The association between insomnia and suicidal thoughts in adults treated for alcohol dependence in Poland.
The association between insomnia and suicidal thoughts in adults treated for alcohol dependence in Poland.
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DOI：
10.1016/j.drugalcdep.2011.09.021
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发表时间：
2012-04-01
影响因子：
4.2
通讯作者：
Brower, Kirk
中科院分区：
文献类型：
--
作者：
Klimkiewicz, Anna;Bohnert, Amy S. B.;Jakubczyk, Andrzej;Ilgen, Mark A.;Wojnar, Marcin;Brower, Kirk
有酒精使用障碍的人自杀念头更高。睡眠问题与自杀风险和酒精使用有关，而睡眠问题可能与酒精使用障碍者的自杀风险有关。在目前的研究中，我们假设，在波兰寻求酒精依赖治疗的成年人样本中，自我报告的睡眠问题与自杀想法有关。样本包括波兰华沙成瘾治疗项目中符合酒精依赖标准的304名患者。测量包括人口统计特征、饮酒频率、精神症状、自杀意念和两项失眠测量，这两项测量的时间框架不同：雅典失眠量表(AIS，过去1个月)和睡眠障碍问卷(SDQ-7，过去6个月)。多变量Logistic回归模型检验了失眠和自杀念头之间的关联。在控制了年龄、性别和最近饮酒天数的模型中，两项睡眠问题指标都与自杀意念有关：AOR=2.01(95%CI：1.50-2.70)[AIS]和1.73(95%CI：1.29-2.31)[SDQ-7]。AIS测量的睡眠问题与自杀的相关性在调整了精神症状后仍然显著，尽管估计的影响规模较小(AOR=1.47；95%CI：1.05-2.06)。在有酒精依赖的波兰成年人中，失眠的严重程度与自杀念头有关。这一发现突出表明，除了自杀想法外，还需要在酒精治疗环境中评估睡眠问题，并进一步检查睡眠不良在这一人群中的潜在后果。
Suicidal ideation is elevated for individuals with alcohol use disorders. Sleep problems are associated with suicide risk and alcohol use, and sleep problems may be associated with suicide risk in those with alcohol use disorders. For the present study, we hypothesized that self-reported sleep problems are associated with suicidal thoughts in a sample of adults seeking treatment for alcohol dependence in Poland. The sample included 304 patients in addiction treatment programs in Warsaw, Poland who met criteria for alcohol dependence. Measures included demographic characteristics, frequency of alcohol use, psychiatric symptoms, suicidal ideation and two measures of insomnia, which differed by time frame: the Athens Insomnia Scale (AIS, past 1 month) and the Sleep Disorders Questionnaire (SDQ-7, past 6 months). Multivariable logistic regression models tested the association between insomnia and suicidal thoughts. In models that controlled for age, gender, and days of recent drinking, both measures of sleep problems were associated with suicidal ideation: AOR= 2.01 (95% CI: 1.50-2.70) [AIS] and 1.73 (95% CI: 1.29-2.31) [SDQ-7]. The association of sleep problems, as measured by the AIS, with suicide remained significant after adjusting for psychiatric symptoms, although the estimated effect size was smaller (AOR= 1.47; 95% CI: 1.05-2.06). Among Polish adults with alcohol dependence, insomnia severity was associated with suicidal ideation. This finding highlights the need to assess for sleep problems, in addition to suicidal thoughts, in alcohol treatment settings and to further examine the potential consequences of poor sleep in this population.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
酒精依赖患者失眠的认知行为疗法：一项随机对照试点试验。
影响因子：
4.1
作者：
Arnedt JT;Conroy DA;Armitage R;Brower KJ
通讯作者：
Brower KJ
影响因子：
5.6
作者：
DOUGLASS, AB;BORNSTEIN, R;DEMENT, WC
通讯作者：
DEMENT, WC
影响因子：
5.6
作者：
Bernert, RA;Joiner, TE;Krakow, B
通讯作者：
Krakow, B
影响因子：
3.4
作者：
Cohn, TJ;Foster, JH;Peters, TJ
通讯作者：
Peters, TJ