Skip to main content
Erschienen in: Somnologie 3/2018

04.07.2018 | Original studies

Does your childhood define how you sleep and love?

Sleep as a possible moderator of the relationship between child maltreatment and romantic relationship patterns

verfasst von: Angela Pfaff, Prof. Dr. Angelika A. Schlarb

Erschienen in: Somnologie | Ausgabe 3/2018

Einloggen, um Zugang zu erhalten

Abstract

Background

Adverse childhood experiences (ACEs) can lead to worse sleep quality (SQ) and have an impact on relationships. This study examines the role of sleep on the link between ACEs and romantic relationship quality (RRQ). Additionally, the association between ACEs and romantic relationship patterns and nightmares is investigated.

Methods

In a self-assessment questionnaire survey, ACEs as well as romantic relationship (quality, history, orientation) and sleep patterns (quality, nightmares) were assessed in 300 women aged 18–52 years using the Adverse Childhood Experiences Questionnaire, Pittsburgh Sleep Quality Index, Nightmare Effects Questionnaire, Relationship Orientation Questionnaire, and the Relationship Assessment Scale. Demographic data and number of previous romantic relationships were also assessed.

Results

SQ was found to be a significant mediator of the relationship between childhood maltreatment (CM) and RRQ. The prediction of RRQ through ACE becomes smaller and non-significant when impaired SQ is accounted for. Neither a general history of ACEs nor single types of ACEs predict short-term romantic relationship orientation (preference for short- over long-term romantic relationships). However, overall CM, history of sexual abuse, separation of parents, violence against the mother, substance abuse of a household member, and mental disorder of a household member significantly predict more romantic relationships. Heightened nightmare frequency is predicted by emotional neglect and substance abuse of a household member. More daytime effects of nightmares were also predicted by overall CM.

Conclusion

As sleep was found to moderate the link between ACEs and RRQ, therapeutic treatments for CM individuals should target sleep improvement as an important goal. This might not only improve SQ, but also quality of life or romantic relationships.
Literatur
1.
Zurück zum Zitat Abdel-Khalek A (2016) Reported nightmares and trait anxiety among arab children, adolescents and adults. J Sleep Disord Ther 5(4):2167–277CrossRef Abdel-Khalek A (2016) Reported nightmares and trait anxiety among arab children, adolescents and adults. J Sleep Disord Ther 5(4):2167–277CrossRef
2.
Zurück zum Zitat Barber N (1998) Sex differences in disposition towards kin, security of adult attachment, and sociosexuality as a function of parental divorce. Evol Hum Behav 19:125–132CrossRef Barber N (1998) Sex differences in disposition towards kin, security of adult attachment, and sociosexuality as a function of parental divorce. Evol Hum Behav 19:125–132CrossRef
3.
Zurück zum Zitat Berthelot N, Godbout N, Hébert M, Goulet M, Bergeron S (2014) Prevalence and correlates of childhood sexual abuse in adults consulting for sexual problems. J Sex Marital Ther 40(5):434–443CrossRefPubMed Berthelot N, Godbout N, Hébert M, Goulet M, Bergeron S (2014) Prevalence and correlates of childhood sexual abuse in adults consulting for sexual problems. J Sex Marital Ther 40(5):434–443CrossRefPubMed
4.
Zurück zum Zitat Bigras N, Godbout N, Hébert M, Runtz M, Daspe M (2015) Identity and relatedness as mediators between child emotional abuse and adult couple adjustment in women. Child Abuse Negl 50:85–93CrossRefPubMed Bigras N, Godbout N, Hébert M, Runtz M, Daspe M (2015) Identity and relatedness as mediators between child emotional abuse and adult couple adjustment in women. Child Abuse Negl 50:85–93CrossRefPubMed
5.
Zurück zum Zitat Bodenmann G, Ledermann T, Bradbury T (2007) Stress, sex, and satisfaction in marriage. Pers Relatsh 14:551–569CrossRef Bodenmann G, Ledermann T, Bradbury T (2007) Stress, sex, and satisfaction in marriage. Pers Relatsh 14:551–569CrossRef
6.
Zurück zum Zitat Brislin, RW (1970) Back-translation for cross-cultural research. Journal of cross-cultural psychology 1(3):185–216CrossRef Brislin, RW (1970) Back-translation for cross-cultural research. Journal of cross-cultural psychology 1(3):185–216CrossRef
7.
Zurück zum Zitat Buysse D, Reynolds C, Monk T, Berman S, Kupfer D (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric pactice and research. Psychiatry Res 28:193–213CrossRefPubMed Buysse D, Reynolds C, Monk T, Berman S, Kupfer D (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric pactice and research. Psychiatry Res 28:193–213CrossRefPubMed
8.
Zurück zum Zitat Chambers E, Belicki K (1998) Using sleep dysfunction to explore the nature of resilience in adult survivors of childhood abuse or trauma. Child Abuse Negl 22(8):753–758CrossRefPubMed Chambers E, Belicki K (1998) Using sleep dysfunction to explore the nature of resilience in adult survivors of childhood abuse or trauma. Child Abuse Negl 22(8):753–758CrossRefPubMed
10.
Zurück zum Zitat Cuddihy C, Dorris L, Minnis H, Kocovska E (2013) Sleep disturbance in adopted children with a history of maltreatment. Adopt Foster 37(4):404–411CrossRef Cuddihy C, Dorris L, Minnis H, Kocovska E (2013) Sleep disturbance in adopted children with a history of maltreatment. Adopt Foster 37(4):404–411CrossRef
11.
Zurück zum Zitat Duval M, McDuff P, Zadra A (2013) Nightmare frequency, nightmare distress, and psychopathology in female victims of childhood maltreatment. J Nerv Ment Dis 201:767–772CrossRefPubMed Duval M, McDuff P, Zadra A (2013) Nightmare frequency, nightmare distress, and psychopathology in female victims of childhood maltreatment. J Nerv Ment Dis 201:767–772CrossRefPubMed
12.
Zurück zum Zitat Feng J, Chang Y, Chang H, Fetzer S, Wang J (2015) Prevalence of different forms of child maltreatment among Taiwanese adolescents: a population-based study. Child Abuse Negl 42:10–19CrossRefPubMed Feng J, Chang Y, Chang H, Fetzer S, Wang J (2015) Prevalence of different forms of child maltreatment among Taiwanese adolescents: a population-based study. Child Abuse Negl 42:10–19CrossRefPubMed
13.
Zurück zum Zitat Fergusson D, McLeod G, Horwood L (2013) Childhood sexual abuse and adult developmental outcomes: findings from a 30-year longitudinal study in New Zealand. Child Abuse Negl 37:664–674CrossRefPubMed Fergusson D, McLeod G, Horwood L (2013) Childhood sexual abuse and adult developmental outcomes: findings from a 30-year longitudinal study in New Zealand. Child Abuse Negl 37:664–674CrossRefPubMed
14.
Zurück zum Zitat Fernández-Mendoza J, Vela-Bueno A, Vgontzas A, Ramos-Platón M, Olavarrieta-Bernardino S, Bixler E, De La Curz-Troca J (2010) Cognitive-emotional hyperarousal as a premorbid characteristic of individuals vulnerable to insomnia. Psychosom Med 72:397–403CrossRefPubMed Fernández-Mendoza J, Vela-Bueno A, Vgontzas A, Ramos-Platón M, Olavarrieta-Bernardino S, Bixler E, De La Curz-Troca J (2010) Cognitive-emotional hyperarousal as a premorbid characteristic of individuals vulnerable to insomnia. Psychosom Med 72:397–403CrossRefPubMed
15.
Zurück zum Zitat Grabski H (2012) Reliable und ökonomische Erfassung lebensgeschichtlich früher Traumatisierung: die deutsche Version des Adverse Childhood Questionnaire (ACE). Universität Hamburg, Hamburg Grabski H (2012) Reliable und ökonomische Erfassung lebensgeschichtlich früher Traumatisierung: die deutsche Version des Adverse Childhood Questionnaire (ACE). Universität Hamburg, Hamburg
16.
Zurück zum Zitat Green J, McLaughlin K, Berglund P, Gruber M, Sampson N, Zaslavsky A, Kessler R (2010) Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I. Arch Gen Psychiatry 67(2):113–123CrossRefPubMedPubMedCentral Green J, McLaughlin K, Berglund P, Gruber M, Sampson N, Zaslavsky A, Kessler R (2010) Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I. Arch Gen Psychiatry 67(2):113–123CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Gregory A, Van der Ende J, Willis T, Verhulst F (2008) Parent-reported sleep problems during development and self-reported anxiety/depression, attention problems, and aggressive behavior later in life. Arch Pediatr Adolesc Med 162(4):330–335CrossRefPubMed Gregory A, Van der Ende J, Willis T, Verhulst F (2008) Parent-reported sleep problems during development and self-reported anxiety/depression, attention problems, and aggressive behavior later in life. Arch Pediatr Adolesc Med 162(4):330–335CrossRefPubMed
18.
Zurück zum Zitat Hayes AF (2017) Introduction to mediation, moderation, and conditional process analysis. Guilford, New York Hayes AF (2017) Introduction to mediation, moderation, and conditional process analysis. Guilford, New York
19.
Zurück zum Zitat Hendrick S (1988) A generic measure of relationship satisfaction. J Marriage Fam 50:93–98CrossRef Hendrick S (1988) A generic measure of relationship satisfaction. J Marriage Fam 50:93–98CrossRef
20.
Zurück zum Zitat Henry K, Thornberry T, Lee R (2015) The protective effects of intimate partner relationships on depressive symptomatology among adult parents maltreated as children. J Adolescent Health 57(2):150–156CrossRef Henry K, Thornberry T, Lee R (2015) The protective effects of intimate partner relationships on depressive symptomatology among adult parents maltreated as children. J Adolescent Health 57(2):150–156CrossRef
21.
Zurück zum Zitat IBM Corp (2011) IBM SPSS Statistics for Windows, Version 20.0. IBM Corp, Armonk, NY IBM Corp (2011) IBM SPSS Statistics for Windows, Version 20.0. IBM Corp, Armonk, NY
22.
Zurück zum Zitat Iffland B, Brähler E, Neuner F, Häuser W, Glaesmer H (2013) Frequency of child maltreatment in a representative sample of the German population. BMC Public Health 13:1–7CrossRef Iffland B, Brähler E, Neuner F, Häuser W, Glaesmer H (2013) Frequency of child maltreatment in a representative sample of the German population. BMC Public Health 13:1–7CrossRef
23.
Zurück zum Zitat Kajeepeta S, Gelaye B, Jackson C, Williams M (2015) Adverse childhood experiences are associated with adult sleep disorders: a systematic review. Sleep Med 16(3):320–330CrossRefPubMedPubMedCentral Kajeepeta S, Gelaye B, Jackson C, Williams M (2015) Adverse childhood experiences are associated with adult sleep disorders: a systematic review. Sleep Med 16(3):320–330CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Langström N, Hanson R (2006) High rates of sexual behavior in the general population: correlates and predictors. Arch Sex Behav 35(1):37–52CrossRefPubMed Langström N, Hanson R (2006) High rates of sexual behavior in the general population: correlates and predictors. Arch Sex Behav 35(1):37–52CrossRefPubMed
25.
Zurück zum Zitat Lassri D, Luyten P, Cohen G, Shahar G (2016) The effect of childhood emotional maltreatment on romantic relationships in young adulthood: a double mediation model involving self-criticism and attachment. Psychol Trauma 8(4):504–511CrossRefPubMed Lassri D, Luyten P, Cohen G, Shahar G (2016) The effect of childhood emotional maltreatment on romantic relationships in young adulthood: a double mediation model involving self-criticism and attachment. Psychol Trauma 8(4):504–511CrossRefPubMed
26.
Zurück zum Zitat Li M, D’Arcy C, Meng X (2016) Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: systematic review, meta-analysis, and proportional attributable fractions. Psychol Med 46:717–730CrossRefPubMed Li M, D’Arcy C, Meng X (2016) Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: systematic review, meta-analysis, and proportional attributable fractions. Psychol Med 46:717–730CrossRefPubMed
27.
Zurück zum Zitat Marinova P, Koychev I, Laleva L, Kancheva L, Tsvetkov M, Bilyukov R, Vandeva D, Felthouse A, Koychev G (2014) Nightmares and suicide: predicting risk in depression. Psychiatr Danub 26(2):159–164PubMed Marinova P, Koychev I, Laleva L, Kancheva L, Tsvetkov M, Bilyukov R, Vandeva D, Felthouse A, Koychev G (2014) Nightmares and suicide: predicting risk in depression. Psychiatr Danub 26(2):159–164PubMed
28.
Zurück zum Zitat Mauss I, Troy A, LeBourgeois M (2013) Poorer sleep quality is associated with lower emotion-regulation ability in a laboratory paradigm. Cogn Emot 27(3):567–576CrossRefPubMed Mauss I, Troy A, LeBourgeois M (2013) Poorer sleep quality is associated with lower emotion-regulation ability in a laboratory paradigm. Cogn Emot 27(3):567–576CrossRefPubMed
29.
Zurück zum Zitat McLean L, Gallop R (2003) Implications of childhood sexual abuse for adult borderline personality disorder and complex posttraumatic stress disorder. Am J Psychiatry 160:369–371CrossRefPubMed McLean L, Gallop R (2003) Implications of childhood sexual abuse for adult borderline personality disorder and complex posttraumatic stress disorder. Am J Psychiatry 160:369–371CrossRefPubMed
30.
Zurück zum Zitat McPhie M, Weiss J, Wekerle C (2014) Psychological distress as a mediator of the relationship between childhood maltreatment and sleep quality in adolescence: results from the maltreatment and adolescent pathways (MAP) longitudinal study. Child Abuse Negl 38(12):2044–2052CrossRefPubMed McPhie M, Weiss J, Wekerle C (2014) Psychological distress as a mediator of the relationship between childhood maltreatment and sleep quality in adolescence: results from the maltreatment and adolescent pathways (MAP) longitudinal study. Child Abuse Negl 38(12):2044–2052CrossRefPubMed
31.
Zurück zum Zitat Noll J, Trickett P, Putnam F (2000) Social network constellation and sexuality of sexually abused and comparison girls in childhood and adolescence. Child Maltreat 5(4):323–337CrossRefPubMed Noll J, Trickett P, Putnam F (2000) Social network constellation and sexuality of sexually abused and comparison girls in childhood and adolescence. Child Maltreat 5(4):323–337CrossRefPubMed
32.
Zurück zum Zitat Norman R, Byambaa M, De R, Butchart A, Scott J, Vos T (2012) The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. Plos Med 9(11):1–31CrossRef Norman R, Byambaa M, De R, Butchart A, Scott J, Vos T (2012) The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. Plos Med 9(11):1–31CrossRef
33.
Zurück zum Zitat Ohayon M, Morselli P, Guilleminault C (1997) Prevalence of nightmares and their relationship to psychopathology and daytime functioning in insomnia subjects. Sleep 20(5):340–348CrossRefPubMed Ohayon M, Morselli P, Guilleminault C (1997) Prevalence of nightmares and their relationship to psychopathology and daytime functioning in insomnia subjects. Sleep 20(5):340–348CrossRefPubMed
34.
Zurück zum Zitat Prayez F, Wodon I, Van Hyfte S, Linkowski P (2012) Attention-deficit/hyperactivity disorder (ADHD) and child maltreatment: a review. Rev Med Brux 33(2):75–86PubMed Prayez F, Wodon I, Van Hyfte S, Linkowski P (2012) Attention-deficit/hyperactivity disorder (ADHD) and child maltreatment: a review. Rev Med Brux 33(2):75–86PubMed
35.
Zurück zum Zitat Prigerson H, Maciejewski P, Rosenheck R (1999) The effects of marital dissolution and marital quality on health and health service use among women. Med Care 37(9):858–873CrossRefPubMed Prigerson H, Maciejewski P, Rosenheck R (1999) The effects of marital dissolution and marital quality on health and health service use among women. Med Care 37(9):858–873CrossRefPubMed
36.
Zurück zum Zitat Radford L, Corral S, Bradley C, Fisher H (2013) The prevalence and impact of child maltreatment and other types of victimization in the UK: findings from a population survey of caregivers, children and young people and young adults. Child Abuse Negl 37(10):801–813CrossRefPubMed Radford L, Corral S, Bradley C, Fisher H (2013) The prevalence and impact of child maltreatment and other types of victimization in the UK: findings from a population survey of caregivers, children and young people and young adults. Child Abuse Negl 37(10):801–813CrossRefPubMed
37.
Zurück zum Zitat Riela S (2011) Effects of sleep deprivation on sociability, closeness, and interdependence. Doctoral dissertation. NY: Stony Brook. Riela S (2011) Effects of sleep deprivation on sociability, closeness, and interdependence. Doctoral dissertation. NY: Stony Brook.
38.
Zurück zum Zitat Riemann D, Spiegelhalder K, Feige K, Voderholzer U, Berger M, Perlis M, Nissen C (2010) The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Med Rev 14:19–31CrossRefPubMed Riemann D, Spiegelhalder K, Feige K, Voderholzer U, Berger M, Perlis M, Nissen C (2010) The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Med Rev 14:19–31CrossRefPubMed
39.
Zurück zum Zitat Schlarb A, Zschoche M, Schredl M (2016) Der Nightmare Effects Questionnaire(NEQ). Pilotstudie zu ersten psychometrischen Kennwerten bei Jugendlichen und jungen Erwachsenen. Somnologie (Berl) 20:251–257CrossRef Schlarb A, Zschoche M, Schredl M (2016) Der Nightmare Effects Questionnaire(NEQ). Pilotstudie zu ersten psychometrischen Kennwerten bei Jugendlichen und jungen Erwachsenen. Somnologie (Berl) 20:251–257CrossRef
40.
Zurück zum Zitat Schredl M, Bumb J, Alm B, Sobanski E (2017) Nightmare frequency in adults with attention-deficit hyperactivity disorder. Eur Arch Psychiatry Clin Neurosci 267(1):89–92CrossRefPubMed Schredl M, Bumb J, Alm B, Sobanski E (2017) Nightmare frequency in adults with attention-deficit hyperactivity disorder. Eur Arch Psychiatry Clin Neurosci 267(1):89–92CrossRefPubMed
41.
Zurück zum Zitat Schwarz S, Hassebrauck M (2007) Interindividuelle Unterschiede in Beziehungspräferenzen. Z Sozialpsychol 38(3):179–193CrossRef Schwarz S, Hassebrauck M (2007) Interindividuelle Unterschiede in Beziehungspräferenzen. Z Sozialpsychol 38(3):179–193CrossRef
42.
Zurück zum Zitat Schwarz S, Mustafic M, Hassebrauck M, Jörg J (2011) Short- and long-term relationship orientation and 2d:4d finger-length ratio. Arch Sex Behav 40:565–574CrossRefPubMed Schwarz S, Mustafic M, Hassebrauck M, Jörg J (2011) Short- and long-term relationship orientation and 2d:4d finger-length ratio. Arch Sex Behav 40:565–574CrossRefPubMed
43.
Zurück zum Zitat Scott K, Smith D, Ellis P (2010) Prospectively ascertained child maltreatment and its association with DSM-IV mental disorders in young adults. Arch Gen Psychiatry 67(7):712–719CrossRefPubMed Scott K, Smith D, Ellis P (2010) Prospectively ascertained child maltreatment and its association with DSM-IV mental disorders in young adults. Arch Gen Psychiatry 67(7):712–719CrossRefPubMed
44.
Zurück zum Zitat Shields A, Cicchetti D (1998) Reactive aggression among maltreated children: the contributions of attention and emotion dysregulation. J Clin Child Psychol 27(4):381–395CrossRefPubMed Shields A, Cicchetti D (1998) Reactive aggression among maltreated children: the contributions of attention and emotion dysregulation. J Clin Child Psychol 27(4):381–395CrossRefPubMed
45.
Zurück zum Zitat Soffer-Dudek N, Sadeh A, Dahl R, Rosenblat-Stein S (2011) Poor sleep quality predicts deficient emotion information processing over time in early adolescence. Sleep 34(11):1499–1508CrossRefPubMedPubMedCentral Soffer-Dudek N, Sadeh A, Dahl R, Rosenblat-Stein S (2011) Poor sleep quality predicts deficient emotion information processing over time in early adolescence. Sleep 34(11):1499–1508CrossRefPubMedPubMedCentral
46.
Zurück zum Zitat Troxel W, Braithwaite S, Sandberg J, Holt-Lunstad J (2016) Does improving marital quality improve sleep? Results from a marital therapy trial. Behav Sleep Med 0:1–14 Troxel W, Braithwaite S, Sandberg J, Holt-Lunstad J (2016) Does improving marital quality improve sleep? Results from a marital therapy trial. Behav Sleep Med 0:1–14
47.
Zurück zum Zitat Whiffen V, Judd M, Aube J (1999) Intimate relationships moderate the association between childhood sexual abuse and depression. J Interpers Violence 14(9):940–954CrossRef Whiffen V, Judd M, Aube J (1999) Intimate relationships moderate the association between childhood sexual abuse and depression. J Interpers Violence 14(9):940–954CrossRef
48.
Zurück zum Zitat Widom CS, Czaja S, Dutton MA (2014) Child abuse and neglect and intimate partner violence victimization and perpetration: a prospective investigation. Child Abuse Negl 38(4):650–663CrossRefPubMed Widom CS, Czaja S, Dutton MA (2014) Child abuse and neglect and intimate partner violence victimization and perpetration: a prospective investigation. Child Abuse Negl 38(4):650–663CrossRefPubMed
49.
Zurück zum Zitat Wildeman C, Emanuel N, Leventhal J, Putnam-Hornstein E, Waldfogel J, Lee H (2014) The prevalence of confirmed maltreatment among US children, 2004 to 2011. JAMA Pediatr 168(8):706–7013CrossRefPubMedPubMedCentral Wildeman C, Emanuel N, Leventhal J, Putnam-Hornstein E, Waldfogel J, Lee H (2014) The prevalence of confirmed maltreatment among US children, 2004 to 2011. JAMA Pediatr 168(8):706–7013CrossRefPubMedPubMedCentral
50.
Zurück zum Zitat Wingenfeld K, Schäfer I, Terfehr K, Grabski H, Driessen M, Grabe H, Löwe B, Spitzer C (2011) Reliable, valide und ökonomische Erfassung früher Traumatisierung: Erste psychometrische Charakterisierung der deutschen Version des Adverse Childhood Experiences Questionnaire (ACE). Psychother Psych Med 61:e10–e14CrossRef Wingenfeld K, Schäfer I, Terfehr K, Grabski H, Driessen M, Grabe H, Löwe B, Spitzer C (2011) Reliable, valide und ökonomische Erfassung früher Traumatisierung: Erste psychometrische Charakterisierung der deutschen Version des Adverse Childhood Experiences Questionnaire (ACE). Psychother Psych Med 61:e10–e14CrossRef
51.
Zurück zum Zitat Yang H, Suh S, Kim H, Cho E, Lee S, Shin C (2013) Testing bidirectional relationships between marital quality and sleep disturbances: a 4-year follow-up study in a Korean cohort. J Psychosom Res 74:401–406CrossRefPubMed Yang H, Suh S, Kim H, Cho E, Lee S, Shin C (2013) Testing bidirectional relationships between marital quality and sleep disturbances: a 4-year follow-up study in a Korean cohort. J Psychosom Res 74:401–406CrossRefPubMed
52.
Zurück zum Zitat Yoo S, Gujar N, Hu P, Jolesz F, Walker M (2007) The human emotional brain without sleep—a prefrontal amygdala disconnect. Curr Biol 17(20):R877–R878CrossRefPubMed Yoo S, Gujar N, Hu P, Jolesz F, Walker M (2007) The human emotional brain without sleep—a prefrontal amygdala disconnect. Curr Biol 17(20):R877–R878CrossRefPubMed
Metadaten
Titel
Does your childhood define how you sleep and love?
Sleep as a possible moderator of the relationship between child maltreatment and romantic relationship patterns
verfasst von
Angela Pfaff
Prof. Dr. Angelika A. Schlarb
Publikationsdatum
04.07.2018
Verlag
Springer Medizin
Erschienen in
Somnologie / Ausgabe 3/2018
Print ISSN: 1432-9123
Elektronische ISSN: 1439-054X
DOI
https://doi.org/10.1007/s11818-018-0168-2

Weitere Artikel der Ausgabe 3/2018

Somnologie 3/2018 Zur Ausgabe

Original studies

Through thick and thin?

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.