Association between sleep disorders and child violence assessed in Southern Brazil

Authors

DOI:

https://doi.org/10.15448/1980-6108.2021.1.39466

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.

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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

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Research Article