Measuring Sleep Disturbances in Patients With Alcohol Use Disorders

Perney, Pascal; Rigole, H.; Mason, Barbara J.; Demattéis, Maurice; Lehert, Philippe

doi:10.1097/adm.0000000000000063

Cited by 19 publications

(6 citation statements)

References 39 publications

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“…The lifetime prevalence of anxiety disorders in alcohol-dependent patients was 6-20%; the highest risk was for social phobia and agoraphobia (DOM & MOGGI 2014). A multi centre study in France involving 257 disordered patients with alcohol use found that 73.5% of patients had sleep disorders (PERNEY et al 2015). Our research results also found a high rate of depression, anxiety, and sleep disorders co-occurring with alcohol dependence (62.26%, 41.51%, and 67.92%, respectively).…”

Section: Psychiatric Disorders Co-occurring With Alcohol Dependencesupporting

confidence: 77%

Alcohol-Dependent Inpatients in Northern Vietnam : A Follow-Up Study on Relapse and Co-Occurring Psychiatric Disorders

Nguyen¹,

Kim²,

Nguyen³

2020

EJMH

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Background: The prevalence of alcohol dependence has been increasing in several countries in the world as well as in Vietnam. This study aims to describe relapse among alcohol-dependent inpatients in Northern Vietnam and some co-occurring psychiatric disorders in these patients. Methods: This study followed 53 alcohol-dependent patients who were treated for six months at the Vietnam National Institute of Mental Health. At the point of one month, three months, and six months after being discharged from the hospital, the patients were monitored for their alcohol consumption, relapse into alcohol dependence, and co-occurring psychiatric disorders by clinical psychiatrists, using the International Classification of Diseases, the 10th edition, Hamilton depression rating scale, Hamilton anxiety rating scale, Pittsburgh Sleep Quality Index, and the EQ-5D-5L Life Quality Assessment. Results: The prevalence of relapse into alcohol dependence was 81.1%. The highest relapse rate was found in the first month after alcohol withdrawal (46.5%), then it decreased gradually. 53.9% of the relapsed patients had at least four alcohol withdrawals; they mainly used home-brewed alcohol. The average daily alcohol intake was fairly high: 14.4 ± 8.5 standard drinks. Mental disorders such as depression, anxiety, and sleep disorder were very prevalent among patients with relapsed alcohol dependence. Conclusions: The rate of relapsed alcohol dependence in Northern Vietnam was very high. It is important to detect and treat psychiatric disorders simultaneously with alcohol dependence to achieve better treatment effectiveness and reduce relapse rates.

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Section: Psychiatric Disorders Co-occurring With Alcohol Dependencesupporting

confidence: 77%

Alcohol-Dependent Inpatients in Northern Vietnam : A Follow-Up Study on Relapse and Co-Occurring Psychiatric Disorders

Nguyen¹,

Kim²,

Nguyen³

2020

EJMH

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“…We used the TLFB to compute the drinks per drinking day (DrPDD, a measure of the quantity of alcohol consumption) and proportion of days of heavy drinking (PDHD, a measure of the frequency of risky drinking days); 5. Short Sleep Index (SSI)-the SSI is a sensitive and validated scale of insomnia symptoms that we used to assess insomnia symptoms in this investigation (Perney et al, 2015). The SSI is derived from the three insomnia items from the Hamilton Depression Rating Scale (HDRS) and one item related to sleep from the Hamilton Anxiety Rating Scale (HARS).…”

Section: Methodsmentioning

confidence: 99%

The Relationship between Alcohol Craving and Insomnia Symptoms in Alcohol-Dependent Individuals

Brooks

Kampman

et al. 2019

Alcohol and Alcoholism

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Aim This preliminary investigation evaluated the link between alcohol craving and insomnia in actively drinking patients with alcohol dependence (AD). Methods We conducted a secondary analysis of data from a clinical trial of treatment-seeking patients with AD who drank heavily (N = 61). The Penn Alcohol Craving Scale (PACS) evaluated alcohol craving, and the Short Sleep Index (SSI) assessed insomnia symptoms. We used linear regression models for baseline cross-sectional assessments. Linear mixed effects regression models evaluated craving scores longitudinally across insomnia groups (+/−), and insomnia scores longitudinally across craving groups(high/low). These longitudinal analyses were conducted separately in those treated with placebo (N = 32) and quetiapine (N = 29). Results The mean (standard deviation) for PACS total score was 15.9 (8.5) and for SSI was 2.1 (2.3). Alcohol craving was associated with the insomnia symptom of difficulty falling asleep (P = 0.03; effect size = −0.7) and with the SSI total score (P = 0.04, effect size = −0.7). In the longitudinal analysis, insomnia+ subjects had consistently higher PACS total scores, relative to the insomnia− group. The PACS score demonstrated significant group × time interactions in both treatment groups. Insomnia+ individuals demonstrated a relatively steeper rate of decline in the craving with quetiapine treatment (P = 0.03). Insomnia− individuals in the placebo group demonstrated a transient reduction in craving until week 8, followed by an increase in scores(P = 0.004). The SSI score did not demonstrate any interactive effect over time across the craving groups in either treatment arm. Conclusion Insomnia was associated with higher alcohol craving and quetiapine differentially reduced craving in those with insomnia.

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“…As sleep problems maintain in the first weeks of abstinence, it can be assumed that a further improvement could have been observed over time, as the average duration of detoxification treatment of two weeks was not long enough to improve sleep. As sleep disturbance constitutes a major risk factor for relapse [27], inpatient detoxification treatment might be enriched with programs teaching knowledge how to improve sleep without the use of medication to strengthen patients to revise sleep habits and correct misconceptions about sleep and insomnia. Interestingly, in our study, the reduction of PSQI score after detoxification did not differ significantly between patients that completed treatment regularly and patients that dropped out prematurely from treatment.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Detoxification on Sleep: How Does Sleep Quality Change during Qualified Detoxification Treatment?

Neu

Sofin

Danker‐Hopfe

2018

Journal of Addiction

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Aims. Sleep disturbances are common in addiction and withdrawal. This study examined the course of sleep quality in a population of alcohol dependent patients during qualified detoxification treatment in a psychiatric hospital. Methods. The Pittsburgh Sleep Quality Index (PSQI) was administered to 77 electively admitted alcohol dependent patients hospitalized for qualified detoxification treatment. Sleep quality was measured at admission and at discharge. Results. The prevalence of bad sleep as measured by a PSQI-score > 5 was 70.1% at admission. During detoxification, male and female patients were equally affected by sleep disturbances and improvement of sleep was not significantly different between males and females. The PSQI score at admission predicted the change of the PSQI score during qualified detoxification treatment. After inpatient detoxification, sleep disturbances persisted in 59.7% of the patients. Conclusions. Contrary to our expectations, the average patient's sleep quality improved in our study after two weeks of detoxification treatment. Sleep disturbances nevertheless persisted in almost two-thirds of the patients. In the view of that finding, patients may require individual evaluation of sleep quality and insomnia-specific treatment in the course of detoxification therapy.

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Measuring Sleep Disturbances in Patients With Alcohol Use Disorders

Abstract: Compared to the PSQI, the SSI represents a quick, quantifiable, and reliable method that could help clinicians assess and manage sleep disturbance in alcoholic patients.

Cited by 19 publications

References 39 publications

Alcohol-Dependent Inpatients in Northern Vietnam : A Follow-Up Study on Relapse and Co-Occurring Psychiatric Disorders

Alcohol-Dependent Inpatients in Northern Vietnam : A Follow-Up Study on Relapse and Co-Occurring Psychiatric Disorders

The Relationship between Alcohol Craving and Insomnia Symptoms in Alcohol-Dependent Individuals

The Effect of Detoxification on Sleep: How Does Sleep Quality Change during Qualified Detoxification Treatment?

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