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Cited by 60Sleep and related disordersSubstance Abuse Treatment and OutcomesHomelessness and Social Issues

Insomnia in alcohol dependent subjects is associated with greater psychosocial problem severity

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Chaudhary, Ninad S., Kampman, Kyle M., Kranzler, Henry R., Grandner, Michael A., Debbarma, Swarnalata, Chakravorty, Subhajit·2015·Addictive Behaviors
DOI 10.1016/j.addbeh.2015.06.021PMC PMC4515378
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Abstract

Introduction Although psychosocial problems are commonly associated with both alcohol misuse and insomnia, very little is known about the combined effects of insomnia and current alcohol dependence on the severity of psychosocial problems. The present study evaluates whether the co-occurrence of insomnia and alcohol dependence is associated with greater psychosocial problem severity.Methods Alcohol dependent individuals (N = 123) were evaluated prior to participation in a placebo-controlled medication trial. The Short Index of Problems (SIP), Addiction Severity Index (ASI), Insomnia Severity Index (ISI), and Time Line Follow Back (TLFB), were used to assess psychosocial, employment, and legal problems; insomnia symptoms; and alcohol consumption, respectively. Bivariate and multivariate analyses were used to evaluate the relations between insomnia and psychosocial problems.Results Subjects' mean age was 44 years (SD = 10.3), 83% were male, and their SIP sub-scale scores approximated the median for normative data. A quarter of subjects reported no insomnia; 29% reported mild insomnia; and 45% reported moderate-severe insomnia. The insomnia groups did not differ on alcohol consumption measures. The ISI total score was associated with the SIP total scale score (β = 0.23, p = 0.008). Subjects with moderate-severe insomnia had significantly higher scores on the SIP total score, and on the social and impulse control sub-scales, and more ASI employment problems and conflicts with their spouses than others on the ASI.Conclusion In treatment-seeking alcohol dependent subjects, insomnia may increase alcohol-related adverse psychosocial consequences. Longitudinal studies are needed to clarify the relations between insomnia and psychosocial problems in these subjects.

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  • Insomnia symptoms are common among individuals with AUD, with rates as high as 74% among those actively drinking, 69% during early recovery, and 50% after four weeks of sobriety.

    “Insomnia symptoms are common among individuals with alcohol use disorder (AUD), with rates as high as 74% among those who are actively drinking, 69% during early recovery, and 50% after four weeks of sobriety (Brower et al., 2001; Chaudhary et al., 2015; Kolla et al., 2014).”

    From Insomnia treatment in the context of alcohol use disorder: A systematic review and meta-analysis (2017) · cites this paper as Chaudhary et al., 2015

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  1. First MB Spitzer RL Gibbon M Williams JBW Structured Cinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP) 11 2002 Biometrics Research, New York State Psychiatric Institute New York

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Authors
Chaudhary, N. S., Kampman, K. M., Kranzler, H. R., Grandner, M. A., Debbarma, S., & Chakravorty, S.
Affiliations
  • Washington University in St. Louis (US)
  • Philadelphia VA Medical Center (US)
  • Thomas Jefferson University (US)
Corresponding author
Chakravorty, Subhajit
ORCID
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
2015-11
Volume
50
Pages
165-172
ISSN
0306-4603 (ISSN-L)
DOI
10.1016/j.addbeh.2015.06.021
PMC
PMC4515378
OpenAlex
W840500651
Cited by
60
References
64
Citations by year
2026: 3 · 2025: 11 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 2 · 2019: 9 · 2018: 8 · 2017: 5 · 2016: 5
FWCI
9.04
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • NIH (R01 AA016553, K24 AA013736, K23 HL110216, R21 ES022931)
  • VA (IK2CX000855)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords
insomnia, alcoholism, psychosocial problems, comorbidities, alcohol abuse, employment problems, marital conflict, impulse control, social functioning, treatment-seeking patients
MeSH terms
Adult, Alcoholism, Mental Disorders, Cross-Sectional Studies, Employment, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Pennsylvania, Surveys and Questionnaires, Severity of Illness Index, Social Behavior, Prevalence, Family Conflict

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