Mentalization & trauma-exposed families: a systematic review & empirical study investigating the role of parental reflective functioning, perceived sense of parental competence, & PTSD in parents in Northern Ireland

Many studies reported improvements in PRF, while findings for parental mental health outcomes were mixed. Where assessed, reductions in parental trauma symptoms and improvements in child outcomes were observed.<br><br>Second, a cross-sectional study explored associations between post-traumatic stress disorder (PTSD), PRF, and parenting sense of competence (PSOC) among parents in Northern Ireland. Participants completed the PCL-5, PRFQ, Parental Stress Scale, and PSOC.

Regression analyses indicated that higher PTSD symptoms were associated with elevated PRFQ-PreMentalizing and Interest and Curiosity scores. Certainty about Mental States was positively associated with PSOC. PTSD intrusion symptoms were negatively associated with Interest and Curiosity, while hyperarousal symptoms were positively associated with this subscale.<br><br>Together, findings highlight the nuanced relationship between PTSD, PRF, and parenting competence, while underscoring the promise of trauma-informed, mentalization-based interventions.

Parenting interventions in Northern Ireland may benefit from integrating strategies to enhance PRF alongside stress management and resilience-based approaches.<br><br><i>Thesis is embargoed until 31 December 2026</i>.