Evidence map›Paper›PMID 42754566›Full record

ArticleTranslational psychiatry2026

Cracks in the foundation: disrupted epistemic trust as a link between trauma, PTSD and disturbances in self-organization.

Eileen Lashani, Peter Fonagy, David Riedl, Hanna Kampling, Johannes Kruse, Astrid Lampe, Veronika Engert, P Read Montague, Elmar Brähler, Jörg M Fegert and 2 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Eileen LashaniInstitute of Psychosocial Medicine, Jena University Hospital, Jena, Germany. Eileen.Lashani@med.uni-jena.de.ORCID http://orcid.org/0000-0001-9919-3743
Peter FonagyAnna Freud, London, United Kingdom.ORCID http://orcid.org/0000-0003-0229-0091
David RiedlUniversity Hospital of Psychiatry II, Department of Psychiatry, Psychotherapy and Psychosomatics, Medical University of Innsbruck, Innsbruck, Austria.
Hanna KamplingDepartment of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany.ORCID http://orcid.org/0000-0002-5213-0179
Johannes KruseDepartment of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany.
Astrid LampeLudwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.
Veronika EngertInstitute of Psychosocial Medicine, Jena University Hospital, Jena, Germany.ORCID http://orcid.org/0000-0001-5317-933X
P Read MontagueCentre for Human Neuroscience Research, Virginia Tech, Blacksburg, VA, USA.ORCID http://orcid.org/0000-0002-8967-0339
Elmar BrählerDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Jörg M FegertDepartment of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Ulm, Germany.
Cedric SachserDepartment of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Ulm, Germany.
Tobias NolteAnna Freud, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic experiences profoundly impact mental and physical health, alongside an individual's trust in their social environment. Disruptions in epistemic trust - the capacity to evaluate and trust socially communicated information - are theorized to increase vulnerability to psychopathology by impairing social learning. This cross-sectional study investigated associations between trauma characteristics and epistemic stance using self-report data from a representative German sample (N = 2 519). We examined relationships among trauma type, age at trauma, epistemic stance, PTSD and cPTSD. Neither trauma type nor timing alone predicted epistemic stance. However, their interaction revealed that early relational trauma demonstrated the strongest association with epistemic disruption. Within epistemic stance, heightened credulity mediated associations between trauma and both PTSD and cPTSD symptoms. These findings align with the hypothesis that the association between trauma exposure and epistemic stance depends on trauma type and timing, with early relational trauma showing the strongest links to epistemic disruption and related psychopathology. This differentiated perspective on trauma characteristics highlights epistemic stance as a potential mechanism that may advance developmental models of psychopathology and future clinical research.

Indexed as

Stress Disorders, Post-TraumaticTrustAdolescentAdultCross-Sectional StudiesFemaleGermanyHumansMaleMiddle AgedYoung Adult

Identifiers

PMID42754566
PMCPMC13586315

What OpenQuestion holds

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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.