{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:54:30Z","timestamp":1791852870412,"version":"4.3.4"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["103944"],"award-info":[{"award-number":["103944"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001804","name":"Canada Research Chair","doi-asserted-by":"publisher","award":["2021-00254"],"award-info":[{"award-number":["2021-00254"]}],"id":[{"id":"10.13039\/501100001804","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sleep disturbances represent a major concern for many adolescents. While adolescents with a history of trauma may be particularly vulnerable to sleep disturbances, the mechanisms underlying the association between childhood sexual abuse and sleep disturbances (e.g., having trouble falling asleep, nightmares) remain understudied. The present study aimed to: (1) explore sleep disturbances among adolescents with a history of childhood sexual abuse, and (2) investigate the mediating role of PTSD symptoms in the association between childhood sexual abuse and sleep disturbances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from a representative sample of 8,194 adolescents in grades 9 to 11. The history of childhood sexual abuse and PTSD symptoms were assessed at Time 1, whereas sleep disturbances were assessed 6\u202fmonths later (Time 2) using self-reported questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adolescents who experienced childhood sexual abuse were more likely to report sleep disturbances than those who experienced other forms of childhood adversity. Sexual abuse was associated with higher levels of PTSD symptoms at Time 1, which, in turn, predicted more sleep disturbances at Time 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings suggest that sleep disturbances should be monitored and addressed in trauma-focused therapy for youth victims of childhood sexual abuse.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1580679","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T15:39:43Z","timestamp":1755790783000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Child sexual abuse and sleep disturbances among adolescents: the role of post-traumatic stress disorder symptoms"],"prefix":"10.3389","volume":"16","author":[{"given":"Martine","family":"H\u00e9bert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"Th\u00e9or\u00eat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lie","family":"Tremblay-Perreault","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Zadra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"ref1","volume-title":"Diagnostic and statistical manual of mental disorders","year":"2022"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"102338","DOI":"10.1016\/j.pneurobio.2022.102338","article-title":"Adolescent sleep and the foundations of prefrontal cortical development and dysfunction","volume":"218","author":"Anastasiades","year":"2022","journal-title":"Prog. 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Youth Adolesc."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.janxdis.2009.08.002","article-title":"Temporal relations between sleep problems and both traumatic event exposure and PTSD: a critical review of the empirical literature","volume":"24","author":"Babson","year":"2010","journal-title":"J. Anxiety Disord."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"2681","DOI":"10.5664\/jcsm.10224","article-title":"Middle school start times and young adolescent sleep, behavioral health, and academic performance outcomes: a narrative review","volume":"18","author":"Barlaan","year":"2022","journal-title":"J. Clin. Sleep Med."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1010","DOI":"10.3390\/jcm14031010","article-title":"Sleep quality and cognitive impairments in children and adolescents with post traumatic stress disorder and\/or depressive symptoms","volume":"14","author":"Barrera-Valencia","year":"2025","journal-title":"J. Clin. Med."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1097\/01.nmd.0000243824.84651.6c","article-title":"Psychometric properties of the early trauma inventory\u2013self-report","volume":"195","author":"Bremner","year":"2007","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1037\/amp0000768","article-title":"All adverse childhood experiences are not equal: the contribution of synergy to adverse childhood experience scores","volume":"76","author":"Briggs","year":"2021","journal-title":"Am. Psychol."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index (PSQI): a new instrument for psychiatric research and practice","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1016\/j.sleep.2011.03.013","article-title":"Adverse childhood experiences and sleep disturbances in adults","volume":"12","author":"Chapman","year":"2011","journal-title":"Sleep Med."},{"key":"ref12","first-page":"414","article-title":"The work group on quality issues. Practice parameter for the assessment and treatment of children and adolescents with posttraumatic stress disorder","volume":"49","author":"Cohen","year":"2010","journal-title":"J. Am. Acad. Child. Adolesc. 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Psychol."},{"key":"ref27","volume-title":"Mplus User\u2019s Guide","author":"Muth\u00e9n","year":"2015"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1093\/jpepsy\/jsj040","article-title":"Sleep disturbances and childhood sexual abuse","volume":"31","author":"Noll","year":"2006","journal-title":"J. Pediatr. Psychol."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"326","DOI":"10.23736\/s0026-4946.17.04914-3","article-title":"Insufficient sleep in adolescents: causes and consequences","volume":"69","author":"Owens","year":"2017","journal-title":"Minerva Pediatr."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.psc.2023.06.003","article-title":"Neurocognitive effects of sleep disruption in children and adolescents","volume":"47","author":"Spruyt","year":"2024","journal-title":"Psychiatr. Clin. 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