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Type-specific effects of childhood maltreatment on adult sleep problems
Abstract   Peer reviewed

Type-specific effects of childhood maltreatment on adult sleep problems

C Paquola, R Wassing, Jim Lagopoulos and E Van Someren
Journal of Sleep and Sleep Disorders Research, Vol.40(Supplement 1), p.A157
Annual Meeting of the Associated Professional Sleep Societies, LLC, 31st (Boston, United States, 03-Jun-2017–07-Jun-2017)
2017
DOI: https://doi.org/10.1093/sleepj/zsx050.422
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https://doi.org/10.1093/sleepj/zsx050.422View
Published Version

Abstract

Biological Sciences Medical and Health Sciences Psychology and Cognitive Sciences
Introduction: Childhood maltreatment (CM) is a highly important but often overlooked predictor of adult sleep problems. Given approximately 40% of individuals experience CM, characterisation of the relationship between CM and adult sleep problems could be particularly useful for identification and early intervention of individuals at risk of developing insomnia. Methods: 1219 individuals from the Netherlands Sleep Registry (age 19-89years, 915 females, 633 insomnia) completed the Insomnia Severity Index (ISI), Childhood Trauma Questionnaire and Hospital Anxiety and Depression Scale. First, we quantified the risk of developing insomnia following CM. Then using a partial least squares analysis, we examined the CM-subtype specific effects on adult insomnia symptoms (ISI components), as well as the moderating effects of age, gender, depressive symptoms and anxiety symptoms. Results: CM was related to a 1.54 fold increase in the risk of developing insomnia. Childhood physical neglect was associated with worse sleep patterns (ISI-4, β=0.19, 0.008<μ<0.377) and noticeability of sleep-related problems (ISI-5, β=0.19, 0.008<μ<0.375). Childhood sexual abuse, partially mediated by anxiety symptoms, was associated with greater distress concerning sleep patterns (ISI-4, β=0.11, 0.001<μ<0.207). Additionally, we found that the impact of childhood emotional abuse on sleep maintenance (ISI-2, β=-0.11, -0.198<μ<-0.013), early awakenings (ISI-3, β=-0.10, -0.194<μ<-0.001) and daytime dysfunction (ISI-7, β=-0.10, -0.192<μ<-0.007) decreased with age. Conclusion: The present study highlights the importance of screening for CM in adults reporting with sleep problems. These findings should be used to inform risk assessment and for the development of individualised treatment plans, such as anxiety management for individuals with a history of childhood sexual abuse.

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Clinical Neurology
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