Abstract
Objectives
This study explored whether patterns of lifetime adversity are associated with sleep
disturbance and tested whether adult adversity mediates the relationship between childhood
adversity and sleep.
Methods
A sample of 1510 postpartum women in Wisconsin who received home visiting services
completed assessments of childhood adversity, adult adversity, and sleep disturbance;
989 women completed another sleep assessment about one year later. Latent class analysis
was used to identify classes of lifetime adversity, which were then used to predict
later sleep ratings while controlling for earlier sleep ratings and demographic variables.
A path analysis was conducted to explore whether adult adversity mediated the association
between childhood adversity and sleep.
Results
Adverse childhood and adult experiences were highly prevalent, and greater life-course
adversity was associated with sleep disturbance. The association between childhood
adversity and sleep was significantly mediated by adult adversity.
Conclusions
Sleep quality appears to correspond with life-course adversity, pointing to ongoing
opportunities for prevention and intervention.
Keywords
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Article info
Publication history
Published online: April 10, 2023
Accepted:
February 22,
2023
Received in revised form:
January 21,
2023
Received:
November 3,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
