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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 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]
In the citing paper
“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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“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.”
Consequences of child maltreatment: A glimpse at stress and sleep
Pfaff, A., & Schlarb, A. A. (2021) · Journal of Sleep Research · doi:10.1111/jsr.13456 · Cited by 16
Mishra, A. A., Friedman, E. M., Mihalec-Adkins, B. P., Evich, C. D., Christ, S. L., & Marceau, K. (2019) · Psychology and Health · doi:10.1080/08870446.2019.1657576 · Cited by 17
“…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
Hoag, J. R., Wu, Z. H., & Grady, J. J. (2015) · Sleep Health · doi:10.1016/j.sleh.2015.09.001 · Cited by 15
Sleep in Young Adults: Comparing Foster Care Alumni to a Low-Income Sample
Fusco, R. A. (2019) · Journal of Child and Family Studies · doi:10.1007/s10826-019-01555-w · Cited by 15
Effect of early trauma on the sleep quality of euthymic bipolar patients
Aubert‐Jousset, E., Jaussent, I., Olié, É., Ducasse, D., Azorin, J., Bellivier, F., Belzeaux-R, R., Bougerol, T., Étain, B., Gard, S., et al. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.07.045 · Cited by 16
Chi, M., Griffith, L. C., & Vecsey, C. G. (2014) · Brain Sciences · doi:10.3390/brainsci4030453 · Cited by 13
“In humans, developmental conditions have prominent effects on adult physiology and behavior [52–55], including alterations in sleep [56,57].”
BackgroundAbuso sexual temprano y su impacto en el bienestar actual del adulto
Murillo, J. A., Mendiburo‐Seguel, A., Santelices, M. P., Araya, P., Narváez, S., Piraino, C., Martínez, J., & Hamilton, J. (2021) · Psicoperspectivas Individuo y Sociedad · doi:10.5027/psicoperspectivas-vol20-issue1-fulltext-2043 · Cited by 15
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Abuse in Childhood and Risk for Sleep Disruption in Adulthood in the Black Women's Health Study
Boynton‐Jarrett, R., Sponholtz, T. R., Rosenberg, L. A., Palmer, J. R., Bethea, T. N., & Wise, L. A. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.02.053 · Cited by 12
Non-invasive sleep-environment monitoring system
Lobato, F. M. F., Silva, B., de, R., & Miranda, D. D. C. (2015) · International Conference on PErvasive Technologies Related to Assistive Environments (PETRA) · doi:10.1145/2769493.2769563 · Cited by 11
“It is not just a problem of well-being, but rather an economic issue in industrialized countries [16].”
BackgroundEarly parental positive personality and stress: Longitudinal associations with children's sleep
Miadich, S. A., Doane, L. D., Davis, M. C., & Lemery‐Chalfant, K. (2019) · British Journal of Health Psychology · doi:10.1111/bjhp.12372 · Cited by 11
“Negative childhood experiences have been related to troubled sleep, defined as self-reports of difficulty falling or staying asleep, and an increased likelihood of poor sleep quality among adults (Baiden, Fallon, den Dunnen, & Boateng, 2015; Koskenvuo, Hublin, Partinen, Paunio, & Koskenvuo, 2010).”
BackgroundNightmare experience and family relationships in healthy volunteers and nightmare disorder patients
Wang, C., Shao, X., Jia, Y., Shen, C., & Wang, W. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2299-9 · Cited by 11
A scientometric review of the association between childhood trauma and sleep
Karatzoglou, V., Carollo, A., Karagiannopoulou, E., Esposito, G., Séaghdha, X. T. Ó., & Dimitriou, D. (2024) · Acta Psychologica · doi:10.1016/j.actpsy.2024.104488 · Cited by 12
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Adverse childhood environment and self-reported sleep in adulthood: The Young Finns Study.
Talvitie, E., Hintsanen, M., Pulkki-Råbäck, L., Lipsanen, J. O., Merjonen, P., Hakulinen, C. A., Elovainio, M. J., Rosenström, T. H., Lehtimäki, T. J., Raitakari, O. T., et al. (2019) · Health Psychology · doi:10.1037/hea0000772 · Cited by 10
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Association Between Childhood Behavioral Problems and Insomnia Symptoms in Adulthood
Melaku, Y. A., Appleton, S., Reynolds, A. C., Sweetman, A., Stevens, D. J., Lack, L. C., & Adams, R. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.10861 · Cited by 11
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Self-reported sleep disorders/disturbances associated with physical symptoms and usage of computers
Korpinen, L. H., & Pääkkönen, R. J. (2013) · International Journal of Industrial Ergonomics · doi:10.1016/j.ergon.2013.05.004 · Cited by 6
Childhood Trauma in Depressive Disorders
Aas, M., & Étain, B. (2020) · Springer eBooks · doi:10.1007/978-3-030-49414-8_9 · Cited by 7
Friedmann, F., Hill, H., Santangelo, P., Ebner‐Priemer, U., Neubauer, A. B., Rausch, S., Steil, R., Müller‐Engelmann, M., Lis, S., Fydrich, T., et al. (2021) · SLEEP · doi:10.1093/sleep/zsab296 · Cited by 8
Childhood trauma and gender: Synergistic and additive effects on sleep in healthy young adults
Oh, C., Wallace, M. L., & Germain, A. (2022) · Sleep Health · doi:10.1016/j.sleh.2022.06.008 · Cited by 6
Qi, W., He, X., & Wang, Z. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1347365 · Cited by 6
“…have mostly focused on the influence of childhood socioeconomic status and childhood adverse on future sleep quality (Galobardes et al., 2004; Koskenvuo et al., 2010; Tomfohr et al., 2010; Chapman et al., 2011; El Shakankiry, 2011; Ramsawh et al., 2011; Baiden et al., 2015; Kajeepeta et al.,…”
BackgroundResultRelationship between the number of life events and memory capacity in children
van der Heijden, K. B., Suurland, J., Swaab, H., & de Sonneville, L. M. J. (2011) · Child Neuropsychology · doi:10.1080/09297049.2011.554391 · Cited by 7
“Furthermore, life events during childhood are strongly associated with sleep disturbances ( Koskenvuo, Hublin, Partinen, Paunio, & Koskenvuo, 2010 ).”
BackgroundRedefining insomnia: from neural dysregulation to personalized therapeutics
Arias-Carrión, Ó. (2025) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2025.2564709 · Cited by 5
“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].”
Metadata
- 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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