Cognitive-behavioral therapy for insomnia in alcohol dependent patients: a randomized controlled pilot trial
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In a randomized controlled trial, we evaluated the efficacy of cognitive-behavioral treatment for insomnia to improve sleep and daytime symptoms, and to reduce relapse in recovering alcohol dependent (AD) participants. Seventeen abstinent AD patients with insomnia (6 women, mean age 46.2 ± 10.1 years) were randomized to 8 sessions of cognitive-behavioral treatment for insomnia for AD (CBTI-AD, n=9) or to a behavioral placebo treatment (BPT, n=8). Subjective measures of sleep, daytime consequences of insomnia and AD, alcohol use, and treatment fidelity were collected at baseline and post-treatment. Diary-rated sleep efficiency and wake after sleep onset, and daytime ratings of General Fatigue on the Multidimensional Fatigue Inventory improved more in the CBTI-AD compared to the BPT group. In addition, more subjects were classified as treatment responders following CBTI-AD. No group differences were found in the number of participants who relapsed to any drinking or who relapsed to heavy drinking. The findings suggest that cognitive-behavioral insomnia therapy benefits subjective sleep and daytime symptoms in recovering AD participants with insomnia more than placebo. The benefits of treating insomnia on drinking outcomes are less apparent.
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In the three behavioral intervention studies that measured alcohol-related outcomes, most participants either reported abstinence or were required to abstain from alcohol for approximately one month prior to baseline.
“Moreover, in the three behavioral intervention studies that measured alcohol-related outcomes (Arnedt et al., 2011; Chakravorty, Perlis, et al., 2016; Currie et al., 2004), most participants either reported abstinence or were required to abstain from alcohol for approximately one month prior to baseline.”
From Insomnia treatment in the context of alcohol use disorder: A systematic review and meta-analysis (2017) · cites this paper as Arnedt et al., 2011
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- Authors
- Arnedt, J. T., Conroy, D. A., Armitage, R., & Brower, K. J.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Arnedt, J. Todd
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2011-04
- Volume
- 49
- Issue
- 4
- Pages
- 227-233
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC3073811
- OpenAlex
- W1985367508
- Cited by
- 147
- References
- 37
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 4 · 2023: 7 · 2022: 14 · 2021: 14 · 2020: 13 · 2019: 10 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 12 · 2014: 18 · 2013: 10 · 2012: 4
- FWCI
- 13.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy for insomnia, insomnia, alcoholism, alcohol recovery, relapse, sleep efficiency, daytime fatigue, wake after sleep onset, intervention fidelity
- MeSH terms
- Adult, Alcoholism, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Pilot Projects, Cognitive Behavioral Therapy, Single-Blind Method, Treatment Outcome, Polysomnography
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