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Poor Sleep in Community-Dwelling Polysubstance Users: Association With Khat Dependence, Metacognition, and Socio-Demographic Factors

Frontiers in psychiatry, 2022-05, Vol.13, p.792460-792460 [Peer Reviewed Journal]

Copyright © 2022 Manzar, Alghadir, Khan, Salahuddin, Hassen, Almansour, Nureye, Tekalign, Shah, Pandi-Perumal and Bahammam. ;Copyright © 2022 Manzar, Alghadir, Khan, Salahuddin, Hassen, Almansour, Nureye, Tekalign, Shah, Pandi-Perumal and Bahammam. 2022 Manzar, Alghadir, Khan, Salahuddin, Hassen, Almansour, Nureye, Tekalign, Shah, Pandi-Perumal and Bahammam ;ISSN: 1664-0640 ;EISSN: 1664-0640 ;DOI: 10.3389/fpsyt.2022.792460 ;PMID: 35619616

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  • Title:
    Poor Sleep in Community-Dwelling Polysubstance Users: Association With Khat Dependence, Metacognition, and Socio-Demographic Factors
  • Author: Manzar, Md Dilshad ; Alghadir, Ahmad H ; Khan, Masood ; Salahuddin, Mohammed ; Hassen, Hamid Yimam ; Almansour, Ahmed M ; Nureye, Dejen ; Tekalign, Eyob ; Shah, Showkat Ahmad ; Pandi-Perumal, Seithikurippu R ; Bahammam, Ahmed S
  • Subjects: alcohol ; khat ; metacognition ; nicotine ; polydrug use ; Psychiatry ; sleep problems
  • Is Part Of: Frontiers in psychiatry, 2022-05, Vol.13, p.792460-792460
  • Description: Poor sleep and cognitive deficits are often associated with increased drug use. However, no study has addressed the relationship between poor sleep, substance dependence, and metacognitive deficit in polysubstance users. This was a cross-sectional study with a simple random sampling involving community-dwelling polysubstance users ( = 326, age = 18-43 years) in Mizan, Ethiopia. Participants completed a brief sleep questionnaire, severity of dependence on khat (SDS-Khat), a brief meta-cognition questionnaire, and a socio-demographic survey. Majority (56.4%) of the polysubstance users had sleep disturbance. Chronic health conditions [adjusted odds ratio (AOR) = 2.52, 95% confidence interval (CI) 1.31-4.85], chronic conditions in the family (AOR = 2.69, 95% CI 1.40-5.20), illiterate-primary level of educational status (AOR = 2.40, 95% CI 1.30-4.04), higher SDS-Khat score (AOR = 1.39, 95% CI 1.13-1.72), and lower meta-cognition score (AOR = 0.90, 95% CI 0.84-0.97) predicted poor sleep in the polysubstance users. Moreover, low metacognition score and high SDS score also predicted additional sleep disturbances like chronic sleep insufficiency, lethargy and restlessness after nighttime sleep, socio-occupational dysfunctions, and daytime disturbances in polysubstance users. Poor sleep, severe khat dependence, and metacognitive deficits are common in community polysubstance users. Moreover, poor sleep is associated with higher khat dependence, lower metacognitive ability, lower educational status, and the presence of chronic conditions in polysubstance users or their families.
  • Publisher: Switzerland: Frontiers Media S.A
  • Language: English
  • Identifier: ISSN: 1664-0640
    EISSN: 1664-0640
    DOI: 10.3389/fpsyt.2022.792460
    PMID: 35619616
  • Source: Open Access: DOAJ Directory of Open Access Journals
    Freely Accessible Journals
    Open Access: PubMed Central
    ROAD: Directory of Open Access Scholarly Resources
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