Ethanol as a Hypnotic in Insomniacs Self Administration and Effects on Sleep and Mood

Roehrs, Timothy; Papineau, Kate; Rosenthal, León; Roth, Thomas

doi:10.1016/s0893-133x(98)00068-2

Cited by 152 publications

(99 citation statements)

References 19 publications

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“…On the one hand, if insomnia is a withdrawal symptom, either acute or protracted (6,29), then relief drinking is a likely strategy, especially given that alcohol has a reinforcing effect in individuals with insomnia (30). On the other hand, there is general scientific consensus that both acute and chronic alcohol use disrupt sleep patterns (1-3,31,32).…”

Section: Discussionmentioning

confidence: 99%

Insomnia, Self-Medication, and Relapse to Alcoholism

Brower

Aldrich

Robinson

et al. 2001

AJP

368

305

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Objective-This study investigated the frequencies of insomnia and its self-medication with alcohol in a sample of alcoholic patients, as well as the relationship of these variables to alcoholic relapse.Method-Subjects were 172 men and women receiving treatment for alcohol dependence. They completed a sleep questionnaire, measures of alcohol problem severity and depression severity, and polysomnograpy after at least two weeks of abstinence.Results-Using eight items from the Sleep Disorders Questionnaire, >60% of subjects were classified as having symptomatic insomnia during the six months prior to treatment entry. Compared to patients without insomnia, patients with insomnia were more likely to report frequent alcohol use for sleep (55% vs. 28%; χ 2 =12.03, df=1, p=0.001), had significantly worse polysomnographic measures of sleep continuity, and had greater severity scores for both alcohol dependence and depression. Among 74 alcoholics who were followed a mean of five months after treatment, 60% with baseline insomnia vs. 30% without baseline insomnia relapsed to any use of alcohol (χ 2 =6.16, df=1, p=0.02). Insomnia remained a robust predictor of relapse after applying logistic regression analysis to control for other variables. A history of self-medicating insomnia with alcohol did not significantly predict subsequent relapse.Conclusions-The majority of alcoholic patients entering treatment reported insomnia symptoms. Given the potential link between insomnia and relapse, routine questions about sleep in clinical and research settings are warranted.

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Section: Discussionmentioning

confidence: 99%

Insomnia, Self-Medication, and Relapse to Alcoholism

Brower

Aldrich

Robinson

et al. 2001

AJP

368

305

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“…The day following the experimental night, participants reported mild hangover effects that were primarily characterized by thirst. During the day, Roehrs et with low dosages of alcohol were found in several other studies [2,3]. Only few studies used higher alcohol dosages to provoke a next-day alcohol hangover, and also assessed sleep and sleepiness the next day.…”

Section: Introductionmentioning

confidence: 97%

Alcohol Hangover, Sleep Quality, and Daytime Sleepiness

et al. 2017

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Purpose Heavy drinking has been shown to disrupt sleep, increase sleepiness the next day, and produce symptoms collectively referred to as ''hangover''. A survey was conducted to determine the impact of heavy alcohol consumption on sleep, daytime sleepiness, and hangover severity. Methods N = 335 adults, experienced with alcohol hangover, completed a survey of sleep quality, daytime sleepiness, and hangover symptoms comparing a heavy drinking occasion with a non-alcohol occasion. Data from those who reported [5-h sleep on the alcohol occasion were compared to those reporting \5-h sleep. Results Participants consumed on average 22.4 (SD 16.8) alcoholic drinks per week. On their last heavy drinking session that produced a hangover, the number of alcoholic drinks they consumed equaled 14.3 (SD 8.2). Relative to a normal night of sleep, sleep quality was significantly worse after the last drinking session (p \ 0.006), and the following day daytime sleepiness was significantly increased (p \ 0.0001). When controlling for alcohol quantity, daytime sleepiness significantly correlated to overall hangover severity, whereas sleep quality and duration did not.Conclusion Heavy alcohol consumption significantly reduces sleep quality, and significantly increases daytime sleepiness the following day.

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“…[1][2][3][4][5][6][7][8] This therapy serves as a candidate for a non-drug method for treating patients with sleep disorders. 9,10 The presented results demonstrate a clear difference in the reaction to the treatment of the patients from the two groups.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic sleep disorders can result from the use of neurotropic and antimalarial drugs, hormones, antiarrhythmic drugs, vitamins, alcohol, transmeridional flights, and travel changing the geographic longitude. [3][4][5][6][7][8] Before the beginning of the twentieth century, bromine and opium were used for insomnia treatment. Barbiturates appear for this purpose starting from 1903.…”

Section: Introductionmentioning

confidence: 99%

The sleep quality of patients with insomnia under the influence of subtle energy fields

Kryzhanovskii¹,

Yavorsky²,

Choong³

2018

Int J Res Med Sci

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Background: The article evaluates the current state of insomnia treatment for patients without neurological, psychiatric, and somatic disorders. An important goal consists in developing non-drug therapies for insomnia, possessing no side effects. Following this research direction, we put a special emphasis on non-medicamental methods for correction of sleep disturbance in persons with psychophysiological insomnia.Methods: Authors propose a method of insomnia treatment in which patients sleep on the specialized Bio Velocity mattresses (the ‘activated mattress’ therapy). The conditions of patients before and after the treatment are assessed by clinical, psychophysiological, electroencephalographic methods, and by the Voll method, which studies the meridians of organs and systems, including the nervous system.Results: We show the effectiveness of the therapy by demonstrating improving psychological indicators, EEG data, and the Voll diagnostics data in a group of patients.Conclusions: The activated Bio Velocity mattresses can effectively be used by patients with the sleep disorders in addition to and, partially, as a replacement of conventional tools and medicine.

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Ethanol as a Hypnotic in Insomniacs Self Administration and Effects on Sleep and Mood

Cited by 152 publications

References 19 publications

Insomnia, Self-Medication, and Relapse to Alcoholism

Insomnia, Self-Medication, and Relapse to Alcoholism

Alcohol Hangover, Sleep Quality, and Daytime Sleepiness

The sleep quality of patients with insomnia under the influence of subtle energy fields

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