Objectives: This systematic review sought to examine existing studies addressing the relationship between Adverse Childhood Experiences (ACEs) and children’s sleep quality. Methods: An exhaustive literature search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Records were identified through PubMed, CINAHL, Scopus, and Ovid.
Results: Fourteen studies were reviewed showing moderate evidence supporting the relationship between ACEs and sleep problems. Child sexual abuse was the most frequently reported form of maltreatment and was significantly linked to sleep problems. Common sleep problems included difficulty falling asleep, nocturnal awakening, nightmares, daytime sleepiness, and poor quality of sleep.
Discussion: Occupational therapy practitioners are encouraged to include evaluation and interventions for sleep disturbances in children who have known or suspected traumatic experiences. More specific studies are needed to further understand differences between ages and sexes and whether type of abuse makes a difference in this relationship.

Abstract
Ⅰ. Introduction
Ⅱ. Methods
Ⅲ. Results
    1. Risk of bias
    2. Age
    3. Control group
    4. Differences between sexes
    5. Type of trauma
    6. Outcome measures
    7. Description of sleep problems
Ⅳ. Discussion
    1. Strengths and limitations
    2. Implications for occupational therapyeducation
    3. Implications for occupational therapyresearch
    4. Implications for occupational therapypractice
Ⅴ. Conclusion
References

• Teara Kelly(Methodist Specialty and Transplant Hospital)
• Krista Pon(University of Texas Medical Branch)
• Bella Abril(University of Texas Medical Branch)
• Susanna Lorenz(University of Texas Medical Branch)
• Claudia L. Hilton(University of Texas Medical Branch) Corresponding author