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The Relationship between Adverse Childhood Experiences and Sleep Problems among Adolescent Students: Mediation by Depression or Anxiety
- Source :
- International Journal of Environmental Research and Public Health, Vol 18, Iss 236, p 236 (2021), International Journal of Environmental Research and Public Health, Volume 18, Issue 1
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Adverse childhood experiences (ACEs) are known to be closely related to depression, anxiety and sleep problems. However, it remains unclear whether adolescents with ACEs have sleep problems regardless of depression or anxiety or under a mediating effect from depression or anxiety. Therefore, our aim was to examine whether depression or anxiety mediates the relationship between ACEs and sleep problems in adolescents by using a community sample. The Early Trauma Inventory Self Report–Short Form (ETISR-SF) and List of Threatening Experiences Questionnaire (LTE-Q) were used to assess traumatic ACEs. Ultimately, data from 737 students (M = 448, F = 289, 15.1 ± 1.4 years old) were included in the statistical analysis. A total of 576 (78.1%) participants reported that they had experienced one or more ACEs. Adolescents with ACEs had higher levels of depression, anxiety and sleep problems than did adolescents without ACEs, and boys tended to experience more trauma than girls. Depression and anxiety partially mediated the relationship between ACEs and sleep problems. The results of this study suggest the need for depression and anxiety interventions for adolescents with ACEs to reduce the long-term consequences, including sleep problems and physical health problems.
- Subjects :
- Male
Sleep Wake Disorders
Mediation (statistics)
Adolescent
Health, Toxicology and Mutagenesis
insomnia
Poison control
lcsh:Medicine
Anxiety
Suicide prevention
Article
03 medical and health sciences
0302 clinical medicine
Adverse Childhood Experiences
Injury prevention
Insomnia
medicine
Humans
030212 general & internal medicine
Child
Students
interventions
Depression (differential diagnoses)
threatening experiences
business.industry
Depression
lcsh:R
Public Health, Environmental and Occupational Health
Mental health
trauma
Female
medicine.symptom
business
physical health
030217 neurology & neurosurgery
mental health
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 16617827 and 16604601
- Volume :
- 18
- Issue :
- 236
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....9553ac3e920969b3f2efc3e42b05f71c