Characterization of sleep difficulties in maltreated children and adolescents

Elisa Fucà1, Silvia Guerrera2, Stefania Falvo2

  • 1Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy. elisa.fuca@opbg.net.

PubMed

Insights

Child maltreatment is linked to sleep problems, affecting daily functioning and mental health. Improving sleep quality in maltreated children can enhance their resilience and overall well-being.

Area of Science:

  • Child Psychology
  • Sleep Medicine
  • Trauma Studies

Background:

  • Child maltreatment is associated with sleep disturbances.
  • Limited research explores specific sleep profiles and their impact on functioning in maltreated youth.
  • Understanding these links is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of sleep disturbance profiles in maltreated children and adolescents.
  • To explore variations in sleep disorders based on sex, age, and maltreatment type.
  • To examine the relationship between sleep disturbances and psychopathological/adaptive functioning.

Main Methods:

  • Retrospective file review of 91 children and adolescents (ages 6-17) with a history of maltreatment.
  • Assessment of sleep difficulties using the Sleep Disturbance Scale for Children.
  • Evaluation of cognitive, adaptive, emotional, and behavioral features.

Main Results:

  • Difficulty initiating and maintaining sleep was most common.
  • Adolescents reported more daytime somnolence than younger children; minimal sex differences were noted.
  • Children with sleep difficulties showed increased anxiety symptoms and poorer global functioning.

Conclusions:

  • Sleep disturbances are prevalent in maltreated youth and linked to poorer functioning.
  • Practitioners should provide tailored sleep support for child maltreatment victims.
  • Enhancing sleep quality may foster resilience in this vulnerable population.

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