Document Detail

Insomnia in alcohol dependence: predictors of symptoms in a sample of veterans referred from primary care.
MedLine Citation:
PMID:  23617870     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Patients with alcohol dependence presenting for treatment may have multiple associated co-morbid conditions and limited social supports, which complicate treatment. Each of these factors has been independently associated with complaints of insomnia. In this preliminary study, we investigated the relations between insomnia complaints and socio-demographic factors and psychiatric co-morbidity in treatment-seeking patients with alcohol dependence.
METHOD: We conducted a retrospective chart review on 84 consecutive patients referred to the Behavioral Health Laboratory of the Philadelphia Veterans Affairs Medical Center for evaluation of psychiatric and substance use disorders. Patients met DSM-IV diagnostic criteria for alcohol dependence and completed a series of self-assessments of sleep. Univariate and multivariable analyses were used to examine the relations amongst the variables of interest.
RESULTS: In multivariable models, Sleep Latency was significantly greater in individuals without partners (p = .01), those with psychiatric disorders (p = .03) and smokers (p = .01), with a non-significant trend for those with past-year suicidal ideation. No significant predictor of Wake Time After Sleep Onset was seen. Poor Sleep Quality was predicted by younger age (OR = .93 [.88, .98], p = .004) and the presence of a psychiatric disorder (OR = 20.80 [4, 102], p = .0002), with a non-significant trend for suicidal ideation.
CONCLUSIONS: Insomnia symptoms in treatment-seeking alcohol dependent patients should prompt consideration of the individuals' psychiatric and psychosocial features.
Subhajit Chakravorty; Michael A Grandner; Henry R Kranzler; Shahrzad Mavandadi; Mitchel A Kling; Michael L Perlis; David W Oslin
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions     Volume:  22     ISSN:  1521-0391     ISO Abbreviation:  Am J Addict     Publication Date:    2013 May-Jun
Date Detail:
Created Date:  2013-04-26     Completed Date:  2013-10-29     Revised Date:  2014-04-08    
Medline Journal Info:
Nlm Unique ID:  9208821     Medline TA:  Am J Addict     Country:  England    
Other Details:
Languages:  eng     Pagination:  266-70     Citation Subset:  IM    
Copyright Information:
Copyright © American Academy of Addiction Psychiatry.
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MeSH Terms
Alcoholism / complications*
Diagnosis, Dual (Psychiatry)
Linear Models
Mental Disorders / diagnosis
Middle Aged
Psychiatric Status Rating Scales
Retrospective Studies
Risk Factors
Sleep Initiation and Maintenance Disorders / etiology*
Substance-Related Disorders / diagnosis
Suicidal Ideation
Veterans / psychology*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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