Joint Doctoral Program in Clinical Psychology, San Diego State University and University of California San Diego, San Diego, California.
Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Alcohol Res. 2020 Jul 16;40(2):13. doi: 10.35946/arcr.v40.2.13. eCollection 2020.
Sleep disturbance is common among individuals with alcohol use disorder (AUD). Insomnia not only is a pathway toward alcohol consumption but also is related to increased risk of relapse, psychosocial impairment, decreased quality of life, and suicidal ideation in individuals with AUD. Few studies examining sleep disturbance and alcohol use have explored how this relationship differs between men and women. Historically, studies of AUD have included few, if any, women in their samples. However, women are increasingly consuming alcohol at an earlier age and at higher rates, and the effect of alcohol on women's mental and physical health is expected to rise. This narrative review consolidates findings from studies that have reported the effects of acute and chronic alcohol use on sleep among women. Additional research is needed to investigate sex differences in this area. Such research should consider the modifying effects of age, lifetime alcohol use, and psychiatric co-occurrence, as well as the effectiveness of combined interventions for AUD and sleep disturbance.
睡眠障碍在酒精使用障碍（AUD）患者中很常见。失眠不仅是导致饮酒的途径，而且与 AUD 患者复发风险增加、心理社会功能损害、生活质量下降和自杀意念有关。很少有研究探讨睡眠障碍和饮酒之间的关系在男性和女性之间有何不同。从历史上看，AUD 研究的样本中很少有女性，如果有的话。然而，女性越来越早、越来越多地饮酒，酒精对女性身心健康的影响预计将会上升。本综述性研究综合了报告女性急性和慢性饮酒对睡眠影响的研究结果。需要更多的研究来调查这一领域的性别差异。此类研究应考虑年龄、终生饮酒和精神共病的修饰作用，以及 AUD 和睡眠障碍联合干预的效果。
