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date: 23 January 2020

Abstract and Keywords

Sleep disturbances are common in substance use disorders (SUDs) and contribute to their initiation and maintenance. This chapter will review the effects of common substances of abuse on sleep and sleep disorders; discuss the evidence linking sleep problems with SUDs initiation and relapse; outline possible mechanisms of sleep disturbances in substance abusers; and describe approaches to identifying and managing sleep disturbances, with an emphasis on special considerations in SUDs patients. More basic and clinical research is needed to understand how sleep problems contribute to SUDs initiation and maintenance, the neurobiological basis of sleep disturbances in substance abusers, and which sleep-focused treatments are most effective and have the greatest impact on future substance use. Effective recognition and management of sleep disturbances in substance abusers will contribute to reducing the personal and public health burden associated with SUDs.

Keywords: substances of abuse, sleep, insomnia, mechanisms, treatment, pharmacological, non-pharmacological, cognitive-behavioral treatment

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