custom difficulties and world difficulty

I noticed that when you mod in a custom difficulty it is available for selection for both the world difficulty setting and the AI players difficulty settings.  World difficulty as I understand it controls the difficulty of monsters and how plentiful resources are.  But what would setting world difficulty to a custom difficulty do?  Do all custom difficulties default to normal or something?

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I believe it controls the monster health. Don't know about spawns of monsters and resources though.