Clinical Correlates of Reported Sleep Disturbance in Alcoholics

Baekeland, Frederick; Lundwall, Lawrence; Shanahan, Thomas J.; Kissin, Benjamin

doi:10.15288/qjsa.1974.35.1230

Cited by 44 publications

(22 citation statements)

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“…Insomnia or sleep disturbance is widely prevalent in AD. The prevalence estimates range from 36 to 91% (Baekeland et al., ; Brower et al., ; Chaudhary et al., ; Cohn et al., ; Mello and Mendelson, ). AD may be categorized into different stages based on the temporal relationship with exposure to alcohol.…”

Section: Resultsmentioning

confidence: 99%

Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders

Chakravorty

Chaudhary

Brower

2016

Alcoholism Clin & Exp Res

195

121

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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.

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Section: Resultsmentioning

confidence: 99%

Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders

Chakravorty

Chaudhary

Brower

2016

Alcoholism Clin & Exp Res

195

121

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“…The correlates of insomnia in alcohol‐dependent patients, however, are not well‐studied and findings are inconsistent. Demographic factors such as age and sex, in contrast to the general population and patients without AD, have not correlated with insomnia in most studies of alcohol‐dependent patients (Baekeland et al., ; Brower et al., ), although women were more likely to have insomnia in a recent study (Brower et al., ). Four studies found correlations with depressive symptoms (Baekeland et al., ; Brower et al., ; Foster and Peters, ; Mackenzie et al., ), whereas 2 did not (Cohn et al., ; Escobar‐Cordoba et al., ).…”

mentioning

confidence: 95%

“…Demographic factors such as age and sex, in contrast to the general population and patients without AD, have not correlated with insomnia in most studies of alcohol‐dependent patients (Baekeland et al., ; Brower et al., ), although women were more likely to have insomnia in a recent study (Brower et al., ). Four studies found correlations with depressive symptoms (Baekeland et al., ; Brower et al., ; Foster and Peters, ; Mackenzie et al., ), whereas 2 did not (Cohn et al., ; Escobar‐Cordoba et al., ). Similarly, quantity or frequency of alcohol consumption has been reported to correlate with insomnia in some studies (Baekeland et al., ; Shinba et al., ) but not others (Brower et al., ; Cohn et al., ).…”

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confidence: 95%

“…Among patients with AD, insomnia symptoms occur in 36 to 91% of individuals, depending on sample characteristics as well as how and when insomnia was measured. Across 9 studies involving 2,133 patients, 56.2% of alcohol‐dependent patients had insomnia symptoms (Baekeland et al., ; Bokström and Balldin, ; Brower et al., ; Caetano et al., ; Cohn et al., ; Escobar‐Cordoba et al., ; Feuerlein, ; Foster et al., ; Mello and Mendelson, ).…”

mentioning

confidence: 99%

“…Four studies found correlations with depressive symptoms (Baekeland et al., ; Brower et al., ; Foster and Peters, ; Mackenzie et al., ), whereas 2 did not (Cohn et al., ; Escobar‐Cordoba et al., ). Similarly, quantity or frequency of alcohol consumption has been reported to correlate with insomnia in some studies (Baekeland et al., ; Shinba et al., ) but not others (Brower et al., ; Cohn et al., ). Another area of inconsistency pertains to severity of AD.…”

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confidence: 99%

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Prevalence and Correlates of Insomnia in a Polish Sample of Alcohol‐Dependent Patients

Zhabenko

Wojnar

Brower

2012

Alcoholism Clin & Exp Res

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Background Insomnia is an important symptom in alcohol‐dependent patients because it may persist despite abstinence and predispose to relapse to drinking. The goal of the present study was to evaluate the prevalence and clinical correlates of insomnia in a sample of 302 alcohol‐dependent patients admitted to treatment programs in Poland. Methods Participants were mostly men (73.8%) with a mean (SD) age of 43.5 (9.7) years. Insomnia in the past 1 month was assessed using a total score of 6 or higher on the Athens Insomnia Scale. Results Insomnia affected 62.9% of patients, and delayed sleep induction was the most common subtype. Insomnia was associated in bivariate analyses with less education, inadequate finances, problem drinking at an earlier age of onset, drinking frequency and quantity, drinking‐related consequences, severity of alcohol and nicotine dependence, psychiatric and physical severity, and a childhood history of sexual or physical abuse (p < 0.05). Logistic regression analysis showed that mental and physical health status, severity of alcohol dependence, number of drinking days in the past 3 months, and childhood abuse were independent predictors of insomnia, explaining approximately 30 to 40% of the variance. Conclusions More than 60% of alcohol‐dependent patients in a Polish sample screened positive for insomnia using a validated scale, a rate similar to those assessed with other scales in other countries. The study also showed that insomnia in alcohol‐dependent patients is associated with poor physical health and childhood abuse, similar to the general population. The multifactorial nature of insomnia in alcohol‐dependent patients has treatment implications.

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A qualitative assessment of insomnia in recovering alcohol‐dependent patients

Zhabenko,

Linskiy,

Minko

et al. 2023

Neuropsychopharm Rep

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Insomnia is a common symptom that may interfere with the efforts of alcohol‐dependent patients to initiate and maintain sobriety. This study investigates the experiences of recovering alcohol‐dependent patients with insomnia as well as preferences for treatment strategies. Semi‐structured interviews were conducted with 27 patients in Ukraine and Germany. Most of the patients experienced negative psychological (n = 21), physiological (n = 14) effects and negative daytime consequences during insomnia. All 27 patients were engaged in nonpharmacological approaches to insomnia and 52% used pharmacological approaches to manage insomnia. This study provides insight for understanding how alcohol‐dependent patients in recovery perceive insomnia.

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Clinical Correlates of Reported Sleep Disturbance in Alcoholics

Cited by 44 publications

References 0 publications

Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders

Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders

Prevalence and Correlates of Insomnia in a Polish Sample of Alcohol‐Dependent Patients

A qualitative assessment of insomnia in recovering alcohol‐dependent patients

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