Abstract
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
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.
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
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.
| Original language | English |
|---|---|
| Article number | 0423 |
| Pages (from-to) | A157 |
| Number of pages | 1 |
| Journal | Sleep |
| Volume | 40 |
| Issue number | S1 |
| DOIs | |
| Publication status | Published - 28 Apr 2017 |
| Externally published | Yes |
| Event | Annual Meeting of the Associated Professional Sleep Societies (31st : 2017) - Boston, United States Duration: 3 Jun 2017 → 7 Jun 2017 |