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Sleep as a Moderator of Young Children's Traumatic Stress and Behavior Problems: a Treatment-Referred Sample
Glenn R Mesman1, Sufna G John1, Elissa H Dougherty1
1Department of Psychiatry, University of Arkansas for Medical Sciences, 4301 W. Markham St., #554, Little Rock, AR 72205-7199 USA.
Journal of Child & Adolescent Trauma
|September 2, 2021
Summary
Young children with trauma may experience sleep problems, which worsen behavior difficulties. Assessing sleep issues is crucial for clinicians treating traumatized preschoolers to improve behavioral health outcomes.
Area of Science:
- Child Psychology
- Trauma Studies
- Sleep Science
Background:
- Traumatic stress in young children is linked to sleep and behavior problems.
- The specific moderating role of sleep problems in this relationship requires further investigation.
Purpose of the Study:
- To determine if sleep problems moderate the link between traumatic stress and behavior problems in preschoolers.
- To explore if sleep problems moderate the relationship between specific trauma domains (intrusion, avoidance, arousal) and behavior problems.
Main Methods:
- Utilized intake data from 170 preschoolers (ages 3-5) referred for treatment.
- Employed statistical analyses to examine moderation effects.
Main Results:
- Sleep problems were found to significantly moderate the impact of overall traumatic stress on behavior problems.
- Moderation was also significant for intrusive trauma symptoms and approached significance for avoidance and arousal.
Conclusions:
- Sleep problems play a crucial moderating role in the development of behavior problems among young children exposed to trauma.
- Clinicians should prioritize assessing sleep difficulties in traumatized preschoolers, especially when overall stress levels are low.
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