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Sleep Environments of Children in an Urban U.S. Setting Exposed to Interpersonal Violence
James C Spilsbury1, Jennifer Frame1, Ruth Magtanong2
1a Case School of Medicine , Cleveland , Ohio.
Insights
Children
Area of Science:
- Child Psychology
- Environmental Health
- Trauma Studies
Background:
- Violence significantly impacts children's sleep environments and behaviors.
- Understanding these impacts is crucial for developing effective interventions.
- Families experiencing violence often face unique challenges in providing stable sleep settings.
Purpose of the Study:
- To investigate the influence of violence on children's sleep environments.
- To assess changes in sleep behavior and environments over time post-violence.
- To identify factors contributing to sleep disturbances and improvements in victimized children.
Main Methods:
- Recruited 65 children (ages 8-16) and a guardian from agencies serving families affected by violence.
- Conducted systematic, qualitative assessments of sleep environments at baseline, 6 months, and 12 months.
- Collected sleep behavior information at multiple time points post-violent event.
Main Results:
- Child sleep problems were frequent and persistent for most participants.
- Nine children reported improved sleep, primarily due to the absence of perpetrators.
- Sleeping environments were dynamic, with changes in location and safety modifications.
- Discrepancies were common between child and parent perceptions of sleep environment influences.
Conclusions:
- Families' motivation to enhance children's sleep is a key resource.
- Interventions should leverage this motivation when supporting families exposed to violence.
- Addressing environmental factors is essential for improving sleep in children exposed to trauma.
Abstract:
This study investigated how violence influences children's sleep environments. Sixty-five children ages 8-16 years and a parent or guardian were recruited from agencies serving families experiencing violence. At baseline (5 weeks post-violent event), 6 months, and 12 months postbaseline, study staff collected sleep-behavior information and conducted systematic, qualitative assessments of sleep environments. Child sleep problems were generally frequent and persistent. However, 9 children reported improved sleep after the violent event, mainly because perpetrators were no longer present. Sleeping environments were dynamic via changes in location and modifications to improve safety and sleep. Incongruence between children's and parents' perceptions of environmental characteristics influencing sleep was common. Families' motivation to improve children's sleep represents a foundation to build upon when working with families victimized by violence.
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