Sleep Quality and Alcohol-Use Disorders in a Select Population of Young-Adult Mexican Americans
Sleep Quality and Alcohol-Use Disorders in a Select Population of Young-Adult Mexican Americans
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DOI：
10.15288/jsad.2010.71.879
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发表时间：
2010-11-01
影响因子：
3.4
通讯作者：
Caetano, Raul
中科院分区：
文献类型：
--
作者：
Ehlers, Cindy L.;Gilder, David A.;Caetano, Raul
目标：与白人或黑人相比，成年男性拉美裔美国人，特别是在美国出生的人，更有可能经常饮酒，饮酒量更大。由于酒精和其他物质使用障碍经常与M睡眠障碍有关，因此这项研究调查了选定的墨西哥裔美国年轻人的睡眠质量和物质使用障碍的衡量标准。方法：对294名18-30岁在圣地亚哥县合法居住的墨西哥裔美国年轻人进行酒精使用障碍和其他精神障碍的诊断(基于《精神障碍诊断和统计手册》第三版修订版)、匹兹堡睡眠质量指数(PSQI)结果、酒精依赖家族史和文化适应压力测量。结果：以PSQI总分为指标，终生诊断为酒精使用障碍、有酒精依赖家族史、文化适应压力和终生诊断为重度抑郁障碍的患者睡眠质量显著下降。回归分析还显示，性别与习惯性就寝时间相关，而药物依赖(大麻、兴奋剂和/或鸦片类药物)与入睡时间、严重抑郁障碍与每晚睡眠小时数、焦虑症和严重抑郁障碍与凌晨或半夜醒来显著相关。结论：这些数据表明，在这群年轻人中，酒精使用障碍与较差的睡眠质量显著相关，物质使用障碍对睡眠的影响可能与焦虑和抑郁障碍不同。这些发现可能有助于在这一高危人群中设计酒精使用障碍的预防和干预计划。(J.Stud.酒精类毒品，71,879-884,2010)
Objective: Adult male Hispanics, particularly those born in the United States, are more likely to drink frequently and to consume larger quantities of alcohol than Whites or Blacks. Because alcohol and other substance-use disorders are frequently associated with disturbances M sleep, this study investigated measures of sleep quality and substance-use disorders in a select sample of young-adult Mexican Americans. Method: Diagnoses of alcohol-use disorders and other psychiatric disorders (based on the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised), results from the Pittsburgh Sleep Quality Index (PSQI), family history of alcohol dependence, and measures of acculturation stress were obtained from 294 Mexican American young adults, ages 18-30, who were literate in English and were residing legally in San Diego County. Results: Lifetime diagnoses of alcohol-use disorders, family history of alcohol dependence, acculturation stress, and lifetime diagnoses of major depressive disorder were all correlated with significantly poorer quality sleep as indexed by the global score on the PSQI. Regression analyses also revealed that gender was correlated with habitual bedtime, whereas drug dependence (cannabis, stimulants, and/or opiates) was significantly correlated with how long it took to fall asleep, major depressive disorder with the number of hours spent sleeping a night, and anxiety disorders and major depressive disorder with waking up in the early morning or middle of the night. Conclusions: These data suggest that alcohol-use disorders are significantly associated with poorer quality of sleep in this population of young adults and that substance-use disorders may affect different aspects of sleep than anxiety and depressive disorders do. These findings may be helpful in designing prevention and intervention programs for alcohol-use disorders in this high-risk population. (J. Stud. Alcohol Drugs, 71, 879-884, 2010)