A first look at childhood abuse in women with obstructive sleep apnea
Study objectivesWomen who experienced childhood sexual abuse have higher rates of obesity, a risk factor for obstructive sleep apnea (OSA). We assessed if prior childhood sexual abuse was more common in women with OSA vs. those in the control group, with possible mediation by obesity.MethodsIn a sec...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Sleep |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frsle.2023.1281425/full |
| _version_ | 1827158734941454336 |
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| author | Amrita Pal Fernando Martinez Jennifer Wagman Ravi S. Aysola Ari Shechter Vincent Mysliwiec Jennifer L. Martin Jennifer L. Martin Paul M. Macey |
| author_facet | Amrita Pal Fernando Martinez Jennifer Wagman Ravi S. Aysola Ari Shechter Vincent Mysliwiec Jennifer L. Martin Jennifer L. Martin Paul M. Macey |
| author_sort | Amrita Pal |
| collection | DOAJ |
| description | Study objectivesWomen who experienced childhood sexual abuse have higher rates of obesity, a risk factor for obstructive sleep apnea (OSA). We assessed if prior childhood sexual abuse was more common in women with OSA vs. those in the control group, with possible mediation by obesity.MethodsIn a secondary analysis of a larger project, we studied 21 women with OSA (age mean ± SD 59 ± 12 years, body mass index [BMI] 33 ± 8 kg/m2, respiratory event index [REI] 25 ± 16 events/hour, and Epworth Sleepiness Scale [ESS] score 8 ± 5) and 21 women without OSA (age 53 ± 9 years, BMI 25 ± 5 kg/m2, REI [in 7/21 women] 1 ± 1 events/hour, and ESS score, 5 ± 3). We evaluated four categories of trauma (general, physical, emotional, and sexual abuse) with the Early Trauma Inventory Self-Report–Short Form (ETISR-SF). We assessed group differences in trauma scores with independent samples t-tests and multiple regressions. Parametric Sobel tests were used to model BMI as a mediator for individual trauma scores predicting OSA in women.ResultsEarly childhood sexual abuse reported on the ETISR-SF was 2.4 times more common in women with vs. without OSA (p = 0.02 for group difference). Other trauma scores were not significantly different between women with and without OSA. However, BMI was a significant mediator (p = 0.02) in predicting OSA in women who experienced childhood physical abuse.ConclusionChildhood sexual abuse was more common in women with vs. without OSA. BMI was a mediator for OSA of childhood physical but not sexual abuse. This preliminary hypothesis-generating study suggests that there may be physiological impacts of childhood trauma in women that predispose them to OSA. |
| first_indexed | 2024-03-08T16:06:53Z |
| format | Article |
| id | doaj.art-e803916205854bc6bee850c3f21c70dc |
| institution | Directory Open Access Journal |
| issn | 2813-2890 |
| language | English |
| last_indexed | 2025-03-20T23:45:57Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Sleep |
| spelling | doaj.art-e803916205854bc6bee850c3f21c70dc2024-08-03T12:46:25ZengFrontiers Media S.A.Frontiers in Sleep2813-28902024-01-01210.3389/frsle.2023.12814251281425A first look at childhood abuse in women with obstructive sleep apneaAmrita Pal0Fernando Martinez1Jennifer Wagman2Ravi S. Aysola3Ari Shechter4Vincent Mysliwiec5Jennifer L. Martin6Jennifer L. Martin7Paul M. Macey8UCLA School of Nursing, University of California, Los Angeles, Los Angeles, CA, United StatesUCLA School of Nursing, University of California, Los Angeles, Los Angeles, CA, United StatesUCLA Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United StatesDepartment of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United StatesDivision of Cardiology, Columbia University Irving Medical Center, New York, NY, United StatesDepartment of Sleep Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX, United StatesDepartment of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United StatesDepartment of Medicine, VA Greater Los Angeles Health Care, Los Angeles, CA, United StatesUCLA School of Nursing, University of California, Los Angeles, Los Angeles, CA, United StatesStudy objectivesWomen who experienced childhood sexual abuse have higher rates of obesity, a risk factor for obstructive sleep apnea (OSA). We assessed if prior childhood sexual abuse was more common in women with OSA vs. those in the control group, with possible mediation by obesity.MethodsIn a secondary analysis of a larger project, we studied 21 women with OSA (age mean ± SD 59 ± 12 years, body mass index [BMI] 33 ± 8 kg/m2, respiratory event index [REI] 25 ± 16 events/hour, and Epworth Sleepiness Scale [ESS] score 8 ± 5) and 21 women without OSA (age 53 ± 9 years, BMI 25 ± 5 kg/m2, REI [in 7/21 women] 1 ± 1 events/hour, and ESS score, 5 ± 3). We evaluated four categories of trauma (general, physical, emotional, and sexual abuse) with the Early Trauma Inventory Self-Report–Short Form (ETISR-SF). We assessed group differences in trauma scores with independent samples t-tests and multiple regressions. Parametric Sobel tests were used to model BMI as a mediator for individual trauma scores predicting OSA in women.ResultsEarly childhood sexual abuse reported on the ETISR-SF was 2.4 times more common in women with vs. without OSA (p = 0.02 for group difference). Other trauma scores were not significantly different between women with and without OSA. However, BMI was a significant mediator (p = 0.02) in predicting OSA in women who experienced childhood physical abuse.ConclusionChildhood sexual abuse was more common in women with vs. without OSA. BMI was a mediator for OSA of childhood physical but not sexual abuse. This preliminary hypothesis-generating study suggests that there may be physiological impacts of childhood trauma in women that predispose them to OSA.https://www.frontiersin.org/articles/10.3389/frsle.2023.1281425/fullsleep-disordered breathingobesitytraumasexual abusepostmenopausal women |
| spellingShingle | Amrita Pal Fernando Martinez Jennifer Wagman Ravi S. Aysola Ari Shechter Vincent Mysliwiec Jennifer L. Martin Jennifer L. Martin Paul M. Macey A first look at childhood abuse in women with obstructive sleep apnea Frontiers in Sleep sleep-disordered breathing obesity trauma sexual abuse postmenopausal women |
| title | A first look at childhood abuse in women with obstructive sleep apnea |
| title_full | A first look at childhood abuse in women with obstructive sleep apnea |
| title_fullStr | A first look at childhood abuse in women with obstructive sleep apnea |
| title_full_unstemmed | A first look at childhood abuse in women with obstructive sleep apnea |
| title_short | A first look at childhood abuse in women with obstructive sleep apnea |
| title_sort | first look at childhood abuse in women with obstructive sleep apnea |
| topic | sleep-disordered breathing obesity trauma sexual abuse postmenopausal women |
| url | https://www.frontiersin.org/articles/10.3389/frsle.2023.1281425/full |
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