The role of sleep deficiency in the relationship between adverse childhood experiences and early adolescent pain outcomes.

ABSTRACT:

Background

Sleep deficiency is common among youth exposed to adverse childhood experiences (ACEs) and may contribute towards persistent/recurrent pain (PRP). This study tested the hypotheses that sleep deficiency mediates the effect of ACEs on PRP and moderates the effect of ACEs on PRP exerted through anxiety and depression symptoms.

Methods

We used 4 years of Adolescent Brain Cognitive Development Study® data to test our hypotheses. Annual assessments of sleep duration and quality (from the Sleep Disturbances Scale for Children), pain, anxiety, and depression (from the Child Behavior Checklist) were used to derive our measures. Structural equation modeling and sleep subgroup comparisons estimated effects of early childhood ACEs (measured with parent/youth surveys) on PRP (

SUBMITTER: Senger-Carpenter T 

PROVIDER: S-EPMC12698282 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature