Evidence map›Paper›PMID 38977540›Full record

ArticleInternational journal of behavioral medicine2025

Alcohol Use Predicts Longer But More Fragmented Sleep: A Daily Diary Study of Alcohol, Sleep, and PTSD in Nurses.

Linda M Thompson, Danica C Slavish, Brett A Messman, Jessica R Dietch, Kimberly Kelly, Camilo Ruggero, Daniel J Taylor, Banan Ramarushton, Heidemarie Blumenthal

Abstract read
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In one paragraph

Article in International journal of behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Linda M ThompsonDepartment of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, USA. lindathompson@my.unt.edu.ORCID http://orcid.org/0000-0003-3198-2222
Danica C SlavishDepartment of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, USA. danica.slavish@unt.edu.ORCID http://orcid.org/0000-0002-1924-4895
Brett A MessmanDepartment of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, USA.ORCID http://orcid.org/0000-0002-1835-7134
Jessica R DietchSchool of Psychological Science, Oregon State University, 2950 SW Jefferson Way, Corvallis, OR, 97331, USA.ORCID http://orcid.org/0000-0001-9434-0791
Kimberly KellyDepartment of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, USA.
Camilo RuggeroSchool of Behavioral and Brain Sciences, University of Texas at Dallas, 800 West Campbell Road, Richardson, TX, 75080, USA.ORCID http://orcid.org/0000-0002-8482-6269
Daniel J TaylorDepartment of Psychology, University of Arizona, 1503 E University Blvd, Tucson, AZ, 85721, USA.ORCID http://orcid.org/0000-0003-3433-2516
Banan RamarushtonDepartment of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, USA.
Heidemarie BlumenthalDepartment of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX, 76203, USA.ORCID http://orcid.org/0000-0003-4865-6239

Funding

Sleep and Vaccine Response in Nurses (SAV-RN)R01AI128359 · NIAID · UNIVERSITY OF NORTH TEXAS · PI KELLY, KIMBERLY SUE, TAYLOR, DANIEL J · 2017 to 2019
$2.2M
NIAID NIH HHS R01 AI128359
6 · The paper itself

Abstract

backgroundDue to the demanding nature of their profession, nurses are at risk of experiencing irregular sleep patterns, substance use, and fatigue. Evidence supports a reciprocal relationship between alcohol use and sleep disturbances; however, no research has examined such a link in a sample of nurses. One factor that may further impact the dynamic between alcohol and sleep patterns is posttraumatic stress disorder (PTSD) symptoms. We investigated the daily bidirectional associations between alcohol use and several sleep domains (i.e., self-report and actigraphy-determined sleep), and moderation by baseline PTSD symptom severity.

methodOver a 14-day period, 392 nurses (92% female; 78% White) completed sleep diaries and actigraphy to assess alcohol use and sleep patterns. Within-person bidirectional associations between alcohol and sleep were examined using multilevel models, with symptoms of PTSD as a cross-level moderator.

resultsDaily alcohol use (i.e., ≥ 1 alcoholic beverage; 25.76%) was associated with shorter self-reported sleep onset latency (b = -4.21, p = .003) but longer self-reported wake after sleep onset (b = 2.36, p = .009). Additionally, days with any alcohol use were associated with longer self-reported sleep duration (b = 15.60, p = .006) and actigraphy-determined sleep duration (b = 10.06, p = .037). No sleep variables were associated with next-day alcohol use. Bidirectional associations between alcohol consumption and sleep were similar regardless of baseline PTSD symptoms.

conclusionOur results suggested that on days when nurses drank alcohol, they experienced longer but also more fragmented sleep.

Indexed as

Alcohol DrinkingNursesSleepSleep Wake DisordersStress Disorders, Post-TraumaticActigraphyAdultDiaries as TopicFemaleHumansMaleMiddle AgedSelf ReportActigraphyAlcohol useMultilevel modelingPosttraumatic stressSleep diaries

Identifiers

PMID38977540
PMCPMC12088662

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.