Currie Shawn R, Clark Stewart, Rimac Stephen, Malhotra Sonya
University of Calgary, Calgary, Canada.
Alcohol Clin Exp Res. 2003 Aug;27(8):1262-9. doi: 10.1097/01.ALC.0000081622.03973.57.
Many alcoholics continue to experience disrupted sleep after quitting drinking. Previous studies with recovering alcoholics have relied on retrospective questionnaires and a single night of polysomnography to document sleep problems. In the present study, sleep was assessed at home over the course of a week using both subjective and objective sleep measures.
A mixed gender group of alcoholics in recovery (n = 63) experiencing insomnia underwent a multimodal sleep assessment including a structured interview, daily sleep diaries, questionnaires, and ambulatory sleep monitoring. Alcoholics with short-term (<12 months) and long-term (>12 months) abstinence had their sleep monitored prospectively and were compared.
Over half of the participants reported sleep problems that predated the onset of alcohol dependence. Alcoholics with short- and long-term abstinence had similarly disturbed sleep. Overall, problems with getting to sleep were worse than sleep maintenance difficulties. Severity of insomnia was unrelated to drinking history and modestly correlated with the current level of depressive symptoms. Poor sleep hygiene was evident in the sample.
Alcoholics can experience sleep problems for many months after quitting drinking. Implications for sleep interventions with this population are discussed.
许多酗酒者戒酒之后睡眠仍持续紊乱。以往针对戒酒者的研究依赖回顾性问卷调查和一晚的多导睡眠监测来记录睡眠问题。在本研究中，通过主观和客观睡眠测量方法，对一组戒酒者在家中进行了为期一周的睡眠评估。
一组正在戒酒的、患有失眠症的混合性别酗酒者（n = 63）接受了多模式睡眠评估，包括结构化访谈、每日睡眠日记、问卷调查和动态睡眠监测。对短期（<12个月）和长期（>12个月）戒酒的酗酒者的睡眠进行前瞻性监测并比较。
超过半数的参与者报告在酒精依赖开始之前就存在睡眠问题。短期和长期戒酒的酗酒者睡眠紊乱情况相似。总体而言，入睡困难比维持睡眠困难更严重。失眠的严重程度与饮酒史无关，与当前抑郁症状水平呈适度相关。样本中存在明显的不良睡眠卫生习惯。
酗酒者在戒酒数月后仍会出现睡眠问题。本文讨论了针对该人群睡眠干预的意义。
