Quality of life, sleep, mood and alcohol consumption: a complex interaction
- 1 January 2002
- journal article
- Published by Wiley in Addiction Biology
- Vol. 7 (1), 55-65
- https://doi.org/10.1080/135562101200100616
Abstract
Socio-demographic information was collected from 52 (45 men, seven women) currently drinking moderately dependent alcohol misusers attending an outpatient clinic in South London for medical assessment and treatment. Assessments at baseline and 12-week follow-up included: (i) Severity of Alcohol Dependence (SADQ) (baseline only), (ii) Hospital Anxiety and Depression Scale (HADS); (iii) Nottingham Health Profile sleep subscale (NHP) and (iv) the EuroQoL (EQ-5D). The main outcome measure was drinking at a "sensible level" at 12-week follow-up as recommended by the Royal College of Psychiatrists. There were significant interactions between sleeping badly, lying awake at night and HADS depression scores. The Health-related Quality of Life (HrQoL) of this group was poor compared to general population norms. Lower EQ-5D index scores were associated with poorer educational attainment and lower EQ-5D Visual Analogue Scale (VAS) patient ratings with greater baseline alcohol consumption. Clinician ratings on the EQ-5D VAS were consistently lower than the patient ratings. The correlations between patient self-assessment and clinician ratings (EQ-5D VAS) were not significant. The forty-seven subjects (90%) who were successfully followed-up showed a significant reduction in the total amount of alcohol consumed. Ten (21%) subjects returned to sensible drinking levels at 12 weeks but there was not a corresponding improvement in HrQoL, sleep, or affective status scores or biochemical measures in these subjects.Keywords
This publication has 32 references indexed in Scilit:
- The impact of sociodemographics, comorbidity and symptom recency on health-related quality of life in alcoholics.Journal of Studies on Alcohol, 1999
- Recommendations for Evaluating the Validity of Quality of Life Claims for Labeling and PromotionValue in Health, 1999
- Quality of Life in alcohol-dependent subjects – a reviewQuality of Life Research, 1999
- Predictors of relapse to heavy drinking in alcohol dependent subjects following alcohol detoxification—the role of quality of life measures, ethnicity, social class, cigarette and drug useAddiction Biology, 1998
- Quality of life measures in alcohol dependent subjects and changes with abstinence and continued heavy drinkingAddiction Biology, 1998
- Increased REM Sleep Density at Admission Predicts Relapse by Three Months in Primary Alcoholics with a Lifetime Diagnosis of Secondary DepressionBiological Psychiatry, 1998
- What are quality of life measurements measuring?BMJ, 1998
- MOS-SF-36 in Evaluating Health-Related Quality of Life in Alcohol-Dependent PatientsThe American Journal of Drug and Alcohol Abuse, 1998
- Alcohol Use Disorders, Consumption Patterns, and Health‐Related Quality of Life of Primary Care PatientsAlcohol: Clinical and Experimental Research, 1997
- THE SECCAT SURVEY: I. THE COSTS AND CONSEQUENCES OF ALCOHOLISMAlcohol and Alcoholism, 1996