TY - JOUR
T1 - Trauma exposure and sleep disturbance in a sample of youth from the National Child Traumatic Stress Network Core Data Set
AU - Hall Brown, Tyish S.
AU - Belcher, Harolyn M.E.
AU - Accardo, Jennifer
AU - Minhas, Ripudaman
AU - Briggs, Ernestine C.
N1 - Funding Information:
This manuscript was developed (in part) under grants 3U79SM054284-10S, 2U79SM054284, and 1U79SM059313-01 from the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, and US Department of Health and Human Services. The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of the Substance Abuse and Mental Health Services Administration or US Department of Health and Human Services.
Publisher Copyright:
© 2016 National Sleep Foundation.
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Objective: Adverse childhood experiences are prevalent and have been associated with sleep disturbance. However, there are limited data examining factors that influence this relationship. The purpose of this study was to extend the current literature by characterizing the relationship between adverse childhood experiences and sleep disturbance in a sample of trauma-exposed youth and to identify factors that may influence this relationship. Study design: Data were collected from 56 mental health centers across the National Child Traumatic Stress Network. For the current study, secondary data analysis was conducted using de-identified data from the National Child Traumatic Stress Network Core Data Set. The present study included 4043 children and adolescents who met eligibility criteria. Results: Sixteen percent of the sample (n = 634) met criteria for a sleep disturbance as determined through clinician assessment and collateral report. Posttraumatic stress disorder (PTSD) symptom severity influenced the risk of disturbed sleep (ages 7-12: t = -4.33, ages 13-18: t = -7.12, P ≤.001 for both analyses), with those meeting full criteria for PTSD at greatest risk (age 7-12: odds ratio [OR] = 1.95; 95% confidence interval [CI], 1.17-3.24; age 13-18: OR = 3.18; 95% CI, 1.87-5.43). Exposure to sexual assault and community violence also contributed independently to the risk of disturbed sleep (age 7-12, sexual assault: OR = 1.76; 95% CI, 1.21-2.57; age 13-18, community violence: OR = 1.61; 95% CI, 1.19-2.18). Conclusions: Comprehensive treatment strategies should include assessment of disturbed sleep in youth exposed to trauma, particularly those with elevated PTSD symptoms and exposure to sexual trauma or community violence.
AB - Objective: Adverse childhood experiences are prevalent and have been associated with sleep disturbance. However, there are limited data examining factors that influence this relationship. The purpose of this study was to extend the current literature by characterizing the relationship between adverse childhood experiences and sleep disturbance in a sample of trauma-exposed youth and to identify factors that may influence this relationship. Study design: Data were collected from 56 mental health centers across the National Child Traumatic Stress Network. For the current study, secondary data analysis was conducted using de-identified data from the National Child Traumatic Stress Network Core Data Set. The present study included 4043 children and adolescents who met eligibility criteria. Results: Sixteen percent of the sample (n = 634) met criteria for a sleep disturbance as determined through clinician assessment and collateral report. Posttraumatic stress disorder (PTSD) symptom severity influenced the risk of disturbed sleep (ages 7-12: t = -4.33, ages 13-18: t = -7.12, P ≤.001 for both analyses), with those meeting full criteria for PTSD at greatest risk (age 7-12: odds ratio [OR] = 1.95; 95% confidence interval [CI], 1.17-3.24; age 13-18: OR = 3.18; 95% CI, 1.87-5.43). Exposure to sexual assault and community violence also contributed independently to the risk of disturbed sleep (age 7-12, sexual assault: OR = 1.76; 95% CI, 1.21-2.57; age 13-18, community violence: OR = 1.61; 95% CI, 1.19-2.18). Conclusions: Comprehensive treatment strategies should include assessment of disturbed sleep in youth exposed to trauma, particularly those with elevated PTSD symptoms and exposure to sexual trauma or community violence.
KW - Adverse childhood experiences (ACEs)
KW - Community violence
KW - PTSD
KW - Sexual assault
KW - Sleep disturbance
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U2 - 10.1016/j.sleh.2016.03.001
DO - 10.1016/j.sleh.2016.03.001
M3 - Article
C2 - 28923254
AN - SCOPUS:84963553343
SN - 2352-7218
VL - 2
SP - 123
EP - 128
JO - Sleep Health
JF - Sleep Health
IS - 2
ER -