Global sleep quality is associated with tonic craving, but not cue-induced craving

•The relationship between alcohol use and sleep quality is bidirectional.•Craving is important to recovery but is understudied in relation to sleep.•Present study investigated the association between sleep and tonic/phasic craving.•Global sleep quality predicts tonic craving, but not cue-induced cra...

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Bibliographic Details
Published in:Addictive behaviors 2022-10, Vol.133, p.107372-107372, Article 107372
Main Authors: Baskerville, Wave-Ananda, Grodin, Erica N., Venegas, Alexandra, Ray, Lara A.
Format: Article
Language:English
Subjects:
Alcohol use disorder
Craving
Self-regulation
Sleep dysfunction
Sleep quality
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Summary:•The relationship between alcohol use and sleep quality is bidirectional.•Craving is important to recovery but is understudied in relation to sleep.•Present study investigated the association between sleep and tonic/phasic craving.•Global sleep quality predicts tonic craving, but not cue-induced craving.•Sleep disturbance may reduce the capacity to regulate alcohol craving. Sleep disturbance is widespread among individuals with alcohol use disorder (AUD) and is thought to reduce the capacity for self-regulation. The present study examines how sleep disturbance is associated with the regulation of tonic (i.e., “trait-like”) and cue-induced (i.e., “provoked”) craving, among individuals with AUD. Participants with an AUD (N = 58) completed the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, the Obsessive-Compulsive Drinking Scale (OCDS) for tonic craving, and the Alcohol Urge Questionnaire (AUQ) for cue-induced craving during an alcohol cue-exposure paradigm. A series of hierarchical regressions examined the independent contribution of sleep quality to tonic and cue-induced alcohol craving. PSQI global score was associated with tonic craving per the OCDS, over and above alcohol use and demographic measures. PSQI global score was not associated with cue-induced craving. These findings suggest that sleep dysfunction plays a role in tonic alcohol craving and that the underlying mechanism may be the reduction of self-regulation. Treatments targeting sleep dysfunction in AUD may prove useful in reducing craving and overall alcohol use.
ISSN:0306-4603
1873-6327
DOI:10.1016/j.addbeh.2022.107372