Alyssa Todaro Brooks1, Narjis Kazmi2, Li Yang2, Ralph Thadeus Tuason2, Michael Charles Krumlauf2, Gwenyth Reid Wallen2. 1. Nursing Research and Translational Science, National Institutes of Health Clinical Center, 10 Center Drive Room 2B13, Bethesda, MD, 20892, USA. todaroad@mail.nih.gov. 2. Nursing Research and Translational Science, National Institutes of Health Clinical Center, 10 Center Drive Room 2B13, Bethesda, MD, 20892, USA.
Abstract
BACKGROUND: 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. METHOD: Individuals (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. 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. 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. CONCLUSION: Our 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.
BACKGROUND: 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. METHOD: Individuals (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. 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. 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. CONCLUSION: Our 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.
Entities:
Keywords:
Alcohol use disorder; Cognitive behavioral therapy for insomnia; Insomnia; Sleep disturbance; alcohol; sleep
Authors: Bhanu Prakash Kolla; Terry Schneekloth; Meghna P Mansukhani; Joanna M Biernacka; Daniel Hall-Flavin; Victor Karpyak; Jennifer Geske; Mark A Frye Journal: Am J Addict Date: 2015-03-24
Authors: Alyssa Todaro Brooks; Michael Krumlauf; Craig S Fryer; Kenneth H Beck; Li Yang; Vijay A Ramchandani; Gwenyth R Wallen Journal: PLoS One Date: 2016-08-29 Impact factor: 3.240
Authors: Caitlin E Martin; Joseph M Dzierzewski; Lori Keyser-Marcus; Emily K Donovan; Tatiana Ramey; Dace S Svikis; F Gerard Moeller Journal: Front Psychiatry Date: 2022-05-26 Impact factor: 5.435