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Sleep Related Beliefs and their Association with Alcohol Relapse Following Residential Alcohol Detoxification Treatment

Published online by Cambridge University Press:  28 June 2013

Neil Smith ,
Robert Hill ,
Jane Marshall ,
Francis Keaney  and
Shamil Wanigaratne
Neil Smith*
Affiliation:
Central and North West London NHS Foundation Trust, UK
Robert Hill
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
Jane Marshall
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
Francis Keaney
Affiliation:
South London and Maudsley NHS Foundation Trust, UK
Shamil Wanigaratne
Affiliation:
College of Medicine and Health Sciences, Abu Dhabi, United Arab Emirates
*
Reprint requests to Neil Smith, Clinical Psychologist, Addictions Directorate, Central and North West London NHS Foundation Trust, 4th Floor, Soho Centre for Health and Care, 1 Frith Street, London W1D 3HZ, UK. E-mail: nsmith12@nhs.net
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Abstract

Background: Alcohol dependence is known to impact upon sleep, and poor sleep has been shown to affect relapse rates following treatment for alcohol dependence. Aims: The aim of this study was to investigate the association between sleep problems and relapse in dependent drinkers in an inpatient setting. This was done by studying sleep related cognitions in individuals undergoing medically assisted alcohol withdrawal. Method: Sleep and sleep-related cognitions data were collected for 71 individuals undergoing detoxification treatment. Sleep was measured using sleep diaries and actigraph motion monitors. Participants completed sleep-related cognition questionnaires and were subject to telephone follow-up interviews. The results were then used to predict relapse rates 4 weeks after discharge. Results: Longer sleep onset latency recorded on the unit predicted relapse at 4 weeks. Higher dysfunctional beliefs about sleep were found to be associated with lower relapse rates. Conclusions: This study suggests that some dysfunctional beliefs about sleep may support recovery following discharge from treatment. The study further supports the need for tailored cognitive-behavioural treatments for sleep difficulties in this population to reduce relapse rates.

Keywords

Addictionalcohol addictioninsomniacognitioncognitive behavioural therapyrelapse
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 42 , Issue 5 , September 2014 , pp. 593 - 604
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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