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Sleep Related Beliefs and their Association with Alcohol Relapse Following Residential Alcohol Detoxification Treatment

  • Neil Smith (a1), Robert Hill (a2), Jane Marshall (a2), Francis Keaney (a2) and Shamil Wanigaratne (a3)...
Abstract

Background: Alcohol dependence is known to impact upon sleep, and poor sleep has been shown to affect relapse rates following treatment for alcohol dependence. Aims: The aim of this study was to investigate the association between sleep problems and relapse in dependent drinkers in an inpatient setting. This was done by studying sleep related cognitions in individuals undergoing medically assisted alcohol withdrawal. Method: Sleep and sleep-related cognitions data were collected for 71 individuals undergoing detoxification treatment. Sleep was measured using sleep diaries and actigraph motion monitors. Participants completed sleep-related cognition questionnaires and were subject to telephone follow-up interviews. The results were then used to predict relapse rates 4 weeks after discharge. Results: Longer sleep onset latency recorded on the unit predicted relapse at 4 weeks. Higher dysfunctional beliefs about sleep were found to be associated with lower relapse rates. Conclusions: This study suggests that some dysfunctional beliefs about sleep may support recovery following discharge from treatment. The study further supports the need for tailored cognitive-behavioural treatments for sleep difficulties in this population to reduce relapse rates.

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Reprint requests to Neil Smith, Clinical Psychologist, Addictions Directorate, Central and North West London NHS Foundation Trust, 4th Floor, Soho Centre for Health and Care, 1 Frith Street, London W1D 3HZ, UK. E-mail: nsmith12@nhs.net
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R. P. Allen and A. M. Wagman (1975). Do sleep patterns relate to the desire for alcohol? Advances in Experimental Medicine and Biology, 59, 495508.

J. T. Arnedt , D. A. Conroy , A. Armitage and K. J. Brower (2011). Cognitive-behavioural therapy for insomnia in alcohol dependent patients: a randomized controlled pilot trial. Behaviour Research and Therapy, 49, 227233.

J. T. Arnedt , D. A. Conroy , J. Rutt , M. S. Aloia , K. J. Brower and R. Armitage (2007). An open-trial of cognitive-behavioural treatment for insomnia comorbid with alcohol dependence. Sleep Medicine, 8, 176180.

K. J. Brower , M. S. Aldrich and J. M. Hall (1998). Polysomnographic and subjective sleep predictors of alcoholic relapse. Alcoholism: Clinical and Experimental Research, 22, 18641871.

K. J. Brower , M. S. Aldrich , E. A. R. Robinson , R. A. Zucker and J. F. Greden (2001). Insomnia, self-medication and relapse to alcoholism. American Journal of Psychiatry, 158, 399404.

R. M. Crum , C. L. Storr , Y. Chan and D. E. Ford (2004). Sleep disturbance and risk for alcohol-related problems. American Journal of Psychiatry, 161, 11971203.

S. R. Currie , S. Clark , D. C. Hodgins and N. el-Guebaly (2004). Randomized controlled trial of brief cognitive-behavioural interventions for insomnia in recovering alcoholics. Addiction, 99, 11211132.

S. R. Currie , K. G. Wilson , A. J. Pontefract and L. deLaplante (2000). Cognitive-behavioral treatment of insomnia secondary to chronic pain. Journal of Consulting and Clinical Psychology, 68, 407416.

H. M. Dreher (2003). The effect of caffeine reduction on sleep quality and well being in person with HIV. Journal of Psychosomatic Research, 54, 191198.

S. P. A. Drummond , C. Gillin , T. L. Smith and A. DeModena (1998). The sleep of abstinent pure primary alcoholic patients: natural course and relationship to relapse. Alcoholism: Clinical and Experimental Research, 22, 17961802.

C. A. Espie (2002). Insomnia: conceptual issues in the development, persistence and treatment of sleep disorder in adults. Annual Review of Psychology, 53, 215243.

C. A. Espie , D. N. Brooks and W. R. Lindsay (1989). An evaluation of tailored psychological treatment of insomnia. Journal of Behavior Therapy and Experimental Psychiatry, 20, 143153.

C. A. Espie , S. J. Inglis , L. Harvey and S. Tessier (2000). Insomniacs’ attributions: psychometric properties of the Dysfunctional Beliefs and Attitudes about Sleep scale and the Sleep Disturbance Questionnaire. Journal of Psychosomatic Research, 48, 141148.

J. H. Foster , E. J. Marshall and T. J. Peters (1998). Impaired sleep in alcohol misusers and dependent alcoholics and the impact upon outcome. Alcoholism: Clinical and Experimental Research, 23, 10441051.

J. C. Gillin , T. L. Smith , M. Irwin , N. Buttos , A. Demodena and M. Schuckit (1994). Increased pressure for rapid eye movement sleep at time of hospital admission predicts relapse in non-depressed patients with primary alcoholism at 3-month follow-up. Archives of General Psychiatry, 51, 189197.

A. G. Harvey (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40, 869893.

K. J. Harvey and C. A. Espie (2004). Development and preliminary validation of the Glasgow Content of Thoughts Inventory (GCTI): a new measure for the assessment of pre-sleep cognitive activity. British Journal of Clinical Psychology, 43, 409420.

B. Krakow , L. Johnston , D. Melendrez , M. Hollifield , T. D. Warner , D. Chavez-Kennedy , et al. (2001). An open-label trial of evidence-based cognitive behaviour therapy for nightmares and insomnia in crime victims with PTSD. American Journal of Psychiatry, 158, 20432047.

H. Landolt and J. C. Gillin (2001). Sleep abnormalities during abstinence in alcohol-dependent patients: aetiology and management. CNS Drugs, 15, 413425.

K. Lichstein and T. Rosenthal (1980). Insomniacs’ perceptions of cognitive versus somatic determinants of sleep disturbance. Journal of Abnormal Psychology, 89, 105107.

M. Morin and S. E. Gramling (1989). Sleep patterns and aging: comparison of older adults with and without insomnia complaints. Psychology and Aging, 4, 290294.

C. M. Morin , J. Stone , D. Trinkle , J. Mercer and S. Remsberg (1993). Dysfunctional beliefs and attitudes about sleep among older adults with and without insomnia complaints. Psychology and Aging, 8, 463467.

M. Ree and A. G. Harvey (2004a). Insomnia. In C. Bennett-Levy et al. (Eds), Oxford Guide to Behavioural Experiments in Cognitive Therapy (pp. 287305). Oxford: Oxford University Press.

M. J. Ree and A. G. Harvey (2004b). Investigating safety behaviours in insomnia: the development of the sleep-related behaviours questionnaire. Behavior Change, 21, 2636.

P. M. Salkovskis (1989). Cognitive-behavioural factors and the persistence of intrusive thoughts in obsessional problems. Behaviour Research and Therapy, 27, 677682.

R. Simeit , R. Deck and B. Conta-Marx (2004). Sleep management training for cancer patients with insomnia. Support Care Cancer, 12, 176183.

J. T. Sullivan , K. Sykora , J. Schneiderman , C. A. Naranjo and E. M. Sellers (1989). Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). British Journal of Addiction, 84, 13531357.

D. Teplin , B. Raz , J. Daiter , M. Varenbut and M. Tyrrell (2006). Screening for substance use patterns among patients referred for a variety of sleep complaints. American Journal of Drug and Alcohol Abuse, 32, 111120.

M. V. Vitiello (1997). Sleep, alcohol and alcohol abuse. Addiction Biology, 2, 151158.

M. M. Weissman , S. Greenwald , G. Nino-Murcia and W. C. Dement (1997). The morbidity of insomnia uncomplicated by psychiatric disorders. General Hospital Psychiatry, 19, 245250.

A. S. Zigmond and R. P. Snaith (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361370.

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Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
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