Using ecological momentary assessment to assess the temporal relationship between sleep quality and cravings in individuals recovering from substance use disorders.
Using ecological momentary assessment to assess the temporal relationship between sleep quality and cravings in individuals recovering from substance use disorders.
复制标题
DOI：
10.1016/j.addbeh.2017.11.001
复制
发表时间：
2018-08
影响因子：
4.4
通讯作者：
Gottfredson NC
中科院分区：
文献类型：
--
作者：
Freeman LK;Gottfredson NC
睡眠障碍和药物渴望之间的因果关系尚不清楚。基于资源耗竭的文献，我们假设睡眠困难会导致渴望。我们测试了睡眠质量是否会在人内部或人与人之间的水平上预测渴望，感知意志力是一个多层次的中介。我们使用生态瞬时评估（EMA）来比较两种时间优先模型。成瘾治疗的参与者（N = 122）在三周内每天发送四份调查问卷。参与者对前一晚的睡眠质量、渴望程度和意志力进行了评估。- （β = -）18, SE = .06)和人体内(β = -。2, SE = .02)每日最大渴望对睡眠质量的影响是显著的，- (β = -)之间也是显著的。33， SE=. 08)和人体内（β = - .08； SE=.03）每日睡眠质量对最大每日渴望的影响。在睡眠质量通过意志力对渴望的间接影响的中介分析中，两者的间接影响均为人与人之间的途径(β =−。27, SE = .07)和间接人体内途径(β = -。0.01, SE = .01)。EMA方法允许解开睡眠和渴望之间的时间关系。我们发现了对资源枯竭假说的支持，通过意志力将睡眠质量与渴望联系起来。然而，睡眠质量和渴望之间的联系在人与人之间更为强烈，这表明睡眠质量差对渴望有潜在的累积效应。这些结果表明，临床医生应该向患者询问慢性睡眠问题，因为这些问题可能会带来复发的风险。
The causal direction of the relationship between sleep disturbance and drug cravings is unknown. Based on resource depletion literature, we hypothesized that sleep difficulties lead to cravings. We tested whether sleep quality predicts craving at the within- or between-person level, with perceived willpower as a multilevel mediator. We used ecological momentary assessments (EMA) to compare two models of temporal precedence. Participants in addiction treatment (N = 122) were sent four surveys each day for three weeks. Participants rated previous night’s sleep quality and level of cravings and willpower. The between- (β = −.18, SE = .06) and within-person (β = −.02, SE = .02) effects of maximum daily craving on sleep quality were significant, as were the between- (β = −.33, SE = .08) and within-person (β = −.08; SE=.03) effects of daily sleep quality on maximum daily cravings. In the mediation analysis of the indirect effect of sleep quality on cravings via willpower, both the indirect effect for the between-person pathway (β = −.27, SE = .07) and the indirect within-person pathway (β = −.01, SE = .01) were significant. EMA methodology allowed for disentanglement of the temporal relationship between sleep and cravings. We found support for the resource depletion hypothesis, operationalized by linking sleep quality to cravings via willpower. However, the magnitude of the association between sleep quality and cravings was stronger at the between-person level, suggesting a potentially cumulative effect of poor sleep on cravings. These results suggest that clinicians should ask patients about chronic sleep problems, as these may pose a risk for relapse.
登录
查看更多内容
影响因子：
3.6
作者：
Shiffman, Saul
通讯作者：
Shiffman, Saul
影响因子：
4.4
作者：
Lydon-Staley, David M.;Cleveland, H. Harrington;Huhn, Andrew S.;Cleveland, Michael J.;Harris, Jonathan;Stankoski, Dean;Deneke, Erin;Meyer, Roger E.;Bunce, Scott C.
通讯作者：
Bunce, Scott C.
影响因子：
4.1
作者：
Barber, Larissa K.;Munz, David C.;Powell, Eric D.
通讯作者：
Powell, Eric D.
影响因子：
6.9
作者：
PARROTT, AC;HINDMARCH, I
通讯作者：
HINDMARCH, I
影响因子：
4.2
作者：
Hopper, James W.;Su, Zhaohui;Lukas, Scott E.
通讯作者：
Lukas, Scott E.