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The Relationship between Adverse Childhood Experiences and Sleep Problems among Adolescent Students: Mediation by Depression or Anxiety

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Listed:
  • E-Jin Park

    (Department of Psychiatry, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon 400-011, Korea)

  • Shin-Young Kim

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

  • Yeeun Kim

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

  • Dajung Sung

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

  • Bora Kim

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

  • Yerin Hyun

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

  • Kyu-In Jung

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

  • Seung-Yup Lee

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

  • Hayeon Kim

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

  • Subin Park

    (Department of Research Planning, National Center for Mental Health, Seoul 04933, Korea)

  • Bung-Nyun Kim

    (Department of Psychiatry and Behavioral Science, College of Medicine, Seoul National University, Seoul 08826, Korea)

  • Min-Hyeon Park

    (Department of Psychiatry, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea)

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.

Suggested Citation

  • E-Jin Park & Shin-Young Kim & Yeeun Kim & Dajung Sung & Bora Kim & Yerin Hyun & Kyu-In Jung & Seung-Yup Lee & Hayeon Kim & Subin Park & Bung-Nyun Kim & Min-Hyeon Park, 2020. "The Relationship between Adverse Childhood Experiences and Sleep Problems among Adolescent Students: Mediation by Depression or Anxiety," IJERPH, MDPI, vol. 18(1), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:236-:d:472636
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    References listed on IDEAS

    as
    1. Lee, Chioun & Tsenkova, Vera & Carr, Deborah, 2014. "Childhood trauma and metabolic syndrome in men and women," Social Science & Medicine, Elsevier, vol. 105(C), pages 122-130.
    2. Jian Wang & Liuna Geng, 2019. "Effects of Socioeconomic Status on Physical and Psychological Health: Lifestyle as a Mediator," IJERPH, MDPI, vol. 16(2), pages 1-9, January.
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