■在暴露于社区暴力后的创伤后应激障碍(PTSD)中,睡眠质量的作用尚未完全理解。因此,这项研究的主要目的是研究睡眠质量在社区暴力暴露与创伤后应激症状之间的中介作用。
■利用对2023年美国成年人(年龄≥18岁)的在线选择小组进行的横断面调查(N=342),受访者报告了他们遭受社区暴力的情况,睡眠质量,和创伤后应激症状。使用协变量调整回归来检验这些关系。
■直接经历社区暴力与睡眠质量较差相关(β=0.11,95%CI[0.02,0.20],p=0.022)和创伤后应激症状(β=0.33,95%CI[0.17,0.48],p=<0.001),睡眠质量越差,创伤后应激症状越大(β=0.74,95%CI[0.58,0.91],p=0<.001)。Further,睡眠质量是部分介质(β=0.24,95%CI[0.04,0.50],p=0.028),占关系的24%。
■这项研究的发现有助于加深对PTSD发展过程的理解,并为可能的干预措施提供见解,包括治疗暴力暴露后的睡眠问题,作为减轻社区暴力的心理健康负担的手段。
UNASSIGNED: The role of sleep quality is not yet fully understood in the context of posttraumatic stress disorder (PTSD) following exposure to community violence. Thus, the primary aim of this study is to examine the mediating effect of sleep quality in the relationship between community violence exposure and posttraumatic stress symptoms.
UNASSIGNED: Utilizing a cross-sectional survey administered to an online opt-in panel of adults in the United States in 2023 (age ≥ 18 years) (N = 342), respondents reported on their exposure to community violence, sleep quality, and posttraumatic stress symptoms. Covariate-adjusted regressions were used to test these relationships.
UNASSIGNED: Directly experiencing community violence was associated with poorer sleep quality (β = 0.11, 95 % CI [0.02, 0.20], p = 0.022) and posttraumatic stress symptoms (β = 0.33, 95 % CI [0.17, 0.48], p = < 0.001), and poorer sleep quality predicted greater posttraumatic stress symptoms (β = 0.74, 95 % CI [0.58, 0.91], p = 0<.001). Further, sleep quality was a partial mediator (β = 0.24, 95 % CI [0.04, 0.50], p = 0.028), accounting for 24 % of the relationship.
UNASSIGNED: Findings from this study help deepen understanding of the processes that contribute to the development of PTSD and provide insights into possible interventions, including treatment for sleep problems in the aftermath of violence exposure as a means for lessening the mental health burdens of community violence.