Category: Sleep / Wake Disorders

PS15- #A32 - Associations Between Sleep Disturbances and Therapy Effectiveness Among Veterans Engaged in Intensive Outpatient Substance Use Program

Sunday, Nov 19
9:00 AM – 10:00 AM
Location: Indigo Ballroom CDGH, Level 2, Indigo Level

Keywords: Sleep | Addictive Behaviors

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 B. Sexton

Women Veterans Mental Health Coordinator
Ann Arbor Veterans Healthcare System
Ann Arbor, Michigan

Kimberly M. Avallone

Ann Arbor Veterans Healthcare System

Robert J. Spencer

Ann Arbor Veterans Healthcare System

Avinash Hosanagar

Ann Arbor Veterans Healthcare System

Deirdre A. Conroy

University of Michigan Medical School, Behavioral Sleep Medicine Clinic

Jaclyn M. Reckow

Ann Arbor Veterans Healthcare System

Sheila A.M.. Rauch

Associate Professor
Emory University School of Medicine
Atlanta, Georgia

Stephen T. Chermack

University of Michigan
Ann Arbor, Michigan