title: [Mentalization and bonding in chronic pelvic pain patients: a pilot study].
abstract: OBJECTIVE
  The study assesses mentalization (reflective functioning, RF), parental bonding, psychiatric comorbidity, and experiences of violence in chronic pelvic pain patients (CPP).
  
  
  METHODS
  Twenty-two CPP patients were investigated using SCID I and II as well as the German version of the parental bonding instrument (FEB). Experiences of violence were assessed by semistructured interviews. Adult attachment interviews (AAI) were rated according to the Reflective Functioning Scale (RF Scale).
  
  
  RESULTS
  CPP patients showed a lower capacity of mentalization (RF=2.3) compared to that of healthy individuals (RF approximately 5). Maternal bonding was rated as affectionless control (36.4 %) and as neglectful parenting (31.8 %). 54 % of the women reported experiences of violence. Axis I comorbidity was prevalent in 54.5 %, and axis II comorbidity was prevalent in 36.4 %.
  
  
  CONCLUSIONS
  Further psychoanalytic-psychosomatic research should focus on the low capacity of mentalization, adverse parenting, and experiences of violence in chronic pelvic pain patients.
authors.affiliation: Universitätsklinik für Psychoanalyse und Psychotherapie, Medizinische Universität Wien, Währinger Gürtel 18-20, A-1090 Wien, Austria. katharina.leithner-dziubas@meduni-wien.ac.at
authors.forename: Katharina
authors.initials: K
authors.lastname: Leithner-Dziubas
authors.forename: Victor
authors.initials: V
authors.lastname: Blüml
authors.forename: Andrea
authors.initials: A
authors.lastname: Naderer
authors.forename: Anna
authors.initials: A
authors.lastname: Tmej
authors.forename: Melitta
authors.initials: M
authors.lastname: Fischer-Kern
mesh_terms: D000328:Adult; D002648:Child; D002649:Child Abuse / Q000175:diagnosis / Q000523:psychology; D002908:Chronic Disease; D015897:Comorbidity; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology; D008875:Middle Aged; D009769:Object Attachment; D016487:Parenting / Q000523:psychology; D017699:Pelvic Pain / Q000523:psychology*; D010555:Personality Inventory / Q000706:statistics & numerical data; D010865:Pilot Projects; D011594:Psychometrics; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology*; D056345:Theory of Mind; D014754:Violence / Q000523:psychology; D055815:Young Adult