Mentalizing ability, mentalizing impairments, and anorexia nervosa: Validation of the Hebrew version of the Movie for the Assessment of Social Cognition (MASC)

Author:

Sarig‐Shmueli Yaara1,Kurman Jenny1,Talmon Shira1,Yoeli Neta2,Gur Eitan3,Stein Daniel45,Rothschild‐Yakar Lily1

Affiliation:

1. Department of Psychology University of Haifa Haifa Israel

2. Ziv Medical Center Zefat Israel

3. Sheba Medical Center Tel Hashomer Israel

4. Sheba Medical Center Safra Children's Hospital Tel Hashomer Israel

5. Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel

Abstract

AbstractThe goal of this study was to validate the Hebrew version of the Movie for the Assessment of Social Cognition (MASC)—an ecological measure for assessing mentalizing ability—among patients with anorexia nervosa (AN) and healthy individuals. We examined the validity of the MASC's general mentalizing ability scale and of its mentalizing impairments subscales using validated measures of mentalizing ability (Reading the Mind in the Eyes test, Cambridge Mindreading Face‐Voice Battery, and Reflective Function questionnaire) among female patients with AN (N = 35) and control participants (N = 42). ED symptoms were assessed via self‐report questionnaires. The MASCHeb correlated with measures of mentalizing ability and was found to significantly differentiate patients with AN from controls. In addition to differing on general mental ability, the groups differed on hypomentalizing (but not hypermentalizing). Based on our findings, the MASCHeb proved to be an ecologically valid tool for assessing mentalizing ability and impairments among patients with AN. Moreover, our findings demonstrated the role played by general mentalizing ability in EDs and specifically pointed to the importance of hypomentalization in EDs. These findings have therapeutic implications, as outlined in the Discussion section.

Publisher

Wiley

Subject

Clinical Psychology

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