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Adverse and Benevolent Childhood Experiences Predict Prenatal Sleep Quality
Melissa Nevarez-Brewster1, Özlü Aran1, Angela J Narayan1
1Department of Psychology, University of Denver, 2155 S Race St, Denver, CO 80208, USA.
Adversity and Resilience Science
|March 27, 2023
Summary
Childhood experiences impact pregnancy sleep. Adverse childhood experiences (ACEs) are linked to poorer sleep quality, while benevolent childhood experiences (BCEs) are linked to better sleep during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Developmental Psychology
Background:
- Prenatal sleep quality is crucial for maternal and fetal health.
- Childhood experiences, both adverse and benevolent, may influence long-term health trajectories.
- The impact of childhood experiences on sleep quality during pregnancy is not well understood.
Purpose of the Study:
- To investigate the association between adverse childhood experiences (ACEs) and benevolent childhood experiences (BCEs) and sleep quality trajectories throughout pregnancy.
Main Methods:
- A cohort of 164 pregnant individuals was recruited from obstetrics and gynecology clinics.
- Sleep quality was assessed using the Pittsburgh Sleep Quality Index at three gestational points.
- Multilevel models analyzed the relationship between ACEs, BCEs, and sleep quality across gestation.
Main Results:
- Sleep quality declined quadratically throughout pregnancy, worsening in late gestation.
- Higher ACEs predicted poorer prenatal sleep quality, with childhood maltreatment being a significant predictor.
- Higher BCEs predicted better prenatal sleep quality, independent of socioeconomic status and current stressors.
Conclusions:
- Both adverse and benevolent childhood experiences significantly predict sleep quality during pregnancy.
- Interventions promoting resilience and sleep quality are recommended for prenatal health.
- Childhood maltreatment is a key factor associated with poor sleep during pregnancy.
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