Comprehensive assessment of insomnia in recovering alcoholics using daaily sleep diaries and ambulatory monitoring
Comprehensive assessment of insomnia in recovering alcoholics using daaily sleep diaries and ambulatory monitoring
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DOI：
10.1097/01.alc.0000081622.03973.57
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发表时间：
2003-08-01
期刊：
影响因子：
--
通讯作者：
Malhotra, S
中科院分区：
文献类型：
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作者：
Currie, SR;Clark, S;Malhotra, S
背景：许多酗酒者在戒酒后继续经历睡眠中断。以前对康复中的酗酒者的研究依赖于回顾性问卷调查和一个晚上的多导睡眠图来记录睡眠问题。在本研究中，睡眠进行了评估，在家里一个星期的过程中使用主观和客观的sleep measures.Methods：一个混合性别组的酗酒者在恢复（n = 63）经历失眠进行了多模态睡眠评估，包括结构化的采访，每日睡眠日记，问卷调查，和门诊，睡眠监测。酗酒者与短期（12个月）禁欲他们的睡眠监测前瞻性和compared.Results：超过一半的参与者报告睡眠问题，早于酒精依赖的发病。短期和长期戒酒的酗酒者也有类似的睡眠障碍。总的来说，睡眠问题比睡眠维持困难更严重。失眠的严重程度与饮酒史无关，与目前的抑郁症状水平适度相关。睡眠卫生不佳是显而易见的sample.Conclusions：酗酒者可以经历睡眠问题，许多个月后戒酒。对这一人群的睡眠干预的影响进行了讨论。
Background: Many alcoholics continue to experience disrupted sleep after quitting drinking. Previous studies with recovering alcoholics have relied on retrospective questionnaires and a single night of polysomnography to document sleep problems. In the present study, sleep was assessed at home over the course of a week using both subjective and objective sleep measures.Methods: A mixed gender group of alcoholics in recovery (n = 63) experiencing insomnia underwent a multimodal sleep assessment including a structured interview, daily sleep diaries, questionnaires, and ambulatory, sleep monitoring. Alcoholics with short-term (12 months) abstinence had their sleep monitored prospectively and were compared.Results: Over half of the participants reported sleep problems that predated the onset of alcohol dependence. Alcoholics with short- and long-term abstinence had similarly disturbed sleep. Overall, problems with getting to sleep were worse than sleep maintenance difficulties. Severity of insomnia was unrelated to drinking history and modestly correlated with the current level of depressive symptoms. Poor sleep hygiene was evident in the sample.Conclusions: Alcoholics can experience sleep problems for many months after quitting drinking. Implications for sleep interventions with this population are discussed.