Childhood adversities and quality of sleep in adulthood: A population-based study of 26,000 Finns
Abstract
Objective To find out if childhood adversities predict poor sleep quality in working age.Methods Survey data from the Health and Social Support (HeSSup) study was used (N=25,605, 59% women). Negative childhood adversities and quality of sleep in adulthood were assessed by the questionnaire in 1998. Multinomial regression models were used.Results A graded association between childhood adversities and the quality of sleep in adulthood was found. Odds ratio (OR) of poor quality of sleep for those with multiple childhood adversities (3-6) was 3.64 (95% CI 2.94-4.50). The association between childhood adversities and the quality of sleep remained significant after adjustments for work status, use of psychotropic drugs, health behaviours, recent life events and child-parent relationships. Poor quality of sleep was clearly increased among those with both poor child-mother (OR 10.4, 95% CI 6.73-16.07) or poor child-father (OR 5.4, 95% CI 3.89-7.50) relationships and multiple childhood adversities. In the analyses of specific childhood adversities, frequent fear of a family member and serious conflicts in the family showed the strongest associations.Conclusions The strong association between childhood adversities and the quality of sleep in adulthood highlights the importance of early life circumstances on adult health. Early stage recognition, prevention and supportive measures against childhood adversities and serious family conflicts should be promoted.
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Two recent population studies indicate a dose-response relationship between degree of exposure to ACEs and sleep disturbance.
“Two recent population studies indicate that there is a dose-response relationship between the degree of exposure to ACEs and sleep disturbance.”
From The effects of sleep disruption on metabolism, hunger, and satiety, and the influence of psychosocial stress and exercise: A narrative review (2024) · cites this paper as [142]
A graded association has been observed between ACE exposure and poor sleep quality among adults aged 20-54 years, such that individuals with 3 or more ACEs have 3.6-fold increased likelihood of reporting poor sleep quality compared to individuals with no ACEs.
“a gradedassociation has been observed between ACE exposure and poor sleep quality among adults aged 20-54 years, such that individuals with 3 or more ACEs have 3.6-fold increased likelihood of reporting poor sleep quality compared to individuals with no ACEs.”
From The effects of sleep disruption on metabolism, hunger, and satiety, and the influence of psychosocial stress and exercise: A narrative review (2024) · cites this paper as [142]
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“…is an essential resource for both healthy development and stress amelioration that helps to offset disturbance generated by neurobiological alternations and hyperarousal (Koskenvuo, Hublin, Partinen, Paunio, & Koskenvuo, 2010), and foster psychological well-being and resilience to life stressors.”
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“This finding is novel, as it shows that the sleep-related consequences of adversity include the earliest years of life, not just adolescence and adulthood (Chapman et al., 2013; Chapman et al., 2011; Koskenvuo et al., 2010; Wang et al., 2016).”
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“Some empirical research has demonstrated the association between poor sleep quality in adulthood and family conflicts during one’s childhood (El-Sheikh, Kelly, Bagley, & Wetter, 2012; Gregory, Caspi, Moffitt, & Poulton, 2006; Koskenvuo et al., 2010), experiencing a parental divorce, the existence of a poor relationshi…”
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“A positive graded relationship between exposure to childhood adversities and sleep problems has been documented with both self-report and objective sleep measures (17, 18).”
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“…childhood adversities and the severity of later health outcomes (Anda et al., 2006; Clark, Caldwell, Power, & Stansfeld, 2010; Koskenvuo, Hublin, Partinen, Paunio, & Koskenvuo, 2010; Schilling, Aseltine, & Gore, 2008; Steine, Winje, Krystal et al., 2017; Turner, Finkelhor, & Ormrod, 2010).”
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“It is of note that similar reports of poor sleep quality have been presented in young adults with a history of adverse childhood experiences (ACE) 58,59 and with childhood brain tumor.”
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“…physical functionality, in aging adults (Friedman, 2016; Goel et al., 2013), exposure to childhood maltreatment can reduce the protective effects of sleep quality on positive health outcomes—even after accounting for other health and social factors (Greenfield et al., 2011; Koskenvuo et al., 2010).”
BackgroundResultInfluentialImpact of childhood abuse on adult sleep quality among low-income women after Hurricane Ike
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“A population-based study in Finland involving over 26,000 adults found that specific adversities, including exposure to family conflict or fear of a caregiver, were significantly associated with poor sleep, independent of depressive symptoms [126].”
- Authors
- Koskenvuo, K., Hublin, C., Partinen, M., Paunio, T., & Koskenvuo, M.
- Affiliations
- University of Helsinki (FI)
- Finnish Institute of Occupational Health (FI)
- Corresponding author
- Koskenvuo, Karoliina
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 11
- Issue
- 1
- Pages
- 17-22
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W2056833218
- Cited by
- 128
- References
- 33
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 10 · 2023: 6 · 2022: 10 · 2021: 10 · 2020: 8 · 2019: 16 · 2018: 6 · 2017: 6 · 2016: 7 · 2015: 13 · 2014: 4 · 2013: 6 · 2012: 8
- FWCI
- 8.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- childhood adversity, sleep quality, early life circumstances, family conflict, parent-child relationship, psychotropic drug use, health behavior, life events
- MeSH terms
- Adult, Alcoholism, Child, Child Abuse, Cross-Sectional Studies, Father-Child Relations, Fear, Female, Finland, Health Surveys, Humans, Sleep Initiation and Maintenance Disorders, Life Change Events, Male, Middle Aged, Mother-Child Relations, Obesity, Surveys and Questionnaires, Risk Factors, Risk-Taking, Smoking, Odds Ratio, Child of Impaired Parents, Family Conflict, Young Adult
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