Evidence map›Paper›PMID 40033242›Full record

ArticleBMC psychiatry2025

The role of identity in the development of depressive, anxiety and psychosis symptoms in adolescents exposed to childhood adversity: a process-oriented approach.

Celine Samaey, Stijn Lambrechts, Aleksandra Lecei, Robin Achterhof, Noëmi Hagemann, Karlijn S F M Hermans, Anu P Hiekkaranta, Olivia J Kirtley, Ulrich Reininghaus, Bart Boets and 2 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Celine SamaeyDepartment of Neurosciences, Research Group Psychiatry, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium. celine.samaey@kuleuven.be.
Stijn LambrechtsDepartment of Neurosciences, Research Group Psychiatry, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium.
Aleksandra LeceiDepartment of Neurosciences, Research Group Psychiatry, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium.
Robin AchterhofDepartment of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Noëmi HagemannDepartment of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Karlijn S F M HermansDepartment of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Anu P HiekkarantaDepartment of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Olivia J KirtleyDepartment of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Ulrich ReininghausDepartment of Public Mental Health, Medical Faculty Mannheim, Central Institute of Mental Health, Heidelberg University, Mannheim, Baden-Württemberg, Germany.
Bart BoetsDepartment of Neurosciences, Research Group Psychiatry, Center for Developmental Psychiatry, KU Leuven, Leuven, Belgium.
Inez Myin-GermeysDepartment of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Ruud van WinkelDepartment of Neurosciences, Research Group Psychiatry, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium.

Funding

Deutsche Forschungsgemeinschaft 389624707Fonds Wetenschappelijk Onderzoek 1104219NFonds Wetenschappelijk Onderzoek 1257821NFonds Wetenschappelijk Onderzoek G049219NFonds Wetenschappelijk Onderzoek G063518NFonds Wetenschappelijk Onderzoek G0C7816N
6 · The paper itself

Abstract

backgroundChildhood adversity is known to predispose to a wide array of psychopathology in adolescence and early adulthood. Identity development, being a crucial developmental task during adolescence, has been suggested to affect this association. Nonetheless, research on the role of identity processes is scarce. The current study aims to investigate how identity processes of exploration and commitment may impact the association between childhood adversity and psychopathology.

methodsWe cross-sectionally investigated the association between childhood adversity, identity processes (i.e., exploration in breadth and depth, commitment making, identification with commitment and ruminative exploration) and depressive, anxiety and psychosis symptoms in 869 Flemish adolescents between 14 and 20 years old (mean = 15.52, SD = 1.28).

resultsChildhood adversity was associated with increased ruminative exploration, which itself was associated with increased psychopathology. On the other hand, commitment making, identification with commitment and exploration in breadth were associated with decreased psychopathology. Processes of exploration in breadth and commitment making attenuated the association between childhood adversity and psychopathology. Moreover, identification with commitment and ruminative exploration potentially mediated this association.

conclusionThese findings underscore the importance of healthy identity processes in adolescents, with and without exposure to childhood adversity. Measures of identity structure and identity processes should be combined to fully capture identity.

Indexed as

Adverse Childhood ExperiencesAnxietyDepressionPsychotic DisordersSelf ConceptSocial IdentificationAdolescentBelgiumCross-Sectional StudiesFemaleHumansMaleYoung AdultAdolescenceChildhood adversityIdentity processes

Identifiers

PMID40033242
PMCPMC11874077

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Registered trials

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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.