Fatemeh Mahmoudi, Zohre Khosravi, ژ Mehrangiz Paivastegar, Roshanak Khodabakhsh Pirkalani,
Volume 13, Issue 4 (volume, Issue 4 2020)
Abstract
Recovery is a process by which one promotes health, lives meaningfully, and participates in a community outside the mental health system. Focusing on biotherapeutics and drug therapy has neglected to consider the non-biological factors affecting recovery and planning for its correction. The present study aimed to develop a comprehensive and integrated model for facilitators of recovery in bipolar disorder. This research was a qualitative and grounded theory study. Participants were 31 individuals with ameliorated bipolar disorder who were selected using purposive sampling and snowball sampling. Data were collected using triangulation method (semi-structured interview, narrative interview and interview with family member). Systematic method of Strauss and Corbin was used for data analysis. The model extracted includes causal conditions, mediators, strategies, and recovery outcomes in people with bipolar disorder. The categories extracted include individual (low sensitivity to stigma disorder, positive attitude, active lifestyle, balanced spirituality, intimacy perception, internal control locus), family (positive family atmosphere and family awareness and participation), and social (social support, Positive image of community, perception of justice, low social stigma, employment and social networks). This finding could be a step towards multidimensional treatment of bipolar disorder and focus on its non-biological aspects.
Sara Entezari, Dr. Roshanak Khodabakhsh Pirkalani,
Volume 19, Issue 4 (Volume19, Issue 4 2026)
Abstract
The present study aimed to investigate the mediating role of mentalization, epistemic trust, mistrust, and credulity in the relationship between narcissistic traits (vulnerable and grandiose) and depression. A correlational design with path analysis was employed. A convenience sample of 304 adults completed Beck Depression Inventory-II (Beck et al., 1996), Short Form of the Five-Factor Narcissism Inventory (Sherman et al., 2015), The Mentalization Scale (Dimitrijević et al., 2018) and Epistemic Trust, Mistrust, and Credulity Questionnaire (Campbell et al., 2021). The results revealed that both dimensions of narcissism had a significant positive indirect effect on depression through reduced mentalizing capacity and increased epistemic mistrust. However, epistemic trust played a significant mediating role only in the path between vulnerable narcissism and depression. The indirect paths through epistemic credulity were also not significant. Also, the direct effect of grandiose narcissism on depression was negative, but the total effect was positive through indirect paths. These findings highlight the distinct mediating mechanisms of narcissism dimensions and underscore the importance of capacities for social information processing in understanding depressive symptoms. The results may inform the development of preventive, psychoeducational, or therapeutic programs focused on enhancing mentalization and restoring epistemic trust in individuals with narcissistic traits.
