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KMID : 0603920200280030135
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Journal of Korean Academy of Occupational Therapy
2020 Volume.28 No. 3 p.135 ~ p.154
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Adverse Childhood Experiences and Quality of Sleep in Children: A Systematic Review
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Kelly Teara
Pon Krista
Abril Bella
Lorenz Susanna
Hilton Claudia L.
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Abstract
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Objectives: This systematic review sought to examine existing studies addressing the relationship betweenAdverse Childhood Experiences (ACEs) and children’s sleep quality.
Methods: An exhaustive literature search was performed using the Preferred Reporting Items for SystematicReviews and Meta-Analyses (PRISMA) guidelines. Records were identified through PubMed, CINAHL, Scopus,and Ovid.
Results: Fourteen studies were reviewed showing moderate evidence supporting the relationship between ACEsand sleep problems. Child sexual abuse was the most frequently reported form of maltreatment and wassignificantly linked to sleep problems. Common sleep problems included difficulty falling asleep, nocturnalawakening, nightmares, daytime sleepiness, and poor quality of sleep.
Discussion: Occupational therapy practitioners are encouraged to include evaluation and interventions for sleepdisturbances in children who have known or suspected traumatic experiences. More specific studies are neededto further understand differences between ages and sexes and whether type of abuse makes a difference in thisrelationship.
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KEYWORD
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Child Abuse, Child Maltreatment, Childhood Trauma, Sexual Abuse, Sleep Disturbances
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