Emotional Dysregulation, Anxiety Symptoms and Insomnia in Individuals with Alcohol Use Disorder.
Emotional Dysregulation, Anxiety Symptoms and Insomnia in Individuals with Alcohol Use Disorder.
复制标题
DOI：
10.3390/ijerph19052700
复制
发表时间：
2022-02-25
影响因子：
--
通讯作者：
Kopera M
中科院分区：
文献类型：
--
作者：
Wołyńczyk-Gmaj D;Jakubczyk A;Trucco EM;Kobyliński P;Zaorska J;Gmaj B;Kopera M
Alcohol craving is associated with insomnia symptoms, and insomnia is often reported as a reason for alcohol relapse. The current study examined associations between emotional regulation, anxiety, and insomnia among a group of 338 patients with alcohol use disorder (AUD). Because insomnia most often develops after stressful experiences, it was expected that anxiety symptoms would mediate the association between emotional dysregulation and insomnia severity. It was also expected that an insomnia diagnosis would moderate the association between emotional dysregulation and anxiety symptoms, namely that higher anxiety levels would be found in individuals with insomnia than in those without insomnia. Insomnia severity was assessed with a total score based on the Athens Insomnia Scale (AIS). Additionally, an eight-point cut-off score on the AIS was used to classify participants as with (n = 107) or without (n = 231) an insomnia diagnosis. Moreover, participants completed the Emotion Regulation Scale (DERS; total score) and the Brief Symptoms Inventory (BSI; anxiety). Individuals with insomnia did not differ from those without insomnia in age (p = 0.86), duration of problematic alcohol use (p < 0.34), mean days of abstinence (p = 0.17), nor years of education (p = 0.41). Yet, individuals with insomnia endorsed higher anxiety (p < 0.001) and higher emotional dysregulation (p < 0.001). Anxiety symptoms fully mediated the association between emotional dysregulation and insomnia severity (p < 0.001). Furthermore, insomnia diagnosis positively moderated the association between emotional dysregulation and anxiety (p < 0.001). Our results suggest that emotional dysregulation can lead to insomnia via anxiety symptoms. Treating anxiety symptoms and emotional dysregulation could help to prevent or alleviate symptoms of insomnia in people with AUD. Moreover, treating insomnia in people with AUD may also have a positive effect on anxiety symptoms.
登录
查看更多内容
DOI：
10.1523/jneurosci.1809-08.2008
发表时间：
2008-10-01
期刊：
The Journal of neuroscience : the official journal of the Society for Neuroscience
影响因子：
--
作者：
Cano G;Mochizuki T;Saper CB
通讯作者：
Saper CB
影响因子：
3.3
作者：
Fernandez-Mendoza, Julio;Vela-Bueno, Antonio;Jose De la Cruz-Troca, Juan
通讯作者：
Jose De la Cruz-Troca, Juan
影响因子：
5.6
作者：
BONNET, MH;ARAND, DL
通讯作者：
ARAND, DL
DOI：
10.1097/01.alc.0000081622.03973.57
发表时间：
2003-08-01
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
--
作者：
Currie, SR;Clark, S;Malhotra, S
通讯作者：
Malhotra, S
影响因子：
3.4
作者：
Alterman, Arthur I.;Cacciola, John S.;Lynch, Kevin G.
通讯作者：
Lynch, Kevin G.