Original ArticleChildhood abuse is associated with stress-related sleep disturbance and poor sleep quality in pregnancy
Section snippets
Background
Pregnancy is a period characterized by multiple physiologic changes, including variations in energy and sleep demands, often leading to sleep disturbances [1]. Available data suggest that sleep disturbances during pregnancy are associated with adverse perinatal outcomes, including maternal depression, preeclampsia, and preterm birth [2], [3], [4]. For example, investigators have reported that short sleep duration (six or fewer nightly hours) in early pregnancy is associated with elevated
Results
Table 1 shows the socio-demographic and reproductive characteristics of the population under study. The mean age of participants was 28.8 years (standard deviation = 6.6 years); the majority of participants were married or living with a partner (79.7%) and had at least seven years of education (95.7%), while half (49.8%) of them reported that they were employed during pregnancy. Approximately, 48% of participants reported having difficulty paying for basic necessities such as food items. The
Discussion
Our study extends the literature by documenting increased odds of stress-related sleep disturbance and poor sleep quality among pregnant women with a history of childhood abuse. Childhood abuse was associated with higher odds of stress-related sleep disturbance (aOR = 1.65; 95% CI: 1.15–2.38) and with poor sleep quality (aOR = 2.11; 95% CI: 1.35–3.30) during early pregnancy; these associations were only partially explained by antepartum depression. Recent abuse by an intimate partner was not
Conflict of interest
None declared.
The ICMJE Uniform Disclosure Form for Potential Conflicts of Interest associated with this article can be viewed by clicking on the following link: http://dx.doi.org/10.1016/j.sleep.2015.07.004.
Acknowledgments
This study was supported by awards from the National Institutes of Health (NIH; R01-HD-059835, T37-MD000149 and K01MH100428). The NIH had no further role in study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication. The authors wish to thank the dedicated staff members of Asociacion Civil Proyectos en Salud (PROESA), Peru, and Instituto Materno Perinatal, Peru, for their expert technical
References (51)
- et al.
Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship?
Sleep Med Rev
(2010) - et al.
Adverse childhood experiences are associated with adult sleep disorders: a systematic review
Sleep Med
(2015) - et al.
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Psychiatry Res
(1989) - et al.
Childhood adversities and quality of sleep in adulthood: a population-based study of 26,000 Finns
Sleep Med
(2010) - et al.
Childhood abuse and early menarche among peruvian women
J Adolesc Health
(2015) - et al.
Prevalence of intimate partner violence: findings from the WHO multi-country Study on women's health and domestic violence
Lancet
(2006) - et al.
Vulnerability to insomnia: the role of familial aggregation
Sleep Med
(2008) - et al.
Validation of the Japanese version of the Ford Insomnia Response to Stress Test and the association of sleep reactivity with trait anxiety and insomnia
Sleep Med
(2014) - et al.
Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: the PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study
Am J Obstet Gynecol
(2000) - et al.
Cross-cultural validity of the Spanish version of PHQ-9 among pregnant Peruvian women: a Rasch item response theory analysis
J Affect Disord
(2014)
Using sleep dysfunction to explore the nature of resilience in adult survivors of childhood abuse or trauma
Child Abuse Negl
Adverse childhood experiences and sleep disturbances in adults
Sleep Med
Early-life trauma is associated with rapid eye movement sleep fragmentation among military veterans
Biol Psychol
Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice
Child Abuse Negl
Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study
Am J Prev Med
Sleep quality and depression during pregnancy: a prospective study
J Sleep Res
Associations of early pregnancy sleep duration with trimester-specific blood pressures and hypertensive disorders in pregnancy
Sleep
Sleep duration, vital exhaustion, and odds of spontaneous preterm birth: a case-control study
BMC Pregnancy Childbirth
Childhood abuse as a risk factor for sleep problems in adulthood: evidence from a U.S. national study
Anns Behav Med
Severity of childhood sexual abuse: symptom differences between men and women
Am J Fam Ther
Intimate partner violence and risk for depression among postpartum women in Lima, Peru
Violence Vict
Association of childhood physical and sexual abuse with intimate partner violence, poor general health and depressive symptoms among Pregnant women
PLoS ONE
Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) Study
Am J Prev Med
Demographic Health Survey questionnaires and modules: domestic violence module
Vulnerability to stress-related sleep disturbance and hyperarousal
Sleep
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2021, Psychiatry ResearchCitation Excerpt :After establishing potential categories, we examined sets of characteristics derived from prior research that could be linked to one of the potential categories. In particular, we considered the characteristics of these potential categories in terms of demographics, prenatal factors, childhood trauma (Gelaye et al., 2015), and personality traits. These findings can improve cluster identification and enrich theories about sleep during pregnancy.
Child Sexual Abuse and Pregnancy: A Systematic Review of the Literature
2021, Child Abuse and NeglectCitation Excerpt :However, these studies only found statistical results by examining child sexual and physical abuse as a composite variable, when Gelaye et al. (2015) examined them alone, the results for child sexual abuse were not statistically significant. This finding indicates the influence of another variable identified as possibly antepartum depression and/or intimate partner violence (Gelaye et al., 2015). For sexual abuse alone, women with this history were more likely to report poor health in the past year, more somatic complaints and more severity of complaints in comparison to other women (Barrios et al., 2015; Grimstad et al., 1999; Littleton, 2015; Lukasse, Schei, Vangen, & Øian, 2009).