Associations between specific sleep and circadian characteristics and alcohol use disorder criteria and problems

Boness, Cassandra L.; Hasler, Brant P.; Sheehan, Haley; Pedersen, Sarah L.

doi:10.1016/j.addbeh.2022.107348

Cited by 6 publications

(3 citation statements)

References 49 publications

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“…Future research embedding intensive longitudinal studies within prospective research studies is needed to understand the underlying mechanistic pathways from sleep and circadian rhythm to differential alcohol use behaviors and problems as there is evidence that specific sleep indices may relate to certain AUD criteria. 169 Such studies could hold promise for informing treatment for both sleep problems and AUD.…”

Section: Discussionmentioning

confidence: 99%

Sleep-Related Predictors of Risk for Alcohol Use and Related Problems in Adolescents and Young Adults

Hasler

2024

ARCR

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PURPOSE Growing evidence supports sleep and circadian rhythms as influencing alcohol use and the course of alcohol use disorder (AUD). Studying sleep/circadian–alcohol associations during adolescence and young adulthood may be valuable for identifying sleep/circadian-related approaches to preventing and/or treating AUD. This paper reviews current evidence for prospective associations between sleep/circadian factors and alcohol involvement during adolescence and young adulthood with an emphasis on the effects of sleep/circadian factors on alcohol use. SEARCH METHODS The authors conducted a literature search in PsycInfo, PubMed, and Web of Science using the search terms “sleep” and “alcohol” paired with “adolescent” or “adolescence” or “young adult” or “emerging adult,” focusing on the title/abstract fields, and restricting to English-language articles. Next, the search was narrowed to articles with a prospective/longitudinal or experimental design, a sleep-related measure as a predictor, an alcohol-related measure as an outcome, and confirming a primarily adolescent and/or young adult sample. This step was completed by a joint review of candidate article abstracts by two of the authors. SEARCH RESULTS The initial search resulted in 720 articles. After review of the abstracts, the list was narrowed to 27 articles reporting on observational longitudinal studies and three articles reporting on intervention trials. Noted for potential inclusion were 35 additional articles that reported on studies with alcohol-related predictors and sleep-related outcomes, and/or reported on candidate moderators or mediators of sleep–alcohol associations. Additional articles were identified via review of relevant article reference lists and prior exposure based on the authors’ previous work in this area. DISCUSSION AND CONCLUSIONS Overall, the review supports a range of sleep/circadian characteristics during adolescence and young adulthood predicting the development of alcohol use and/or alcohol-related problems. Although sleep treatment studies in adolescents and young adults engaging in regular and/or heavy drinking show that sleep can be improved in those individuals, as well as potentially reducing alcohol craving and alcohol-related consequences, no studies in any age group have yet demonstrated that improving sleep reduces drinking behavior. Notable limitations include relatively few longitudinal studies and only two experimental studies, insufficient consideration of different assessment timescales (e.g., day-to-day vs. years), insufficient consideration of the multidimensional nature of sleep, a paucity of objective measures of sleep and circadian rhythms, and insufficient consideration of how demographic variables may influence sleep/circadian–alcohol associations. Examining such moderators, particularly those related to minoritized identities, as well as further investigation of putative mechanistic pathways linking sleep/...

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Section: Discussionmentioning

confidence: 99%

Sleep-Related Predictors of Risk for Alcohol Use and Related Problems in Adolescents and Young Adults

Hasler

2024

ARCR

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“…Considering the close relationship between sleep disturbance and negative consequences of AUD ( 22 , 23 ), together with the potential therapeutic effect of MBSR on sleep quality, the aim of the present study was to investigate the effect of short-term MBSR on sleep quality in male patients with AUD after withdrawal.…”

Section: Introductionmentioning

confidence: 99%

Effect of short-term mindfulness-based stress reduction on sleep quality in male patients with alcohol use disorder

Wang

Chen

et al. 2023

Front. Psychiatry

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BackgroundSleep disturbance is one of the most prominent complaints of patients with alcohol use disorder (AUD), with more than 70% of patients with AUD reporting an inability to resolve sleep problems during abstinence. Mindfulness-based stress reduction (MBSR) has been shown to improve sleep quality and as an alternative therapy to hypnotics for sleep disorders.ObjectiveThe aim of the present study was to evaluate the effect of short-term MBSR on sleep quality in male patients with AUD after withdrawal.MethodsA total of 91 male patients with AUD after 2 weeks of routine withdrawal therapy were randomly divided into two groups using a coin toss: the treatment group (n = 50) and the control group (n = 41). The control group was received supportive therapy, and the intervention group added with MBSR for 2 weeks on the basis of supportive therapy. Objective sleep quality was measured at baseline and 2 weeks after treatment using the cardiopulmonary coupling (CPC). Indicators related to sleep quality include total sleep time, stable sleep time, unstable sleep time, rapid eye movement (REM) sleep time, wake-up time, stable sleep latency, sleep efficiency, and apnea index. These indicators were compared by an analysis of covariance (ANCOVA) between the two groups, controlling for individual differences in the respective measures at baseline.ResultsThe results showed that there were no significant differences in the age [t (89) = –0.541, P = 0.590), BMI [t (89) = –0.925, P = 0.357], educational status [t (89) = 1.802, P = 0.076], years of drinking [t (89) = –0.472, P = 0.638), daily intake [t (89) = 0.892, P = 0.376], types of alcohol [χ2 (1) = 0.071, P = 0.789], scores of CIWA-AR [t (89) = 0.595, P = 0.554], scores of SDS [t (89) = –1.151, P = 0.253), or scores of SAS [t (89) = –1.209, P = 0.230] between the two groups. Moreover, compared with the control group, the total sleep time [F (1.88) = 4.788, P = 0.031) and stable sleep time [F (1.88) = 6.975, P = 0.010] were significantly increased in the treatment group. Furthermore, the average apnea index in the patients who received MBSR was significantly decreased than in the control group [F (1.88) = 5.284, P = 0.024].ConclusionThese results suggest that short-term MBSR could improve sleep quality and may serve as an alternative treatment to hypnotics for sleep disturbance in patients with AUD after withdrawal.

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“…Poor sleep health (e.g., short sleep duration, poor sleep continuity, and irregular sleep timing) is associated with many negative physical and mental health outcomes including cardiometabolic disease (Cappuccio et al, 2010a; St-Onge et al, 2016), mood disorders (Rumble et al, 2015), susceptibility to infectious illness (Prather et al, 2015), inflammation (Irwin et al, 2016), substance use (Boness et al, 2022; Graupensperger et al, 2022; Hasler et al, 2015, 2022; Logan et al, 2018), and premature mortality (Cappuccio et al, 2010b; Wallace et al, 2022; Wallace, Buysse, et al, 2019; Wallace, Lee, et al, 2019). Moreover, inequities in sleep health exist for a variety of communities and individuals.…”

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confidence: 99%

Effect of daily discrimination on naturalistic sleep health features in young adults.

Tapia,

Wallace,

Hasler

et al. 2024

Health Psychology

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Objective: Racial inequities in sleep health are well documented and may be partially attributable to discrimination experiences. However, the effects of acute discrimination experiences on same-night sleep health are understudied. We quantified naturalistic discrimination experiences captured using ecological momentary assessment (EMA) and examined whether reporting discrimination on a given day predicted sleep health that night. Method: Participants completed baseline assessments and a 17-day EMA protocol, with text prompts delivered four times daily to collect discrimination experiences. Seven different daily sleep characteristics were ascertained each morning. Discrimination reasons (e.g., because of my racial identity) were reported by participants and categorized into any, racial, or nonracial discrimination. Outcomes included the seven sleep diary characteristics. We fit generalized linear mixed effects models for each sleep outcome and discrimination category, controlling for key covariates. Results: The analytic sample included 116 self-identified Black and White individuals (48% Black, 71% assigned female at birth, average age = 24.5 years). Among Black participants, race-based discrimination was associated with a 0.5-hr reduction in total sleep time (TST). Among White individuals, nonracial discrimination was associated with a 0.6-hr reduction in TST, an earlier sleep offset, and reduced sleep efficiency (partly attributable to more nighttime awakenings). Conclusions: Young adults may sleep worse on nights after experiencing discrimination, and different types of discrimination affect different sleep outcomes for Black and White individuals. Future studies may consider developing treatments that account for different sleep vulnerabilities for people experiencing discrimination on a given day. Public Significance StatementDaily acute discrimination experiences adversely affect same-night sleep health which contributes to racial inequities in sleep and, subsequently, to poor health outcomes. Treatments must be developed to account for different sleep vulnerabilities for individuals experiencing discrimination.

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Associations between specific sleep and circadian characteristics and alcohol use disorder criteria and problems

Cited by 6 publications

References 49 publications

Sleep-Related Predictors of Risk for Alcohol Use and Related Problems in Adolescents and Young Adults

Sleep-Related Predictors of Risk for Alcohol Use and Related Problems in Adolescents and Young Adults

Effect of short-term mindfulness-based stress reduction on sleep quality in male patients with alcohol use disorder

Effect of daily discrimination on naturalistic sleep health features in young adults.

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