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Childhood maltreatment and adulthood poor sleep quality: a longitudinal study
Journal article   Open access

Childhood maltreatment and adulthood poor sleep quality: a longitudinal study

Amanuel A Abajobir, Steve Kisely, Gail Williams, Lane Strathearn and Jake M Najman
Internal medicine journal, Vol.47(8), pp.879-888
08/2017
DOI: 10.1111/imj.13459
PMID: 28422454
url
http://hdl.handle.net/10072/409814View
Open Access

Abstract

Available evidence from cross-sectional studies suggests that childhood maltreatment may be associated with a range of sleep disorders. However, these studies have not controlled for potential individual-, familial- and environmental-level confounders. To determine the association between childhood maltreatment and lower sleep quality after adjusting for potential confounders. Data for the present study were obtained from a pre-birth cohort study of 3778 young adults (52.6% female) of the Mater Hospital-University of Queensland Study of Pregnancy follow up at a mean age of 20.6 years. The Mater Hospital-University of Queensland Study of Pregnancy is a prospective Australian pre-birth cohort study of mothers consecutively recruited during their first obstetric clinic visit at Brisbane's Mater Hospital in 1981-1983. Participants completed the Pittsburgh Sleep Quality Index at the 21-year follow up. We linked this dataset to agency-recorded substantiated cases of childhood maltreatment. A series of separate logistic regression models was used to test whether childhood maltreatment predicted lower sleep quality after adjustment for selected confounders. Substantiated physical abuse significantly predicted lower sleep quality in males. Single and multiple forms of childhood maltreatment, including age of maltreatment and number of substantiations, did not predict lower sleep quality in either gender in both crude and adjusted models. Not being married, living in a residential problem area, cigarette smoking and internalising were significantly associated with lower sleep quality in a fully adjusted model for the male-female combined sample. Childhood maltreatment does not appear to predict young adult poor sleep quality, with the exception of physical abuse for males. While childhood maltreatment has been found to predict a range of mental health problems, childhood maltreatment does not appear to predict sleep problems occurring in young adults. Poor sleep quality was accounted for by concurrent social disadvantage, cigarette smoking and internalising.
Prospective Studies Age Factors Follow-Up Studies Humans Child, Preschool Child Abuse - classification Infant Male Socioeconomic Factors Young Adult Sleep Wake Disorders - epidemiology Adult Female Child Sleep Wake Disorders - etiology Infant, Newborn Child Abuse - statistics & numerical data Cigarette Smoking - adverse effects Self Report Logistic Models Sleep Wake Disorders - psychology Pregnancy Child Abuse - psychology Adolescent Sex Factors

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