Noll Jennie G, Trickett Penelope K, Susman Elizabeth J, Putnam Frank W
Cincinnati Children's Hospital Medical Center, Division of Psychology, 3333 Burnet Ave. MLC 3015, Cincinnati, OH 45229-3039, USA.
J Pediatr Psychol. 2006 Jun;31(5):469-80. doi: 10.1093/jpepsy/jsj040. Epub 2005 Jun 15.
This longitudinal, prospective study examined the relationship between childhood sexual abuse and later sleep problems in adolescence while taking into account cooccurring psychopathology that is closely related to sleep disruption [e.g., depression and posttraumatic stress disorder (PTSD)].
Sleep disturbances in 147 females (78 sexually abused; 69 comparison) were assessed 10 years after disclosure of substantiated abuse. The follow-up protocol included self-report questions regarding typical sleeping patterns and sleep disturbances as well as measures of depression, PTSD, and lifetime victimization histories.
Sleep disturbances correlated significantly with both depression and PTSD. Hierarchical regression analysis showed that sexually abused participants reported significantly greater rates of sleep disturbances than comparison participants above and beyond depression and PTSD. Sleep disturbances were related to revictimization rates independent of sexual abuse, depression, and PTSD.
Assessments of sleep disturbances should be integrated into standard of care for adolescents who have experienced sexual abuse.
这项纵向前瞻性研究考察了儿童期性虐待与青少年后期睡眠问题之间的关系，同时考虑到与睡眠障碍密切相关的共病精神病理学问题[如抑郁症和创伤后应激障碍（PTSD）]。
在证实性虐待事件披露10年后，对147名女性（78名曾遭受性虐待；69名作为对照）的睡眠障碍情况进行评估。随访方案包括关于典型睡眠模式和睡眠障碍的自我报告问题，以及抑郁症、创伤后应激障碍和终生受害史的测量。
睡眠障碍与抑郁症和创伤后应激障碍均显著相关。分层回归分析表明，在考虑抑郁症和创伤后应激障碍因素之外，曾遭受性虐待的参与者报告的睡眠障碍发生率显著高于对照参与者。睡眠障碍与再次受害率相关，且独立于性虐待、抑郁症和创伤后应激障碍。
对于遭受过性虐待的青少年，睡眠障碍评估应纳入其标准护理流程。
