The association between sleep disturbances and alcohol relapse: A 12-month observational cohort study

Kolla, Bhanu Prakash; Schneekloth, Terry D.; Mansukhani, Meghna P.; Biernacka, Joanna M.; Hall‐Flavin, Daniel K.; Karpyak, Victor M.; Geske, Jennifer R.; Frye, Mark A.

doi:10.1111/ajad.12199

Cited by 36 publications

(24 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast, 2 studies have failed to demonstrate such a relationship with subjective insomnia (Feige et al., ; Jakubczyk et al., ) as measured by the Athens Insomnia Scale and PSQI, respectively; however, the latter study demonstrated an association of relapse with increased sleep EEG β 2 spectral power. It is possible that the use of alcohol as a sleep aid rather than the sleep disturbance itself is associated with relapse, as demonstrated in a recent study (Kolla et al., ).…”

Section: Resultsmentioning

confidence: 94%

Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders

Chakravorty

Chaudhary

Brower

2016

Alcoholism Clin & Exp Res

184

121

View full text Add to dashboard Cite

Sleep-related complaints are widely prevalent in those with alcohol dependence (AD). AD is associated not only with insomnia, but also with multiple sleep-related disorders as a growing body of literature has demonstrated. This article will review the various aspects of insomnia associated with AD. In addition, the association of AD with other sleep-related disorders will be briefly reviewed. The association of AD with insomnia is bidirectional in nature. The etiopathogenesis of insomnia has demonstrated multiple associations and is an active focus of research. Treatment with cognitive behavioral therapy for insomnia is showing promise as an optimal intervention. In addition, AD may be associated with circadian abnormalities, short sleep duration, obstructive sleep apnea, and sleep-related movement disorder. The burgeoning knowledge on insomnia associated with moderate-to-severe alcohol use disorder has expanded our understanding of its underlying neurobiology, clinical features, and treatment options.

show abstract

Section: Resultsmentioning

confidence: 94%

Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders

Chakravorty

Chaudhary

Brower

2016

Alcoholism Clin & Exp Res

184

121

View full text Add to dashboard Cite

show abstract

“…From a self-medication perspective (Khantzian, 2003), individuals experiencing mental health symptoms (especially symptoms of insomnia, which cut across multiple disorders) may use alcohol to cope with negative affect or to help with sleep. Indeed, up to 40% of heavy-drinking veterans engaged in VA care and 50% of individuals with alcohol use disorders report use of alcohol as a sleep aid (Cucciare et al, 2011; Kolla et al, 2015). Unfortunately, alcohol use before bedtime may also disrupt sleep physiology (Roehrs and Roth, 2001) and weekly sleep patterns (Van Reen et al, 2016), leading to a vicious cycle of daytime dysfunction, insomnia, and increased alcohol use, which may result in increased alcohol problems.…”

Section: Methodsmentioning

confidence: 99%

Insomnia severity as a mediator of the association between mental health symptoms and alcohol use in young adult veterans

Miller

DiBello

Carey

et al. 2017

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Purpose Prior research has documented associations between mental health and alcohol use, mental health and insomnia, and insomnia and alcohol use. This study examined insomnia severity as a mediator of the association between mental health and alcohol-related outcomes in young adult veterans. Procedures Veterans aged 18 to 34 years (N = 622, 83% male) who reported drinking in the past year completed assessments at baseline and one-month follow-up as part of a larger intervention trial. Participants reported symptoms of depression and posttraumatic stress disorder (PTSD) at baseline, insomnia severity at one month, and alcohol use and related consequences at baseline and one month. Mediation analyses using bootstrapped confidence intervals were used to examine the indirect effects of baseline mental health symptoms on alcohol-related outcomes at one month via insomnia severity. Main Findings Insomnia severity was associated with both drinking quantity and alcohol-related consequences. Greater depressive (but not PTSD) symptoms were associated directly with more alcohol-related consequences. Neither depressive nor PTSD symptoms had direct effects on drinking quantity when controlling for the other mental health symptoms (e.g., depressive symptoms did not predict drinking quantity when controlling for symptoms of PTSD). However, symptoms of depression and PTSD predicted drinks per week and alcohol-related consequences indirectly through insomnia severity. Conclusions Symptoms of depression and PTSD increase risk for alcohol use and related consequences in part by increasing symptoms of insomnia. Findings suggest that insomnia may be an appropriate target for prevention and intervention efforts among heavy-drinking Veterans reporting symptoms of depression or PTSD.

show abstract

“…Недостаточный сон и инсомния (трудности засыпания, отсутствие удовлетво-ренности сном) приводят к снижению иммунитета, раз-витию кардиоваскулярной патологии, когнитивной дис-функции, эмоциональным нарушениям, головной боли [7]. Нарушения сна являются факторами риска развития алкогольной зависимости, а при наличии алкогольной зависимости диссомния -один из ведущих факторов риска развития рецидива [16].…”

Section: физиология снаunclassified

“…Доказано, что нарушения сна являются фактором риска развития рецидива злоупотребления алкоголем [16]. Исследования показали, что в основе рецидива лежит активация глутаматергических нейронов префронталь-ной коры, которые в свою очередь активируют дофами-нергические проекции вентральной области покрышки в прилежащее ядро, обеспечивающие положительное эмо-циональное подкрепление [14].…”

Section: нейрохимические изменения во время сна и влияние алкоголяunclassified

Sleep Disturbances in Alcoholic Disease. Diagnpstics and Therapy

Азимова¹,

Ishchenko²

2017

Med. sov.

View full text Add to dashboard Cite

The association between sleep disturbances and alcohol relapse: A 12-month observational cohort study

Abstract: In patients completing a residential treatment program, sleep disturbances as measured by the PSQI were not associated with alcohol relapse at 12 months. Alcohol use as a hypnotic and hypnotic use at admission were associated with subsequent relapse.

Cited by 36 publications

References 22 publications

Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders

Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders

Insomnia severity as a mediator of the association between mental health symptoms and alcohol use in young adult veterans

Sleep Disturbances in Alcoholic Disease. Diagnpstics and Therapy

Contact Info

Product

Resources

About