Path Analysis of Psychological Resilience Based on Mentalizing, Epistemic Trust, and Cognitive Flexibility with the Mediating Role of Cognitive Emotion Regulation in Adolescents

Authors

Keywords:

Psychological Resilience, Mentalizing, Epistemic Trust, Cognitive Flexibility, Cognitive Emotion Regulation, Adolescents

Abstract

Purpose: This study aimed to test a path model of psychological resilience based on mentalizing, epistemic trust, and cognitive flexibility, with adaptive cognitive emotion regulation as a mediating mechanism among adolescents.

Methods and Materials: This quantitative, non-experimental, cross-sectional correlational study employed path analysis. The statistical population comprised senior high school students in grades 10–12 in Tehran during the 2025–2026 academic year. Using multistage cluster sampling, 415 adolescents aged 15–18 years were included in the final sample. Data were collected using the Connor–Davidson Resilience Scale, Reflective Functioning Questionnaire, Epistemic Trust, Mistrust, and Credulity Questionnaire, Cognitive Flexibility Inventory, and the short-form Cognitive Emotion Regulation Questionnaire. Data were analyzed using SPSS 28 and AMOS 28. Maximum likelihood estimation was applied to evaluate direct and indirect pathways, while mediation effects were examined using bootstrapping with 5,000 resamples and 95% bias-corrected confidence intervals.

Findings: The proposed path model demonstrated excellent fit (χ²/df = 1.86, CFI = .991, TLI = .982, RMSEA = .045, SRMR = .028). Mentalizing (β = .28, p < .001), epistemic trust (β = .21, p < .001), and cognitive flexibility (β = .33, p < .001) significantly predicted adaptive cognitive emotion regulation, explaining 42% of its variance. Psychological resilience was significantly predicted by mentalizing (β = .16, p < .001), epistemic trust (β = .12, p = .010), cognitive flexibility (β = .24, p < .001), and adaptive cognitive emotion regulation (β = .36, p < .001), with the model explaining 54% of resilience variance. Bootstrapping further indicated significant indirect effects of mentalizing (β = .101, 95% CI [.062, .153], p = .001), epistemic trust (β = .075, 95% CI [.041, .120], p = .003), and cognitive flexibility (β = .118, 95% CI [.078, .179], p = .001) on resilience through adaptive cognitive emotion regulation.

Conclusion: Psychological resilience in adolescents appears to arise from the coordinated contribution of socio-cognitive and neurocognitive capacities, with adaptive cognitive emotion regulation functioning as a significant partial mediator. Strengthening mentalizing, epistemic trust, cognitive flexibility, and adaptive emotion regulation may therefore provide an integrated framework for psychological and educational interventions designed to promote resilient functioning during adolescence.

Downloads

Download data is not yet available.

References

Bo, S., Sharp, C., Fonagy, P., & Kongerslev, M. (2017). Hypermentalizing, attachment, and epistemic trust in adolescent BPD: Clinical illustrations. Personality Disorders: Theory, Research, and Treatment, 8(2), 172-182.

Bozorgi Kazerooni, S., & Gholamipour, S. (2023). Cognitive flexibility and emotion regulation in adolescence with childhood trauma. Journal of Research in Health, 13(2), 133-142.

Campbell, C., Tanzer, M., Saunders, R., Booker, T., Allison, E., Li, E., & Fonagy, P. (2021). Development and validation of a self-report measure of epistemic trust. PLoS One, 16(4), e0250264.

Compas, B. E., Jaser, S. S., Bettis, A. H., Watson, K. H., Gruhn, M. A., Dunbar, J. P., & Thigpen, J. C. (2017). Coping, emotion regulation, and psychopathology in childhood and adolescence. Psychological bulletin, 143(9), 939-991.

Dahl, R. E., Allen, N. B., Wilbrecht, L., & Suleiman, A. B. (2018). Importance of investing in adolescence from a developmental science perspective. Nature, 554(7693), 441-450.

Dajani, D. R., & Uddin, L. Q. (2015). Demystifying cognitive flexibility: Implications for clinical and developmental neuroscience. Trends in Neurosciences, 38(9), 571-578.

Dennis, J. P., & Vander Wal, J. S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive therapy and research, 34(3), 241-253.

Fonagy, P., & Allison, E. (2014). The role of mentalizing and epistemic trust in the therapeutic relationship. Psychotherapy, 51(3), 372-380.

Fonagy, P., & Luyten, P. (2018). Attachment, epistemic trust, and the developmental origins of vulnerability. Development and Psychopathology, 30(3), 1109-1122.

Fonagy, P., Luyten, P., Allison, E., & Campbell, C. (2019). Mentalizing, epistemic trust and the phenomenology of psychotherapy. Psychopathology, 52(2), 94-103.

Fonagy, P., Luyten, P., Moulton-Perkins, A., Lee, Y. W., Warren, F., Howard, S., & Lowyck, B. (2016). Development and validation of a self-report measure of mentalizing: The Reflective Functioning Questionnaire. PLoS One, 11(7), e0158678.

Garnefski, N., & Kraaij, V. (2018). Specificity of relations between adolescents’ cognitive emotion regulation strategies and symptoms of depression and anxiety. Cognition and Emotion, 32(7), 1401-1408.

Hassani, J. (2010). The psychometric properties of the cognitive emotion regulation questionnaire (CERQ). Journal of Clinical Psychology, 2(3), 73-84.

Hayes, A. F. (2022). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach (3rd ed.). Guilford Publications.

Kline, R. B. (2023). Principles and Practice of Structural Equation Modeling (5th ed.). Guilford Publications.

Locati, F., Milesi, A., Conte, F., Campbell, C., Fonagy, P., Ensink, K., & Parolin, L. (2022). Adolescence in lockdown: the protective role of mentalizing and epistemic trust. Journal of Clinical Psychology, 79(3), 969-984.

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, 297-325.

Malberg, N. T., Steele, M., & Steele, H. (2023). Co-Constructing Mentalizing Contexts in Therapeutic Work with Adolescents. Psychoanalytic Inquiry, 44(2), 1-15.

Martín-Rodríguez, A. (2022). Cognitive flexibility and impulsivity in adolescents. Frontiers in psychology, 13, 891234.

Masten, A. S. (2021). Resilience of children in disasters: A multisystem perspective. International journal of psychology, 56(1), 1-11.

Morosan, L., Fonagy, P., Luyten, P., & Badoud, D. (2020). The relationship between reflective functioning and emotion regulation in adolescents. Child Psychiatry & Human Development, 51(4), 606-614.

Orben, A., Tomova, L., & Blakemore, S. J. (2020). The effects of social deprivation on adolescent development and mental health. The Lancet Child & Adolescent Health, 4(8), 634-640.

Samani, S., Jokar, B., & Sahragard, N. (2007). Effects of resilience on mental health and life satisfaction. Iranian Journal of Psychiatry and Clinical Psychology, 13(3), 290-295.

Schäfer, J. Ö., Naumann, E., Holmes, E. A., Tuschen-Caffier, B., & Samson, A. C. (2017). Emotion regulation strategies in depressive and anxiety symptoms in youth: A meta-analytic review. Journal of youth and adolescence, 46(2), 261-276.

Shareh, H., Farmani, A., & Soltani, E. (2014). Investigating the reliability and validity of the Cognitive Flexibility Inventory (CFI-I) among Iranian university students. Practice in Clinical Psychology, 2(1), 43-50.

Shen, Y. (2024). The mediating role of cognitive flexibility in the relationship between social support and non-suicidal self-injury among adolescents. Frontiers in psychology, 15, 1546751.

Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2023). Resilience definitions, theory, and challenges: interdisciplinary perspectives. European Journal of Psychotraumatology, 5(1), 25338.

Taheri, A. (2020). Psychometric properties of the Persian version of the Reflective Functioning Questionnaire (RFQ). Iranian Journal of Psychiatry, 15(4), 312-321.

Ungar, M., & Theron, L. (2020). Resilience and mental health: how multisystemic processes contribute to positive outcomes. The Lancet Psychiatry, 7(5), 441-448.

Xu, M. (2026). Resilience Factors in Family Structure Transitions: Emotion Regulation, Cognitive Flexibility, Identity Development, Social Support, and Contextual Considerations. Family Transitions, 1-30. https://doi.org/10.1080/28375300.2026.2622851

Zhu, B., Gao, X., Zhou, M., & Wang, H. (2025). The Mediating Roles of Cognitive Emotion Regulation and Resilience in the Association Between Life Events and Sleep Quality Among Medical Students. Frontiers in Psychiatry, 16. https://doi.org/10.3389/fpsyt.2025.1466138

Downloads

Publication Timeline

Published
Submitted
Revised
Accepted

Issue

Section

Articles

How to Cite

Salar, M., Darang , S. ., Jamali, B. ., Jahangiri, M. ., & Hosseini, F. S. . (2027). Path Analysis of Psychological Resilience Based on Mentalizing, Epistemic Trust, and Cognitive Flexibility with the Mediating Role of Cognitive Emotion Regulation in Adolescents. International Journal of Education and Cognitive Sciences, 1-15. https://journalecs.com/index.php/ecs/article/view/461