Childhood adversities and long-term sleep problems: The mediating role of affective symptoms. A prospective population study

ACEs, especially social disadvantage, are associated with SPs in the adult general population. This prospective study suggests sex differences in the observed associations. Specifically, family conflicts and maternal mental health problems associate with SPs in females only, with the affective symptom domain as the main mediator. For effective treatment of long-term SPs, it is important to investigate patients' childhood living conditions and their childhood family's emotional atmosphere. Childhood psychological distress requires attention particularly in females.