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The influence of hazardous drinking on psychological functioning, stress and sleep during and after treatment in patients with mental health problems : a secondary analysis of a randomised controlled intervention study

Strid, Catharina LU ; Andersson, Claes and Öjehagen, Agneta LU (2018) In BMJ Open 8(3). p.019128-019128
Abstract

OBJECTIVES: Hazardous drinking could negatively affect health and lead to alcohol use disorders, but it is unclear how hazardous drinking affects treatment outcomes of depression and anxiety and stress-related mental health problems. The aim of this study was to examine whether hazardous drinking, measured by Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), influences the outcomes of repeated assessments of psychological functioning (Outcome Questionnaire-45), stress (Perceived Stress Scale) and sleep (Karolinska Sleep Questionnaire), during and after treatment in patients with mental ill health.

METHODS: The study was conducted within REGASSA, a randomised controlled trial aimed at comparing Internet-based... (More)

OBJECTIVES: Hazardous drinking could negatively affect health and lead to alcohol use disorders, but it is unclear how hazardous drinking affects treatment outcomes of depression and anxiety and stress-related mental health problems. The aim of this study was to examine whether hazardous drinking, measured by Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), influences the outcomes of repeated assessments of psychological functioning (Outcome Questionnaire-45), stress (Perceived Stress Scale) and sleep (Karolinska Sleep Questionnaire), during and after treatment in patients with mental ill health.

METHODS: The study was conducted within REGASSA, a randomised controlled trial aimed at comparing Internet-based cognitive-behaviour therapy and physical exercise with treatment as usual on primary care patients with mental ill health. The study involved 871 participants who completed the AUDIT at baseline and who were assessed repeatedly during and after treatment on psychological functioning, stress and sleep by interactive voice response, a computerised, automated telephone technology.

RESULTS: At baseline, hazardous drinkers were more depressed and had lower scores on psychological functioning than non-hazardous drinkers, while there were no differences on stress and sleep. During the follow-ups, hazardous drinking negatively influenced perceived stress, that is, hazardous drinkers seemed to have less treatment effect on stress, and the results remained after controlling for depression. There were no differences during the follow-ups regarding psychological functioning and sleep.

CONCLUSIONS: Hazardous drinking negatively influenced perceived stress. The findings of the study emphasise the importance of screening for alcohol habits in mental ill-health patients, since risky drinking may affect the outcomes of treatment.

TRIAL REGISTRATION NUMBER: DRKS00008745; Post-results.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Research Support, Non-U.S. Gov't
in
BMJ Open
volume
8
issue
3
pages
019128 - 019128
publisher
British Medical Journal Publishing Group
external identifiers
  • scopus:85044194356
ISSN
2044-6055
DOI
10.1136/bmjopen-2017-019128
language
English
LU publication?
yes
id
2d19a10c-81c3-4321-9597-c35fe7b55b1e
date added to LUP
2018-03-27 11:55:17
date last changed
2018-11-21 21:38:56
@article{2d19a10c-81c3-4321-9597-c35fe7b55b1e,
  abstract     = {<p>OBJECTIVES: Hazardous drinking could negatively affect health and lead to alcohol use disorders, but it is unclear how hazardous drinking affects treatment outcomes of depression and anxiety and stress-related mental health problems. The aim of this study was to examine whether hazardous drinking, measured by Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), influences the outcomes of repeated assessments of psychological functioning (Outcome Questionnaire-45), stress (Perceived Stress Scale) and sleep (Karolinska Sleep Questionnaire), during and after treatment in patients with mental ill health.</p><p>METHODS: The study was conducted within REGASSA, a randomised controlled trial aimed at comparing Internet-based cognitive-behaviour therapy and physical exercise with treatment as usual on primary care patients with mental ill health. The study involved 871 participants who completed the AUDIT at baseline and who were assessed repeatedly during and after treatment on psychological functioning, stress and sleep by interactive voice response, a computerised, automated telephone technology.</p><p>RESULTS: At baseline, hazardous drinkers were more depressed and had lower scores on psychological functioning than non-hazardous drinkers, while there were no differences on stress and sleep. During the follow-ups, hazardous drinking negatively influenced perceived stress, that is, hazardous drinkers seemed to have less treatment effect on stress, and the results remained after controlling for depression. There were no differences during the follow-ups regarding psychological functioning and sleep.</p><p>CONCLUSIONS: Hazardous drinking negatively influenced perceived stress. The findings of the study emphasise the importance of screening for alcohol habits in mental ill-health patients, since risky drinking may affect the outcomes of treatment.</p><p>TRIAL REGISTRATION NUMBER: DRKS00008745; Post-results.</p>},
  author       = {Strid, Catharina and Andersson, Claes and Öjehagen, Agneta},
  issn         = {2044-6055},
  keyword      = {Research Support,Non-U.S. Gov't},
  language     = {eng},
  month        = {03},
  number       = {3},
  pages        = {019128--019128},
  publisher    = {British Medical Journal Publishing Group},
  series       = {BMJ Open},
  title        = {The influence of hazardous drinking on psychological functioning, stress and sleep during and after treatment in patients with mental health problems : a secondary analysis of a randomised controlled intervention study},
  url          = {http://dx.doi.org/10.1136/bmjopen-2017-019128},
  volume       = {8},
  year         = {2018},
}