{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:43:23Z","timestamp":1792791803988,"version":"4.5.0"},"reference-count":44,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T00:00:00Z","timestamp":1594857600000},"content-version":"unspecified","delay-in-days":197,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S092493382000070X_sec1\" sec-type=\"other\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>To examine the association between childhood trauma and work functioning, and to elucidate to what extent this association can be accounted for by depression and\/or anxiety.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S092493382000070X_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>Data of 1,649 working participants were derived from the Netherlands Study of Depression and Anxiety (NESDA, <jats:italic>n<\/jats:italic>\u00a0=\u00a02,981). Childhood trauma (emotional neglect, psychological, physical, and sexual abuse before age 16) was assessed with a structured interview and work functioning, in terms of absenteeism and presenteeism, with the Health and Labor Questionnaire Short Form (SF-HLQ) and the World Health Organization Disability Assessment Schedule II (WHODAS-II), respectively. Depressive and\/or anxiety disorders were assessed with the Composite Interview Diagnostic Instrument (CIDI). Mediation analyses were conducted.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S092493382000070X_sec3\" sec-type=\"results\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>At baseline, 44.8% reported to have experienced childhood trauma. Workers with the highest childhood trauma level showed significantly (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) more absenteeism as well as more presenteeism. Mediation analyses revealed that indirect effects between the childhood trauma index and both work indices were significantly mediated by current depressive disorder (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.023 and <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001, respectively) and current comorbid depression-anxiety (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.020 and <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001, respectively), with the latter accounting for the largest effects (<jats:italic>P<\/jats:italic><jats:sub>M<\/jats:sub>\u00a0=\u00a00.23 and <jats:italic>P<\/jats:italic><jats:sub>M<\/jats:sub>\u00a0=\u00a00.29, respectively). No significant mediating role in this relationship was found for current anxiety disorder and remitted depressive and\/or anxiety disorder.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S092493382000070X_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>Persons with childhood trauma have significantly reduced work functioning in terms of absenteeism and presenteeism. This seems to be largely accounted for by current depressive disorders and current comorbid depression-anxiety.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2020.70","type":"journal-article","created":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T06:58:26Z","timestamp":1594882706000},"source":"Crossref","is-referenced-by-count":17,"title":["The associations between childhood trauma and work functioning in adult workers with and without depressive and anxiety disorders"],"prefix":"10.1192","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4283-7154","authenticated-orcid":false,"given":"Maud","family":"De Venter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernet M.","family":"Elzinga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filip","family":"Van Den Eede","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristien","family":"Wouters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4611-4076","authenticated-orcid":false,"given":"Guido F.","family":"Van Hal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dick J.","family":"Veltman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1426-802X","authenticated-orcid":false,"given":"Bernard G. 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