Abstract
BackgroundLittle is known about cognitive and behavioral predictors of sleep quality and relapse among individuals with alcohol use disorder (AUD). Using the social cognitive theory (SCT), we assessed sleep-related behaviors and cognitions, sleep quality, and relapse to drinking among individuals with AUD transitioning from inpatient to outpatient settings.MethodIndividuals (n = 149) seeking treatment for AUD were recruited during their inpatient stay. Self-efficacy for sleep, dysfunctional beliefs about sleep, sleep-related behaviors, sleep quality, and relapse were assessed. Objective (actigraphy) assessment of sleep efficiency and duration was measured using actigraphy. Multiple logistic regression models tested whether self-reported sleep quality or sleep-related beliefs/behavior predicted relapse. Repeated measures linear mixed modeling tested whether there was a change over time in sleep quality as well as the relationships between self-efficacy, sleep-related beliefs, sleep behaviors, sleep quality, and relapse.ResultsIn our sample, self-efficacy for sleep, dysfunctional beliefs about sleep, and sleep-related behavior were all significantly associated with both sleep quality and relapse. Controlling for pre-discharge sleep-related behaviors (SRBQ) and actigraphy-recorded average sleep time during the first week post-discharge, married participants had lower odds of relapse compared with non-married patients (p = 0.048, OR = 0.119, 95% CI 0.015–0.983). Patients with lower self-efficacy for sleep (SES) scores (p < 0.001) and higher CPRS anxiety scores (p < 0.001) had higher PSQI scores.ConclusionOur results highlight the importance of self-efficacy and dysfunctional beliefs about sleep as predictors of sleep quality and relapse among individuals with AUD and the utility of the SCT as a sleep research framework.
Highlights
Little is known about cognitive and behavioral predictors of sleep quality and relapse among individuals with alcohol use disorder (AUD)
Ford and Kamerow [7] demonstrated that individuals who met criteria for alcohol abuse and dependence were more likely to report ever experiencing a period of two or more weeks of insomnia when compared with non-alcoholdependent individuals
Clinical, and alcohol-related variables to characterize the sample upon admission, including age, gender, marital status, race, ethnicity, the Structured Clinical Interview for DSM IV or DSM 5 diagnosis (SCID; [29]), alcohol drinking history before admission using Timeline Follow-back (TLFB; [30, 31]), alcohol craving using the Penn Alcohol Craving Scale (PACS; [32]), severity of alcohol withdrawal using the Clinical Institute Withdrawal Assessment (CIWA; [33]), and depression and anxiety using two subscales of the Comprehensive Psychopathological Rating Scale (CPRS; [34,35,36]); brief scale for anxiety (BSA) and Montgomery-Asberg depression rating scale (MADRS)
Summary
Little is known about cognitive and behavioral predictors of sleep quality and relapse among individuals with alcohol use disorder (AUD). Using the social cognitive theory (SCT), we assessed sleep-related behaviors and cognitions, sleep quality, and relapse to drinking among individuals with AUD transitioning from inpatient to outpatient settings. Self-efficacy for sleep, dysfunctional beliefs about sleep, sleep-related behaviors, sleep quality, and relapse were assessed. Multiple logistic regression models tested whether self-reported sleep quality or sleep-related beliefs/behavior predicted relapse. Repeated measures linear mixed modeling tested whether there was a change over time in sleep quality as well as the relationships between self-efficacy, sleep-related beliefs, sleep behaviors, sleep quality, and relapse. Results In our sample, self-efficacy for sleep, dysfunctional beliefs about sleep, and sleep-related behavior were all significantly associated with both sleep quality and relapse. Heavy alcohol consumption can induce fatigue and reduce sleep onset latency thereby speeding up the process of falling asleep [10,11,12], which may be tempting for those who are struggling with difficulty sleeping
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
