PT - JOURNAL ARTICLE AU - NANCY K. MELLO AU - JACK H. MENDELSON TI - BEHAVIORAL STUDIES OF SLEEP PATTERNS IN ALCOHOLICS DURING INTOXICATION AND WITHDRAWAL DP - 1970 Oct 01 TA - Journal of Pharmacology and Experimental Therapeutics PG - 94--112 VI - 175 IP - 1 4099 - http://jpet.aspetjournals.org/content/175/1/94.short 4100 - http://jpet.aspetjournals.org/content/175/1/94.full SO - J Pharmacol Exp Ther1970 Oct 01; 175 AB - Twenty-four-hour sleep patterns of 50 male alcohol addicts were assessed behaviorally during a 5-day base-line period, a 7- to 62-day period of spontaneous drinking and a subsequent alcohol withdrawal phase. Alcohol ingestion produced an increase in total hours of sleep which was associated with two distinctive changes in sleep patterns:1) fragmentation, a tendency to sleep in several short episodes (3-4 hours) instead of a sustained night's sleep; and 2) somnolence, the distribution of consecutive hours of sleep was shifted beyond the base-line mode and long sleep episodes were combined with occasional naps. Fragmentation of sleep patterns was the most reliable correlate of alcohol ingestion and a frequent accompaniment of alcohol withdrawal. However, there were no common sleep distribution patterns during alcohol withdrawal either as a function of symptom severity or type of medication used. Contrary to the prevailing clinical impression, abrupt cessation of drinking did not invariably produce an initial insomnia. Moreover, hallucinosis occurred as a concomitant of the alcohol abstinence syndrome and independent of an antecedent or concurrent state of insomnia. These data are discussed in the context of current models of physical dependence. © 1970, by The Williams & Wilkins Company