Adverse Childhood Experiences Associated with Adult Sleep Duration, Control Over Sleep, and Daytime Sleepiness

Paper


Rasmussen, Elizabeth, Ricketts, Emily, Joyce, Daniel, Mensah-Osman, Taylor, Gorovoy, S., Granados, Karla, Prather, Aric, Hale, Lauren, Branas, Charles, Rojo-Wissar, Darlynn and Grandner, Michael. 2023. "Adverse Childhood Experiences Associated with Adult Sleep Duration, Control Over Sleep, and Daytime Sleepiness." 37th Annual Meeting of the Associated Professional Sleep Societies. Indianapolis, United States 03 - 07 Jun 2023 United States. Oxford University Press. https://doi.org/10.1093/sleep/zsad077.0381
Paper/Presentation Title

Adverse Childhood Experiences Associated with Adult Sleep Duration, Control Over Sleep, and Daytime Sleepiness

Presentation TypePaper
AuthorsRasmussen, Elizabeth, Ricketts, Emily, Joyce, Daniel, Mensah-Osman, Taylor, Gorovoy, S., Granados, Karla, Prather, Aric, Hale, Lauren, Branas, Charles, Rojo-Wissar, Darlynn and Grandner, Michael
Journal or Proceedings TitleSleep
Journal Citation46 (Supplement_1), pp. A169 - A169
Number of Pages1
Year2023
PublisherOxford University Press
Place of PublicationUnited States
ISSN0161-8105
1550-9109
Digital Object Identifier (DOI)https://doi.org/10.1093/sleep/zsad077.0381
Web Address (URL) of Paperhttps://academic.oup.com/sleep/article/46/Supplement_1/A169/7181670?searchresult=1
Web Address (URL) of Conference Proceedingshttps://academic.oup.com/sleep/issue/46/Supplement_1
Conference/Event37th Annual Meeting of the Associated Professional Sleep Societies
Event Details
37th Annual Meeting of the Associated Professional Sleep Societies
Parent
Annual Meeting of the Associated Professional Sleep Societies
Delivery
In person
Event Date
03 to end of 07 Jun 2023
Event Location
Indianapolis, United States
Abstract

Introduction
Adverse childhood events have been linked with many mental and physical health risks, but less work has explored nighttime and daytime sleep problems, especially inability to control sleep.

Methods
Data were obtained from the Sleep and Healthy Activity, Diet, Environment, and Socialization (SHADES) study of N=1007 adults aged 22-60 years recruited from communities in southeastern Pennsylvania. Adverse childhood experiences were defined as a self-reported history of child abuse, parent divorce, parent death, parent with depression, parent with anxiety disorder, and childhood poverty (yes/no). Habitual sleep duration was assessed in hours, daytime sleepiness was assessed with the Epworth Sleepiness Scale (ESS), and control over sleep was assessed with the Brief Index of Sleep Control (BRISC). Covariates included age, sex, race/ethnicity, and education. Additional models included depression severity, assessed using a modified version of the Patient Health Questionnaire-9.

Results
History of child abuse was associated with 23 fewer minutes of nighttime sleep (p=0.001), and parent anxiety was associated with 15 fewer minutes (p=0.048). When depression was added to the model, the effects for sleep duration were attenuated (15.3 minutes, p=0.03). No other relationships were observed. Regarding control over nighttime sleep, decreased sense of control was reported by those who experienced child abuse (B=-0.4, p< 0.0005), parent divorce (B=-0.1, p=0.035), and parent depression (B=-0.2, p=0.02). After adjusting for depression, the relationship with child abuse was attenuated but maintained (B=-0.2, p< 0.0005). Elevated ESS scores were seen in those who reported child abuse (B=4.7, p< 0.0005), parent depression (B=4.3, p< 0.0005), and parent anxiety (B=3.9, p< 0.0005). After adjusting for depression, relationships were attenuated but maintained for child abuse (B=2.0, p=0.02), parent depression (B=2.2, p=0.004), and parent anxiety (B=2.2, p=0.017).

Conclusion
Adverse childhood events may lead to sleep/wake dysregulation, including less sleep at night, more sleepiness during the day, and decreased sense of control over sleep ability. Future efforts might focus on increasing control over nighttime sleep and reducing daytime sleepiness.

ANZSRC Field of Research 20204299. Other health sciences
Public Notes

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Byline AffiliationsUniversity of Arizona, United States
University of California Los Angeles, United States
University of Southern Queensland
University of California San Franciscso, United States
Stony Brook University, United States
Columbia University, United States
Brown University, United States
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