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Adverse Childhood Experiences and Quality of Sleep in Children: A Systematic Review

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2020, 28(3), pp.135-154
  • DOI : 10.14519/kjot.2020.28.3.10
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics
  • Received : February 12, 2020
  • Accepted : March 11, 2020
  • Published : September 30, 2020

Teara Kelly 1 Krista Pon 2 Bella Abril 2 Susanna Lorenz 2 Claudia L. Hilton 2

1Methodist Specialty and Transplant Hospital, San Antonio
2University of Texas Medical Branch

Accredited

ABSTRACT

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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