Subjective sleep quality in women experiencing intimate partner violence: contributions of situational, psychological, and physiological factors.
This study, guided by an adaptation of the theory of unpleasant symptoms, examined the complex relationships of childhood maltreatment, intimate partner violence (IPV), posttraumatic stress disorder (PTSD), depression, and physical health symptoms with global sleep quality and disruptive nighttime behaviors. Data were analyzed using covariance structure analysis. A convenience sample of 157 women currently experiencing IPV was recruited from crisis shelters and community agencies. Findings provide empirical support that women concurrently experiencing PTSD, depression, and stress-related physical health symptoms demonstrated poor global sleep quality and frequent disruptive nighttime behaviors. Posttraumatic stress disorder and stress health symptoms functioned as mediators of childhood maltreatment and IPV effects on both global sleep quality and disruptive nighttime behaviors, but depression did not.
The University of Akron College of Nursing, Akron, OH 44325-3701, USA. sw5@uakron.edu
Stephanie J
SJ
Woods
Sharon L
SL
Kozachik
Rosalie J
RJ
Hall
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D012747:Sexual Partners; D012893:Sleep Wake Disorders / Q000209:etiology / Q000503:physiopathology*; D013313:Stress Disorders, Post-Traumatic / Q000150:complications / Q000523:psychology; D011795:Surveys and Questionnaires; D014754:Violence / Q000523:psychology*; D055815:Young Adult