Evidence map›Paper›PMID 42606600›Full record

ArticleEuropean child & adolescent psychiatry2026

Shaping personality functioning: type and timing effects of childhood maltreatment on personality functioning.

Christoph Kasinger, Vera Clemens, Elmar Brähler, Jörg M Fegert, Inga Schalinski, Hanna Kampling, Johannes Kruse, Daniëlle Otten

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Article in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Christoph KasingerDepartment for Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Steinhovelstr. 5, Ulm, 89075, Germany. Christoph.kasinger@uniklinik-ulm.de.
Vera ClemensDepartment for Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Steinhovelstr. 5, Ulm, 89075, Germany.
Elmar BrählerDepartment for Psychosomatic Medicine and Psychotherapy, University Medical Center of Johannes Gutenberg University of Mainz, Mainz, Germany.
Jörg M FegertDepartment for Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Steinhovelstr. 5, Ulm, 89075, Germany.
Inga SchalinskiDepartment of Human Sciences, Institute of Psychology, University of the Bundeswehr Munich, Munich, Germany.
Hanna KamplingDepartment of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany.
Johannes KruseDepartment of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany.
Daniëlle OttenDepartment for Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Steinhovelstr. 5, Ulm, 89075, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Personality functioning (PF) is a transdiagnostic construct central to contemporary models of personality pathology and a key mechanism linking childhood maltreatment (CM) to adult mental health difficulties. Yet the relative contributions of CM subtype, developmental timing, and cumulative exposure characteristics to adult PF impairment remain unclear. Gender-stratified conditional random forest regression was applied to data from a nationally representative German sample (N = 2,467; 51.8% women; mean age 50.7 years), simultaneously modelling year-specific CM timing, subtype, and cumulative indices against PF. PF was assessed with the Operationalized Psychodynamic Diagnostic-Structural Questionnaire Short Form (OPD-SQS), which demonstrated excellent external validity (area under the curve [AUC] = 0.89 for clinician-diagnosed personality disorder). Multiplicity, duration, and frequency of CM emerged as the dominant predictors of PF impairment in both sexes, substantially outperforming subtype-specific indicators. Among subtypes, emotional abuse, assessed via verbal abuse acts, showed the highest and most consistent variable importance across sensitive developmental windows, with sex-distinct timing patterns. Post-hoc analyses revealed threshold and interaction effects, underscoring that PF impairment is an environmentally mediated developmental outcome rather than a fixed individual vulnerability. These findings support routine PF assessment in individuals with CM histories and identify early adolescence as a priority window for preventive intervention.

Indexed as

Childhood maltreatmentDevelopmental timingPersonality functioningSensitive periodsSex differencesVerbal abuse

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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.