Category: Sleep / Wake Disorders
Sleep disturbances (SD) have been demonstrated to reduce the effectiveness of some evidence-based treatments. SD are highly prevalent in the context of alcohol and other substance use disorders (ASUD) and have been associated with greater chronicity of use and risk of relapse. This study examined the relationship between SD and ASUD treatment outcomes, including attrition.
Forty-one Veterans (95% male) enrolled in intensive outpatient substance use treatment completed the Brief Addiction Monitor (BAM) and the Pittsburgh Sleep Quality Inventory (PSQI) at intake; for those who completed treatment, the BAM was administered post-treatment. Diagnoses included alcohol use (78%) and other substance use disorders (27% cannabis; 12% cocaine; 7% opioid; 5% benzodiazepine).
Pre-treatment SD were not associated with premature attrition from care. Hierarchical linear modeling analyses indicated a significant reduction over time in alcohol and substance use (p < .001). After controlling for baseline BAM Use score, there was no interaction between baseline SD and treatment response (p = 0.57).
Baseline sleep disturbances do not significantly change short-term intensive outpatient substance use disorders treatment outcomes. The results suggest the intervention effects demonstrated by evidence-based high intensity programs are robust in the face of significantly impaired sleep at baseline.
Minden Sexton– Women Veterans Mental Health Coordinator, Ann Arbor Veterans Healthcare System, Ann Arbor, Michigan
Kimberly Avallone– Ann Arbor Veterans Healthcare System
Robert Spencer– Ann Arbor Veterans Healthcare System
Avinash Hosanagar– Ann Arbor Veterans Healthcare System
Deirdre Conroy– University of Michigan Medical School, Behavioral Sleep Medicine Clinic
Jaclyn Reckow– Ann Arbor Veterans Healthcare System
Sheila Rauch– Associate Professor, Emory University School of Medicine, Atlanta, Georgia
Stephen Chermack– Professor, University of Michigan, Ann Arbor, Michigan
Women Veterans Mental Health Coordinator
Ann Arbor Veterans Healthcare System
Ann Arbor, Michigan
University of Michigan Medical School, Behavioral Sleep Medicine Clinic
Emory University School of Medicine