1Methodist Specialty and Transplant Hospital, San Antonio 2University of Texas Medical Branch 3University of Texas Medical Branch 4University of Texas Medical Branch 5University of Texas Medical Branch
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.