Cited by 109Sleep and related disordersSubstance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Sleep Disturbance and Risk for Alcohol-Related Problems

Crum, Rosa M., Storr, Carla L., Chan, Ya-Fen, Ford, Daniel E.·2004·American Journal of Psychiatry

DOI 10.1176/appi.ajp.161.7.1197

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Abstract

OBJECTIVE: Using prospective data, the authors assessed the risk of alcohol-related problems among individuals with self-reported sleep disturbances because of worry. METHOD: As part of the Epidemiologic Catchment Area program, a probability sample of Baltimore residents selected by census tracts and households completed a baseline interview in 1981. Between 1993 and 1996, the original Baltimore cohort was traced. Of the 2,633 survivors, a total of 73% were reinterviewed. After excluding individuals with alcohol-related problems or a current or prior history of alcohol abuse and/or dependence at the time of the 1981 interview, the authors identified a cohort of 1,537 individuals who were at risk for problem drinking at the time of the follow-up interview, a median of 12.6 years after the baseline interview. Logistic regression was used to assess the association between sleep disturbance because of worry and the risk for incident reports of alcohol problems. RESULTS: Survey respondents with sleep disturbances because of worry at the time of the baseline interview had a twofold higher risk for developing an alcohol-related problem, relative to those without these sleep disturbances (odds ratio=2.32, 95% confidence interval [CI]=1.31-4.09), with adjustment for selected demographic and clinical variables. Sleep disturbance because of worry predicted the development of alcohol problems among respondents with lifetime anxiety disorders and lifetime dysphoria (odds ratio=3.82, 95% CI=1.56-9.38, and odds ratio=2.71, 95% CI=1.25-5.91, respectively), but not among those without a history of anxiety disorders or dysphoria. CONCLUSIONS: Sleep disturbances because of worry may increase risk for alcohol-related problems. Risk is highest for those with sleep disturbance and co-occurring anxiety disorders or dysphoria.

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Authors: Crum, R. M., Storr, C. L., Chan, Y.-F., & Ford, D. E.
Affiliations: Johns Hopkins University (US)
ORCID: Storr, Carla L.
Ford, Daniel E.
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 2004-07-01
Volume: 161
Issue: 7
Pages: 1197-1203
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/appi.ajp.161.7.1197
OpenAlex: W2116860720
Cited by: 109
References: 25
Citations by year: 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 7 · 2021: 3 · 2020: 4 · 2019: 6 · 2018: 6 · 2017: 2 · 2016: 7 · 2015: 10 · 2014: 6 · 2013: 8 · 2012: 7
FWCI: 10.44
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5u01mh035865-06, 5u01mh035386-05, 3u01mh033883-05s3, 3u01mh033870-05s1)
National Institute on Alcohol Abuse and Alcoholism (AA14351, R01AA014351)
National Institute of Mental Health (MH 34224, MH33870, MH 35386, MH35865, R01MH047447, MH 47447, MH-33883)
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: sleep disorders, worry, alcohol-related problems, alcoholism, anxiety disorders, dysphoria, prospective cohort
MeSH terms: Adolescent, Adult, Aged, Anxiety, Anxiety Disorders, Depressive Disorder, Female, Follow-Up Studies, Health Surveys, Humans, Male, Middle Aged, Probability, Prospective Studies, Risk Factors, Sleep Wake Disorders, Baltimore, Cohort Studies, Comorbidity, Incidence, Odds Ratio, Alcohol-Related Disorders

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Sleep Disturbance and Risk for Alcohol-Related Problems

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