The Effects of Alcohol on Quality of Sleep
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Background: Alcohol is traditionally known to have a relaxing effect. However, persons who consume alcohol in excessive amounts suffer from poor sleep quality and patients with alcohol use disorders commonly report insomnia. In this study, we aimed to evaluate the effects of alcohol use on sleep quality. Methods: A questionnaire-based cross-sectional survey was conducted with 234 men and 159 women who had visited a general hospital. We used structured questionnaires, including Alcohol Use Disorder Identification Test- Korean revised version (AUDIT-KR) and the Pittsburgh Sleep Quality Index-Korean version (PSQI-K). We analyzed the association between scores for all subcategories of the PSQI-K and the AUDIT-KR and then analyzed the correlation between AUDIT-KR and global PSQI-K scores. Results: The global PSQI-K score for men was positively correlated with the AUDIT-KR score (P=0.008) after adjusting for age, chronic disease, tobacco use, exercise, depression, and anxiety. The AUDIT-KR score was significantly associated with subjective sleep quality (P=0.005), sleep duration (P=0.047), and sleep disturbance (P=0.048); it was not associated with sleep latency, sleep efficiency, or daytime dysfunction. Sleep disturbances due to snoring were significantly associated with total AUDIT-KR score (P=0.008). There was no correlation between the global PSQI-K and AUDIT-KR scores for women (P=0.333). However, daytime dysfunction showed a significant association with total AUDIT-KR score (P=0.048). Conclusion: Men with higher AUDIT-KR scores tended to suffer from poor sleep quality. AUDIT-KR scores showed significant correlations with subjective sleep quality, sleep duration, and sleep disturbances in men.
Abstract
Background: Alcohol is traditionally known to have a relaxing effect. However, persons who consume alcohol in excessive amounts suffer from poor sleep quality and patients with alcohol use disorders commonly report insomnia. In this study, we aimed to evaluate the effects of alcohol use on sleep quality. Methods: A questionnaire-based cross-sectional survey was conducted with 234 men and 159 women who had visited a general hospital. We used structured questionnaires, including Alcohol Use Disorder Identification Test- Korean revised version (AUDIT-KR) and the Pittsburgh Sleep Quality Index-Korean version (PSQI-K). We analyzed the association between scores for all subcategories of the PSQI-K and the AUDIT-KR and then analyzed the correlation between AUDIT-KR and global PSQI-K scores. Results: The global PSQI-K score for men was positively correlated with the AUDIT-KR score (P=0.008) after adjusting for age, chronic disease, tobacco use, exercise, depression, and anxiety. The AUDIT-KR score was significantly associated with subjective sleep quality (P=0.005), sleep duration (P=0.047), and sleep disturbance (P=0.048); it was not associated with sleep latency, sleep efficiency, or daytime dysfunction. Sleep disturbances due to snoring were significantly associated with total AUDIT-KR score (P=0.008). There was no correlation between the global PSQI-K and AUDIT-KR scores for women (P=0.333). However, daytime dysfunction showed a significant association with total AUDIT-KR score (P=0.048). Conclusion: Men with higher AUDIT-KR scores tended to suffer from poor sleep quality. AUDIT-KR scores showed significant correlations with subjective sleep quality, sleep duration, and sleep disturbances in men.
참고문헌 (31)
- Yang CK., "Concise guide to evaluation and management of sleep disorders" (2001), Hana Medical Publishers
- Staner L., "Comorbidity of insomnia and depression", Sleep Med Rev, 14, pp.35~46 (2010)
- Buysse DJ., "Insomnia", JAMA, 309, pp.706~716 (2013)
- Chang KJ, "Perceived sleep quality is associated with depression in a Korean elderly population", Arch Gerontol Geriatr, 59, pp.468~473 (2014)
- Kenney SR, "Sleep quality and alcohol risk in college students: examining the moderating effects of drinking motives", J Am Coll Health, 62, pp.301~308 (2014)
- Young T, "Predictors of sleep-disordered breathing in community-dwelling adults:the Sleep Heart Health Study", Arch Intern Med, 162, pp.893~900 (2002)
- Aldrich MS, "Alcohol use and periodic limb movements of sleep", Alcohol Clin Exp Res, 17, pp.192~196 (1993)
- 윤인영, "수면질환의 종류", Hanyang Medical Reviews, 33(4), pp.197~202 (2013), 한양대학교 의과대학[DOI]
- Camargo CA Jr, "Prospective study of moderate alcohol consumption and mortality in US male physicians", Arch Intern Med, 157, pp.79~85 (1997)
- Niroomand F, "Influence of alcohol consumption on restenosis rate after percutaneous transluminal coronary angioplasty and stent implantation", Heart, 90, pp.1189~1193 (2004)
- Sacco RL, "The protective effect of moderate alcohol consumption on ischemic stroke", JAMA, 281, pp.53~60 (1999)
- Russell M, "Drinking patterns and myocardial infarction: a linear dose-response model", Alcohol Clin Exp Res, 33, pp.324~331 (2009)
- Wannamethee G, "Alcohol and sudden cardiac death", Br Heart J, 68, pp.443~448 (1992)
- Corrao G, "A meta-analysis of alcohol consumption and the risk of 15 diseases", Prev Med, 38, pp.613~619 (2004)
- Reynolds K, "Alcohol consumption and risk of stroke: a meta-analysis", JAMA, 289, pp.579~588 (2003)
- Min SK., "Modern psychiatry" (2009), Ilchokak
- Cloninger CR., "Neurogenetic adaptive mechanisms in alcoholism", Science, 236, pp.410~416 (1987)
- "Korea National Health and Nutrition Examination Survey (KNHANES V-3)" (2012)[URL]
- Ebrahim IO, "Alcohol and sleep I:effects on normal sleep", Alcohol Clin Exp Res, 37, pp.539~549 (2013)
- Vinson DC, "Alcohol and sleep problems in primary care patients: a report from the AAFP National Research Network", Ann Fam Med, 8, pp.484~492 (2010)
- Myung SK, "Standardization of the two-question case-finding instrument as a screening instrument for the adolescent’s depression", J Korean Acad Fam Med, 21, pp.100~106 (2000)
- Park HS, "Reliability and validity of anxiety screening scale", Korean J Fam Med, 22, pp.1224~1232 (2001)
- Chang-Gi Kim, "Reliability and Validity of Alcohol Use Disorder Identification Test-Korean Revised Version for Screening At-risk Drinking and Alcohol Use Disorders", Korean Journal of Family Medicine, 35(1), pp.2~10 (2014), 대한가정의학회
- Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep Breath, 16, pp.803~812 (2012)
- Roehrs T, "Sleep, sleepiness, and alcohol use", Alcohol Res Health, 25, pp.101~109 (2001)
- Chueh KH, "Poor sleep quality and alcohol use problems among elderly Taiwanese aboriginal women", Int Psychogeriatr, 21, pp.593~599 (2009)
- Gresham SC, "Alcohol and caffeine: effect on inferred visual dreaming", Science, 140, pp.1226~1227 (1963)
- Aldrich MS, "Sleep-disordered breathing in alcoholics", Alcohol Clin Exp Res, 23, pp.134~140 (1999)
- Peppard PE, "Association of alcohol consumption and sleep disordered breathing in men and women", J Clin Sleep Med, 3, pp.265~270 (2007)
- Roth T, "Pharmacological effects of sedative-hypnotics, narcotic analgesics, and alcohol during sleep", Med Clin North Am, 69, pp.1281~1288 (1985)
- Buysse DJ, "Prevalence, course, and comorbidity of insomnia and depression in young adults", Sleep, 31, pp.473~480 (2008)