Department of Psychiatry and Human Behavior, The Initiative on Stress, Trauma, and Resilience (STAR), Center for Behavioral and Preventive Medicine, The Miriam Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Division of Behavioral Medicine, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Stress Health. 2023 Feb;39(1):209-218. doi: 10.1002/smi.3182. Epub 2022 Jul 9.
Adverse childhood experiences (ACEs) have been associated with worse sleep, but existing literature is limited by use of predominantly White samples, lack of objective sleep measurement, and use of non-standardized questionnaires. We investigated associations between retrospectively reported ACEs and sleep in adulthood in a sample of 43 adults 20-53 years of age, free from chronic conditions, with a Body mass index (BMI) ≥ 25 (Mean age = 33.14 [SD = 10.05], 74% female, 54% Black). Sleep efficiency (SE), total sleep time (TST), wake after sleep onset (WASO), and sleep onset latency (SOL), were measured by actigraphy and daily diary. Global sleep quality and insomnia severity were measured by questionnaires. Sleepiness, fatigue, and sleep quality were also measured by daily diary. Adjusting for demographic characteristics and BMI, ACEs were significantly associated with poorer global sleep quality and diary measures of greater daytime sleepiness, fatigue, and poorer sleep quality. There were no significant associations between ACEs and SE, TST, WASO, or SOL measured by diary or actigraphy. Findings suggest that ACEs are associated with worse sleep perception and daytime functioning in adulthood. Larger prospective studies are needed to replicate these findings, examine racial/ethnic differences, and determine temporal associations between ACEs, sleep, and health (e.g., BMI).
不良的童年经历（ACEs）与较差的睡眠质量有关，但现有文献存在以下局限性：主要使用白人样本、缺乏客观的睡眠测量以及使用非标准化问卷。我们在一个由 43 名年龄在 20-53 岁之间、无慢性疾病、身体质量指数（BMI）≥25 的成年人样本中，调查了回溯性报告的 ACEs 与成年期睡眠之间的关系。（平均年龄 33.14 [SD 10.05]，74%为女性，54%为黑人）。通过活动记录仪和日常日记来测量睡眠效率（SE）、总睡眠时间（TST）、睡眠后觉醒时间（WASO）和入睡潜伏期（SOL）。通过问卷来测量总体睡眠质量和失眠严重程度。通过日常日记还测量了嗜睡、疲劳和睡眠质量。在调整了人口统计学特征和 BMI 后，ACEs 与较差的整体睡眠质量以及日记中白天嗜睡、疲劳和较差的睡眠质量更严重的指标显著相关。ACEs 与 SE、TST、WASO 或通过日记或活动记录仪测量的 SOL 之间没有显著关联。研究结果表明，ACEs 与成年人较差的睡眠感知和日间功能有关。需要更大规模的前瞻性研究来复制这些发现，检查种族/民族差异，并确定 ACEs、睡眠和健康（例如 BMI）之间的时间关联。
