Effect of Cognitive Behavior Therapy Program on Sleep Quality and Alcohol Consumption among Persons with Alcohol Dependence

Authors

  • chaowanee longchoopol -

Abstract

This experimental research aimed to examine the effect of cognitive behavior therapy (CBT) program on sleep quality and alcohol consumption among persons with alcohol dependence. Sample size calculation using power tables consisted of 56 persons with alcohol dependence were equally randomly assigned into two groups. The experimental group received the CBT program while the control group received usual care. The research instruments comprised the Clinical Institute Withdrawal Assessment for Alcohol Revised Version, Timeline Follow Back, the Pittsburgh Sleep Quality Index and CBT program. Data were analyzed by descriptive statistics, Chi-Square test, repeated one way analysis of variance, Wilcoxon sign rank test and Mann-Whitney U test.

The research results indicated that:

  1. The mean scores of sleep quality of the experimental group before receiving the CBT program, immediately after receiving the CBT program, and after a one-month follow-up period were significantly lower than those in the control group, at the level of .01
  2. The mean scores of the percent of heavy drinking day in the experimental group before receiving the CBT program and after a one-month follow-up period were significantly at the level of . When compare mean score of the percent of heavy drinking day in the experimental group after a one-month follow-up period was significantly lower than those in the control group, at the level of .01

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, (5thed.). Washington, DC: American Psychiatric Association.

Arnedt, J. T., Cardoni, M. E., Conroy, D. A., Graham, M., Amin, S., Bohnert, K. M., …Illgen, M. A. (2022).

Telemedicine-delivered cognitive-behavioral therapy for insomnia in alcohol use disorder (AUD): study protocol foe a randomized controlled trial. BMC, 23, 59.

Beck, J. S. (2021). Cognitive behavior therapy: Basic and beyond. (3rd ed.). New York: The Gilford Press.

Benz, F., Knoop, T., Ballesio, A., Bacaro, V., Johann, A. F., Rucker, G., …Baglioni, C. (2020). The efficacy of cognitive behavior theries for insomnia on daytime symptoms: A systematic review and network meta-analysis. Clinical Psychology Review, 80, 101873.

Brooks, A. T., Kazmi, N., Yang, L., Tuason, R. T., Krumlauf., & Wallen, G. R. (2021). Sleep- related cognitive behavioral predictors of sleep quality and relapse in individuals with alcohol use disprder. International Journal of Behavioral Medicine, 28, 73- 82.

Chakravorty, S., Morales, K. H., Arnedt, J. T., Perlis, M. L., Oslin, D. W., … Kranzler, H. R. (2019). Cognitive behavioral therapy for insomnia in alcohol dependent veterans: A randomized controlled pilot study. Alcoholism: Clinical and Experimental Research, 43(6), 1244-1253.

Department of Information and technology. (2022). Statistical of out patient visiting and in patient of alcohol dependence rate of fiscal year 2019- 2021. Chiang Mai: Suanprung Psychiatric Hospital. [In Thai].

Department of Information and technology. (2021). Readmission report of fiscal year 2018-2020. Chiang Mai: Suanprung Psychiatric Hospital. [In Thai].

Hemrungrojn, S. (2010). Cognitive impairment in medicine basic and clinical neuroscience: MoCA Thai Version. (2010): Bangkok: Chulalongkorn University Printing House.

Hertenstein, E., Trnca, E., Wunderlin, M., Schneider, C. L., Zust, M. A., Feher, K. D, .… Nissen, C. (2022). Cognitive behavioral therapy for insomnia in patients with mental disorders and comorbid insomnia: A systematic review and meta-analysis. Sleep Medicine Reviews, 62, 101597.

Jirapramukpitak, T., & Tanchaiswad, W. (1997). Sleep disturbances among nurses of Songklanagarind Hospital. Journal of the Psychiatrist Association of Thailand, 42(3), 123-32. [In Thai].

Magill, M., Kiluk, B. D., & Ray, L. A. (2023). Efficacy of cognitive behavioral therapy for alcohol and other drug use disorders: Is a one-size-fits-all approach appropriate?. Substance Abuse and Rehabilitation, 14, 1-11.

Miller, M. B., Carpenter, R. W., Freeman, L. K., Dunsiger, S., McGeary, J. E., Borsari, B., … Metrik, J. (2023). Effect of cognitive behavioral therapy for insomnia on alcohol treament outcome among veterans: A randonized clinical trial. JAMA Psychiatry, 80 (9), 905-913.

Miller, M. B., Metrik, J., McGeary, J. E., Borsari, B., McCrae, C. S., Maddoux, J., … Merrill, J. E. (2021). Protocol for the project SAVE randomised controlled trial examining CBT for insomnia among veterans in treatment for alcohol use disorder. BMJ Open, 11, e045667.

Morin, C. M. (1993). Insomnia: psychological assessment and management. New York: The Guilford Press.

Polit, D. F. (1996). Data analysis & statistics for nursing research. Satndford, CT: Appleton & Lange.

Srikosai, S. (2014). The alcohol time-line follow-back [TLFB]) thai version. Chiang Mai: Suanprung Psychiatric Hospital.

Sullivan, J.T., Sykora, K., Schneiderman, J., Naranjo, C.A., & Seller, E.M. (1989). Assessment of alcohol withdrawal: The revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). British Journal of Addiction, 84, 1353-1357.

Downloads

Published

2024-09-24

How to Cite

longchoopol, chaowanee. (2024). Effect of Cognitive Behavior Therapy Program on Sleep Quality and Alcohol Consumption among Persons with Alcohol Dependence. NU Journal of Nursing and Health Sciences, 18(3), 1–14. Retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/268556