Disturbed Sleep and Its Relationship to Alcohol Use

Stein, Michael D.; Friedmann, Peter D.

doi:10.1300/j465v26n01_01

Cited by 288Sleep and related disordersSubstance Abuse Treatment and OutcomesObstructive Sleep Apnea Research

Disturbed Sleep and Its Relationship to Alcohol Use

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Stein, Michael D., Friedmann, Peter D.·2006·Substance Abuse

DOI 10.1300/j465v26n01_01PMC PMC2775419

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Abstract

Study Objectives: To review evidence of an association between disturbed sleep and alcohol use. Design: We searched MEDLINE, PSYCHINFO, ETOH, BIBLIOSLEEP and the Rutgers Alcohol Studies databases between January 1966 and August 2002. Search terms included alcohol-related disorders or alcoholism in combination with sleep, sleep initiation and maintenance disorders, or sleep apnea syndromes. The search produced over 440 citations. We reviewed 107 relevant articles, of which 60 included quantitative measures of both alcohol use and sleep. Measurements and Results: Behavioral studies suggest that up to 2 to 3 standard drinks before bedtime initially promotes sleep, but these effects diminish in as few as 3 days of continued use. Clinical investigations support a relationship between sleep disturbance and alcohol use, but variability in the definition and measurement of these domains and a preponderance of cross-sectional studies make uncertain the strength and direction of the association. Conclusions: The association of insomnia with alcohol use disorders suggests that the clinical evaluation of patients with sleep problems should include a careful assessment of alcohol use. Future studies of this relationship should employ prospective designs with standardized, validated measures of both sleep and alcohol use. Rigorous treatment studies for chronic insomnia in alcohol dependent patients are also needed.

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Older ages, current smoking and former smoking, and alcohol consumption are associated with short sleep in prior work, but they are also associated with long sleep in our data.
“Older ages (7,20,21), current smoking and former smoking, and alcohol consumption (19,36,38,39) are associated with short sleep in prior work, but they are also associated with long sleep in our data”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [36]

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Authors: Stein, M. D., & Friedmann, P. D.
Affiliations: Brown University (US)
ORCID: Stein, Michael D.
Friedmann, Peter D.
Venue: Substance Abuse
Publisher: SAGE Publications
Published: 2006-02
Volume: 26
Issue: 1
Pages: 1-13
ISSN: 0889-7077 (ISSN-L)
1547-0164
DOI: 10.1300/j465v26n01_01
PMC: PMC2775419
OpenAlex: W2069720857
Cited by: 288
References: 91
Citations by year: 2026: 2 · 2025: 13 · 2024: 28 · 2023: 22 · 2022: 32 · 2021: 28 · 2020: 27 · 2019: 19 · 2018: 24 · 2017: 13 · 2016: 8 · 2015: 15 · 2014: 10 · 2013: 12 · 2012: 12
FWCI: 4.20
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Substance Abuse (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01AA013243, 1R01 AA13243)
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: sleep disorders, alcohol consumption, insomnia, alcoholism, sleep apnea
MeSH terms: Alcohol Drinking, Alcoholism, Humans, Sleep Initiation and Maintenance Disorders, Mass Screening, Sleep Apnea Syndromes, Sleep Wake Disorders, Sleep Stages, Statistics as Topic, Alcohol-Related Disorders

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Disturbed Sleep and Its Relationship to Alcohol Use

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