The University of Akron College of Nursing, Akron, OH 44325-3701, USA.
J Trauma Stress. 2010 Feb;23(1):141-50. doi: 10.1002/jts.20495.
This study, guided by an adaptation of the theory of unpleasant symptoms, examined the complex relationships of childhood maltreatment, intimate partner violence (IPV), posttraumatic stress disorder (PTSD), depression, and physical health symptoms with global sleep quality and disruptive nighttime behaviors. Data were analyzed using covariance structure analysis. A convenience sample of 157 women currently experiencing IPV was recruited from crisis shelters and community agencies. Findings provide empirical support that women concurrently experiencing PTSD, depression, and stress-related physical health symptoms demonstrated poor global sleep quality and frequent disruptive nighttime behaviors. Posttraumatic stress disorder and stress health symptoms functioned as mediators of childhood maltreatment and IPV effects on both global sleep quality and disruptive nighttime behaviors, but depression did not.
本研究以不愉快症状理论为指导，考察了儿童期虐待、亲密伴侣暴力 (IPV)、创伤后应激障碍 (PTSD)、抑郁和与身体健康相关的症状与整体睡眠质量和夜间行为障碍之间的复杂关系。数据分析采用协方差结构分析。从危机庇护所和社区机构招募了 157 名目前正在经历 IPV 的女性作为方便样本。研究结果提供了实证支持，即同时患有 PTSD、抑郁和与压力相关的身体健康症状的女性表现出较差的整体睡眠质量和频繁的夜间行为障碍。创伤后应激障碍和与压力相关的身体健康症状是儿童期虐待和 IPV 对整体睡眠质量和夜间行为障碍影响的中介因素，但抑郁不是。
