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08.11.2019 | Psychiatrics • Original Article

Bidirectional associations of insomnia symptoms with somatic complaints and posttraumatic stress disorder in child and adolescent earthquake survivors: a longitudinal study

verfasst von: Ye Zhang, Jun Zhang, Rong Ren, Xiangdong Tang

Erschienen in: Sleep and Breathing | Ausgabe 1/2020

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Abstract

Background

We aimed to explore insomnia symptoms among 2299 children and adolescents after an earthquake and their bidirectional relationship to somatic complaints and posttraumatic stress disorder (PTSD).

Methods

The Patient Health Questionnaire-15 scale, the Children’s Revised Impact of Event Scale, and three questions evaluating insomnia symptoms (including difficulty falling asleep, difficulty staying asleep, and early morning awakening) were administered to child and adolescent survivors 3 and 6 months after the Lushan earthquake.

Results

The prevalence rates of insomnia symptoms among children and adolescents were 52 and 40% 3 and 6 months after the Lushan Earthquake, respectively. Insomnia symptoms evaluated after 3 months could significantly predict subsequent PTSD (odds ratio (OR), 1.476; 95% confidence interval (CI), 1.133–1.924) and all somatic symptoms, except for dizziness, evaluated after 6 months. PTSD (OR, 1.633; 95%CI, 1.315–2.027) and headache (OR, 1.545; 95%CI, 1.223–1.953) evaluated after 3 months significantly predicted insomnia symptoms evaluated after 6 months.

Conclusions

Insomnia symptoms, which were commonly seen after the earthquake, could longitudinally predict the development of PTSD and various somatic symptoms, and PTSD and headache could longitudinally predict the developments of insomnia symptoms among children and adolescent earthquake survivors. These findings highlight the importance of assessing and addressing insomnia symptoms in children and adolescents following a traumatic event.

de Zambotti M, Goldstone A, Colrain IM, Baker FC (2018) Insomnia disorder in adolescence: diagnosis, impact, and treatment. Sleep Med Rev 39:12–24PubMed

Donskoy I, Loghmanee D (2018) Insomnia in adolescence. Med Sci (Basel) 6:72

Johnson EO, Roth T, Schultz L, Breslau N (2006) Epidemiology of DSM-IV insomnia in adolescence: lifetime prevalence, chronicity, and an emergent gender difference. Pediatrics. 117(2):e247–e256PubMed

Roberts RE, Roberts CR, Duong HT (2008) Chronic insomnia and its negative consequences for health and functioning of adolescents: a 12-month prospective study. J Adolesc Health 42(3):294–302PubMed

Maski KP, Kothare SV (2013) Sleep deprivation and neurobehavioral functioning in children. Int J Psychophysiol 89(2):259–264PubMed

Kuula L, Pesonen AK, Martikainen S, Kajantie E, Lahti J, Strandberg T, Tuovinen S, Heinonen K, Pyhala R, Lahti M, Raikkonen K (2015) Poor sleep and neurocognitive function in early adolescence. Sleep Med 16(10):1207–1212PubMed

Schmidt RE, Richter M, Gendolla GH, Van der Linden M (2010) Young poor sleepers mobilize extra effort in an easy memory task: evidence from cardiovascular measures. J Sleep Res 19(3):487–495PubMed

Tang W, Xu D, Li B, Lu Y, Xu J (2018) The relationship between the frequency of suicidal ideation and sleep disturbance factors among adolescent earthquake victims in China. Gen Hosp Psychiatry 55:90–97PubMed

Tang W, Lu Y, Yang Y, Xu J (2018) An epidemiologic study of self-reported sleep problems in a large sample of adolescent earthquake survivors: the effects of age, gender, exposure, and psychopathology. J Psychosom Res 113:22–29PubMed

10.

Wang Y, Raffeld MR, Slopen N, Hale L, Dunn EC (2016) Childhood adversity and insomnia in adolescence. Sleep Med 21:12–18PubMedPubMedCentral

11.

Sinha SS (2016) Trauma-induced insomnia: a novel model for trauma and sleep research. Sleep Med Rev 25:74–83PubMed

12.

Guo J, He H, Qu Z, Wang X, Liu C (2017) Post-traumatic stress disorder and depression among adult survivors 8 years after the 2008 Wenchuan earthquake in China. J Affect Disord 210:27–34PubMed

13.

Tanaka E, Tsutsumi A, Kawakami N, Kameoka S, Kato H, You Y (2016) Long-term psychological consequences among adolescent survivors of the Wenchuan earthquake in China: a cross-sectional survey six years after the disaster. J Affect Disord 204:255–261PubMed

14.

Fan F, Zhou Y, Liu X (2017) Sleep disturbance predicts posttraumatic stress disorder and depressive symptoms: a cohort study of Chinese adolescents. J Clin Psychiatry 78(7):882–888PubMed

15.

Geng F, Fan F, Mo L, Simandl I, Liu X (2013) Sleep problems among adolescent survivors following the 2008 Wenchuan earthquake in China: a cohort study. J Clin Psychiatry 74(1):67–74PubMed

16.

Jenkins MM, Colvonen PJ, Norman SB, Afari N, Allard CB, Drummond SP (2015) Prevalence and mental health correlates of insomnia in first-encounter veterans with and without military sexual trauma. Sleep. 38(10):1547–1554PubMedPubMedCentral

17.

Bryant RA, Creamer M, O'Donnell M, Silove D, McFarlane AC (2010) Sleep disturbance immediately prior to trauma predicts subsequent psychiatric disorder. Sleep. 33(1):69–74PubMedPubMedCentral

18.

Taylor DJ, Pruiksma KE, Hale WJ, Kelly K, Maurer D, Peterson AL, Mintz J, Litz BT, Williamson DE, Consortium SS (2016) Prevalence, correlates, and predictors of insomnia in the US army prior to deployment. Sleep. 39(10):1795–1806PubMedPubMedCentral

19.

Cox RC, Tuck BM, Olatunji BO (2017) Sleep disturbance in posttraumatic stress disorder: epiphenomenon or causal factor? Curr Psychiatry Rep 19(4):22PubMed

20.

Tynjala J, Kannas L, Valimaa R (1993) How young Europeans sleep. Health Educ Res 8(1):69–80PubMed

21.

Vignau J, Bailly D, Duhamel A, Vervaecke P, Beuscart R, Collinet C (1997) Epidemiologic study of sleep quality and troubles in French secondary school adolescents. J Adolesc Health 21(5):343–350PubMed

22.

Liu X, Uchiyama M, Okawa M, Kurita H (2000) Prevalence and correlates of self-reported sleep problems among Chinese adolescents. Sleep. 23(1):27–34PubMed

23.

Gau SF (2000) Neuroticism and sleep-related problems in adolescence. Sleep. 23(4):495–502PubMed

24.

Zhang J, Lam SP, Li SX, Tang NL, Yu MW, Li AM, Wing YK (2012) Insomnia, sleep quality, pain, and somatic symptoms: sex differences and shared genetic components. Pain. 153(3):666–673PubMed

25.

Afari N, Ahumada SM, Wright LJ, Mostoufi S, Golnari G, Reis V, Cuneo JG (2014) Psychological trauma and functional somatic syndromes: a systematic review and meta-analysis. Psychosom Med 76(1):2–11PubMed

26.

Zhang J, Zhu S, Du C, Zhang Y (2015) Posttraumatic stress disorder and somatic symptoms among child and adolescent survivors following the Lushan earthquake in China: a six-month longitudinal study. J Psychosom Res 79(2):100–106PubMed

27.

Interian A, Allen LA, Gara MA, Escobar JI, Diaz-Martinez AM (2006) Somatic complaints in primary care: further examining the validity of the Patient Health Questionnaire (PHQ-15). Psychosomatics. 47(5):392–398PubMed

28.

Lee S, Ma YL, Tsang A (2011) Psychometric properties of the Chinese 15-item patient health questionnaire in the general population of Hong Kong. J Psychosom Res 71(2):69–73PubMed

29.

Perrin S, Meiser-Stedman R, Smith P (2005) The Children's Revised Impact of Event Scale (CRIES): validity as a screening instrument for PTSD. Behav Cogn Psychother 33:487–498

30.

Jing L, Chen T, Wang D, Zhu C, Situ M, Fang H (2010) The reliability and validity research of the children's revised impact of event scale of Chinese edition (in Chinese). Chin J Behav Med Brain Sci 19:654–657

31.

Lau JT, Yeung NC, Yu XN, Zhang J, Mak WW, Lui WW, Zhang J (2013) Validation of the Chinese version of the Children's Revised Impact of Event Scale (CRIES) among Chinese adolescents in the aftermath of the Sichuan earthquake in 2008. Compr Psychiatry 54(1):83–90PubMed

32.

Wu KK, Chan KS (2003) The development of the Chinese version of Impact of Event Scale--Revised (CIES-R). Soc Psychiatry Psychiatr Epidemiol 38(2):94–98PubMed

33.

Zhang J, Chan NY, Lam SP, Li SX, Liu Y, Chan JW, Kong AP, Ma RC, Chan KC, Li AM, Wing YK (2016) Emergence of sex differences in insomnia symptoms in adolescents: a large-scale school-based study. Sleep. 39(8):1563–1570PubMedPubMedCentral

34.

Kato H, Asukai N, Miyake Y, Minakawa K, Nishiyama A (1996) Post-traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshin-Awaji earthquake in Japan. Acta Psychiatr Scand 93(6):477–481PubMed

35.

Ohayon MM (2002) Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 6(2):97–111PubMed

36.

Bastien CH, Vallieres A, Morin CM (2001) Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med 2(4):297–307PubMed

37.

Javaheri S, Redline S (2017) Insomnia and risk of cardiovascular disease. Chest. 152(2):435–444PubMedPubMedCentral

38.

Cespedes EM, Dudley KA, Sotres-Alvarez D, Zee PC, Daviglus ML, Shah NA, Talavera GA, Gallo LC, Mattei J, Qi Q, Ramos AR, Schneiderman N, Espinoza-Giacinto RA, Patel SR (2016) Joint associations of insomnia and sleep duration with prevalent diabetes: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). J Diabetes 8(3):387–397PubMed

39.

Gehrman P, Seelig AD, Jacobson IG, Boyko EJ, Hooper TI, Gackstetter GD, Ulmer CS, Smith TC (2013) Predeployment sleep duration and insomnia symptoms as risk factors for new-onset mental health disorders following military deployment. Sleep. 36(7):1009–1018PubMedPubMedCentral

40.

Conden E, Rosenblad A (2016) Insomnia predicts long-term all-cause mortality after acute myocardial infarction: a prospective cohort study. Int J Cardiol 215:217–222PubMed

41.

Vgontzas AN, Liao D, Pejovic S, Calhoun S, Karataraki M, Basta M, Fernandez-Mendoza J, Bixler EO (2010) Insomnia with short sleep duration and mortality: the Penn State cohort. Sleep. 33(9):1159–1164PubMedPubMedCentral

42.

American Academy of Sleep Medicine (2014) International classification of sleep disorders, 3rd edn. American Academy of Sleep Medicine, Darien

43.

El-Solh AA (2018) Management of nightmares in patients with posttraumatic stress disorder: current perspectives. Nat Sci Sleep 10:409–420PubMedPubMedCentral

44.

Germain A, Buysse DJ, Nofzinger E (2008) Sleep-specific mechanisms underlying posttraumatic stress disorder: integrative review and neurobiological hypotheses. Sleep Med Rev 12(3):185–195PubMed

45.

Spoormaker VI, Montgomery P (2008) Disturbed sleep in post-traumatic stress disorder: secondary symptom or core feature? Sleep Med Rev 12(3):169–184PubMed

46.

Babson KA, Feldner MT (2010) Temporal relations between sleep problems and both traumatic event exposure and PTSD: a critical review of the empirical literature. J Anxiety Disord 24(1):1–15PubMedPubMedCentral

47.

Taylor DJ, Lichstein KL, Durrence HH (2003) Insomnia as a health risk factor. Behav Sleep Med 1(4):227–247PubMed

48.

Pallesen S, Nordhus IH, Nielsen GH, Havik OE, Kvale G, Johnsen BH, Skjotskift S (2001) Prevalence of insomnia in the adult Norwegian population. Sleep. 24(7):771–779PubMed

49.

Germain A (2013) Sleep disturbances as the hallmark of PTSD: where are we now? Am J Psychiatry 170(4):372–382PubMedPubMedCentral

50.

Liu X, Zhao Z, Jia C, Buysse DJ (2008) Sleep patterns and problems among Chinese adolescents. Pediatrics. 121(6):1165–1173PubMed

51.

Owens J, Adolescent Sleep Working G, Committee on A (2014) Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics. 134(3):e921–e932PubMed

52.

Agorastos A, Pervanidou P, Chrousos GP, Baker DG (2019) Developmental trajectories of early life stress and trauma: a narrative review on neurobiological aspects beyond stress system dysregulation. Front Psychiatry 10:118PubMedPubMedCentral

53.

Thordardottir EB, Hansdottir I, Valdimarsdottir UA, Shipherd JC, Resnick H, Gudmundsdottir B (2016) The manifestations of sleep disturbances 16 years post-trauma. Sleep. 39(8):1551–1554PubMedPubMedCentral

54.

Moldofsky H (2001) Sleep and pain. Sleep Med Rev 5(5):385–396PubMed

55.

Lindam A, Ness-Jensen E, Jansson C, Nordenstedt H, Akerstedt T, Hveem K, Lagergren J (2016) Gastroesophageal reflux and sleep disturbances: a bidirectional association in a population-based cohort study, The HUNT Study. Sleep. 39(7):1421–1427PubMedPubMedCentral

56.

Zhang J, Lam SP, Li SX, Li AM, Lai KY, Wing YK (2011) Longitudinal course and outcome of chronic insomnia in Hong Kong Chinese children: a 5-year follow-up study of a community-based cohort. Sleep. 34(10):1395–1402PubMedPubMedCentral

57.

Janson C, Lindberg E, Gislason T, Elmasry A, Boman G (2001) Insomnia in men-a 10-year prospective population based study. Sleep. 24(4):425–430PubMed

58.

LeBlanc M, Merette C, Savard J, Ivers H, Baillargeon L, Morin CM (2009) Incidence and risk factors of insomnia in a population-based sample. Sleep. 32(8):1027–1037PubMedPubMedCentral

59.

Brennan KC, Charles A (2009) Sleep and headache. Semin Neurol 29(4):406–418PubMedPubMedCentral

60.

Li L, Ren J, Shi L, Jin X, Yan C, Jiang F, Shen X, Li S (2014) Frequent nocturnal awakening in children: prevalence, risk factors, and associations with subjective sleep perception and daytime sleepiness. BMC Psychiatry 14:204PubMedPubMedCentral

61.

Chiu HF, Xiang YT, Dai J, Chan SS, Leung T, Yu X, Hou ZJ, Ungvari GS, Caine ED (2012) The prevalence of sleep problems and their socio-demographic and clinical correlates in young Chinese rural residents. Psychiatry Res 200(2–3):789–794PubMed

62.

Luo C, Zhang J, Pan J (2013) One-year course and effects of insomnia in rural Chinese adolescents. Sleep. 36(3):377–384PubMedPubMedCentral

63.

Tang J, Liao Y, Kelly BC, Xie L, Xiang YT, Qi C, Pan C, Hao W, Liu T, Zhang F, Chen X (2017) Gender and regional differences in sleep quality and insomnia: a general population-based study in Hunan Province of China. Sci Rep 7:43690PubMedPubMedCentral

64.

Jin Y, Ding Z, Fei Y, Jin W, Liu H, Chen Z, Zheng S, Wang L, Wang Z, Zhang S, Yu Y (2014) Social relationships play a role in sleep status in Chinese undergraduate students. Psychiatry Res 220(1–2):631–638PubMed

65.

Ying L, Wu X, Lin C, Jiang L (2014) Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake. PLoS One 9(2):e89401PubMedPubMedCentral

Titel: Bidirectional associations of insomnia symptoms with somatic complaints and posttraumatic stress disorder in child and adolescent earthquake survivors: a longitudinal study
verfasst von: Ye Zhang
Jun Zhang
Rong Ren
Xiangdong Tang
Publikationsdatum: 08.11.2019
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 1/2020
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-019-01955-8

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