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Insomnia severity during early abstinence is related to substance use treatment completion in adults enrolled in an intensive outpatient program
- Source :
- J Subst Abuse Treat
- Publication Year :
- 2019
-
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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Substance-Related Disorders
media_common.quotation_subject
Psychological intervention
Medicine (miscellaneous)
Comorbidity
Severity of Illness Index
Article
Pittsburgh Sleep Quality Index
Sleep Initiation and Maintenance Disorders
mental disorders
Outcome Assessment, Health Care
medicine
Insomnia
Ambulatory Care
Prevalence
Humans
media_common
Retrospective Studies
Intensive outpatient program
Sleep disorder
business.industry
Epworth Sleepiness Scale
Abstinence
Middle Aged
medicine.disease
humanities
Psychiatry and Mental health
Clinical Psychology
Physical therapy
Patient Compliance
Female
Pshychiatric Mental Health
medicine.symptom
business
Subjects
Details
- ISSN :
- 18736483
- Volume :
- 104
- Database :
- OpenAIRE
- Journal :
- Journal of substance abuse treatment
- Accession number :
- edsair.doi.dedup.....37fcb35d492103b7bc71f8624b2d9653