Insomnia moderates the association between alcohol use and consequences among young adult veterans

Miller, Mary Beth; DiBello, Angelo M.; Carey, Kate B.; Pedersen, Eric R.

doi:10.1016/j.addbeh.2017.06.020

Cited by 14 publications

(4 citation statements)

References 37 publications

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“…Additionally, Choi reported that the incidence of GI diseases among sleep disturbance patients was much higher in females, as well as individuals of older age and with higher income in a multivariable analysis conducted using the National Health Insurance Service–National Sample Cohort [30]. In contrast to our findings, Mullane showed that obesity and smoking were risk factors for sleep disturbances [38], while Miller found interactive effects between insomnia and alcohol use among young adult veterans [39]. Accordingly, much more research is needed to investigate the relationship between demographic factors and sleep disturbances.…”

Section: Discussioncontrasting

confidence: 90%

Association between digestive symptoms and sleep disturbance: a cross-sectional community-based study

2019

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Background This study was conducted to analyze the association between digestive symptoms and sleep disturbance, and to determine if any digestive symptoms are related to sleep disturbance. Methods This was a cross-sectional study of 5792 subjects surveyed in a community-based cohort. Subjects provided information regarding the quality of sleep as assessed by the Pittsburgh Sleep Quality Index (PSQI), as well as digestive symptoms as assessed by the Gastrointestinal Symptom Rating Scale (GSRS). Logistic regressions were used to examine factors associated with sleep quality. Results The mean PSQI global score of the no sleep disturbances group ( n = 4948) was 3.92 (SD = 2.14), while that of the sleep disturbance group ( n = 844) was 11.18 (SD = 2.17). The association between digestive symptoms and sleep disturbance was evaluated by logistic regression after adjusting for cofounding factors. The results revealed that sleep disturbances were associated with digestive symptoms (aOR = 1.29, 95% CI = 1.22–1.36), especially abdominal pains (aOR = 1.63, 95% CI = 1.19–2.25), acid regurgitation (aOR = 1.48, 95% CI = 1.17–1.86), abdominal distension (aOR = 1.80, 95% CI = 1.42–2.28), and eructation (aOR = 1.59, 95% CI = 1.24–2.03). Conclusions Digestive symptoms and sleep disturbances seem to be associated. These results will help medical professionals to effectively diagnose and manage patients with sleep disturbance. Furthermore, subsequent studies using comprehensive longitudinal data should be conducted to confirm the results of the present study.

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Section: Discussioncontrasting

confidence: 90%

Association between digestive symptoms and sleep disturbance: a cross-sectional community-based study

2019

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“…Thus, sleep disturbance may contribute to poor cognitive control, resulting in poor decision making and more problems in the context of alcohol use. Moreover, drinking is associated with more alcohol consequences in the context of sleep disturbance—as opposed to no sleep disturbance—in veterans (Miller et al., 2017a). Thus, sleep disturbance appears to contribute uniquely to alcohol‐related problems above and beyond heavy drinking.…”

Section: Ptsd and Alcohol Problemsmentioning

confidence: 99%

Longitudinal Associations between Sleep, Intrusive Thoughts, and Alcohol Problems Among Veterans

Miller

Metrik

Borsari

et al. 2019

Alcoholism Clin & Exp Res

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Background: Research suggests bidirectional associations between symptoms of posttraumatic stress disorder (PTSD) and sleep disturbance, both of which have been associated with alcohol problems. However, few studies have examined the interplay of these conditions in predicting alcohol problems over time. This study tested 2 competing models: (i) sleep disturbance as a mediator of the association between intrusive thoughts about trauma and alcohol problems and (ii) intrusion symptoms as the mediator of the sleep/alcohol problem association.Methods: Veterans (N = 325, 93% male, 81% White) completed assessments at baseline, 6 months, and 12 months as part of a larger observational study. Zero-inflated-negative binomial models were used to examine indirect effects of baseline predictors on (i) yes/no likelihood and (ii) number of 12month alcohol problems through 6-month mediators. Models controlled for past-year cannabis use and drinks consumed per week at baseline.Results: The only significant predictor of alcohol problem likelihood was baseline drinking quantity. Baseline PTSD intrusions had a direct effect on number of alcohol problems at 12 months, with no indirect (mediated) effect through 6-month sleep disturbance. In the competing model, baseline sleep disturbance had a marginally significant direct effect on 12-month alcohol problems, with a significant indirect effect through 6-month PTSD intrusions.Conclusions: PTSD intrusions are associated with more alcohol problems and help explain the long-term association between sleep and alcohol problems among veterans. Because sleep disturbances are associated with more intrusive thoughts about trauma, we recommend that treatments targeting sleep in the context of PTSD and alcohol use include a cognitive component.

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“…Beyond motivational models of alcohol use, individuals frequently report using alcohol to assist with sleep (Daley et al, 2009; Kolla et al, 2015; Miller et al, 2021) and manage pain (Alford et al, 2016; Brennan et al, 2005; Riley & King, 2009; Sheu et al, 2008). Pain and sleep may serve as proximal determinants of alcohol use, which is concerning because hazardous alcohol use patterns have been documented among those with pain and sleep concerns (Alford et al, 2016; Boissoneault et al, 2019; Miller et al, 2017; Wong et al, 2015). Given that previous studies have largely focused on the four motive subtypes (i.e., coping, enhancement, social, conformity), additional research is needed to understand how reasons for alcohol use that involve self-management of health conditions, as well as their interactions, influence alcohol demand.…”

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confidence: 99%

Association of therapeutic and recreational reasons for alcohol use with alcohol demand.

Ferguson¹,

Fiore²,

Yurasek³

et al. 2023

Experimental and Clinical Psychopharmacology

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Motives for alcohol use and behavioral economic measures of demand are associated with alcohol consumption and alcohol-related problems. However, it is unclear how differences in reasons for alcohol use may affect alcohol demand. Additionally, although alcohol is commonly used to self-manage conditions such as pain and sleep problems, the impact of these reasons for alcohol use on alcohol demand is not well characterized. The present study addressed this gap. Participants were adults recruited via Amazon Mechanical Turk as part of a larger study investigating health behaviors. Analyses included participants who reported alcohol use in the past year (N = 637). Participants were categorized as having recreational, therapeutic, or both recreational and therapeutic reasons for using alcohol. A brief, three-item measure of alcohol demand was administered. Multivariate analysis of variance (MANOVA) analyses revealed that alcohol drinkers endorsing both recreational and therapeutic reasons for use had significantly higher average intensity, O max , and breakpoint indices compared to those who only reported recreational or therapeutic drinking motives ( ps < .05; Cohen's d = .09-.17). Secondary analyses revealed differences in demand according to therapeutic reason for alcohol use endorsed. Significant main effects were found for use to relieve pain and anxiety/depression/stress, while interactive effects were detected for use to relieve pain and improve sleep and use to relieve pain and anxiety/depression/stress. Overall, results suggest that alcohol demand is highest in drinkers who consume alcohol for both therapeutic and recreational reasons. This group may be at elevated risk for alcohol use disorder and alcohol-related consequences. Continued research is necessary to examine this possibility. Public Health SignificanceThis study suggests that individuals with both therapeutic and recreational reasons for alcohol use have greater demand for alcohol compared to either reason for use alone. Associations with alcohol demand also differed based on the type of therapeutic reason for use endorsed. Results highlight self-reported reasons for alcohol use as potential indicators of risk for hazardous use.

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Insomnia moderates the association between alcohol use and consequences among young adult veterans

Cited by 14 publications

References 37 publications

Association between digestive symptoms and sleep disturbance: a cross-sectional community-based study

Association between digestive symptoms and sleep disturbance: a cross-sectional community-based study

Longitudinal Associations between Sleep, Intrusive Thoughts, and Alcohol Problems Among Veterans

Association of therapeutic and recreational reasons for alcohol use with alcohol demand.

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