Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 4 Issue 8

Early Life Adversities are Associated with Sleep Quality During Pregnancy and the Postnatal Period: A Longitudinal Study in Tunisia

Sana El Mhamdi1,2,3*, Imene Mlouki1,2,3, Arwa Ben Salah1,3, Briana N DeAngelis4, Ines Bouanene1,3 and Mustafa al’Absi4

1Department of Community Medicine, Faculty of Medicine, University of Monastir, Tunisia
2Department of Preventive and Community Medicine, University Hospital Tahar Sfar, Mahdia, Tunisia
3Research Laboratory “Epidemiology Applied to Maternal and Child Health” 12SP17, Tunisia
4Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN, USA
5Department of Occupational Medicine, University Hospital Tahar Sfar, Mahdia, Tunisia

*Corresponding Author: Sana El Mhamdi, Department of Community Medicine, Faculty of Medicine, University of Monastir; Research Laboratory “Epidemiology Applied to Maternal and Child Health” 12SP17, Tunisia University Hospital Tahar Sfar Madhia, Tunisia.

Received: January 27, 2022; Published: July 29, 2022

Abstract

The objective of our study was to investigate the relationship between ELAs and sleep disturbances among pregnant women in Tunisia.

We performed a prospective study on a sample of pregnant women in Primary Healthcare Centers in Tunisia during a year. ELAs were evaluated using the Adverse Childhood Experiences-International Questionnaire. Common Mental Disorders were evaluated using an Arab version of the Self-Reporting Questionnaire. Postpartum Depression was assessed using the Edinburgh Postnatal Depression Scale. Sleep disturbances were assessed using the Pittsburgh Sleep Quality Index.

The sample included 593 women. One out of three women endorsed four adversities, including household dysfunction (58.3%), physical abuse (40.0%), community violence (40.0%), and peer violence (39.3%). Half of the participants (52.4%) were exposed women to secondhand tobacco smoke.

Our findings confirm that ELAs and secondhand smoke predict sleep disturbances during pregnancy and the postpartum period.

Keywords: Adverse Childhood Experiences; Sleep Hygiene; Pregnancy; Tobacco Smoke Pollution; Tunisia

References

  1. Kajeepeta S., et al. "Adverse childhood experiences are associated with adult sleep disorders: a systematic review”. Sleep Medicine 16 (2015): 320‑
  2. Anda RF., et al. "The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology”. European Archives of Psychiatry and Clinical Neuroscience 256 (2006): 174‑1
  3. El Mhamdi S., et al. "Gender differences in adverse childhood experiences, collective violence, and the risk for addictive behaviors among university students in Tunisia”. Preventive Medicine 99 (2017): 99‑
  4. Almuneef M., et al. "Adverse childhood experiences, chronic diseases, and risky health behaviors in Saudi Arabian adults: a pilot study”. Child Abuse and Neglect 38 (2014): 1787‑
  5. Fuemmeler BF., et al. "Adverse childhood events are associated with obesity and disordered eating: results from a U.S. population-based survey of young adults”. Journal of Trauma Stress 22 (2009): 329‑3
  6. McDonnell CJ and Garbers SV. “Adverse childhood experiences and obesity: Systematic review of behavioral interventions for women”. Psychology Trauma 10 (2018): 387‑
  7. Hughes K., et al. "The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis”. The Lancet Public Health 2 (2017): e356‑3
  8. Chapman DP., et al. "Adverse childhood experiences and sleep disturbances in adults”. Sleep Medicine 12 (2011): 773‑
  9. Charuvastra A and Cloitre M. “Safe enough to sleep: sleep disruptions associated with trauma, posttraumatic stress, and anxiety in children and adolescents”. Child and Adolescent Psychiatric Clinics of North America 18 (2009): 877‑8
  10. Bader K., et al. "Adverse childhood experiences associated with sleep in primary insomnia”. Journal of Sleep Research 16 (2007): 285‑
  11. Gregory AM., et al. "Family conflict in childhood: a predictor of later insomnia”. Sleep 29 (2006): 1063‑106
  12. Koskenvuo K., et al. "Childhood adversities and quality of sleep in adulthood: A population-based study of 26,000 Finns”. Sleep Medicine 11 (2010): 17‑
  13. Greenfield EA., et al. "Childhood Abuse as a Risk Factor for Sleep Problems in Adulthood: Evidence from a U.S. National Study”. Annals of Behavioral Medicine 42 (2011): 245‑
  14. Noll JG., et al. "Sleep disturbances and childhood sexual abuse”. Journal of Pediatric Psychology 31 (2006): 469‑
  15. DeSantis SM., et al. "Gender differences in the effect of early life trauma on hypothalamic-pituitary-adrenal axis functioning”. Depression and Anxiety 28 (2011): 383‑3
  16. Heim C., et al. "Altered pituitary-adrenal axis responses to provocative challenge tests in adult survivors of childhood abuse”. American Journal of Psychiatry 158 (2001): 575‑5
  17. Heim C., et al. "Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood”. JAMA 284 (2000): 592‑
  18. Heim C., et al. "The dexamethasone/corticotropin-releasing factor test in men with major depression: role of childhood trauma”. Biological Psychiatry 63 (2008): 398‑
  19. Witt WP., et al. "Measuring Stress Before and During Pregnancy: A Review of Population-Based Studies of Obstetric Outcomes”. Maternal and Child Health Journal 18 (2014): 52‑
  20. Wosu AC., et al. "History of childhood sexual abuse and risk of prenatal and postpartum depression or depressive symptoms: an epidemiologic review”. Archives of Women's Mental Health 18 (2015): 659‑6
  21. Sanchez SE., et al. "Childhood physical and sexual abuse experiences associated with post-traumatic stress disorder among pregnant women”. Annals of Epidemiology 27 (2017): 716-723.
  22. Swanson LM., et al. "The Role of Childhood Trauma and PTSD in Postpartum Sleep Disturbance: Childhood Trauma, PTSD, and Postpartum Sleep”. Journal of Traumatic Stress 27 (2014): 689‑6
  23. WHO | Adverse Childhood Experiences International Questionnaire (ACE-IQ) (2017).
  24. Almuneef M., et al. "Adverse childhood experiences, chronic diseases, and risky health behaviors in Saudi Arabian adults: A pilot study”. Child Abuse and Neglect 38 (2014): 1787‑17
  25. Al-Subaie AS., et al. "The Arabic self-reporting questionnaire (SRQ) as a psychiatric screening instrument in medical patients”. Annals of Saudi Medicine 18 (1998): 308-310.
  26. Gibson J., et al. "A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women”. Acta Psychiatrica Scandinavica 119 (2009): 350‑3
  27. Buysse DJ., et al. "The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research”. Psychiatry Research 28 (1989): 193‑
  28. Suleiman KH., et al. "Translating the Pittsburgh Sleep Quality Index into Arabic”. Western Journal of Nursing Research 32 (2010): 250‑2
  29. Suleiman KH., et al. "Psychometric Testing of the Arabic version of the Pittsburgh Sleep Quality Index (A-PSQI) among Coronary Artery Disease Patients in Jordan’. Journal of Natural Sciences Research (2012): 15‑
  30. Zhong Q-Y., et al. "Childhood abuse and suicidal ideation in a cohort of pregnant Peruvian women”. American Journal of Obstetrics and Gynecology 215 (2016): 501.e1-501.e8.
  31. Soares ALG., et al. "Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort”. Child Abuse and Neglect 51 (2016): 21‑
  32. Sharma SK., et al. "Sleep disorders in pregnancy and their association with pregnancy outcomes: a prospective observational study”. Sleep Breath 20 (2016): 87‑
  33. Okun ML., et al. "How disturbed sleep may be a risk factor for adverse pregnancy outcomes”. Obstetrical and Gynecological Survey 64 (2009): 273‑2
  34. Kajeepeta S., et al. "Sleep duration, vital exhaustion, and odds of spontaneous preterm birth: a case-control study”. BMC Pregnancy Childbirth 14 (2014): 337.
  35. Gelaye B., et al. "Childhood abuse is associated with stress-related sleep disturbance and poor sleep quality in pregnancy”. Sleep Medicine 16 (2015): 1274‑12
  36. Menke RA., et al. "Childhood adversity and sleep are associated with symptom severity in perinatal women presenting for psychiatric care”. Archives of Womens Mental Health 22 (2018): 457-465.
  37. Hawsawi AM., et al. "Association between exposure to secondhand smoke during pregnancy and low birthweight: a narrative review”. Respiratory Care 60 (2015): 135‑
  38. Khader YS., et al. "The association between second hand smoke and low birth weight and preterm delivery”. Maternal and Child Health Journal 15 (2011): 453‑45
  39. Morioka H., et al. "The association between sleep disturbance and second-hand smoke exposure: a large-scale, nationwide, cross-sectional study of adolescents in Japan”. Sleep Medicine 50 (2018): 29‑2
  40. Yolton K., et al. "Associations between secondhand smoke exposure and sleep patterns in children”. Pediatrics2 (2010): e261-268.
  41. Davila EP., et al. "Sleep disorders and secondhand smoke exposure in the U.S. population”. Nicotine and Tobacco Research 12 (2010): 294-

Citation

Citation: Sana El Mhamdi., et al. “Early Life Adversities are Associated with Sleep Quality During Pregnancy and the Postnatal Period: A Longitudinal Study in Tunisia". Acta Scientific Women's Health 4.8 (2022): 40-47.

Copyright

Copyright: © 2022 Sana El Mhamdi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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