Sleep Disturbances and Childhood Sexual Abuse
Open Access
- 1 June 2005
- journal article
- research article
- Published by Oxford University Press (OUP) in Journal of Pediatric Psychology
- Vol. 31 (5), 469-480
- https://doi.org/10.1093/jpepsy/jsj040
Abstract
Objective This longitudinal, prospective study examined the relationship between childhood sexual abuse and later sleep problems in adolescence while taking into account cooccurring psychopathology that is closely related to sleep disruption [e.g., depression and posttraumatic stress disorder (PTSD)]. Method Sleep disturbances in 147 females (78 sexually abused; 69 comparison) were assessed 10 years after disclosure of substantiated abuse. The follow-up protocol included self-report questions regarding typical sleeping patterns and sleep disturbances as well as measures of depression, PTSD, and lifetime victimization histories. Results Sleep disturbances correlated significantly with both depression and PTSD. Hierarchical regression analysis showed that sexually abused participants reported significantly greater rates of sleep disturbances than comparison participants above and beyond depression and PTSD. Sleep disturbances were related to revictimization rates independent of sexual abuse, depression, and PTSD. Conclusions Assessments of sleep disturbances should be integrated into standard of care for adolescents who have experienced sexual abuse.This publication has 40 references indexed in Scilit:
- Sleep in Lifetime Posttraumatic Stress DisorderArchives of General Psychiatry, 2004
- Pathways to adolescent health sleep regulation and behaviorJournal of Adolescent Health, 2002
- Inattention, Hyperactivity, and Symptoms of Sleep-Disordered BreathingPEDIATRICS, 2002
- Psychological disturbance and child sexual abuse: a follow-up studyChild Abuse & Neglect, 1998
- Sleep onset abnormalities in depressed adolescentsBiological Psychiatry, 1996
- Prior victimization: A risk factor for child sexual abuse and for PTSD-related symptomatology among sexually abused youthChild Abuse & Neglect, 1995
- A Clinical Picture of Child and Adolescent NarcolepsyJournal of the American Academy of Child & Adolescent Psychiatry, 1994
- Validity and Reliability of the DSM-III Criteria for Posttraumatic Stress DisorderJournal of Nervous & Mental Disease, 1989
- The Pittsburgh sleep quality index: A new instrument for psychiatric practice and researchPsychiatry Research, 1989
- The Cholinergic Rapid Eye Movement Sleep Induction Test With RS-86Archives of General Psychiatry, 1989