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Open Access 01-12-2024 | Insomnia | Research

Adverse childhood experience and persistent insomnia during emerging adulthood: do positive childhood experiences matter?

Authors: Meng-Hsuan Wu, Chi Chiao, Wen-Hsu Lin

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

Adverse childhood experiences (ACE) have been documented to have long-term impacts on sleep disturbances. However, less is known about how ACE co-occurs with positive childhood experiences (PCE) and modulate their effects on adult sleep disturbances, particularly in the context of persistent insomnia. Building on resilience theory, this study aims to examine the interplay between ACE and PCE and their effects on persistent insomnia during emerging adulthood.

Methods

A total of 2,841 emerging adults were recruited from the Taiwan Youth Project. Persistent insomnia during emerging adulthood was assessed using two adult surveys (mean age = 19.8 and 21.9). The ACE (10 items) and PCE (7 items) were obtained from the baseline survey (mean age = 13.8). A series of logistic regression analyses were conducted.

Results

Among the emerging adults, 29.22% had persistent insomnia. Consistent with the compensatory model, ACE and PCE exerted opposing effects on persistent insomnia during emerging adulthood. In line with the protective model, the negative effect of ACE is mitigated when individuals have high PCE. However, consistent with the challenge model, the protective effect of PCE on persistent insomnia was inhibited in individuals with four or more ACE.

Conclusions

PCE serves as a protective factor, shielding emerging adults from the adverse effects of ACE on persistent insomnia. It is essential to prioritize positive experiences during early life to promote lifelong sleep health.

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Title: Adverse childhood experience and persistent insomnia during emerging adulthood: do positive childhood experiences matter?
Authors: Meng-Hsuan Wu
Chi Chiao
Wen-Hsu Lin
Publication date: 01-12-2024
Publisher: BioMed Central
Keyword: Insomnia
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-17774-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Adverse childhood experience and persistent insomnia during emerging adulthood: do positive childhood experiences matter?

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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