Journal article

Authors list: Zara, Sandra; Braehler, Elmar; Sachser, Cedric; Fegert, Joerg M.; Haeuser, Winfried; Krakau, Lina; Kampling, Hanna; Kruse, Johannes

Publication year: 2023

Pages: 47-53

Journal: Annals of Epidemiology

Volume number: 78

ISSN: 1047-2797

eISSN: 1873-2585

Open access status: Hybrid

DOI Link: https://doi.org/10.1016/j.annepidem.2022.12.004

Publisher: Elsevier

Abstract: 
Purpose: This study aimed to examine the role of personality functioning in the association between various types of child maltreatment (CM) (sexual, physical, and emotional abuse as well as physical and emotional neglect) and diabetes in adulthood. Methods: Analyses are based on representative data of the German population ( N = 5,041) from 2016 to 2019. Self-report questionnaires assessed diagnosis of diabetes, child maltreatment (CTQ), personality functioning (OPD-SQS), and symptoms of depression/anxiety (PHQ-4). Odd ratios were calculated to ex-amine the association between CM and diabetes, and mediation analyses including PHQ-4 as covariate were conducted to examine the role of personality functioning . Results: All CM types significantly elevated the odds of having diabetes in adulthood. Personality func-tioning mediated the association between abuse and diabetes (sexual: b = 0.012, 95% CI [.002, 0.022], PM = 25.0%, physical: b = 0.009, 95% CI [.001, 0.017], PM = 12.0%, and emotional: b = 0.013, 95% CI [.002, 0.024], PM = 59.8%), but not between neglect and diabetes. Conclusions: CM is associated with an increased risk of diabetes, with personality functioning being a relevant mediator for CM abuse types. Hence, by focusing on CM prevention and considering impaired personality functioning in diabetes treatment, diabetes self-management and health behavior could be improved.(c) 2022 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ )

Harvard Citation style: Zara, S., Braehler, E., Sachser, C., Fegert, J., Haeuser, W., Krakau, L., et al. (2023) Associations of different types of child maltreatment and diabetes in adulthood-the mediating effect of personality functioning: Findings from a population-based representative German sample, Annals of Epidemiology, 78, pp. 47-53. https://doi.org/10.1016/j.annepidem.2022.12.004

APA Citation style: Zara, S., Braehler, E., Sachser, C., Fegert, J., Haeuser, W., Krakau, L., Kampling, H., & Kruse, J. (2023). Associations of different types of child maltreatment and diabetes in adulthood-the mediating effect of personality functioning: Findings from a population-based representative German sample. Annals of Epidemiology. 78, 47-53. https://doi.org/10.1016/j.annepidem.2022.12.004