Individuals who have been exposed to trauma experience high levels of sleep impairment. Given the well-established negative effects of stress on sleep, the ways in which trauma-exposed individuals cope with stress is likely to be associated with their sleep. This study examined how the use of health behaviours (i.e., exercise, comfort eating, and maintaining a self-care routine) to cope relate to sleep impairment in a community sample of trauma-exposed adults (N = 84, mean age = 35.1, 83% female). We also tested whether use of health behaviours to cope moderates the relationship between psychological distress and sleep impairment. Results demonstrate that exercise and maintaining a self-care routine to cope are associated with less sleep impairment, while comfort eating to cope is associated with greater sleep impairment. Further, comfort eating to cope moderated the relationship between distress and sleep impairment. Findings suggest that the use of health behaviours to cope is differentially associated with sleep impairment, which has important clinical and research implications for the health of trauma-exposed adults.

中文翻译：

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使用健康行为来应对压力是否可以预测遭受创伤的社区成年人的睡眠障碍？

遭受过创伤的人会经历严重的睡眠障碍。鉴于压力对睡眠的负面影响已被证实，遭受创伤的人应对压力的方式可能与他们的睡眠有关。本研究调查了社区样本中遭受创伤的成年人（N =  84，平均年龄 = 35.1， 83% 女性）。我们还测试了使用健康行为来应对是否可以缓和心理困扰和睡眠障碍之间的关系。结果表明，锻炼和维持自我护理习惯可以减少睡眠障碍，而舒适饮食则可以增加睡眠障碍。此外，舒适饮食可以缓解痛苦和睡眠障碍之间的关系。研究结果表明，使用健康行为来应对与睡眠障碍存在不同的相关性，这对遭受创伤的成年人的健康具有重要的临床和研究意义。