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Journal of Sleep Disorders: Treatment and CareISSN: 2325-9639

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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: [email protected]
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.

Keywords: Substance abuse, addiction, relapse, insomnia

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