Alcohol Dependence and Its Relationship With Insomnia and Other Sleep Disorders. (5th October 2016)

• Record Type: Journal Article
• Authors: Chakravorty, Subhajit; Chaudhary, Ninad S.; Brower, Kirk J.
• Is Part Of: Alcoholism. Volume 40:Number 11(2016)
• Page Start: 2271
• Page End: 2282
• Publication Date: 2016-10-05
• Subjects: Alcohol -- Alcoholism -- Sleep -- Sleep Initiation and Maintenance Disorders; Alcoholism -- Periodicals; Alcoholism -- Periodicals; Alcoolisme; Electronic journals; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.861005
• DOI: 10.1111/acer.13217
• Languages: English
• ISSNs: 0145-6008

Abstract

Abstract : Sleep‐related complaints are widely prevalent in those with alcohol dependence (AD). AD is associated not only with insomnia, but also with multiple sleep‐related disorders as a growing body of literature has demonstrated. This article will review the various aspects of insomnia associated with AD. In addition, the association of AD with other sleep‐related disorders will be briefly reviewed. The association of AD with insomnia is bidirectional in nature. The etiopathogenesis of insomnia has demonstrated multiple associations and is an active focus of research. Treatment with cognitive behavioral therapy for insomnia is showing promise as an optimal intervention. In addition, AD may be associated with circadian abnormalities, short sleep duration, obstructive sleep apnea, and sleep‐related movement disorder. The burgeoning knowledge on insomnia associated with moderate‐to‐severe alcohol use disorder has expanded our understanding of its underlying neurobiology, clinical features, and treatment options. Abstract : A growing body of literature has demonstrated an association between alcohol dependence (AD), and, insomnia and other sleep disorders. Insomnia is increasingly evaluated as a disorder of inappropriate arousal during sleep with involvement of multiple underlying mechanisms and downstream daytime manifestations. This understanding may have implications on newer modalities of treatment for insomnia. In addition, AD is also implicated with insufficient sleep duration, obstructive sleep apnea, and periodic limb movement disorder.