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Journal of Pediatric Psychology Advance Access published online on June 15, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj040
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received February 16, 2005
Revised May 16, 2005
Accepted May 24, 2005

Article

Sleep Disturbances and Childhood Sexual Abuse

Jennie G. Noll PhD1*, Penelope K. Trickett PhD2, Elizabeth J. Susman PhD3, and Frank W. Putnam MD1

1 Division of Psychology and the Mayerson Center for Safe and Healthy Children, Cincinnati Children’s Hospital Medical Center
2 School of Social Work, University of Southern California
3 Department of Human Development, The Pennsylvania State University

* To whom correspondence should be addressed.
Jennie G. Noll, E-mail: jennie.noll{at}cchmc.org


  Abstract

Objective This longitudinal, prospective study examined the relationship between childhood sexual abuse and later sleep problems in adolescence while taking into account cooccurring psychopathology that is closely related to sleep disruption [e.g., depression and posttraumatic stress disorder (PTSD)]. Method Sleep disturbances in 147 females (78 sexually abused; 69 comparison) were assessed 10 years after disclosure of substantiated abuse. The follow-up protocol included self-report questions regarding typical sleeping patterns and sleep disturbances as well as measures of depression, PTSD, and lifetime victimization histories. Results Sleep disturbances correlated significantly with both depression and PTSD. Hierarchical regression analysis showed that sexually abused participants reported significantly greater rates of sleep disturbances than comparison participants above and beyond depression and PTSD. Sleep disturbances were related to revictimization rates independent of sexual abuse, depression, and PTSD. Conclusions Assessments of sleep disturbances should be integrated into standard of care for adolescents who have experienced sexual abuse.

Keywords: adolescence; sexual abuse; sleep disruption; victimization.
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