Sleep related beliefs and their association with alcohol relapse following residential alcohol detoxification treatment
Open accessAbstract
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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“Insomnia by itself is distressing and impairing and is associated with SUD relapse (Brower et al., 1998; Smith et al., 2014) and PTSD severity (Inman et al.”
Background
- Authors
- Smith, N., Hill, R., Marshall, J., Keaney, F., & Wanigaratne, S.
- Affiliations
- Central and North West London NHS Foundation Trust (GB)
- South London and Maudsley NHS Foundation Trust (GB)
- Corresponding author
- Smith, Neil
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2013-06-28
- Volume
- 42
- Issue
- 5
- Pages
- 593-604
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2319695502
- Cited by
- 36
- References
- 41
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 4
- FWCI
- 4.05
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- 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
- alcohol relapse, dysfunctional beliefs about sleep, alcoholism, alcohol withdrawal, sleep latency, sleep disorders, cognitive-behavioral intervention, inpatient care
- MeSH terms
- Adult, Alcoholism, Culture, England, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Discharge, Surveys and Questionnaires, Recurrence, Risk Factors, Sleep, Sleep Deprivation, State Medicine, Statistics as Topic, Temperance, Cognitive Behavioral Therapy, Substance Abuse Treatment Centers
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