Adverse childhood experiences affect sleep duration for up to 50 years later (2024)

Abstract

Study Objectives: The main objective for this study was to assess the association of adverse childhood experiences (ACEs) and subsequent short sleep duration among adults. Methods: This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time. Multinominal logistic regression analyses included survey weighting procedures and adjusted for age, race, education, income, sex, and body mass index; associations were also examined by age strata, using age as a proxy for time since ACEs occurred. Results: Complete data were available for 22 403 adults (mean age = 46.66 years) including 14 587 (65%) with optimum sleep duration (7-9 h/night) and 2069 (9%) with short sleep duration (<6 h/night). Compared with adults with optimum sleep duration, the number of ACEs was associated with the odds of short sleep duration (odds ratio [OR] = 1.22, 95% CI = 1.16 to 1.28), and the odds increased as the number of ACEs increased. The association held for each decade of age until the 60s, although the magnitude attenuated. Mental health challenges or poor physical health did not account for the association. Conclusion: ACEs increased the odds of chronic short sleep duration during adulthood and showed both a time-dependent and dose-response nature. These associations were independent of self-reported mental health challenges or poor physical health. The association of ACEs with short sleep duration throughout the adult lifespan emphasizes the importance of child health and identifying underlying psychological challenges in adults with sleep difficulties.

Original languageEnglish
Article numberzsz087
JournalSleep
Volume42
Issue number7
DOIs
StatePublished - Jul 2019

Keywords

  • ACEs
  • adverse childhood experiences
  • insomnia
  • risk factor
  • sleep
  • sleep disruption

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  • Adverse childhood experiences affect sleep duration for up to 50 years later (1)

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Sullivan, K., Rochani, H., Huang, L. T., Donley, DI. K. (2019). Adverse childhood experiences affect sleep duration for up to 50 years later. Sleep, 42(7), Article zsz087. https://doi.org/10.1093/sleep/zsz087

Sullivan, Kelly ; Rochani, Haresh ; Huang, Li Ting et al. / Adverse childhood experiences affect sleep duration for up to 50 years later. In: Sleep. 2019 ; Vol. 42, No. 7.

@article{8ab8cafc451b4457822235c1efc0111e,

title = "Adverse childhood experiences affect sleep duration for up to 50 years later",

abstract = "Study Objectives: The main objective for this study was to assess the association of adverse childhood experiences (ACEs) and subsequent short sleep duration among adults. Methods: This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time. Multinominal logistic regression analyses included survey weighting procedures and adjusted for age, race, education, income, sex, and body mass index; associations were also examined by age strata, using age as a proxy for time since ACEs occurred. Results: Complete data were available for 22 403 adults (mean age = 46.66 years) including 14 587 (65%) with optimum sleep duration (7-9 h/night) and 2069 (9%) with short sleep duration (<6 h/night). Compared with adults with optimum sleep duration, the number of ACEs was associated with the odds of short sleep duration (odds ratio [OR] = 1.22, 95% CI = 1.16 to 1.28), and the odds increased as the number of ACEs increased. The association held for each decade of age until the 60s, although the magnitude attenuated. Mental health challenges or poor physical health did not account for the association. Conclusion: ACEs increased the odds of chronic short sleep duration during adulthood and showed both a time-dependent and dose-response nature. These associations were independent of self-reported mental health challenges or poor physical health. The association of ACEs with short sleep duration throughout the adult lifespan emphasizes the importance of child health and identifying underlying psychological challenges in adults with sleep difficulties.",

keywords = "ACEs, adverse childhood experiences, insomnia, risk factor, sleep, sleep disruption",

author = "Kelly Sullivan and Haresh Rochani and Huang, {Li Ting} and Donley, {DIane K.} and Jian Zhang",

note = "Publisher Copyright: {\textcopyright} 2019 Sleep Research Society 2019. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail [emailprotected].",

year = "2019",

month = jul,

doi = "10.1093/sleep/zsz087",

language = "English",

volume = "42",

journal = "Sleep",

issn = "0161-8105",

publisher = "Oxford University Press",

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Sullivan, K, Rochani, H, Huang, LT, Donley, DIK 2019, 'Adverse childhood experiences affect sleep duration for up to 50 years later', Sleep, vol. 42, no. 7, zsz087. https://doi.org/10.1093/sleep/zsz087

Adverse childhood experiences affect sleep duration for up to 50 years later. / Sullivan, Kelly; Rochani, Haresh; Huang, Li Ting et al.
In: Sleep, Vol. 42, No. 7, zsz087, 07.2019.

Research output: Contribution to journalArticlepeer-review

TY - JOUR

T1 - Adverse childhood experiences affect sleep duration for up to 50 years later

AU - Sullivan, Kelly

AU - Rochani, Haresh

AU - Huang, Li Ting

AU - Donley, DIane K.

AU - Zhang, Jian

N1 - Publisher Copyright:© 2019 Sleep Research Society 2019. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail [emailprotected].

PY - 2019/7

Y1 - 2019/7

N2 - Study Objectives: The main objective for this study was to assess the association of adverse childhood experiences (ACEs) and subsequent short sleep duration among adults. Methods: This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time. Multinominal logistic regression analyses included survey weighting procedures and adjusted for age, race, education, income, sex, and body mass index; associations were also examined by age strata, using age as a proxy for time since ACEs occurred. Results: Complete data were available for 22 403 adults (mean age = 46.66 years) including 14 587 (65%) with optimum sleep duration (7-9 h/night) and 2069 (9%) with short sleep duration (<6 h/night). Compared with adults with optimum sleep duration, the number of ACEs was associated with the odds of short sleep duration (odds ratio [OR] = 1.22, 95% CI = 1.16 to 1.28), and the odds increased as the number of ACEs increased. The association held for each decade of age until the 60s, although the magnitude attenuated. Mental health challenges or poor physical health did not account for the association. Conclusion: ACEs increased the odds of chronic short sleep duration during adulthood and showed both a time-dependent and dose-response nature. These associations were independent of self-reported mental health challenges or poor physical health. The association of ACEs with short sleep duration throughout the adult lifespan emphasizes the importance of child health and identifying underlying psychological challenges in adults with sleep difficulties.

AB - Study Objectives: The main objective for this study was to assess the association of adverse childhood experiences (ACEs) and subsequent short sleep duration among adults. Methods: This cross-sectional examination used data from the 2011 Behavioral Risk Factor Surveillance System, a nationwide telephone-administered survey. Participants completed a standardized questionnaire to report childhood experiences of abuse, neglect, household challenges, and sleep time. Multinominal logistic regression analyses included survey weighting procedures and adjusted for age, race, education, income, sex, and body mass index; associations were also examined by age strata, using age as a proxy for time since ACEs occurred. Results: Complete data were available for 22 403 adults (mean age = 46.66 years) including 14 587 (65%) with optimum sleep duration (7-9 h/night) and 2069 (9%) with short sleep duration (<6 h/night). Compared with adults with optimum sleep duration, the number of ACEs was associated with the odds of short sleep duration (odds ratio [OR] = 1.22, 95% CI = 1.16 to 1.28), and the odds increased as the number of ACEs increased. The association held for each decade of age until the 60s, although the magnitude attenuated. Mental health challenges or poor physical health did not account for the association. Conclusion: ACEs increased the odds of chronic short sleep duration during adulthood and showed both a time-dependent and dose-response nature. These associations were independent of self-reported mental health challenges or poor physical health. The association of ACEs with short sleep duration throughout the adult lifespan emphasizes the importance of child health and identifying underlying psychological challenges in adults with sleep difficulties.

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KW - adverse childhood experiences

KW - insomnia

KW - risk factor

KW - sleep

KW - sleep disruption

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U2 - 10.1093/sleep/zsz087

DO - 10.1093/sleep/zsz087

M3 - Article

SN - 0161-8105

VL - 42

JO - Sleep

JF - Sleep

IS - 7

M1 - zsz087

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Sullivan K, Rochani H, Huang LT, Donley DIK, Zhang J. Adverse childhood experiences affect sleep duration for up to 50 years later. Sleep. 2019 Jul;42(7):zsz087. doi: 10.1093/sleep/zsz087

Adverse childhood experiences affect sleep duration for up to 50 years later (2024)

FAQs

Has adult sleep duration declined over the last 50 years? ›

Introduction. Sleep duration has declined in the past several decades in many modern industrialized societies (Bixler, 2009; Ferrie et al., 2011; Ford et al., 2015; Youngstedt et al., 2016; Sheehan et al., 2019 ).

Does adverse childhood experiences affect adulthood? ›

ACEs can affect a person's health throughout their lifetime. They may lead to issues such as mental health conditions, chronic physical health conditions and/or substance use disorder. These conditions can be treated or managed throughout a person's life.

What are the lifelong effects of adverse childhood experiences? ›

A child's exposure to traumatic events can cause a lifelong impact. Research shows that four or more adverse childhood experiences (ACEs) can lead to a higher risk of developing health and behavioral challenges when the child becomes an adult. These include mental illness, chronic disease, and high-risk behaviors.

What are the health issues associated with ACEs? ›

ACEs are linked to chronic health problems, mental illness, and substance misuse in adulthood. However, ACEs can be prevented. Preventing ACEs can help children and adults thrive and potentially: Lower risk for conditions like depression, asthma, cancer, and diabetes in adulthood.

Why am I not sleeping well after 50? ›

Mental and physical health conditions may also interfere with sleep. Conditions that commonly affect sleep in older people include depression, anxiety, heart disease, diabetes, and conditions that cause discomfort and pain, such as arthritis.

Has sleep duration declined? ›

Sleep duration is thought to have declined in many modern-day societies. In the United States, for example, limited data indicate that the prevalence of adults who sleep ≤ 6 h may have increased over time.

How to recover from adverse childhood experiences as an adult? ›

Here are eight steps to try:
  1. Take the ACE questionnaire. ...
  2. Begin writing to heal. ...
  3. Practice mindfulness meditation. ...
  4. Yoga. ...
  5. Therapy. ...
  6. EEG neurofeedback. ...
  7. EMDR therapy. ...
  8. Rally community healing.
Sep 18, 2016

How does a messed up childhood affect you in adulthood? ›

In addition to affecting mental health and coping mechanisms, trauma has been proven to affect physical health as well. “Research has shown that the experience of trauma not only influences our thinking and behavioral patterns, but also our biology,” says O'Connor.

What are the physical symptoms of childhood trauma in adults? ›

Physical Symptoms: Childhood trauma can also manifest in physical symptoms in adulthood. These can include chronic pain, gastrointestinal issues, autoimmune disorders, and headaches. The link between childhood trauma and physical health issues is complex and can be influenced by various factors.

How to reverse the effects of adverse childhood experiences? ›

COMBATING ACES
  1. Caregiver knowledge and application of positive parenting skills.
  2. Children's social and emotional health.
  3. Close relationships with competent caregivers or other caring adults.
  4. Communities that support health and development.
  5. Concrete support for parents and families.
  6. Having a sense of purpose.
May 21, 2018

What counteracts ACEs? ›

We Can Reduce the Effects of ACEs and Toxic Stress.

For those who have experienced ACEs, there are a range of possible responses that can help, including therapeutic sessions with mental health professionals, meditation, physical exercise, spending time in nature, and many others.

What are the psychological effects of adverse childhood experiences? ›

Studies have consistently reported associations between ACEs and an increased risk of psychiatric disorders in adulthood, such as posttraumatic stress disorder (PTSD),11,12 depression,13-15 anxiety,16 and substance abuse.

What can ACEs cause in adulthood? ›

Impact of ACEs

An increase in the risk of mental health problems, such as anxiety, depression, and post-traumatic stress. 1 in 3 diagnosed mental health conditions in adulthood directly relate to ACEs.

What chronic diseases are linked to ACEs? ›

Indeed, ACE research over the past few decades provides evidence for a relationship between ACEs and diabetes [15], depression [16], anxiety [17], mental disorders [18], and obesity [19].

Do ACEs affect life expectancy? ›

The Impact of ACEs

Across 50 States, 50% of children's ACEs are acquired by the age of 3. If left untreated, children with a high ACE score face a 20-year decrease in life expectancy.

Are people sleeping less than they used to? ›

A Gallup poll found 57% of Americans say they would benefit from getting more sleep and stress levels are up. And a fifth of Americans are sleeping fewer than five hours a night. This documents a big change since the last time this survey was done a decade ago. NPR's Yuki Noguchi joins me to discuss her reporting.

How has sleep duration changed over time? ›

Change across time

The evolution of sleep duration is varied across countries but an increase in sleep duration is the most common trend (10 countries out of 23), followed by little or no change (6/23), with a sleep decline the least common (4 out of 23).

Is sleep quality declining? ›

According to survey results released by healthcare charity Nuffield Health at the end of 2022, a significantly increasing number of adults report poorer quality sleep compared with statistics obtained a year ago. The study revealed soaring numbers suffering from insomnia. Insomnia can take on many forms.

Do adults sleep less as they get older? ›

Sleep and Aging

Older adults need about the same amount of sleep as all adults—7 to 9 hours each night. But, older people tend to go to sleep earlier and get up earlier than they did when they were younger. There are many reasons why older people may not get enough sleep at night.

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