Sleep: An unplayed ace in research and treatment of youth with ACEs

Although Adverse Childhood Experiences (ACEs) affect many youth, there are not currently standardized treatments offered following ACE screenings. Sleep interventions may serve as a valuable first-line intervention in high-ACE cohorts, as sleep may protect against negative physical and mental health...

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Main Authors: Sarah L.H. Kamhout, Kara McRae Duraccio
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Child Protection and Practice
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950193825000166
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author Sarah L.H. Kamhout
Kara McRae Duraccio
author_facet Sarah L.H. Kamhout
Kara McRae Duraccio
author_sort Sarah L.H. Kamhout
collection DOAJ
description Although Adverse Childhood Experiences (ACEs) affect many youth, there are not currently standardized treatments offered following ACE screenings. Sleep interventions may serve as a valuable first-line intervention in high-ACE cohorts, as sleep may protect against negative physical and mental health effects of adversity. Sleep interventions can also be offered succinctly and affordably, which can address systemic barriers to care often encountered in high-risk populations. This discussion considers biological and psychological evidence for sleep treatment improving symptoms associated with adversity, reviews existing sleep interventions, and calls for further research into trauma-informed and culturally-informed interventions which can be tailored to specific needs of individuals with histories of adversity. Challenges to measurement of intervention efficacy are also discussed, including multidimensional modelling of sleep health, curvilinear nature of sleep-related trends, and importance of symptom vs. diagnostic monitoring in groups with potentially lower access to assessment and care.
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spelling doaj-art-8bae71928366459c82298658110dd68b2025-02-03T04:17:10ZengElsevierChild Protection and Practice2950-19382025-04-014100109Sleep: An unplayed ace in research and treatment of youth with ACEsSarah L.H. Kamhout0Kara McRae Duraccio1Corresponding author. 227 TLRB, Provo, UT, 84602, United States.; Psychology Department, Brigham Young University, 227 TLRB, Provo, UT, 84602, United StatesPsychology Department, Brigham Young University, 227 TLRB, Provo, UT, 84602, United StatesAlthough Adverse Childhood Experiences (ACEs) affect many youth, there are not currently standardized treatments offered following ACE screenings. Sleep interventions may serve as a valuable first-line intervention in high-ACE cohorts, as sleep may protect against negative physical and mental health effects of adversity. Sleep interventions can also be offered succinctly and affordably, which can address systemic barriers to care often encountered in high-risk populations. This discussion considers biological and psychological evidence for sleep treatment improving symptoms associated with adversity, reviews existing sleep interventions, and calls for further research into trauma-informed and culturally-informed interventions which can be tailored to specific needs of individuals with histories of adversity. Challenges to measurement of intervention efficacy are also discussed, including multidimensional modelling of sleep health, curvilinear nature of sleep-related trends, and importance of symptom vs. diagnostic monitoring in groups with potentially lower access to assessment and care.http://www.sciencedirect.com/science/article/pii/S2950193825000166SleepCircadian alignmentAdverse childhood experiencesEarly interventionTrauma
spellingShingle Sarah L.H. Kamhout
Kara McRae Duraccio
Sleep: An unplayed ace in research and treatment of youth with ACEs
Child Protection and Practice
Sleep
Circadian alignment
Adverse childhood experiences
Early intervention
Trauma
title Sleep: An unplayed ace in research and treatment of youth with ACEs
title_full Sleep: An unplayed ace in research and treatment of youth with ACEs
title_fullStr Sleep: An unplayed ace in research and treatment of youth with ACEs
title_full_unstemmed Sleep: An unplayed ace in research and treatment of youth with ACEs
title_short Sleep: An unplayed ace in research and treatment of youth with ACEs
title_sort sleep an unplayed ace in research and treatment of youth with aces
topic Sleep
Circadian alignment
Adverse childhood experiences
Early intervention
Trauma
url http://www.sciencedirect.com/science/article/pii/S2950193825000166
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