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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.
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.
Abstract:
Numerous studies have identified connections between child maltreatment and sleep-related issues. However, poor is known on potential links between sleep patterns and day-to-day functioning, along with psychopathology in maltreated youths. Additionally, existing research on the relationship between sleep difficulties and maltreatment often lacks investigation into specific sleep difficulty profiles across different age ranges. The current study aimed to determine the prevalence of diverse sleep disturbance profiles in a sample of maltreated children and adolescents, exploring distinct sleep disorder profiles based on sex, age, and the type of maltreatment experienced. Potential variations in adaptive and psychopathological profiles between maltreated children with and without sleep disturbances were also explored. This retrospective study included 91 children and adolescents (56% males, 44% females), aged 6 to 17, with a history of maltreatment (physical maltreatment, sexual abuse, psychological abuse, or neglect), referring for a neuropsychiatric and psychological evaluation at a pediatric hospital. Data were obtained through a retrospective file review. Sleep difficulties were measured through the Sleep Disturbance Scale for Children; cognitive abilities, adaptive skills, and emotional and behavioral features were also investigated. Among maltreated youth, difficulties in initiating and maintaining sleep were the most frequently observed by caregivers. Poor sex differences emerged, whereas adolescents exhibited more daytime somnolence than school-age children. Children with sleep difficulties exhibited more anxiety symptoms and worse global functioning in comparison with children without sleep difficulties.Conclusion: Considering the vital impact of sleep quality on healthy development, practitioners should offer tailored services to child maltreatment victims. Enhancing the sleep quality of these children could help foster their resilience.
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