.org/10.5080/u25692
• Wagner-Skacel, J., Riedl, D., Kampling, H., & Lampe, A. (2022). Mentalization and dissociation after adverse childhood experiences. Scientific Reports, 12(1), 6809. https://doi.org/10.1038/s41598-022-10787-8
• Wang, Y., Jiang, X., Zhao, W., Xuan, R., Zu, X., Wang, H., ... & Wang, K. (2024). The role of attachment and alexithymia in the relationship between childhood trauma and mentalization in people with schizophrenia: a multicenter study. Current Psychology, 43(24), 1-11. https://doi.org/10.1007/s12144-024-05855-3