Poor sleep quality and alcohol use problems among elderly Taiwanese aboriginal women

Chueh, Ke‐Hsin; Yang, Mei‐Sang; Chen, Cheng-Sheng; Chiou, Shyam-Min

doi:10.1017/s1041610209008850

Cited by 17 publications

(8 citation statements)

References 37 publications

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“…The correlation between alcohol consumption and sleep quality among men in this study was consistent with results previously reported by Roehrs and Roth 25) that alcohol generally disturbs sleep. 19 26) Chang et al 4) and Vinson et al 20) found that drinking does not have significant effects on sleep quality. However, these two studies did not control for gender and it could be posited that women act as an effect modifier.…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Alcohol on Quality of Sleep

Park

Lee

et al. 2015

Korean J Fam Med

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BackgroundAlcohol is traditionally known to have a relaxing effect. However, persons who consume alcohol in excessive amounts suffer from poor sleep quality and patients with alcohol use disorders commonly report insomnia. In this study, we aimed to evaluate the effects of alcohol use on sleep quality.MethodsA questionnaire-based cross-sectional survey was conducted with 234 men and 159 women who had visited a general hospital. We used structured questionnaires, including Alcohol Use Disorder Identification Test-Korean revised version (AUDIT-KR) and the Pittsburgh Sleep Quality Index-Korean version (PSQI-K). We analyzed the association between scores for all subcategories of the PSQI-K and the AUDIT-KR and then analyzed the correlation between AUDIT-KR and global PSQI-K scores.ResultsThe global PSQI-K score for men was positively correlated with the AUDIT-KR score (P=0.008) after adjusting for age, chronic disease, tobacco use, exercise, depression, and anxiety. The AUDIT-KR score was significantly associated with subjective sleep quality (P=0.005), sleep duration (P=0.047), and sleep disturbance (P=0.048); it was not associated with sleep latency, sleep efficiency, or daytime dysfunction. Sleep disturbances due to snoring were significantly associated with total AUDIT-KR score (P=0.008). There was no correlation between the global PSQI-K and AUDIT-KR scores for women (P=0.333). However, daytime dysfunction showed a significant association with total AUDIT-KR score (P=0.048).ConclusionMen with higher AUDIT-KR scores tended to suffer from poor sleep quality. AUDIT-KR scores showed significant correlations with subjective sleep quality, sleep duration, and sleep disturbances in men.

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Section: Discussionmentioning

confidence: 99%

“…It follows that women with problematic alcohol consumption experienced poorer sleep quality, similar to trends observed among men. 26) …”

Section: Discussionmentioning

confidence: 99%

The Effects of Alcohol on Quality of Sleep

Park

Lee

et al. 2015

Korean J Fam Med

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“…In addition, both basic and clinical research are generating new knowledge about the neurobiology77-79 and genetics80 of sleep, some of which has particular relevance for the study of addictions 81, 82. Therefore, ongoing research activity regarding the effects of several different drugs of abuse on sleep is of interest to both sleep and addiction researchers 59, 83-92…”

Section: Conceptual Framework For the Sleep Disturbance-relapse Hypotmentioning

confidence: 99%

Sleep disturbance as a universal risk factor for relapse in addictions to psychoactive substances

2010

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Relapse to uncontrolled use of a psychoactive substance is arguably the single most defining characteristic of an addiction. Relapse following addiction treatment is very common with serious consequences to individuals, families, and the public system of care, making predictors of relapse a highly significant area of study. Before the turn of the century, most of the addiction treatment outcome literature focused on psychosocial predictors of relapse. More recently, investigating biological predictors of relapse specifically and treatment outcome broadly has gained momentum. This line of research has linked sleep disturbances to the risk of relapse among persons who are recovering from an alcohol addiction. Given common neurobiological and psychosocial processes in sleep and addictive behaviors, we hypothesize that the link between sleep disturbance and relapse risk observed among alcohol addiction generalizes to all other types of psychoactive substances. This hypothesis has the potential for helping develop more effective and targeted treatment approaches for persons with addiction. As initial support for the hypothesis, this paper reviews evidence on common neurobiological processes among various types of psychoactive substances that suggests sleep is a universal risk factor for relapse. A conceptual framework is also presented to articulate causal mechanisms. The paper concludes with implications for research and practice.

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“…Although these two studies were both nationwide survey, they were published several years ago [ 14 , 15 ]. Other prior studies were limited to a specific age group (i.e., children [ 16 ], adolescents [ 17 ] or elderly [ 18 ]), gender [ 19 ], or medical condition [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Current status of sleep quality in Taiwan: a nationwide walk-in survey

2015

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BackgroundSleep disorder plays an important role in the overall health care system, because it can be co-morbid with many other physical or mental disorders. In this study, we conducted a screening survey to determine the current status of sleep quality in the general population of Taiwan.MethodsDuring the period 1 March 2010 to 30 April 2013, we collaborated with the Fo-Guang Shan Compassion Foundation’s Mentality Protection Center (MPC) branches to conduct 53 walk-in screenings at the 59 branches distributed throughout Taiwan. We used the Pittsburgh Sleep Quality Index (PSQI) to assess multiple dimensions of sleep over a 1-month period after identifying the participants’ age, sex, and residence location. The participants were identified to have poor sleep quality if their PSQI-T total score was greater than five.ResultsIn total, 760 participants, 195 from northern, 289 from central, 228 from southern, and 48 from eastern Taiwan with an average age of 54.2 years (SD 14.7) were recruited. We found that 46.6 % of all participants had poor sleep quality and that there were significantly different proportions among the four areas. Besides, 11.6 % of all participants and 21.8 % of individuals with poor sleep quality had used sedatives/hypnotics to help them fall asleep in the past 4 weeks, and the proportion was highest in the eastern area.ConclusionsThis survey suggested that the ratio of poor sleep quality in Taiwan is progressively increasing compared to the previous studies. In addition, there were significantly different proportions of individuals with poor sleep quality and hypnotics’ uses among the four areas.

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Poor sleep quality and alcohol use problems among elderly Taiwanese aboriginal women

Abstract: The elderly Taiwanese aboriginal women with problematic alcohol drinking experienced poorer sleep quality. Development of a program to reduce alcohol use problems might improve sleep quality among elderly Taiwanese aboriginal women.

Cited by 17 publications

References 37 publications

The Effects of Alcohol on Quality of Sleep

The Effects of Alcohol on Quality of Sleep

Sleep disturbance as a universal risk factor for relapse in addictions to psychoactive substances

Current status of sleep quality in Taiwan: a nationwide walk-in survey

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