Langevin Rachel, Hébert Martine, Guidi Elisa, Bernard-Bonnin Anne-Claude, Allard-Dansereau Claire
Département de sexologie, Université du Québec à Montréal, Montréal, Québec.
Dipartimento di Ingegneria dell'Informazione, University of Florence, Firenze, Italy.
Paediatr Child Health. 2017 Aug;22(5):273-276. doi: 10.1093/pch/pxx077. Epub 2017 May 24.
The aim of the present study was to explore sleep problems in sexually abused preschoolers over a year.
The sample consisted of 224 abused children and 83 nonabused children aged 3 to 6 years old at enrolment into the study (T1), and 85 abused children and 73 nonabused children at the second evaluation, approximately 1 year later (T2). Sleep problems were assessed using parental reports on the .
Multivariate analysis of covariance revealed that sexually abused preschoolers presented higher scores of sleep problems than nonabused children on all items related to sleep problems at T1. Results from a regression analysis revealed that sexual abuse remained associated with higher levels of sleep problems after controlling for sociodemographical variables. At T2, abused preschoolers still presented more sleep problems than nonabused children on all but one of the sleep items. Results from a repeated measure one-way analysis of covariance revealed that abused preschoolers presented higher total sleep scores at both measurement times. Time was not associated with levels of sleep problems and sleep problems did not evolve differently for abused and nonabused children.
Sexually abused preschoolers are at risk of presenting with sleep problems. These results are worrisome given the negative impacts of sleep problems on child development. Research and clinical implications are discussed.
本研究旨在探讨遭受性虐待的学龄前儿童在一年时间里的睡眠问题。
研究样本包括在研究开始时(T1)年龄为3至6岁的224名受虐儿童和83名未受虐儿童,以及大约一年后的第二次评估时的85名受虐儿童和73名未受虐儿童。睡眠问题通过家长对……的报告进行评估。
多变量协方差分析显示,在T1时,遭受性虐待的学龄前儿童在所有与睡眠问题相关的项目上的睡眠问题得分均高于未受虐儿童。回归分析结果显示,在控制了社会人口统计学变量后,性虐待仍然与较高水平的睡眠问题相关。在T2时,除一项睡眠项目外,受虐学龄前儿童在所有睡眠项目上的睡眠问题仍比未受虐儿童更多。重复测量单因素协方差分析结果显示,受虐学龄前儿童在两次测量时的总睡眠得分均较高。时间与睡眠问题水平无关,受虐儿童和未受虐儿童的睡眠问题变化情况没有差异。
遭受性虐待的学龄前儿童有出现睡眠问题的风险。鉴于睡眠问题对儿童发育的负面影响,这些结果令人担忧。文中讨论了研究和临床意义。