{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:52:12Z","timestamp":1791345132093,"version":"4.3.1"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"unspecified","delay-in-days":279,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0033291726106059_sec1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adverse childhood experiences (ACEs) have long-lasting effects in Chinese older adults. Using China Health and Retirement Longitudinal Study (CHARLS) data, we examined ACEs\u2019 impact on chronic sleep disturbances combining poor sleep quality and abnormal duration in China\u2019s aging population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291726106059_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed 20,450 CHARLS participants (2014 baseline). After excluding those with missing ACEs data (n = 11,006), incomplete sleep data, or aged &lt;45 years and with psychiatric conditions, the final sample comprised 5,533 individuals. ACE exposure was categorized into: Class 1 (0 ACEs, n = 1,382), Class 2 (1 ACE, n = 1,769), Class 3 (2 ACEs, n = 1,264), and Class 4 (\u22653 ACEs, n = 1,118). Composite sleep disturbances were defined by CES-D-10 self-reported sleep quality (4-point scale item \u22653) and abnormal duration (&lt;6 or &gt;9 hours). Multivariable logistic regression adjusted for age, sex, education, marital status, smoking, drinking, and chronic diseases, with trend tests modeling ACEs ordinally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291726106059_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A graded association emerged: adjusted ORs increased from 1.30 (95% CI: 1.05\u20131.59) for 1 ACE to 2.1 (1.69\u20132.62) for \u22653 ACEs (Ptrend &lt; 0.001). Five ACE types showed significant associations: household mental illness showed the strongest association (OR = 1.77, 1.53\u201332.06, P &lt; 0.001). Subgroup analyses revealed consistent associations between ACE exposure (\u22651) and increased risk of Chronic Sleep Disturbances across most population strata (OR range: 1.27\u20131.81, P &lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291726106059_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Childhood adversity, particularly household mental illness, was significantly associated with sleep disturbances in older adults. The observed 2.1-fold prevalence difference suggests that older adults with high ACE exposure may benefit from targeted screening and early intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0033291726106059","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T03:46:48Z","timestamp":1791344808000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Adverse childhood experiences and risk of chronic sleep disturbances: A population-based cohort study from a Chinese national survey"],"prefix":"10.1017","volume":"56","author":[{"given":"Hong","family":"Lu","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00xjwyj62","id-type":"ROR","asserted-by":"publisher"}],"name":"The Eighth Affiliated Hospital of Sun Yat-Sen 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e319"}}