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    Treatment of sleep disturbance in alcohol recovery: a national survey of addiction medicine physicians

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    Authors
    Friendmann, Peter D.
    Herman, Debra S.
    Freedman, Shelby
    Lemon, Stephenie C.
    Ramsey, Susan
    Stein, Michael D.
    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2003-04-22
    Keywords
    Alcoholism
    Anti-Anxiety Agents
    Antidepressive Agents
    Convalescence
    Drug Utilization
    Female
    Health Care Surveys
    Humans
    Hypnotics and Sedatives
    Male
    Mental Health Services
    Middle Aged
    Physician's Practice Patterns
    Questionnaires
    Sleep Disorders
    United States
    Behavioral Disciplines and Activities
    Behavior and Behavior Mechanisms
    Community Health and Preventive Medicine
    Preventive Medicine
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    Link to Full Text
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2761628/pdf/nihms150083.pdf
    Abstract
    Sleep disturbance is common among patients in recovery from alcoholism and can precipitate relapse. Though sleep complaints are commonly managed with medication, little is known about their management among recovering alcoholic patients. We performed a postal survey of a self-weighted, random systematic sample of 503 members of the American Society of Addiction Medicine (ASAM) to examine addiction medicine physicians' medical management of sleep disturbance among patients in early recovery from alcoholism. After 3 mailings, 311 (62%) responded. Of responents, 64% have offered pharmacological treatment to an insomniac, alcoholic patient in the first 3 months after detoxification, but only 22% offered medication to more than half of such patients. Trazodone was the preferred therapy, chosen first by 38% of respondents, followed by other sedating antidepressants (12%), and antihistamines (12%). The mean duration of therapy for trazodone and other sedating antidepressants exceeded one month. Experts in addiction medicine appear reluctant to prescribe medication to sleep-disturbed patients in early recovery from alcoholism. When they do prescribe, trazodone, other sedating antidepressants and antihistamines are favored, despite limited evidence for or against this indication. Although the treatment of disordered sleep among alcoholic patients in early recovery may have merit to prevent relapse, controlled studies of these sleep agents are needed.
    Source
    J Addict Dis. 2003;22(2):91-103. Link to article on publisher's site
    DOI
    10.1300/J069v22n02_08
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44771
    PubMed ID
    12703672
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1300/J069v22n02_08
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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