{"id":10348,"date":"2020-09-11T15:53:42","date_gmt":"2020-09-11T15:53:42","guid":{"rendered":"https:\/\/ssdev.co.za\/crossroads-old\/?p=10348"},"modified":"2020-10-10T18:27:06","modified_gmt":"2020-10-10T18:27:06","slug":"sleep-and-substance-use","status":"publish","type":"post","link":"https:\/\/ssdev.co.za\/crossroads-old\/sleep-and-substance-use\/","title":{"rendered":"Sleep and Substance Use"},"content":{"rendered":"<header><div class=\"contained\"><div><div><\/div><div class=\"content\"><h1>Sleep and Substance Use<\/h1><a href=\"#recoveryModal\" class=\"btn submit\" data-toggle=\"modal\">Reach out now, we can help<\/a><\/div><\/div><\/div><\/header><div id=\"crumbs\" class=\"contained\" data-is-podcasts=\"\"><a href=\"https:\/\/ssdev.co.za\/crossroads-old\">Home<\/a>  \/  <\/div><h3 data-date='11 September 2020' class='article-title'>Sleep and Substance Use<\/h3><div class='info'><span>11 September, 2020<\/span><span>Articles, News<\/span><\/div>\n<p class=\"has-text-align-center\">&ldquo;<em>Sleep\nis the single most effective thing we can do to reset our brain and\nbody health each day &mdash; Mother Nature&rsquo;s best effort yet at\ncontra-death<\/em>.&rdquo;<\/p>\n\n\n\n<p class=\"has-text-align-center\">&#8213; Matthew Walker, author of  &ldquo;Why We Sleep: Unlocking the Power of Sleep and Dreams&rdquo;.   <\/p>\n\n\n\n<p><strong>Why is\nSufficient Sleep Necessary to our Functioning :<\/strong> \n<\/p>\n\n\n\n<p>Sleep\nis a physiological necessity, so much so, that we spend nearly one\nthird of our lives sleeping. Getting sufficient, quality sleep, is as\nimportant to our survival as food and water. Research has shown that\nchronic lack of sleep, or poor quality sleep, increases the risk of\nhealth problems including high blood pressure, cardiovascular\ndisease, insulin resistance, Type 2 diabetes, obesity, depression and\nother mental health disorders. Poor sleep quality reduces\nproductivity and increases irritability. Without sufficient sleep you\nare unable to form or maintain the pathways in your brain which are\nresponsible for learning and the creation of new memories, thus\nmaking it harder to concentrate and respond to situations\neffectively. Lethargy, dullness of mind, forgetfulness, feelings of\nnot being able to cope, or even grumpiness are all signs of\ninsufficient, poor quality sleep. \n<\/p>\n\n\n\n<p><strong>Substance\nUse and Sleep : <\/strong>\n<\/p>\n\n\n\n<p>Sleep and substance use is frequently bidirectional in nature- substance use causes problems with sleep and sleeping; but insomnia and insufficient sleep may also be a factor in substance use and <a href=\"https:\/\/ssdev.co.za\/crossroads-old\/drug-addiction\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">addiction<\/a>. Different substances affect sleep in different ways, for example, alcohol increases <a href=\"https:\/\/www.merriam-webster.com\/dictionary\/slow-wave%20sleep\" target=\"_blank\" rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\">slow wave sleep<\/a> and suppresses <a href=\"https:\/\/www.verywellmind.com\/understanding-dreams-2224258\" target=\"_blank\" rel=\"noreferrer noopener nofollow\" aria-label=\"rapid eye movemen (opens in a new tab)\">rapid eye movemen<\/a>t (REM) sleep. During periods of acute withdrawal, sleep latency (the time taken to fall asleep) is increased and the total time spent asleep is decreased. Similarly, opiates, despite being sedatives, interrupt sleep by increasing wakefulness and decreasing total sleep time, slow wave sleep, and REM sleep. Furthermore, <a href=\"https:\/\/www.verywellmind.com\/opioid-vs-opiate-4799312\" target=\"_blank\" rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\">opioids and opiates<\/a> are known to affect the brain mechanism that controls breathing. This can potentially create sleep apnoea events where individuals experience pauses in their breathing, resulting in snoring or gasping, a dry mouth and even a headache in the morning. In terms of cannabis, chronic users develop a tolerance  towards its&rsquo; sleep-enhancing effects. During withdrawal and periods of abstinence from cannabis, unusual dreams and poor sleep quality is common. This poor quality sleep together with insomnia has been shown to be predictive of a relapse amongst users of cannabis, with over 40 % of participants in <a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/08897077.2015.1023484?journalCode=wsub20\" target=\"_blank\" rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\">one study<\/a> reporting prolonged periods of insomnia and 10 % of those who relapsed, cited insomnia as a factor in their relapse. Insomnia experienced during withdrawal from substances, frequently fuels craving.<\/p>\n\n\n\n<p><strong>Sleep\nas a Predictive Factor in Relapse : <\/strong>\n<\/p>\n\n\n\n<p>Poor quality sleep is a predictive <a rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6688758\/\" target=\"_blank\">factor in relapse<\/a>. Studies have shown that sleep disturbances are reported by individuals for some drugs, long after they have quit taking them and after other withdrawal symptoms have subsided. For example, disruptions in REM sleep can sometimes <a rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2766287\/\" target=\"_blank\">persist for 1 to 3 years<\/a> amongst alcoholics who have achieved sobriety. The REM stage of sleep is believed to be associated with mood regulation and the consolidation of memories. Disturbed sleep appears to be a significant predictor of relapse in alcoholics even after controlling other factors, such as depression. Further, because sleep is important in memory consolidation, sleep dysfunction may interfere with the learning of new associations and skills needed for successful recovery from <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/ssdev.co.za\/crossroads-old\/alcohol-addiction\/\" target=\"_blank\">alcoholism<\/a>.   <\/p>\n\n\n\n<p>\nAlthough this is a relatively new area of study and much\nof the research that has been done in this field has been done on\nsmall groups, there can be no doubt that in order to successfully\nrecover from addiction, we need to be mindful of practising good\nsleep hygiene. \n<\/p>\n\n\n\n<p><strong>Practising\nGood Sleep Hygiene : <\/strong>\n<\/p>\n\n\n\n<p>\nHere are some tips that may assist you in practising\ngood sleep hygiene. \n<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Get sufficient exposure to daylight : light, especially sunlight, is one of the key drivers of circadian rhythms (internal processes that regulates the sleep-wake cycle, repeating roughly every 24 hours) that can encourage quality sleep. <\/li><li>Avoid caffeine and nicotine and other chemicals that interfere with sleep. <\/li><li>Exercise early : exercise stimulates the body to secrete the stress hormone cortisol, which causes the brain to become alert, so although exercise can help you fall asleep faster and sleep more soundly, it needs to be done at the correct time. Ideally, exercising should be completed at least three hours before your intended bed time. It is best to exercise earlier in the day.  <\/li><li>Unplug from electronics: maintain a  30-60 minute pre-bed time that is free of all devices such as mobile phones, tablets, laptops and televisions. Not only do these devices cause our brains to be stimulated, they also generate blue light that may decrease melatonin (the hormone associated with sleep produced by the pineal gland. It helps you fall asleep by calming the body before bed ). <\/li><li>Follow a  consistent routine at bedtime: follow the same steps each night, including things like putting on your pyjamas and brushing your teeth. Your brain picks up on the little cues that are telling it &ndash; it is time for sleep.  <\/li><li>Budget 30 minutes for winding down prior to sleep: use calming aids such as soft music, light stretching, reading, meditation or prayer. Try not to make falling asleep your goal, instead focus on relaxation. Meditation, mindfulness, breathing exercises and other relaxation techniques may put you in the correct mindset for bed. <\/li><li>Don&rsquo;t Toss and Turn: try to maintain a healthy mental connection between being in bed and actually being asleep. If after 20 minutes you haven&rsquo;t managed to fall asleep, get up and stretch, read, or do something else calming in low light before attempting to fall asleep again.  <\/li><li>Don&rsquo;t Dine Late: Eating dinner late, especially if it&rsquo;s a big, heavy, or spicy meal, can mean you&rsquo;re still digesting when it&rsquo;s time for bed. If you need to snack before bedtime, the snack should be a light one.  <\/li><\/ol>\n\n\n\n<p>If\nyou are a recovering addict or alcoholic and you are experiencing\npersistent problems with sleep, do not ignore them. Keep a sleep\njournal, speak to your sponsor or counsellor and seek assistance in \nimproving your quality of sleep. \n<\/p>\n\n\n\n<p><strong>RESOURCES <\/strong>:  <\/p>\n\n\n\n<p>Sleep Hygiene : \n<\/p>\n\n\n\n<p><a href=\"https:\/\/www.sleepfoundation.org\/articles\/sleep-hygiene\" target=\"_blank\" rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\">https:\/\/www.sleepfoundation.org\/articles\/sleep-hygiene<\/a><\/p>\n\n\n\n<p>Differential Effects of\nAddictive Drugs on Sleep and Sleep Stages : \n<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6688758\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6688758\/<\/a><\/p>\n\n\n\n<p>Sleep Disorders in Substance Abusers- How Common Are They? :<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2766287\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2766287\/<\/a><\/p>\n\n\n\n<p>Connections between\nSleep and Substance Use Disorders : \n<\/p>\n\n\n\n<p><a rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.drugabuse.gov\/about-nida\/noras-blog\/2020\/03\/connections-between-sleep-substance-use-disorders\" target=\"_blank\">https:\/\/www.drugabuse.gov\/about-nida\/noras-blog\/2020\/03\/connections-between-sleep-substance-use-disorders<\/a><\/p>\n\n\n\n<p>Drugs, sleep, and the\naddicted brain : \n<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nature.com\/articles\/s41386-019-0465-x\" target=\"_blank\" rel=\"noreferrer noopener nofollow\" aria-label=\" (opens in a new tab)\">https:\/\/www.nature.com\/articles\/s41386-019-0465-x<\/a><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>Sleep and Substance Use Reach out now, we can help Home \/ Sleep and Substance Use 11 September, 2020Articles, News &ldquo;Sleep is the single most effective thing we can do to reset our brain and body health each day &mdash; Mother Nature&rsquo;s best effort yet at contra-death.&rdquo; &#8213; Matthew Walker, author of &ldquo;Why We Sleep: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":10357,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36,4],"tags":[38,91,215,216,157,26,69,27,226,231,233,225,227,229,230,234,232,224,228,114],"class_list":["post-10348","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-articles","tag-alcoholism","tag-cannabis","tag-sleep","tag-substance-use","tag-substance-use-disorder","tag-addiction","tag-alcohol","tag-rehab","tag-rehab-gauteng","tag-rehab-johannesburg","tag-rehab-pretoria","tag-rehab-south-africa","tag-rehabgauteng","tag-rehabjhb","tag-rehabjohannesburg","tag-rehabpretoria","tag-rehabpta","tag-rehabsa","tag-rehabsouthafrica","tag-relapse-prevention","entry"],"featured_image_urls_v2":{"full":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep.jpg",600,321,false],"thumbnail":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep-80x80.jpg",80,80,true],"medium":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep-300x161.jpg",300,161,true],"medium_large":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep.jpg",600,321,false],"large":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep.jpg",600,321,false],"1536x1536":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep.jpg",600,321,false],"2048x2048":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep.jpg",600,321,false],"alm-thumbnail":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep-150x150.jpg",150,150,true],"post-thumbnail":["https:\/\/ssdev.co.za\/crossroads-old\/wp-content\/uploads\/2020\/09\/Sleep.jpg",600,321,false]},"post_excerpt_stackable_v2":"<p>Sleep and Substance UseReach out now, we can helpHome \/ Sleep and Substance Use11 September, 2020Articles, News &ldquo;Sleep is the single most effective thing we can do to reset our brain and body health each day &mdash; Mother Nature&rsquo;s best effort yet at contra-death.&rdquo; &#8213; Matthew Walker, author of &ldquo;Why We Sleep: Unlocking the Power of Sleep and Dreams&rdquo;. Why is Sufficient Sleep Necessary to our Functioning : Sleep is a physiological necessity, so much so, that we spend nearly one third of our lives sleeping. Getting sufficient, quality sleep, is as important to our survival as food and water.&hellip;<\/p>\n","category_list_v2":"<a href=\"https:\/\/ssdev.co.za\/crossroads-old\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/ssdev.co.za\/crossroads-old\/category\/news\/articles\/\" rel=\"category tag\">Articles<\/a>","author_info_v2":{"name":"admin","url":"https:\/\/ssdev.co.za\/crossroads-old\/author\/admin\/"},"comments_num_v2":"0 comments","_links":{"self":[{"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/posts\/10348","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/comments?post=10348"}],"version-history":[{"count":0,"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/posts\/10348\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/media\/10357"}],"wp:attachment":[{"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/media?parent=10348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/categories?post=10348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ssdev.co.za\/crossroads-old\/wp-json\/wp\/v2\/tags?post=10348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}