TY - JOUR PY - 2021// TI - The relationship between adverse childhood experiences and sleep problems among adolescent students: mediation by depression or anxiety JO - International journal of environmental research and public health A1 - Jung, Kyu-In A1 - Hyun, Yerin A1 - Kim, Bora A1 - Sung, Dajung A1 - Kim, Yeeun A1 - Lee, Seung-Yup A1 - Park, Min-Hyeon A1 - Kim, Bung-Nyun A1 - Park, Subin A1 - Kim, Hayeon A1 - Kim, Shin-Young A1 - Park, E.-Jin SP - e236 EP - e236 VL - 18 IS - 1 N2 - 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.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph18010236 ID - ref1 ER -