ArticleFrontiers in psychiatry2022
Epistemic trust and personality functioning mediate the association between adverse childhood experiences and posttraumatic stress disorder and complex posttraumatic stress disorder in adulthood.
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Evaluating the ICD-11 PTSD and Complex PTSD Constructs: A Meta-Analytic Confirmatory Factor Analysis of the International Trauma Questionnaire.Assessment · 2026Pooled it
- Tracing the paths: a systematic review of mediators of complex trauma and complex post-traumatic stress disorder.Frontiers in psychiatry · 2024Pooled it
- Examining associations, moderators and mediators between childhood maltreatment, social functioning, and social cognition in psychotic disorders: a systematic review and meta-analysis.Psychological medicine · 2023Pooled it
- The mediating role of personality functioning impairment between childhood maltreatment and adult mental health problems.European journal of psychotraumatology · 2026Article
- Links between personality functioning and post-traumatic stress disorder symptoms: a network analysis.European journal of psychotraumatology · 2026Article
- Cracks in the foundation: disrupted epistemic trust as a link between trauma, PTSD and disturbances in self-organization.Translational psychiatry · 2026Article
- Process and outcome in university counseling: the role of epistemic trust and working alliance.Research in psychotherapy (Milano) · 2026Article
- Shaping personality functioning: type and timing effects of childhood maltreatment on personality functioning.European child & adolescent psychiatry · 2026Article
- Replicability or revision? Further evidence on the psychometric quality of the German version of the epistemic trust, mistrust and credulity questionnaire.BMC psychology · 2026Article
- Pathology of the self: a network analysis of personality functioning, narcissistic vulnerability, mentalizing, and epistemic trust across trauma profiles.Borderline personality disorder and emotion dysregulation · 2026Article
- Patient and therapist perspectives on impact, outcomes and change mechanisms in trauma-focused mentalization-based treatment: a qualitative interview study.Frontiers in psychiatry · 2026Article
- Personality functioning as a pathway from childhood trauma to substance use in clinical and community samples.Frontiers in psychology · 2026Article
- Can we trust this short scale? Validation of a Brief Self-Report Measure of Epistemic Trust, Mistrust and Credulity (ETMCQ-R-6) in a sample of the U.K. general population.PLOS mental health · 2026Article
- Emotional processing deficits mediate the association between adverse childhood experiences and CPTSD symptoms: the moderating role of perceived social support.Frontiers in psychiatry · 2026Article
- Development and validation of the Revised Epistemic Trust, Mistrust and Credulity Questionnaire (ETMCQ-R).BJPsych open · 2025Article
- Article
- Long-Term Improvements of Complex Post-Traumatic Stress Disorder (CPTSD) Symptoms After Multimodal Psychodynamic Inpatient Rehabilitation Treatment-An Observational Single Center Pilot Study.Journal of clinical psychology · 2025Observational
- Mentalizing, Loneliness and Pain-Related Depressive Symptoms Are Associated with Pain Severity in Patients with Rheumatic Diseases: Results of a Cross-Sectional Secondary Analysis.Journal of clinical medicine · 2025Article
- Adverse Childhood Experiences (ACEs) in Specific Vulnerable Developmental Periods Can Increase the Likelihood of Chronic Pain in Adulthood-Results from a Cross-Sectional Study.Diagnostics (Basel, Switzerland) · 2025Article
- Diabetes-related distress and psychological burden in patients with type 1 and type 2 diabetes - the role of child maltreatment, personality functioning, and epistemic trust: findings from a German clinical inpatient sample.Frontiers in psychiatry · 2025Article
Corrections and comments
- Erratum issued
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Adverse childhood experiences (ACEs) are associated with posttraumatic and complex posttraumatic stress disorder symptoms in adulthood (PTSD/cPTSD), as well as reduced epistemic trust (trust in the authenticity and personal relevance of interpersonally transmitted information) and impaired personality functioning. The present work aims to investigate the predictive value of epistemic trust-the capacity for social learning-on the mediating effect of personality functioning in the association of ACEs and PTSD/cPTSD. Methods: We conducted structural equation modeling (SEM) based on representative data of the German population ( Results: Conclusion: We add to previous research emphasizing the association between ACEs and PTSD/cPTSD symptoms. Offering insights on underlying mechanisms, we show that epistemic trust and personality functioning are relevant mediators. Since both are modifiable by psychotherapy, knowledge about the role of these constructs can inform research on psychotherapeutic interventions and prevention.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.