Alcoholism: Clinical and Experimental Research



Skip to Main Content






if(true) {
document.getElementById("skipNavigationLink").onclick =function skipElement () {
var element = document.getElementById('article__content');
if(element == null || element == undefined) {
element = document.getElementsByClassName('article__content').item(0);
}
element.setAttribute('tabindex','0');
element.focus();

}

}
































The full text of this article hosted at iucr.org is unavailable due to technical difficulties.









































































Alcoholism: Clinical and Experimental Research


Volume 31, Issue 1
Alcoholism: Clinical and Experimental Research banner





Sleep Electroencephalographic Spectral Power After Withdrawal from Alcohol in Alcohol‐Dependent Patients




Bernd Feige

Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany.


Search for more papers by this author



Susanne Scaal

Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany.


Search for more papers by this author



Magdolna Hornyak

Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany.


Search for more papers by this author



Horst  Gann

Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany.


Search for more papers by this author



Dieter Riemann

Department of Psychiatry and Psychotherapy, University of Freiburg, Freiburg, Germany.


Search for more papers by this author






First published: 08 December 2006

https://doi.org/10.1111/j.1530-0277.2006.00260.x

Cited by: 29



Reprint requests: Dr. Bernd Feige, Department of Psychiatry and Psychotherapy, Hauptstraße 5, Freiburg 79104, Germany; Fax: +49‐761‐270‐6619; E‐Mail: Bernd.Feige@gmx.net



This study was supported by the German Ministry for Education and Research (BMBF; FKZ 01 EB 9413).







Abstract




Background: Dysfunctional hyperarousal is suspected to be a neurophysiological determinant of relapse in abstinent alcohol‐dependent patients. In the present study, we used spectral power analysis of the sleep electroencephalographic (EEG) to quantify brain activity during sleep in patients during subacute withdrawal as well as in control subjects. Our hypothesis was that the subgroup of patients who relapsed within the 3 months to follow‐up would exhibit‐increased dysfunctional arousal manifested by higher‐frequency (β) EEG power during sleep.



Methods: Twenty‐six alcohol‐dependent in‐patients were examined with polysomnography over 2 nights 2 to 3 weeks after withdrawal. At the 3‐month clinical follow‐up assessment, 12 of them had relapsed and 14 abstained. The control group consisted of 23 healthy subjects similar to the patients with alcohol dependence in age and gender distribution. Spectral sleep EEG analysis was performed on both nights (adaptation and baseline) of all subjects. Logarithmic artifact‐controlled spectral band power of sleep stage 2 and rapid eye movement (REM) sleep was analyzed for Group, Gender, and Age effects using multiple analyses of covariance. Three groups were compared with the Group factor: relapsers, abstainers, and controls.



Results: Generally, both Group and Age effects were significant for the second, baseline night for the visually scored sleep parameters, while spectral EEG parameters showed significant differences in the adaptation night. In the adaptation night, a significant enhancement in the β2 band (24–32 Hz) was seen in REM sleep in relapsers relative to both abstainers and controls.



Conclusions: The β2 increase could be interpreted as a sign of dysfunctional arousal during REM sleep “unmasked” by the additional stressor of sleep environment adaptation. Its determinants are likely to be both premorbid and drinking history related.







Citing Literature

Number of times cited: 29




  • , Sleep architecture
    and EEG power spectra in recently detoxified alcohol dependent patients
    , Asian Journal of Psychiatry, 10.1016/j.ajp.2017.12.005, 32,
    (126-136), (2018).


  • , Alcohol Dependence
    and Its Relationship With Insomnia and Other Sleep Disorders
    ,
    Alcoholism: Clinical and Experimental Research, 40,
    11
    , (2271-2282), (2016).


  • , Assessing and Treating Insomnia Related to Alcohol
    Use Disorders
    , Current
    Addiction Reports
    , 10.1007/s40429-016-0083-1, 3,
    1
    , (98-108), (2016).


  • , Assessment and treatment of insomnia in adult patients
    with alcohol use disorders
    , Alcohol, 49,
    4
    , (417), (2015).


  • , The
    association between sleep disturbances and alcohol relapse: A 12‐month observational
    cohort study
    , The
    American Journal on Addictions
    , 24, 4,
    (362-367)
    , (2015).


  • , Role of Adenosine and the Orexinergic Perifornical
    Hypothalamus in Sleep-Promoting Effects of Ethanol
    ,
    Sleep, 37, 3,
    (525), (2014).


  • ,
    Neurochemical mechanisms of alcohol withdrawal, Alcohol
    and the Nervous System
    , 10.1016/B978-0-444-62619-6.00009-4, (133-156),
    (2014).



  • , Alcohol Dependence, Withdrawal, and Relapse,
    Neurobiology of Alcohol Dependence, 10.1016/B978-0-12-405941-2.00019-5, (377-410),
    (2014).


  • , Ethosuximide reduces electrographical and behavioral
    correlates of alcohol withdrawal seizure in DBA/2J mice
    ,
    Alcohol, 48, 5,
    (445), (2014).


  • , Alcohol and the sleeping
    brain
    , Alcohol and the Nervous System, 10.1016/B978-0-444-62619-6.00024-0, (415-431),
    (2014).



  • , Substance
    and Alcohol-Related Disorders and Sleep
    , Encyclopedia
    of Sleep
    , 10.1016/B978-0-12-378610-4.00481-2, (405-413),
    (2013).


  • , Sleep Disorders and Systemic Disease, Neurological Disorders due to Systemic Disease, (261-281),
    (2013).


  • ,
    Ethosuximide Reduces Ethanol Withdrawal–Mediated Disruptions in Sleep‐Related
    EEG Patterns
    , Alcoholism:
    Clinical and Experimental Research
    , 37, 3,
    (372-382), (2012).


  • ,
    Comorbid Sleep Disorders in Neuropsychiatric Disorders Across the Life Cycle, Current Psychiatry Reports, 15,
    6
    , (2013).


  • , Fluctuations between sleep and wakefulness: Wake-like
    features indicated by increased EEG alpha power during different sleep stages in nightmare
    disorder
    , Biological
    Psychology
    , 94, 3,
    (592)
    , (2013).


  • , Sleep Disturbance, Advancing
    Medicine with Food and Nutrients, Second Edition
    ,
    10.1201/b13694-37, (549-570), (2013).


  • , Effects of a 3-Hour
    Sleep Delay on Sleep Homeostasis in Alcohol Dependent Adults
    ,
    Sleep, 35, 2,
    (273), (2012).


  • , Adolescence and Parental History of Alcoholism:
    Insights from the Sleep EEG
    , Alcoholism:
    Clinical and Experimental Research
    , 36, 9,
    (1530-1541), (2012).


  • , KudzuRoot Extract Does Not Perturb the Sleep/Wake Cycle
    of Moderate Drinkers
    , The
    Journal of Alternative and Complementary Medicine
    ,
    17, 10,
    (961), (2011).


  • , Sleep homeostasis
    in alcohol-dependent, depressed and healthy control men
    ,
    European Archives of Psychiatry and Clinical Neuroscience, 261,
    8
    , (559), (2011).


  • ,
    Impaired memory consolidation during sleep in patients with functional memory
    disorder
    , Biological
    Psychology
    , 86, 1,
    (31)
    , (2011).


  • , Substance-Induced Insomnia,
    Insomnia, 10.3109/9781420080803.016, (165-180), (2010).


  • ,
    Sleep disturbance as a universal risk factor for relapse in addictions to psychoactive
    substances
    , Medical
    Hypotheses
    , 74, 5,
    (928)
    , (2010).


  • ,
    REVIEW: Acute withdrawal, protracted abstinence and negative affect in alcoholism:
    are they linked?
    , Addiction
    Biology
    , 15, 2,
    (169-184)
    , (2010).


  • ,
    Impact of Alcoholism on Sleep Architecture and EEG Power Spectra in Men and
    Women
    , Sleep, 32,
    10
    , (1341), (2009).


  • ,
    Insomnia Among Methadone-Maintained Individuals: The Feasibility of Collecting
    Home Polysomnographic Recordings
    , Journal
    of Addictive Diseases
    , 28, 3,
    (219)
    , (2009).


  • , A Randomized Double‐Blind
    Pilot Trial of Gabapentin Versus Placebo to Treat Alcohol Dependence and Comorbid
    Insomnia
    , Alcoholism:
    Clinical and Experimental Research
    , 32, 8,
    (1429-1438), (2008).


  • , Mood and Attention Variability in Women with Alcohol Dependence:
    A Preliminary Investigation
    , The
    American Journal on Addictions
    , 17, 1,
    (77-81)
    , (2010).


  • ,
    Experienced Mindfulness Meditators Exhibit Higher Parietal-Occipital EEG Gamma
    Activity during NREM Sleep
    , PLoS
    ONE
    , 10.1371/journal.pone.0073417, 8,
    8
    , (e73417), (2013).








var articleRef = document.querySelector('.article__body:not(.show-references) .article__references');
if (articleRef) { articleRef.style.display = "none"; }











































































































if(window._satellite) {
_satellite.pageBottom();
}





var _prum=[['id','59e8fecb3847311aab7b23c6'],['mark','firstbyte',(new Date()).getTime()]];(function(){var s=document.getElementsByTagName('script')[0],p=document.createElement('script');p.async='async';p.src='//rum-static.pingdom.net/prum.min.js';s.parentNode.insertBefore(p,s);})();

Popular posts from this blog

Full-time equivalent

さくらももこ

13 indicted, 8 arrested in Calif. drug cartel investigation