Association between sleep disorders and child violence assessed in Southern Brazil

Keywords: sleep disorders, child abuse, child maltreatment, domestic violence, sexual abuse

Abstract

Aims: identifying sleep disorders (SDs) in children who experienced child maltreatment.
Methods: the study evaluated the sleep pattern of 123 children (from 2 to 10 years old), who received assistance with child maltreatment, based on the Children’s Sleep Habits Questionnaire (CSHQ) – applied in a medical consultation after confirmation of the veracity of the child’s report of a violation. The study applied the questionnaire to children seen by doctors in the sector for 11 months.
Results: among the children evaluated, 66.7% had SDs. The sample profile was predominantly female (59.3%) and aged between 4 and 7 years old (48.8%). Physical violence was found in 40.7% of the children, in addition to sexual (35.8%), psychological (24.4%), negligence (14.6%) and other types of violence (OTV) (4.5%). SDs are significantly associated with sexual, psychological and OTV (p=0.016). Regarding the subscales, there was a significant difference between the age groups in the bedtime resistance (BR) factor score (p=0.033). The BR characteristic typifies sexual, psychological and OTV. Sleep anxiety (SA) typifies more psychological, sexual and OTV. Night awakenings (NAs) typify psychological, sexual and physical violence. According to the type of violence, significant differences were found in SA (p=0.039), NAs (p=0.026) and BR (p=0.004).
Conclusions: the outcomes highlight the association between SDs and child maltreatment. Certain types of violence have a greater negative impact on children’s sleep and correlate with specific SD.

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Author Biographies

Lilian Bertoletti, Universidade Luterana do Brasil (ULBRA), Porto Alegre, RS, Brasil.

Physician graduated from the Universidade Luterana do Brasil (ULBRA) in Canoas, RS, Brazil.

Fernanda Cristina Scarpa, Universidade Luterana do Brasil (ULBRA), Porto Alegre, RS, Brasil.

Master in Child and Adolescent Health from the Universidade Federal do Rio Grande do Sul (UFRGS) in Porto Alegre, RS, Brazil. Professor at the Universidade Luterana do Brasil (ULBRA) in Canoas, RS, Brazil.

Michelli Osanai da Costa, Centro de Referência em Atendimento Infanto-juvenil (CRAI); Hospital Universitário de Canoas (HU), Canoas, RS, Brasil.

Gynecology and Obstetrics Doctor at the Santa Casa de Misericórdia of Porto Alegre (UFCSPA). Physician at the Institute of Reference Center for Child Care (CRAI) in Canoas, RS, Brazil.

Eduarda Correa Freitas, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.

Doctor in Medicine from the Universidade Federal do Rio Grande do Sul (UFRGS), in Porto Alegre, RS, Brazil. Graduated in Biological Sciences from the Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) in Porto Alegre, RS, Brazil.

Luana Goulart Marin, Universidade Luterana do Brasil (ULBRA), Porto Alegre, RS, Brasil.

Physician graduated from the Universidade Luterana do Brasil (ULBRA) in Canoas, RS, Brazil.

Rafael Miranda de Marco, Universidade Luterana do Brasil (ULBRA), Porto Alegre, RS, Brasil.

Physician graduated from the Universidade Luterana do Brasil (ULBRA) in Canoas, RS, Brazil.

Rosemary de Oliveira Petkowicz, Centro de Referência em Atendimento Infanto-juvenil (CRAI); Hospital Universitário de Canoas (HU), Canoas, RS, Brasil.

Master in Human Movement Sciences from the Federal Universidade Federal do Rio Grande do Sul (UFRGS) in Porto Alegre, RS, Brazil. Physician at the Institute of Reference Center for Child Care (CRAI) in Canoas, RS, Brazil.

References

Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. World report on violence and health. Geneva; 2002. https://doi.org/10.1016/s0140-6736(02)11133-0

Rates SMM, de Melo EM, Mascarenhas MDM, Malta DC. Violence against children: an analysis of mandatory reporting of violence, Brazil 2011. Ciênc. Saúde Colet. 2015;20(3):655-65. https://doi.org/10.1590/1413-81232015203.15242014

Nunes AJ, Sales MCV. Violence against children in Brazilian scenery. Ciênc. Saúde Colet. 2016;21(3):871-80. https://doi.org/10.1590/1413-81232015213.08182014

Okada M, Otaga M, Tsutsui T, Tachimori H, Kitamura S, Higuchi S, et al. Association of sleep with emotional and behavioral problems among abused children and adolescents admitted to residential care facilities in Japan. PLoS One. 2018;13(6):e0198123. https://doi.org/10.1371/journal.pone.0198123

Silva CB, Bastos BLDA, Santos CR, Moraes MDS, Possuelo LG. Caracterização do perfil da violência sexual em crianças e adolescentes no Rio Grande do Sul. Rev Epidemiol Controle Infecç. 2016;1(1):65-74. http://dx.doi.org/10.17058/reci.v1i1.8223

Font SA, Berger LM. Child maltreatment and children’s developmental trajectories in early to middle childhood. Child Dev. 2015;86(2):536-56. https://doi.org/10.1111/cdev.12322

Demirci E. Non suicidal self-injury, emotional eating and insomnia after child sexual abuse: Are those symptoms related to emotion regulation? J Forensic Leg Med. 2018;53:17-21. https://doi.org/10.1016/j.jflm.2017.10.012

Wamser-Nanney R, Chesher RE. Trauma characteristics and sleep impairment among traumaexposed children. Child Abuse Negl. 2018;76:469-79. https://doi.org/10.1016/j.chiabu.2017.11.020

van der Kolk B. Commentary: The devastating effects of ignoring child maltreatment in psychiatry-a commentary on Teicher and Samson 2016. J Child Psychol Psychiatry. 2016;57(3):267-70. https://doi.org/10.1111/jcpp.12540

Cecil CAM, Viding E, McCrory EJ, Gregory AM. Distinct Mechanisms underlie associations between forms of childhood maltreatment and disruptive nocturnal Behaviors. Dev Neuropsychol. 2015;40(3):181-99. https://doi.org/10.1080/87565641.2014.983636

Abajobir AA, Kisely S, Williams G, Strathearn L, Najman JM. Childhood maltreatment and adulthood poor sleep quality: a longitudinal study. Intern Med J. 2017;47(8):879-88. https://doi.org/10.1111/imj.13459

Langevin R, Hébert M, Guidi E, Bernard-Bonnin A-C, Allard-Dansereau C. Sleep problems over a year in sexually abused preschoolers. Paediatr Child Health. 2017;22(5):273-6. https://doi.org/10.1093/pch/pxx077

Baiden P, Fallon B, den Dunnen W, Boateng GO. The enduring effects of early-childhood adversities and troubled sleep among canadian adults: a populationbased study. Sleep Med. 2015;16(6):760-7. https://doi.org/10.1016/j.sleep.2015.02.527

Oh DL, Jerman P, Marques SS, Koita K, Boparai SKP, Harris NB, et al. Systematic review of pediatric health outcomes associated with childhood adversity. BMC Pediatr. 2018;18(1):83. https://doi.org/10.1186/s12887-018-1037-7

Glaser D. The effects of child maltreatment on the developing brain. Med Leg J. 2014;82(3):97-111. https://doi.org/10.1177/0025817214540395

Silva FG, Silva CR, Braga LB, Serrão Neto A. Portuguese Children’s Sleep Habits Questionnaire - validation and cross-cultural comparison. J Pediatr (Rio J). 2014;90(1):78-84. https://doi.org/10.1016/j.jped.2013.06.009

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. [Internet] Linha de cuidado para a atenção integral à saúde de crianças, adolescentes e suas famílias em situação de violências: orientação para gestores e profissionais de saúde. Brasília: Ministério da Saúde; 2010 [cited 2021 Aug 10]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/linha_cuidado_criancas_familias_violencias.pdf

Parreira AF, Martins A, Ribeiro F, Silva FG. [Clinical validation of the portuguese version of the Children’s Sleep Habits Questionnaire (CSHQ-PT) in children with sleep disorder and ADHD]. Acta Med Port. 2019;32(3):195-201. https://doi.org/10.20344/amp.10906

Steine IM, Skogen JC, Krystal JH, Winje D, Milde AM, Grønli J, et al. Insomnia symptom trajectories among adult survivors of childhood sexual abuse: A longitudinal study. Child Abuse Negl. 2019;93:263-76. https://doi.org/10.1016/j.chiabu.2019.05.009

Jackson AM, Kissoon N, Greene C. Aspects of abuse: recognizing and responding to child maltreatment. Curr Probl Pediatr Adolesc Health Care. 2015;45(3):58-70. https://doi.org/10.1016/j.cppeds.2015.02.001

Hébert M, Langevin R, Guidi E, Bernard-Bonnin AC, Allard-Dansereau C. Sleep problems and dissociation in preschool victims of sexual abuse. J Trauma Dissociation. 2016;18(4):507–21. https://doi.org/10.1080/15299732.2016.1240739

Florentino BRB. As possíveis consequências do abuso sexual praticado contra crianças e adolescentes. Fractal Rev Psicol. 2015 Aug;27(2):139-44. https://doi.org/10.1590/1984-0292/805

Published
2021-09-27
How to Cite
Bertoletti, L., Scarpa, F. C., Costa, M. O. da, Freitas, E. C., Marin, L. G., Marco, R. M. de, & Petkowicz, R. de O. (2021). Association between sleep disorders and child violence assessed in Southern Brazil. Scientia Medica, 31(1), e39466. https://doi.org/10.15448/1980-6108.2021.1.39466