Sleep-related complaints and disruption are extremely common in patients who use addictive substances such as alcohol, opioids, and cannabis. These substances can impact sleep-related breathing parameters during sleep, and sleep disruption in the context of substance use may continue into early abstinence and increase the risk of relapse. This presentation will discuss the interplay between sleep disorders and subtance use, specifically discussing the mechanisms whereby alcohol, opioids, and other commonly misused substances can affect sleep.
**This content was captured at the 2019 APA Annual Meeting and may reference information from various sources and terminology from previous editions of the DSM.
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This course is free to APA members through the Course of the Month program. Promotional pricing valid August 15 - September 30, 2020.
- Chakravorty S et al. Alcohol dependence and its relationship with insomnia and other sleep disorders. Alcohol Clin Exp Res. 2016 Nov;40(11):2271-2282.
- Kolla BP et al. The course of sleep disturbances in early alcohol recovery: An observational cohort study. Am J Addiction. 2014;23:21-26.
- Miller MB et al. Insomnia treatment in the context of alcohol use disorder: A systematic review and meta-analysis. Drug Alcohol Depend. 2018 Dec 1;181:200-207.
- Identify sleep disorders in patients who are using prescription and illicit opioids
- Correlate the impact of alcohol use on sleep disorders such as insomnia, apnea, and sleep-disordered breathing
- Analyze the effects of cannabis use on sleep-disordered breathing, sleep disruption, and daytime sleepiness
- Recognize the increased risk that sleep disorders contribute to substance use and relapse
- Identify ways in which managed care can be provided to patients with comorbid substance use and sleep disorders
Estimated Time to Complete
Estimated Duration: 60 minutes
Begin Date: August 1, 2020
End Date: August 1, 2023
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.
Continuing Education Credit
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this enduring CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
- Bhanu Prakash Kolla, M.D., MRCPsych, Associate Professor of Psychiatry, Mayo Clinic and Consultant, Division of Addiction Medicine, Department of Psychiatry and Psychology, Mayo Clinic. Reports no financial relationships with commercial interests.
- Meghna Mansukhani, M.D., FAASM, Co-Director, Mayo Clinic - Rochester Center for Sleep Medicine and Associate Professor, Mayo College of Medicine. Disclosures - Grant Research: ResMed.
- Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Katie Putnam, Membership Development Specialist, American Psychiatric Association. Reports no financial relationships with commercial interests.
- Ally Brown, Senior Program Manager, Online Learning, American Psychiatric Association. Reports no financial relationships with commercial interests.
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