TY - JOUR
T1 - Associations between childhood maltreatment, poor sleep, and prenatal distress in pregnant adolescents
AU - Foss, Sophie
AU - Gustafsson, Hanna C.
AU - Berry, Obianuju O.
AU - Hipwell, Alison E.
AU - Werner, Elizabeth A.
AU - Peterson, Bradley S.
AU - Monk, Catherine
N1 - Publisher Copyright:
©
PY - 2022/8/8
Y1 - 2022/8/8
N2 - Childhood maltreatment (CM) is a known risk factor for adolescent pregnancy. Sleep disturbances and psychological distress, both common negative sequelae of CM, often co-occur during pregnancy, although directionality remains unclear. Furthermore, little is known about how CM affects sleep-distress associations during pregnancy. In pregnant adolescents, we examined: (a) whether there are significant predictive associations from CM to sleep quality and distress and (b) bidirectional influences of distress and sleep quality. Healthy pregnant adolescents (n = 204) were recruited before or during the 2nd trimester. CM was assessed at enrollment; sleep quality and distress were assessed in the 2nd and 3rd trimesters. Hypotheses were tested using path analysis. Findings revealed that CM was associated with worse 2nd trimester sleep quality and distress (β =.19, p <.05 for sleep; β =.30, p <.001 for distress). Higher levels of 2nd trimester distress were associated with lower 3rd trimester sleep quality (β =.19, p <.05). Findings provide novel information about (a) associations from CM to prenatal mood and sleep in pregnant adolescents, and (b) sleep-distress directionality over the course of pregnancy. These results have implications for better understanding the ways in which CM potentially exerts influences later in life, and for targeting interventions to address physical and mental health during pregnancy.
AB - Childhood maltreatment (CM) is a known risk factor for adolescent pregnancy. Sleep disturbances and psychological distress, both common negative sequelae of CM, often co-occur during pregnancy, although directionality remains unclear. Furthermore, little is known about how CM affects sleep-distress associations during pregnancy. In pregnant adolescents, we examined: (a) whether there are significant predictive associations from CM to sleep quality and distress and (b) bidirectional influences of distress and sleep quality. Healthy pregnant adolescents (n = 204) were recruited before or during the 2nd trimester. CM was assessed at enrollment; sleep quality and distress were assessed in the 2nd and 3rd trimesters. Hypotheses were tested using path analysis. Findings revealed that CM was associated with worse 2nd trimester sleep quality and distress (β =.19, p <.05 for sleep; β =.30, p <.001 for distress). Higher levels of 2nd trimester distress were associated with lower 3rd trimester sleep quality (β =.19, p <.05). Findings provide novel information about (a) associations from CM to prenatal mood and sleep in pregnant adolescents, and (b) sleep-distress directionality over the course of pregnancy. These results have implications for better understanding the ways in which CM potentially exerts influences later in life, and for targeting interventions to address physical and mental health during pregnancy.
KW - adolescent pregnancy
KW - childhood maltreatment
KW - distress
KW - sleep
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U2 - 10.1017/S0954579420002163
DO - 10.1017/S0954579420002163
M3 - Article
C2 - 33551015
AN - SCOPUS:85100606761
SN - 0954-5794
VL - 34
SP - 764
EP - 773
JO - Development and Psychopathology
JF - Development and Psychopathology
IS - 3
ER -