Research Article, J Sleep Disor Treat Care Vol: 3 Issue: 3
Factors Related to Relapse in Substance-Dependent Patients in Hospital Detoxification: The Relevance of Insomnia
Lara Grau-López1,2*, Carlos Roncero1,2,3, Laia Grau-López4, Constanza Daigre1, Laia Rodriguez-Cintas1, Yasmina Pallares1, Ángel Egido1 and Miquel Casas2,3 | |
1Vall d’Hebron CAS, Vall d’Hebron University Hospital, Public Health Agency of Barcelona, Spain | |
2Department of Psychiatry, Vall d’Hebron University Hospital, Barcelona, Spain | |
3Department of Psychiatry and Legal Medicine, Autonomous University of Barcelona, Spain | |
4Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Spain | |
Corresponding author :Lara Grau-López MD Psychiatry Department. Vall d’ Hebron University Hospital, Passeig Vall d’ Hebron, 119-129, 08035 Barcelona, Spain Tel: +34934893880 E-mail: lgrau@vhebron.net |
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Received: January 27, 2014 Accepted: April 05, 2014 Published: April 09, 2014 | |
Citation:Grau-López L, Roncero C, Grau-López L, Daigre C, Cintas LR, et al., (2014) Factors Related to Relapse in Substance-Dependent Patients in Hospital Detoxification: The Relevance of Insomnia. J Sleep Disor: Treat Care 3:3. doi:10.4172/2325-9639.1000138 |
Abstract
Factors Related to Relapse in Substance-Dependent Patients in Hospital Detoxification: The Relevance of Insomnia
There is a bidirectional relationship between substance use and insomnia. Little has been described about the influence of insomnia on the prognosis of substance-dependent patients. The objective of our study is to describe the prevalence of insomnia during active consumption and hospitalisation for detoxification, and its influence on relapses at 3 and 6 months in substance-dependent patients. We conducted a prospective study of substance-dependence inpatients and performed psychiatric follow-up on an outpatient basis every month over the six months following discharge. Insomnia prior to admission was measured by taking a clinical interview from the patient concerning sleep habits, and during hospital stay using a sleep log filled out by nurse team. Demographic, clinical, diagnostic and therapeutic variables were recorded and a structured clinical interview (SCID) was conducted to assess psychiatric diagnoses. Relapse was deemed to be renewed use of the substance that brought about admission, which was assessed by taking a history
and/or alcohol testing and/or urinalysis.