Prevalence and Correlates of Insomnia in a Polish Sample of Alcohol‐Dependent Patients
- 4 April 2012
- journal article
- research article
- Published by Wiley in Alcohol: Clinical and Experimental Research
- Vol. 36 (9), 1600-1607
- https://doi.org/10.1111/j.1530-0277.2012.01771.x
Abstract
Background Insomnia is an important symptom in alcohol‐dependent patients because it may persist despite abstinence and predispose to relapse to drinking. The goal of the present study was to evaluate the prevalence and clinical correlates of insomnia in a sample of 302 alcohol‐dependent patients admitted to treatment programs in Poland. Methods Participants were mostly men (73.8%) with a mean (SD) age of 43.5 (9.7) years. Insomnia in the past 1 month was assessed using a total score of 6 or higher on the Athens Insomnia Scale. Results Insomnia affected 62.9% of patients, and delayed sleep induction was the most common subtype. Insomnia was associated in bivariate analyses with less education, inadequate finances, problem drinking at an earlier age of onset, drinking frequency and quantity, drinking‐related consequences, severity of alcohol and nicotine dependence, psychiatric and physical severity, and a childhood history of sexual or physical abuse (p < 0.05). Logistic regression analysis showed that mental and physical health status, severity of alcohol dependence, number of drinking days in the past 3 months, and childhood abuse were independent predictors of insomnia, explaining approximately 30 to 40% of the variance. Conclusions More than 60% of alcohol‐dependent patients in a Polish sample screened positive for insomnia using a validated scale, a rate similar to those assessed with other scales in other countries. The study also showed that insomnia in alcohol‐dependent patients is associated with poor physical health and childhood abuse, similar to the general population. The multifactorial nature of insomnia in alcohol‐dependent patients has treatment implications.Keywords
This publication has 77 references indexed in Scilit:
- Persistent Insomnia, Abstinence, and Moderate Drinking in Alcohol-Dependent IndividualsThe American Journal on Addictions, 2011
- Effect of night smoking, sleep disturbance, and their co-occurrence on smoking outcomes.Psychology of Addictive Behaviors, 2011
- Sleep disturbance as a universal risk factor for relapse in addictions to psychoactive substancesMedical Hypotheses, 2010
- Prevalence and Correlates of Withdrawal‐Related Insomnia among Adults with Alcohol Dependence: Results from a National SurveyThe American Journal on Addictions, 2010
- The effect of interpersonal psychotherapy for depression on insomnia symptoms in a cohort of women with sexual abuse historiesJournal of Traumatic Stress, 2009
- Perception of Sleep in Recovering Alcohol‐Dependent Patients With Insomnia: Relationship With Future DrinkingAlcohol: Clinical and Experimental Research, 2006
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992
- The Fagerström Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance QuestionnaireBritish Journal of Addiction, 1991
- Sexual Abuse in Childhood:Journal of Social Work & Human Sexuality, 1986