Abstract
Many patients with alcohol use disorder experienced insomnia or sleep disturbances. However, their sleep problems rarely addressed in the treatment process. It may prove beneficial if treatment programs should intend to help prevent the recurrence of alcohol use disorder by solving patients’ sleep-induced problems and accordingly include appropriate sleep interventions. The present study employed a descriptive design and conducted a cross-sectional survey to assess the relationship among sleep quality, score on the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES), abstinence self-efficacy, and quality of life in inpatients with alcohol use disorders. Data were collected from June to August 2018, from 117 patients admitted to the psychiatric ward for alcohol-use patients in two mental hospitals in South Korea. Sleep quality was significantly correlated with the SOCRATES score (r = .247, p = .007) and quality of life (r = -.346, p = .001). However, it showed no relationship with abstinence self-efficacy (r = -.066, p = .477). These findings suggest that abstinence programs need to employ a comprehensive approach instead of primarily focusing on maintaining abstinence and cessation of alcohol use. However, both sleep disturbances and alcohol abstinence require patience and prolonged treatment. Thus, it is a challenge to design concrete interventions to address the sleep problems experienced by patients with alcohol use disorder.
Highlights
Patients with alcohol use disorder suffer from severe and prolonged sleep disruptions that manifested as severe insomnia (Brower & Perron, 2010)
The present study employed a descriptive design and conducted a cross-sectional survey to assess the relationship among sleep quality, score on the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES), abstinence self-efficacy, and quality of life in inpatients with alcohol use disorders
This study employed a descriptive design and conducted a cross-sectional survey to assess the relationship among sleep quality, the SOCRATES, abstinence self-efficacy, and quality of life in inpatients with alcohol use disorder, who were admitted to psychiatric hospitals
Summary
Patients with alcohol use disorder suffer from severe and prolonged sleep disruptions that manifested as severe insomnia (Brower & Perron, 2010). Patients with insomnia may ask clinicians to prescribe sedative-hypnotic agents (Stein & Freidmann, 2009). The tendency to consume alcohol to induce sleep is a severe problem (Brower & Hall, 2001). Drinking to induce sleep leads to increased alcohol tolerance, such that the individuals need to consume much more alcohol over time (Kühlwein, Hauger, & Irwin, 2003). This behavior leads to a vicious cycle of alcohol use and sleep disorders. Sleep complaints do not receive the attention they deserve, resulting in a severe lack of sleep intervention programs to aid recovery after the treatment or detoxification period (Lee, 2010; Ko et al, 2003)
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