ArticleInternational journal of environmental research and public health2022
Emotional Dysregulation, Anxiety Symptoms and Insomnia in Individuals with Alcohol Use Disorder.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Interrelationships between suicide risk, childhood abuse, depression, hopelessness, and social support in treatment-naïve adolescent depression patients: a network analysis.BMC psychiatry · 2026Article
- The daily interplay between sleep and emotional dysregulation in emerging adults with heavy alcohol use patterns.Sleep health · 2025Article
- Association between longitudinal trajectories of insomnia symptoms and subsequent cognitive decline: a prospective cohort study.Age and ageing · 2025Article
- Association between internet addiction and insomnia among college freshmen: the chain mediation effect of emotion regulation and anxiety and the moderating role of gender.BMC psychiatry · 2025Article
- Knowledge, attitude, and practice towards sleep disorders among high school students: a cross-sectional study.BMC pediatrics · 2025Article
- Summary of Best Evidence for Psychosocial Interventions in Adults with Alcohol Use Disorder: An Evidence-Based Review.Journal of multidisciplinary healthcare · 2025Review
- Article
- Emotion dysregulation in insomnia disorder: the possible role of psychiatric comorbidity.Frontiers in sleep · 2024Article
- Insomnia as a Risk Factor for Substance Use Disorders in Women.Sleep medicine clinics · 2023Review
- Update on Pharmacological Treatment for Comorbid Major Depressive and Alcohol Use Disorders: The Role of Extended-release Trazodone.Current neuropharmacology · 2023Article
- How relative deprivation affects the sleep quality of Chinese college students: testing an integrated model of social anxiety and trait mindfulness.Frontiers in psychology · 2023Article
- Effect of short-term mindfulness-based stress reduction on sleep quality in male patients with alcohol use disorder.Frontiers in psychiatry · 2023Article
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
Alcohol craving is associated with insomnia symptoms, and insomnia is often reported as a reason for alcohol relapse. The current study examined associations between emotional regulation, anxiety, and insomnia among a group of 338 patients with alcohol use disorder (AUD). Because insomnia most often develops after stressful experiences, it was expected that anxiety symptoms would mediate the association between emotional dysregulation and insomnia severity. It was also expected that an insomnia diagnosis would moderate the association between emotional dysregulation and anxiety symptoms, namely that higher anxiety levels would be found in individuals with insomnia than in those without insomnia. Insomnia severity was assessed with a total score based on the Athens Insomnia Scale (AIS). Additionally, an eight-point cut-off score on the AIS was used to classify participants as with (n = 107) or without (n = 231) an insomnia diagnosis. Moreover, participants completed the Emotion Regulation Scale (DERS; total score) and the Brief Symptoms Inventory (BSI; anxiety). Individuals with insomnia did not differ from those without insomnia in age (p = 0.86), duration of problematic alcohol use (p < 0.34), mean days of abstinence (p = 0.17), nor years of education (p = 0.41). Yet, individuals with insomnia endorsed higher anxiety (p < 0.001) and higher emotional dysregulation (p < 0.001). Anxiety symptoms fully mediated the association between emotional dysregulation and insomnia severity (p < 0.001). Furthermore, insomnia diagnosis positively moderated the association between emotional dysregulation and anxiety (p < 0.001). Our results suggest that emotional dysregulation can lead to insomnia via anxiety symptoms. Treating anxiety symptoms and emotional dysregulation could help to prevent or alleviate symptoms of insomnia in people with AUD. Moreover, treating insomnia in people with AUD may also have a positive effect on anxiety symptoms.
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