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Trauma, Sleep and Mental Health Problems in Low-Income Young Adults

Fusco, Rachel A. and Yuan, Yan and Lee, Hyunji and Newhill, Christina E. (2021) Trauma, Sleep and Mental Health Problems in Low-Income Young Adults. International Journal of Environmental Research and Public Health, 18 (3). p. 1145. ISSN 1660-4601

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Low-income young adults are more likely to have exposure to trauma, which increases risk for mental health problems. Although adequate sleep promotes good health, people with histories of trauma are more likely to have sleep problems. The current study explored whether poor sleep mediated the relationship between trauma exposure and mental health. A sample of 143 low-income 18–24-year-old young adults completed depression, anxiety, and trauma exposure measures and wore sleep monitors for four nights. Structural equation modeling (SEM) was used to examine both direct and indirect effects of variables. Results showed that higher trauma exposure was associated with depression and anxiety. Mean sleep hours per night was fewer than six, far below recommended guidelines for optimal health and functioning. Fewer sleep hours partially mediated the relationship between both trauma exposure and depression and anxiety, and the direct effect from trauma remained significant after adjusting for the partial mediation from sleep.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Fusco, Rachel A.
Lee, Hyunji
Newhill, Christina E.
Date: 28 February 2021
Date Type: Publication
Journal or Publication Title: International Journal of Environmental Research and Public Health
Volume: 18
Number: 3
Publisher: MDPI AG
Page Range: p. 1145
DOI or Unique Handle: 10.3390/ijerph18031145
Schools and Programs: School of Social Work > Social Work
Refereed: Yes
Uncontrolled Keywords: anxiety, depression, trauma exposure
ISSN: 1660-4601
Official URL:
Funders: University of Pittsburgh’s Central Research Development Fund
Article Type: Research Article
Date Deposited: 27 Jun 2022 18:17
Last Modified: 27 Jun 2022 18:17


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