儿童虐待和睡眠呼吸暂停:从横截面一般人口研究中得出的结果
Carsten Spitzer1, Antoine Weihs2, Ralf Ewert3
1Department of Psychosomatic Medicine and Psychotherapy, University Medicine Rostock, Rostock, Germany.
Journal of psychosomatic research
|February 10, 2024
概括
童年虐待与睡眠呼吸暂停指标有关. 这项研究发现了童年创伤和客观/主观睡眠呼吸暂停措施之间的关联,由抑郁症和肥胖症介导.
科学领域:
- 睡眠医学 睡眠医学
- 心理创伤学 心理创伤学
- 公共卫生 公共卫生
背景情况:
- 儿童虐待 (CM) 与睡眠障碍有关.
- 以前的研究表明,睡眠呼吸暂停可能与睡眠呼吸暂停有关.
- 与CM相关的睡眠呼吸暂停的客观测量仍未得到充分研究.
研究的目的:
- 调查童年虐待与客观/主观睡眠呼吸暂停指标之间的关联.
- 探索涉及抑郁,肥胖和健康行为的调解途径.
主要方法:
- 从SHIP-Trend一般人口研究中对962名参与者的横截面研究.
- 用于评估睡眠呼吸暂停 (AHI,ODI) 的多睡眠学 (PSG) 测量.
- 儿童创伤问卷 (CTQ) 评估了CM;爱普沃思睡眠度量表 (ESS) 对主观睡眠. 线性回归模型调整了混因子.
主要成果:
- 呼吸暂停-呼吸暂停指数 (AHI) 和ESS与CTQ总分正相关;ODI没有.
- 与ESS (情绪虐待/忽视) 和AHI (身体/性虐待,身体忽视) 相关的特定CM类型.
- 抑郁症状中介于ESS效应;肥胖,危险行为和代谢综合征中介于AHI效应.
结论:
- 童年虐待,特别是身体疏忽,与睡眠呼吸暂停指标有关.
- 研究结果强调了抑郁症状和肥胖症作为调解者的作用.
- 建议在睡眠呼吸暂停的评估和治疗中需要考虑CM史.
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