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Childhood experiences and sleep problems: A cross-sectional study on the indirect relationship mediated by stress, resilience and anxiety.
Ashour, Rola; Halstead, Elizabeth J; Mangar, Stephen; Lin, Vanessa Khoo Qi; Azhari, Atiqah; Carollo, Alessandro; Esposito, Gianluca; Threadgold, Laura; Dimitriou, Dagmara.
Afiliação
  • Ashour R; Sleep Education and Research Laboratory, Psychology and Human Development, UCL-Institute of Education, London, United Kingdom.
  • Halstead EJ; Psychology and Human Development Department, UCL, IOE Faculty of Education and Society, London, United Kingdom.
  • Mangar S; Sleep Education and Research Laboratory, Psychology and Human Development, UCL-Institute of Education, London, United Kingdom.
  • Lin VKQ; Psychology and Human Development Department, UCL, IOE Faculty of Education and Society, London, United Kingdom.
  • Azhari A; Sleep Education and Research Laboratory, Psychology and Human Development, UCL-Institute of Education, London, United Kingdom.
  • Carollo A; Psychology and Human Development Department, UCL, IOE Faculty of Education and Society, London, United Kingdom.
  • Esposito G; Department of Clinical Oncology, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, United Kingdom.
  • Threadgold L; Psychology Programme, School of Humanities and Behavioural Sciences, Singapore University of Social Sciences, Singapore, Singapore.
  • Dimitriou D; Psychology Programme, School of Humanities and Behavioural Sciences, Singapore University of Social Sciences, Singapore, Singapore.
PLoS One ; 19(3): e0299057, 2024.
Article em En | MEDLINE | ID: mdl-38507345
ABSTRACT

BACKGROUND:

Childhood experiences either adverse (ACE) or benevolent (BCE) can indirectly impact sleep quality in adult life, which in turn are modulated by the interplay of a variety of factors such as depression, anxiety, resilience and mental health problems.

METHODS:

A cross-sectional observational study was conducted across the UK and the Middle Eastern countries during the COVID-pandemic on 405 participants. An online survey used a combination of questionnaires to assess ACE and BCEs. The following tools were then used to assess the contribution of resilience, stress, depression and anxiety respectively Brief Resilience Scale (BRS), Perceived Stress Scale (PSS-10), Patient Health Questionnaire-2 (PHQ-2) and General Anxiety Disorder-2 (GAD-2) scale on childhood experiences. The extent of sleep disturbances experienced over a period of seven days was assessed using the PROMIS Sleep Disturbance Short-Form Tool. A serial-parallel mediation model was used to evaluate the impact of the mediators on childhood experiences and sleep quality.

RESULTS:

Over 50% of the cohort were from Middle Eastern countries. Four or more BCEs were experienced by 94.3% of the cohort. In contrast, 67.9% of participants experienced at least one ACE before the age of 18 years, with moderate levels of stress, mild depression and anxiety were reported in 3.7%, 13% and 20% of participants respectively. Whilst 25.4% of participants reported having had four or more ACEs, with higher reports in the middle easter countries (32%). ACEs were found to correlate with sleep disturbance whilst BCEs showed an inverse correlation. The relationship between ACE and sleep disturbances was shown to be mediated by stress, and anxiety, but not by resilience or depression. Resilience and stress, and resilience and anxiety serially mediated the interaction between ACE and sleep disturbance. With regards to BCE, an inverse association with sleep disturbance was recorded with similar mediators of stress and anxiety observed.

CONCLUSION:

This study confirms the negative effects of ACEs, and the positive effects of BCEs on sleep in adulthood which are both mediated predominantly by psychological resilience, anxiety and stress. Strategies aimed at improving psychological resilience as well as addressing stress and anxiety may help improve sleep quality.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Testes Psicológicos / Resiliência Psicológica / Autorrelato Limite: Adolescent / Adult / Humans Idioma: En Revista: PLoS One Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Testes Psicológicos / Resiliência Psicológica / Autorrelato Limite: Adolescent / Adult / Humans Idioma: En Revista: PLoS One Ano de publicação: 2024 Tipo de documento: Article