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Sleep Initiation and Maintenance Disorders: HELP
Articles by Angelo M. DiBello
Based on 2 articles published since 2009
(Why 2 articles?)
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Between 2009 and 2019, Angelo M. DiBello wrote the following 2 articles about Sleep Initiation and Maintenance Disorders.
 
+ Citations + Abstracts
1 Article Insomnia moderates the association between alcohol use and consequences among young adult veterans. 2017

Miller, Mary Beth / DiBello, Angelo M / Carey, Kate B / Pedersen, Eric R. ·Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA. Electronic address: mary_miller@brown.edu. · Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA. Electronic address: angelo_dibello@brown.edu. · Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA. Electronic address: kate_carey@brown.edu. · RAND Corporation, 1776 Main St, Santa Monica, CA 90407, USA. Electronic address: ericp@rand.org. ·Addict Behav · Pubmed #28704711.

ABSTRACT: OBJECTIVE: Symptoms of insomnia and heavy alcohol use tend to co-occur among military and veteran samples. The current study examined insomnia as a moderator of the association between alcohol use and related consequences among young adult veterans in an effort to extend and replicate findings observed in samples of civilian young adults. METHOD: Young adult veterans (N=622; 83% male; age M=29.0, SD=3.4) reporting alcohol use in the past year completed measures of insomnia severity, alcohol use, and alcohol-related consequences as part of a larger intervention trial. Participants were classified as screening 'positive' (n=383, 62%) or 'negative' (n=239, 38%) for insomnia using the Insomnia Severity Index. Hierarchical regression was used to examine the interaction between drinking quantity and insomnia on alcohol-related consequences. Predictor and outcome variables were measured concurrently. RESULTS: Both a greater number of drinks per week and a positive insomnia screen were associated with more alcohol-related consequences. Drinks per week and insomnia screen interacted to predict alcohol-related consequences, such that the effect of drinking on alcohol-related consequences was stronger in the context of a positive versus negative insomnia screen. CONCLUSION: Drinking is associated with more alcohol-related consequences in the presence of clinically significant insomnia symptoms. These findings replicate those documented in civilian young adults and indicate that insomnia may be an appropriate target for alcohol prevention and intervention efforts among young adult veterans.

2 Article Insomnia severity as a mediator of the association between mental health symptoms and alcohol use in young adult veterans. 2017

Miller, Mary Beth / DiBello, Angelo M / Carey, Kate B / Borsari, Brian / Pedersen, Eric R. ·Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA. Electronic address: millerme04@gmail.com. · Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA. Electronic address: angelo_dibello@brown.edu. · Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA. Electronic address: kate_carey@brown.edu. · Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA; San Francisco Veterans Affairs Health Care System, 4150 Clement Street, San Francisco, CA 94121, USA; University of California, 505 Parnassus Ave., San Francisco, CA 94143, USA. Electronic address: brian.borsari@va.gov. · RAND Corporation, 1776 Main St., Santa Monica, CA 90407, USA. Electronic address: ericp@rand.org. ·Drug Alcohol Depend · Pubmed #28618286.

ABSTRACT: PURPOSE: Prior research has documented associations between mental health and alcohol use, mental health and insomnia, and insomnia and alcohol use. This study examined insomnia severity as a mediator of the association between mental health and alcohol-related outcomes in young adult veterans. PROCEDURES: Veterans aged 18-34 years (N=622, 83% male) who reported drinking in the past year completed assessments at baseline and one-month follow-up as part of a larger intervention trial. Participants reported symptoms of depression and posttraumatic stress disorder (PTSD) at baseline, insomnia severity at one month, and alcohol use and related consequences at baseline and one month. Mediation analyses using bootstrapped confidence intervals were used to examine the indirect effects of baseline mental health symptoms on alcohol-related outcomes at one month via insomnia severity. MAIN FINDINGS: Insomnia severity was associated with both drinking quantity and alcohol-related consequences. Greater depressive (but not PTSD) symptoms were associated directly with more alcohol-related consequences. Neither depressive nor PTSD symptoms had direct effects on drinking quantity when controlling for the other mental health symptoms (e.g., depressive symptoms did not predict drinking quantity when controlling for symptoms of PTSD). However, symptoms of depression and PTSD predicted drinks per week and alcohol-related consequences indirectly through insomnia severity. CONCLUSIONS: Symptoms of depression and PTSD increase risk for alcohol use and related consequences in part by increasing symptoms of insomnia. Findings suggest that insomnia may be an appropriate target for prevention and intervention efforts among heavy-drinking Veterans reporting symptoms of depression or PTSD.