A longitudinal study of drinking and depression as predictors of insomnia in alcohol-dependent individuals

Olena Zhabenko, Amy R. Krentzman, Elizabeth A R Robinson, Kirk J. Brower

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Insomnia and depressive symptoms are common symptoms among alcohol-dependent (AD) patients. AD individuals (N = 364) were assessed during 2004-2009 in the Midwestern United States at baseline and 6-month intervals with the Sleep Problems Questionnaire, Time-Line Follow-Back interview, and the depression subscale of the Brief Symptom Inventory. Hierarchical Linear Modeling was used to analyze the data in this longitudinal study. When modeled separately, both quantity of drinking (p <.01) and depression (p <.001) predicted insomnia severity, controlling for time, age, and gender. Drinking also predicted depressive symptoms (p <.001), and its effect on insomnia was mediated by depression severity (p <.001).

Original languageEnglish (US)
Pages (from-to)495-505
Number of pages11
JournalSubstance Use and Misuse
Volume48
Issue number7
DOIs
StatePublished - May 2013

Bibliographical note

Funding Information:
is a Research Assistant Professor, funded by the NIAAA, Metanexus Institute and Fetzer Institute. Her recent work has focused on recovery from alcoholism and the role of spiritual and religious change. She is also interested in the potential usefulness of mindfulness-based strategies as an adjunct to treatment and/or AA involvement. Dr. Robinson’s Ph.D. is in psychology and social work from the University of Michigan, as is her MSW and MPH.

Funding Information:
This work was supported by NIH grants D43 TW005818, T32 AA007477, K24 AA00304, and R01 AA014442.

Keywords

  • Alcohol consumption
  • Alcohol dependence
  • Gender differences
  • Negative affect
  • Sleep problems

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