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Daily associations between modifiable sleep behaviors and nighttime sleep among young adult drinkers with insomnia.


ABSTRACT:

Study objectives

Empirical evidence linking individual sleep hygiene practices to subsequent sleep parameters is limited, particularly at the daily level. This study compared the strength of daily, within-person associations between these modifiable sleep behaviors and nighttime sleep in young adult drinkers with insomnia.

Methods

Young adults (ages 18-30 years; n = 56) who met diagnostic criteria for insomnia and reported past-month binge drinking wore wrist actigraphy and completed online sleep diaries for 8.5 days (standard deviation = 2.3; 477 reports). Diaries assessed engagement in 11 sleep hygiene recommendations. Multilevel models tested daily associations between sleep behaviors and 3 outcomes: sleep quality, self-reported sleep efficiency, and actigraphy-measured sleep efficiency.

Results

Participants self-reported better sleep quality/efficiency on days that they slept in a comfortable environment, limited naps to 30 minutes, and maintained a consistent wake time. They self-reported worse sleep quality and efficiency on nights that they avoided alcohol use before bedtime. No sleep behaviors were significantly associated with actigraphy-measured sleep efficiency after correcting for inflation in type I error.

Conclusions

The sleep hygiene recommendations most strongly associated with sleep at the daily level were consistent with stimulus control. Creating a comfortable sleep environment also emerged as an important correlate of daily sleep. Heavy drinkers with insomnia may perceive better sleep if they drink before bedtime; however, this finding may be unique to this population.

Citation

Miller MB, Curtis AF, Hall NA, et al. Daily associations between modifiable sleep behaviors and nighttime sleep among young adult drinkers with insomnia. J Clin Sleep Med. 2022;18(3):703-712.

SUBMITTER: Miller MB 

PROVIDER: S-EPMC8883105 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Publications

Daily associations between modifiable sleep behaviors and nighttime sleep among young adult drinkers with insomnia.

Miller Mary Beth MB   Curtis Ashley F AF   Hall Nicole A NA   Freeman Lindsey K LK   Everson Adam T AT   Martinez Leticia D LD   Park Chan Jeong CJ   McCrae Christina S CS  

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine 20220301 3


<h4>Study objectives</h4>Empirical evidence linking individual sleep hygiene practices to subsequent sleep parameters is limited, particularly at the daily level. This study compared the strength of daily, within-person associations between these modifiable sleep behaviors and nighttime sleep in young adult drinkers with insomnia.<h4>Methods</h4>Young adults (ages 18-30 years; n = 56) who met diagnostic criteria for insomnia and reported past-month binge drinking wore wrist actigraphy and comple  ...[more]

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