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Cited by 84Sleep and related disordersSubstance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

An open trial of cognitive-behavioral treatment for insomnia comorbid with alcohol dependence

Arnedt, J. Todd, Conroy, Deirdre, Rutt, Joshua, Aloia, Mark S., Brower, Kirk J., Armitage, Roseanne·2007·Sleep Medicine
DOI 10.1016/j.sleep.2006.06.007
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Abstract

Objective We evaluated the efficacy of cognitive-behavioral treatment for insomnia in recovering alcoholic patients in an open pilot study.Methods Seven abstinent alcoholic patients (3 women, mean age 38.6+/-10.8 years) recruited from outpatient and residential treatment facilities met the Diagnostic and Statistic Manual of Mental Disorders - Fourth edition (DSM-IV) criteria for insomnia comorbid with alcohol dependence and participated in eight individual treatment sessions. Participants were free of other medical, psychiatric, and sleep disorders. Daily sleep diaries were completed beginning two weeks before treatment until two weeks after treatment. Measures of sleep, daytime functioning, and drinking were collected.Results Diary-rated sleep latency [F(2,10)=14.4, p<.001], wake after sleep onset [F(2,10)=7.7, p=.009], and sleep efficiency [F(2,10)=28.3, p<.001] improved as did patient-rated and clinician-rated Insomnia Severity Index (ISI) and the Dysfunctional Beliefs and Attitudes about Sleep - Short Form (DBAS-SF). Compared to pre-treatment, significant post-treatment improvements were found on scales measuring depression and anxiety symptoms, fatigue, and quality of life. No one relapsed to alcohol during treatment.Conclusions Cognitive-behavioral insomnia therapy may benefit recovering alcoholics with mild to moderate insomnia by improving sleep and daytime functioning. Effects on relapse remain to be determined. Findings need to be interpreted cautiously due to the uncontrolled design and lack of follow-up assessments.

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  • Adult sleep treatment studies in recovering drinkers consistently report improvements in sleep, but either indeterminate effects on alcohol outcomes in cognitive-behavioral treatment studies or worse alcohol outcomes following pharmacological treatment.

    “Adult sleep treatment studies in recovering drinkers consistently report improvements in sleep, but either indeterminate effects on alcohol outcomes in cognitive-behavioral treatment studies (Arnedt et al., 2007; Arnedt, Conroy, Armitage, & Brower, 2011; Currie, Clark, Hodgins, & El-Guebaly, 2004) or worse alcohol outcomes following pharmacological treatment (Friedmann et al., 2008).”

    From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Arnedt et al., 2007

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Authors
Arnedt, J. T., Conroy, D., Rutt, J., Aloia, M. S., Brower, K. J., & Armitage, R.
Affiliations
  • University of Michigan (US)
  • Brown University (US)
ORCID
Venue
Sleep Medicine
Publisher
Elsevier BV
Published
2007-03
Volume
8
Issue
2
Pages
176-180
ISSN
1389-9457 (ISSN-L)
DOI
10.1016/j.sleep.2006.06.007
OpenAlex
W2055549798
Cited by
84
References
20
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 9 · 2015: 7 · 2014: 6 · 2013: 7 · 2012: 8
FWCI
5.97
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Sleep Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute on Alcohol Abuse and Alcoholism (T32-AA07477, K24AA000304, R21AA014408, T32AA007477)
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, comorbidities, sleep latency, wake after sleep onset, sleep efficiency, daytime functioning, depression, anxiety, fatigue, quality of life, alcohol relapse
MeSH terms
Adult, Alcoholism, Culture, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Pilot Projects, Temperance, Wakefulness, Comorbidity, Cognitive Behavioral Therapy, Outcome Assessment, Health Care

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