Insomnia treatment effects on negative emotionality among veterans in treatment for alcohol use disorder DOI
Mary Beth Miller, Ryan W. Carpenter, Melissa Nance

et al.

Alcohol Clinical and Experimental Research, Journal Year: 2024, Volume and Issue: 48(11), P. 2126 - 2136

Published: Oct. 28, 2024

Abstract Background Insomnia symptoms are pervasive and persistent in alcohol use disorder (AUD), though little is known about the mechanisms that underlie this association. We previously found cognitive behavioral therapy for insomnia (CBT‐I) reduced alcohol‐related problems among veterans by improving severity (NCT03806491). In planned secondary analysis of same clinical trial data, we tested negative emotionality as one potential mechanism to explain effect. Specifically, change a mediator association between outcomes (craving, heavy drinking frequency, problems). Methods Participants were 67 treatment AUD who also met criteria (91% male, 84% White, average age = 46.3 years). randomized five sessions CBT‐I or single‐session sleep hygiene control. Assessments occurred at baseline, immediately posttreatment (~6 weeks after baseline), 6‐week follow‐up. Measures included Severity Index, Penn Alcohol Craving Scale, Timeline Followback, Short Inventory Problems. created latent indicator based on validated reliable measures emotionality. Results Contrary hypotheses, did not improve relative However, across both conditions, decreases from baseline associated with concurrent emotionality, which turn predicted reductions craving drinking. Conclusion Negative may help links outcomes.

Language: Английский

Insomnia treatment effects on negative emotionality among veterans in treatment for alcohol use disorder DOI
Mary Beth Miller, Ryan W. Carpenter, Melissa Nance

et al.

Alcohol Clinical and Experimental Research, Journal Year: 2024, Volume and Issue: 48(11), P. 2126 - 2136

Published: Oct. 28, 2024

Abstract Background Insomnia symptoms are pervasive and persistent in alcohol use disorder (AUD), though little is known about the mechanisms that underlie this association. We previously found cognitive behavioral therapy for insomnia (CBT‐I) reduced alcohol‐related problems among veterans by improving severity (NCT03806491). In planned secondary analysis of same clinical trial data, we tested negative emotionality as one potential mechanism to explain effect. Specifically, change a mediator association between outcomes (craving, heavy drinking frequency, problems). Methods Participants were 67 treatment AUD who also met criteria (91% male, 84% White, average age = 46.3 years). randomized five sessions CBT‐I or single‐session sleep hygiene control. Assessments occurred at baseline, immediately posttreatment (~6 weeks after baseline), 6‐week follow‐up. Measures included Severity Index, Penn Alcohol Craving Scale, Timeline Followback, Short Inventory Problems. created latent indicator based on validated reliable measures emotionality. Results Contrary hypotheses, did not improve relative However, across both conditions, decreases from baseline associated with concurrent emotionality, which turn predicted reductions craving drinking. Conclusion Negative may help links outcomes.

Language: Английский

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