Sleep quality and perceived health in college undergraduates with adverse childhood experiences

Research demonstrates that poor sleep quality is a predictor of chronic mental and physical health problems. The link between adverse childhood experiences (ACEs) and poor health outcomes is also well established; however, few studies have examined the relationships between ACEs, sleep quality, and...

Full description

Saved in:
Bibliographic Details
Published in:Sleep health 2019-04, Vol.5 (2), p.187-192
Main Authors: Rojo-Wissar, Darlynn M., Davidson, Ryan D., Beck, Connie J., Kobayashi, Ume S., VanBlargan, Angela C., Haynes, Patricia L.
Format: Article
Language:English
Subjects:
Adolescent
Adverse childhood experiences
Adverse Childhood Experiences - statistics & numerical data
Anxiety - epidemiology
Depression - epidemiology
Depression anxiety
Diagnostic Self Evaluation
Female
Humans
Male
Sleep
Sleep quality
Students - psychology
Students - statistics & numerical data
Universities
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Research demonstrates that poor sleep quality is a predictor of chronic mental and physical health problems. The link between adverse childhood experiences (ACEs) and poor health outcomes is also well established; however, few studies have examined the relationships between ACEs, sleep quality, and physical and mental health. The current study used structural equation modeling to assess the direct and indirect relationships between ACEs, sleep quality, symptoms of depression and anxiety, and general health perception in a sample of college undergraduates (N = 399), a group of individuals whose age is notable for only recently transitioning out of childhood. Indirect (ie, mediation) effects indicated with 95% confidence that sleep quality mediated the relationship between ACEs and general health perception, depressive symptoms, and symptoms of anxiety. Sleep quality did not account for the entire relationship between ACE score and these health outcomes, indicating partial mediation. When reversing the mediator and outcome variables, depression and anxiety fully mediated the relationship between ACE score and sleep quality. The results of this study suggest that sleep quality may be an important intermediary mechanism by which ACEs might contribute to poor health outcomes and especially poor general health perception. Prospective longitudinal research is needed to examine the directionality of the relationships between ACEs, sleep quality, and physical and mental health outcomes over time.
ISSN:2352-7218
2352-7226
DOI:10.1016/j.sleh.2018.11.007