Epidemiology of childhood trauma and its association with insomnia and psychotic-like experiences in Chinese Zhuang adolescents

Abstract

BackgroundAdolescents who have experienced childhood trauma are more likely to have insomnia and psychotic-like experiences (PLEs) than adolescents from other ethnic groups. However, little is known about the youth of ethnic minorities. This study aimed to investigate the epidemiology of childhood trauma and its relationship with insomnia and PLEs in Chinese Zhuang adolescents, focusing on the role of a specific type of trauma and accumulation.MethodsA questionnaire of Childhood Trauma Questionnaire-Short Form (CTQ-SF), Athens Insomnia Scale (AIS), and Chinese Version Community assessment psychic experiences-8 (CCAPE- 8) were all completed by 1,493 Chinese Zhuang adolescents. Chi-square and multivariate logistic regression analyses examined the association between childhood trauma and insomnia/PLEs.ResultsThe incidences of emotional abuse (EA), physical abuse (PA), sexual abuse (SA), emotional neglect (EN), and physical neglect (PN) occurred at rates of 5.63, 5.02, 6.56, 23.98, and 33.15%, respectively. EA, SA, EN, and PN were all positively related to insomnia (OR: 1.314–7.720, all p < 0.05). EA and SA were positively associated with PLEs (OR: 2.131–3.202, all p < 0.001). Adolescents who had experienced three or more types of traumas were more likely to have insomnia (OR = 6.961, p < 0.001) and PLEs (OR = 3.558, p < 0.001).ConclusionThe most common type of childhood trauma is PN. Childhood trauma has the primary effect on insomnia/PLE. A significant dose-response relationship was found between Childhood trauma and insomnia/ PLEs. This association varied depending on the type and accumulation of exposure.

The bridge symptoms of childhood trauma, sleep disorder and depressive symptoms: a network analysis

“…Emotional abuse and poor sleep quality were identified as the central symptoms in the sleep and abuse network model. Some studies found that emotional abuse in childhood or adolescents could impact the sleep quality of the affected individuals into their adulthood [ 41 – 44 ], which might be explained by that emotional abuse occurring during an important developmental period might affect the stress regulatory mechanism [ 45 ]. However, these studies focused on the relationship between childhood emotional abuse and sleep problems of adults, different from our focus, which is the relationship between childhood emotional abuse and adolescent SD.…”

From hallucinations to delusions: A narrative review of psychotic-like experiences and their implications

“…There have been numerous studies investigating the association between childhood trauma (CT) and PLEs. Prior research suggests that witnessing violence, 46 suffering from emotional 47,48 or sexual abuse, and having experienced 3 or more types of trauma 49 are predominantly correlated with PLEs. A recent study 50 comparing the prevalence of delusions and hallucinations in 30-year-olds who had experienced childhood maltreatment with those who had not, showed a higher likelihood of PLEs in self-reported abuse survivors.…”