Insomnia in alcohol dependence: predictors of symptoms in a sample of veterans referred from primary care.
Insomnia in alcohol dependence: predictors of symptoms in a sample of veterans referred from primary care.
复制标题
酒精依赖性失眠：从初级保健中提到的退伍军人样本中的症状预测因素。
DOI：
10.1111/j.1521-0391.2012.12009.x
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发表时间：
2013-05
期刊：
影响因子：
--
通讯作者：
Oslin DW
中科院分区：
文献类型：
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作者：
Chakravorty S;Grandner MA;Kranzler HR;Mavandadi S;Kling MA;Perlis ML;Oslin DW
寻求治疗的酒精依赖患者可能有多种相关的合并症和有限的社会支持，这使治疗复杂化。这些因素中的每一个都与失眠的抱怨有独立的联系。在本初步研究中，我们调查了寻求治疗的酒精依赖患者失眠主诉与社会人口学因素和精神合并症之间的关系。我们对84名到费城退伍军人事务医学中心行为健康实验室评估精神和物质使用障碍的连续患者进行了回顾性的图表回顾。患者符合DSM-IV的酒精依赖诊断标准，并完成了一系列睡眠自我评估。使用单变量和多变量分析来检查感兴趣的变量之间的关系。在多变量模型中，无伴侣者（p = 0.01）、精神疾病患者（p = 0.03）和吸烟者（p = 0.01）的睡眠潜伏期显著增加，而过去一年有自杀意念者的趋势不显著。没有发现明显的睡眠后醒来时间的预测因子。年龄越小，睡眠质量越差（OR = 0.93）。88年,。98], p = 0.004)和精神障碍的存在（OR = 20.80 [4,102], p = 0.0002），自杀意念的趋势不显著。寻求治疗的酒精依赖患者的失眠症状应提示考虑个体的精神和社会心理特征。
Patients with alcohol dependence presenting for treatment may have multiple associated co-morbid conditions and limited social supports, which complicate treatment. Each of these factors has been independently associated with complaints of insomnia. In this preliminary study, we investigated the relations between insomnia complaints and socio-demographic factors and psychiatric comorbidity in treatment-seeking patients with alcohol dependence. We conducted a retrospective chart review on 84 consecutive patients referred to the Behavioral Health Laboratory of the Philadelphia Veterans Affairs Medical Center for evaluation of psychiatric and substance use disorders. Patients met DSM-IV diagnostic criteria for alcohol dependence and completed a series of self-assessments of sleep. Univariate and multivariable analyses were used to examine the relations amongst the variables of interest. In multivariable models, Sleep Latency was significantly greater in individuals without partners (p = .01), those with psychiatric disorders (p = .03) and smokers (p = .01), with a non-significant trend for those with past-year suicidal ideation. No significant predictor of Wake Time After Sleep Onset was seen. Poor Sleep Quality was predicted by younger age (OR = .93 [.88, .98], p = .004) and the presence of a psychiatric disorder (OR = 20.80 [4, 102], p = .0002), with a non-significant trend for suicidal ideation. Insomnia symptoms in treatment-seeking alcohol dependent patients should prompt consideration of the individuals’ psychiatric and psychosocial features.