@article{ref1,
title="Prospective associations between insomnia symptoms and alcohol use problems among former and current military service personnel",
journal="Drug and alcohol dependence",
year="2019",
author="Short, Nicole A. and Allan, Nicholas P. and Oglesby, Mary E. and Moradi, Shahrzad and Schmidt, Norman B. and Stecker, Tracy",
volume="199",
number="",
pages="35-41",
abstract="BACKGROUND: Despite evidence that insomnia symptoms exacerbate alcohol use disorder symptoms, there is a dearth of prospective research testing bidirectional associations between these variables. Furthermore, no studies have prospectively examined these associations among military personnel, a vulnerable population for sleep- and alcohol-related problems. Thus, the current study examined whether insomnia symptoms prospectively predicted increased alcohol use disorder symptoms among a sample of military service members and veterans over a 6-month follow-up period, as well as whether alcohol use disorder symptoms led to increases in insomnia.
METHOD: Hypotheses were tested among a sample of 274 current and past military service members who participated in a baseline and 6-month assessment using self-report measures.
RESULTS: Path analyses revealed that insomnia symptoms significantly prospectively predicted increased month-6 heavy drinking and alcohol-related problems, but not days drinking or being bothered by drinking. None of the alcohol variables significantly predicted insomnia.
CONCLUSION: Results support a model in which insomnia symptoms exacerbate alcohol use disorder symptoms, specifically heavy drinking and alcohol-related problems. Future research should seek to examine these findings in diverse populations and test potential mechanisms and clinical implications of these results.
Copyright © 2019. Published by Elsevier B.V.
Language: en
", language="en", issn="0376-8716", doi="10.1016/j.drugalcdep.2019.02.018", url="http://dx.doi.org/10.1016/j.drugalcdep.2019.02.018" }