Department of Psychiatry, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon 400-011, Korea.
Department of Psychiatry, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
Int J Environ Res Public Health. 2020 Dec 30;18(1):236. doi: 10.3390/ijerph18010236.
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.
不良的童年经历（ACEs）与抑郁、焦虑和睡眠问题密切相关。然而，目前尚不清楚青少年是否存在 ACEs 相关的睡眠问题，而不考虑抑郁或焦虑，或在抑郁或焦虑的中介作用下。因此，我们的目的是使用社区样本研究抑郁或焦虑是否在 ACEs 和青少年睡眠问题之间存在中介关系。采用创伤早期经历量表自我报告简表（ETISR-SF）和威胁经历问卷（LTE-Q）评估创伤性 ACEs。最终，共有 737 名学生（M=448，F=289，15.1±1.4 岁）的数据纳入统计分析。共有 576 名（78.1%）参与者报告他们经历过一次或多次 ACEs。有 ACEs 的青少年比没有 ACEs 的青少年抑郁、焦虑和睡眠问题更严重，而且男孩比女孩更容易经历创伤。抑郁和焦虑部分中介了 ACEs 和睡眠问题之间的关系。本研究结果表明，需要对有 ACEs 的青少年进行抑郁和焦虑干预，以减轻包括睡眠问题和身体健康问题在内的长期后果。
