School of Psychology, Jiangxi Normal University, Nanchang, China.
School of Psychology, Jiangxi Normal University, Nanchang, China.
Sleep Med. 2021 Apr;80:46-51. doi: 10.1016/j.sleep.2021.01.022. Epub 2021 Jan 20.
Research has documented that adverse childhood experiences (ACEs) are associated with increased adult sleep disturbances, little is known about whether positive childhood experiences (PCEs) influence sleep health in adulthood. This study aimed to examine the associations of ACEs and PCEs with adulthood insomnia, as well as the extent to which PTSD and depressive symptoms mediated these associations.
A sample of 7245 adults in China (male 32.7%; mean age 38.09 years, SD = 7.84, range from 18 to 81) completed self-report questionnaires to assess ACEs, PCEs, PTSD and depressive symptoms. Multiple linear regressions were used to examine the independent and interaction effects of ACEs and PCEs on insomnia. Path analyses were performed to examine the direct and indirect effects of ACEs and PCEs on insomnia.
After adjustment of demographics, ACEs (β = 0.11, p < 0.001) and PCEs (β = -0.09, p < 0.001) were both independently associated with adulthood insomnia, while the relationship between PCEs and insomnia was weakened but still significant among participants with high levels of ACEs. After controlling for demographics, PTSD and depressive symptoms partially mediated the overall effect of PCEs on insomnia, and fully mediated the relationship between ACEs and insomnia.
These data demonstrate that both positive and adverse childhood experiences influence adulthood insomnia. The findings highlight the importance of joint assessment of PCEs and ACEs to prevent and intervene insomnia. Optimizing the early childhood environment may help to foster healthy sleep throughout the life course.
有研究记录表明，不良的童年经历（ACEs）与成年人睡眠障碍的增加有关，但是否有积极的童年经历（PCEs）会影响成年人的睡眠健康还知之甚少。本研究旨在探讨 ACEs 和 PCEs 与成年期失眠的关系，以及 PTSD 和抑郁症状在多大程度上介导了这些关系。
在中国，一项包含 7245 名成年人的样本（男性 32.7%；平均年龄 38.09 岁，标准差=7.84，年龄范围为 18 至 81 岁）完成了自我报告问卷，以评估 ACEs、PCEs、PTSD 和抑郁症状。使用多元线性回归来检验 ACEs 和 PCEs 对失眠的独立和交互作用。进行路径分析以检验 ACEs 和 PCEs 对失眠的直接和间接影响。
在调整了人口统计学因素后，ACEs（β=0.11，p<0.001）和 PCEs（β=-0.09，p<0.001）均与成年期失眠独立相关，而在 ACEs 水平较高的参与者中，PCEs 与失眠之间的关系虽然减弱但仍然显著。在控制了人口统计学因素、PTSD 和抑郁症状后，PCEs 对失眠的总效应部分由 PTSD 和抑郁症状介导，而 ACEs 与失眠的关系则完全由 PTSD 和抑郁症状介导。
这些数据表明，积极和消极的童年经历都会影响成年期的失眠。研究结果强调了联合评估 PCEs 和 ACEs 以预防和干预失眠的重要性。优化儿童早期环境可能有助于促进整个生命周期的健康睡眠。
