Skip to main content

People Think Alcohol Helps with Sleep

  • 213 Accesses

Abstract

The goal of this chapter is to assist the clinician in the consideration of sleep disorders in patients with substance use disorders (SUD). After developing a differential diagnosis of potential sleep disorders in SUD, the treatment team can then develop an initial plan in order to evaluate and treat the patient appropriately. Patients with SUD are susceptible to all of the sleep disorders that can affect patients without SUD, plus additional SUD-related sleep conditions. Due to this complexity, the diagnostic phase may require more than one diagnostic endeavor and/or treatment trial before proceeding with definitive treatment.

In preparing this chapter, we have relied heavily upon several sources of information. First, we have reviewed the salient literature on sleep disorders in SUD, ranging from case reports to formal clinical epidemiological studies. Second, we have collaborated with sleep experts in the assessment and treatment of sleep disorders in SUD patients. Third, we have called upon our own clinical observations and experience in addressing sleep disorders in patients with SUD.

Keywords

  • Alcohol
  • Opioids
  • Benzodiazepines
  • Sedatives
  • Inhalants
  • Cocaine
  • Methamphetamine
  • Hallucinogens
  • Anticholinergics
  • Cannabis
  • Tobacco
  • Methadone
  • Buprenorphine
  • Naltrexone
  • Aripiprazole augmentation
  • Auto-titrating positive airway pressure (APAP)
  • Central sleep apnea (CSA)
  • Compliance
  • Continuous positive airway pressure (CPAP)
  • Daytime fatigue
  • Diphenhydramine
  • Ethnic imperative
  • Fluoxetine
  • Hypoxemia
  • Initial insomnia
  • Major depressive disorder (MDD)
  • Mindfulness training
  • Nighttime awakening
  • Obstructive sleep apnea (OSA)
  • Oxygen Desaturation Index (ODI)
  • Pancreatitis
  • PAT Respiratory Disturbance Index (PRDI)
  • PAT Valid Sleep Time (PVST)
  • Posttraumatic stress disorder (PTSD)
  • Prazosin
  • Psychotherapy
  • Rapid eye movement (REM)
  • Selective serotonin reuptake inhibitor (SSRI)
  • Substance use disorder (SUD)
  • Trazodone

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-030-59309-4_4
  • Chapter length: 5 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   84.99
Price excludes VAT (USA)
  • ISBN: 978-3-030-59309-4
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   109.99
Price excludes VAT (USA)
Hardcover Book
USD   159.99
Price excludes VAT (USA)

References

  1. American Academy of Sleep Medicine. International classification of sleep disorders. 3rd ed. Darian: American Academy of Sleep Medicine; 2014.

    Google Scholar 

  2. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.

    CAS  CrossRef  Google Scholar 

  3. Colraine IM, Turlington S, Baker FC. Impact of alcoholism on sleep architecture and EEG power spectra in men and women. Sleep. 2009;32(10):1341–52.

    CrossRef  Google Scholar 

  4. Currie SR, Clark S, Rimac S, Malhotra S. Comprehensive assessment of insomnia in recovery alcoholics using daily sleep diaries and ambulatory monitoring. Alcohol Clin Exp Res. 2003;27(8):1262–9.

    CrossRef  Google Scholar 

  5. Farney RJ, McDonald AM, Boyle KM, Snow GL, Nuttall RT, Coudreaut MF, et al. Sleep disordered breathing in patients receiving therapy. Eur Respir J. 2013;42:394–403.

    CAS  CrossRef  Google Scholar 

  6. Johns MW. A new method of measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep. 1991;14:540–5.

    CAS  CrossRef  Google Scholar 

  7. Stein MD, Friedmann PD. Disturbed sleep and its relationship to alcohol use. Subst Abus. 2005;26:1): 1–13.

    PubMed  PubMed Central  Google Scholar 

  8. Westermeyer JJ, Khawaja IS, et al. Correlates of daytime sleepiness in patients with posttraumatic stress disorder and sleep disturbance. Prim Care Companion J Clin Psychiatry. 2010;12:2.

    Google Scholar 

  9. Westermeyer JJ, Khawaja IS, et al. Quality of sleep in patients with posttraumatic stress disorder. Psychiatry. 2010;7(9):21–7.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joseph Westermeyer .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Westermeyer, J., Dickmann, P., Swanson, H. (2021). People Think Alcohol Helps with Sleep. In: Khawaja, I.S., Hurwitz, T.D. (eds) Sleep Disorders in Selected Psychiatric Settings. Springer, Cham. https://doi.org/10.1007/978-3-030-59309-4_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-59309-4_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-59308-7

  • Online ISBN: 978-3-030-59309-4

  • eBook Packages: MedicineMedicine (R0)