Abstract:
BACKGROUND:Insomnia and other types of sleep disturbance are highly prevalent during withdrawal across many different types of substance use disorders (SUDs). It is largely unknown how sleep impacts SUD treatment outcomes, including treatment completion. METHODS:A retrospective chart review was conducted to obtain information about sleep disturbance and treatment completion in individuals beginning an intensive outpatient (IOP) SUD treatment program. Demographic data were collected along with number of sessions completed, treatment completion, comorbid psychiatric diagnosis, pertinent lab results, and scores on three self-reported measures of sleep: the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale (ESS). RESULTS:Pertinent information was available for 110 individuals. The majority had clinically significant scores on the ISI and PSQI but not the ESS. ISI, but not PSQI or ESS, was associated with treatment completion, such that those with more insomnia were less likely to complete treatment. CONCLUSION:The high prevalence of insomnia symptoms and poor sleep quality coupled with the relationship between insomnia severity and treatment completion may indicate that more severe symptoms of insomnia are a risk factor for treatment completion and subsequent relapse across many substance types. Applying evidence-based insomnia interventions in SUD treatment programs may have meaningful implications for outcomes.
journal_name
J Subst Abuse Treatjournal_title
Journal of substance abuse treatmentauthors
Wilkerson AK,Sahlem GL,Bentzley BS,Lord J,Smith JP,Simmons RO,Uhde TW,Book SWdoi
10.1016/j.jsat.2019.06.003subject
Has Abstractpub_date
2019-09-01 00:00:00pages
97-103eissn
0740-5472issn
1873-6483pii
S0740-5472(19)30009-1journal_volume
104pub_type
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