Sleep, sleepiness, sleep disorders and alcohol use and abuse
Abstract
The study of ethanol's effects on sleep has a long history dating back to the work of Nathaniel Kleitman. This paper reviews the extensive literature describing ethanol's effects on the sleep of healthy normals and alcoholics and the newer literature that describes its interactive effects on daytime sleepiness, physiological functions during sleep, and sleep disorders. Ethanol initially improves sleep in non-alcoholics at both low and high doses with disturbance in the second half of the night sleep at high doses. Tolerance develops to the initial beneficial effects. In alcoholics sleep is disturbed both while drinking and for months of abstinence and the nature of the abstinent sleep disturbance is predictive of relapse. Ethanol interacts to exacerbate daytime sleepiness and sleep-disordered breathing, even inducing apnea in persons at risk. Ethanol's effects on other physiological functions during sleep and other sleep disorders has yet to be documented. 2001 Harcourt Publishers Ltd
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Non-Hispanic black race/ethnicity, low levels of socioeconomic status, depression, and cardiovascular disease and diabetes are associated with both long and short sleep duration.
“our results show that non-Hispanic black race/ethnicity (23), low levels of socioeconomic status (7,35), depression (6, 7), and cardiovascular disease and diabetes (1, 2) are associated with both long and short sleep duration.”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [35]
Adults with AUDs report shorter sleep times, and this may persist for years into abstinence.
“Adults with AUDs report shorter sleep times, and this may persist for years into abstinence (Roehrs & Roth, 2001).”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Roehrs & Roth, 2001
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- Authors
- Roehrs, T., & Roth, T.
- Affiliations
- Wayne State University (US)
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2001-08
- Volume
- 5
- Issue
- 4
- Pages
- 287-297
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2075450210
- Cited by
- 328
- References
- 72
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 16 · 2023: 12 · 2022: 15 · 2021: 15 · 2020: 26 · 2019: 28 · 2018: 17 · 2017: 19 · 2016: 12 · 2015: 14 · 2014: 29 · 2013: 17 · 2012: 15
- FWCI
- 7.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- ethanol, alcohol consumption, alcoholism, sleep, daytime sleepiness, sleep disorders, sleep-disordered breathing, sleep apnea, alcohol tolerance, alcohol abstinence, relapse
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