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Cited by 220Sleep and related disordersSubstance Abuse Treatment and OutcomesObstructive Sleep Apnea Research

Randomized controlled trial of brief cognitive-behavioural interventions for insomnia in recovering alcoholics

Currie, Shawn R., Clark, Stewart, Hodgins, David C., El‐Guebaly, Nady·2004·Addiction
DOI 10.1111/j.1360-0443.2004.00835.x
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Abstract

AIMS: To test the efficacy of a cognitive-behavioural approach to treating disturbed sleep in abstinent alcoholics. DESIGN: Sixty recovering alcoholics with insomnia were assigned randomly to individual therapy, self-help with telephone support or waiting-list control. SETTING: Participants were volunteers recruited from out-patient treatment programs and through the media. MEASUREMENTS: Outcomes were assessed at post-treatment, 3-month and 6-month follow-ups using sleep diaries, the Pittsburgh Sleep Quality Index, wrist actigraphs and time-line follow-back interviews. INTERVENTION: Five sessions of out-patient cognitive-behavioural therapy for insomnia or a self-help manual with five telephone support calls. Treatment duration was 7 weeks. FINDINGS: Treated participants were significantly more improved than control participants on diary measures of sleep quality, sleep efficiency, awakenings and time to fall asleep. No significant differences between the individual therapy and self-help treatment conditions on measures of insomnia severity were evident at post-treatment. Self-reported improvement in sleep was corroborated by clinician and spousal ratings of insomnia severity, but not by actigraph recordings of nocturnal activity. At 3- and 6-month follow-up assessments treatment gains were reasonably maintained in both treatment groups, although individual therapy was associated with a higher rate of clinically significant improvement. At the 6-month follow-up, 60% participants who were regular users of sedative medication at baseline discontinued the use of their medication. Treatment appeared to have little impact in preventing relapses to alcohol. CONCLUSIONS: Recovering alcoholics with insomnia can achieve better sleep by applying cognitive-behavioural strategies.

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Crossref · 10.1111/j.1360-0443.2004.00835.x

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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 Currie et al., 2004

  • In a recent study of 215 university students, eveningness was associated with increased endorsement of various drinking motivations, including drinking for social reasons, for enhancement, for conformity, and, most notably, increased endorsement of drinking to cope.

    “A recent study of 215 university students reported that eveningness was associated with increased endorsement of various drinking motivations, including drinking for social reasons (e.g., to enjoy a party), for enhancement (e.g., to get high), for conformity (e.g., to be liked), and, most notably, increased endorsement of drinking to cope (e.g., to forget about problems or improve mood) (Currie et”

    From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Currie et al., 2004

  • 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 Currie et al., 2004

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Authors
Currie, S. R., Clark, S., Hodgins, D. C., & El‐Guebaly, N.
Corresponding author
Currie, Shawn R.
ORCID
Venue
Addiction
Publisher
Wiley
Published
2004-08-18
Volume
99
Issue
9
Pages
1121-1132
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
DOI
10.1111/j.1360-0443.2004.00835.x
OpenAlex
W2125143665
Cited by
220
References
48
Citations by year
2026: 2 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 15 · 2021: 9 · 2020: 16 · 2019: 9 · 2018: 5 · 2017: 8 · 2016: 15 · 2015: 16 · 2014: 18 · 2013: 11 · 2012: 10
FWCI
8.50
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords
insomnia, cognitive behavioral therapy for insomnia, alcohol recovery, abstinence, self-help intervention, telephone support, sleep quality, alcohol relapse prevention, brief psychotherapy
MeSH terms
Adolescent, Adult, Aged, Alcohol Drinking, Alcoholism, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Medical Records, Middle Aged, Patient Compliance, Surveys and Questionnaires, Recurrence, Self Care, Sleep, Time Factors, Cognitive Behavioral Therapy, Treatment Outcome, Remote Consultation, Substance-Related Disorders

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