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Adverse Childhood Experiences and Quality of Sleep in Children: A Systematic Review

대한작업치료학회지 2020년 28권 3호 p.135 ~ 154
Kelly Teara, Pon Krista, Abril Bella, Lorenz Susanna, Hilton Claudia L.,
소속 상세정보
 ( Kelly Teara ) - Methodist Specialty and Transplant Hospital
 ( Pon Krista ) - University of Texas Medical Branch
 ( Abril Bella ) - University of Texas Medical Branch
 ( Lorenz Susanna ) - University of Texas Medical Branch
 ( Hilton Claudia L. ) - University of Texas Medical Branch

Abstract


Objectives: This systematic review sought to examine existing studies addressing the relationship betweenAdverse Childhood Experiences (ACEs) and children’s sleep quality.

Methods: An exhaustive literature search was performed using the Preferred Reporting Items for SystematicReviews and Meta-Analyses (PRISMA) guidelines. Records were identified through PubMed, CINAHL, Scopus,and Ovid.

Results: Fourteen studies were reviewed showing moderate evidence supporting the relationship between ACEsand sleep problems. Child sexual abuse was the most frequently reported form of maltreatment and wassignificantly linked to sleep problems. Common sleep problems included difficulty falling asleep, nocturnalawakening, nightmares, daytime sleepiness, and poor quality of sleep.

Discussion: Occupational therapy practitioners are encouraged to include evaluation and interventions for sleepdisturbances in children who have known or suspected traumatic experiences. More specific studies are neededto further understand differences between ages and sexes and whether type of abuse makes a difference in thisrelationship.

키워드

Child Abuse; Child Maltreatment; Childhood Trauma; Sexual Abuse; Sleep Disturbances

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