Spilsbury James C
Center for Clinical Investigation, Case School of Medicine, Cleveland, OH 44106, USA.
Behav Sleep Med. 2009;7(4):223-44. doi: 10.1080/15402000903190207.
Millions of children are exposed to various forms of violence every year, resulting-for many of them-in psychological problems, decreased social functioning, and poorer overall quality of their relationships and lives. This article reviews the scientific literature investigating the role of sleep as a key mediator in the pathway between violence-induced traumatic stress and resulting negative health and behavioral outcomes. Based on evidence revealed by this review and general research on how exposure to violence influences child health and development, a conceptual model is proposed that posits sleep's role as an important mediator of health effects and that incorporates other factors believed to shape linkages between exposure to violence and health and behavioral outcomes in children. Recommendations are given for future research to test the proposed model.
每年有数百万儿童遭受各种形式的暴力,对他们中的许多人来说,这导致了心理问题、社会功能下降,以及人际关系和生活的整体质量变差。本文回顾了科学文献,这些文献研究了睡眠作为关键中介因素在暴力诱发的创伤应激与由此产生的负面健康和行为结果之间的路径中所起的作用。基于本次综述所揭示的证据以及关于接触暴力如何影响儿童健康和发展的一般研究,提出了一个概念模型,该模型假定睡眠在健康影响方面起着重要的中介作用,并纳入了其他一些被认为会影响儿童接触暴力与健康及行为结果之间联系的因素。文中给出了未来研究的建议,以检验所提出的模型。