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This study aimed to determine the extent to which alcohol use affects insomnia symptoms and vice versa in adults reporting symptoms of chronic pain. Participants were 73 individuals (93% women) reporting alcohol use in addition to symptoms of insomnia and chronic pain. They completed daily diaries assessing insomnia symptoms and alcohol use for 14\u00a0days. Multilevel modelling was used to evaluate the bidirectional associations between alcohol use and insomnia symptoms at the daily level. Consistent with laboratory\u2010based research, alcohol use was associated with decreased sleep\u2010onset latency the same night but increased sleep\u2010onset latency 2\u00a0nights later. Specifically, for every alcoholic drink consumed, time to sleep onset decreased by 5.0\u00a0min in the same night but increased by 4.3\u00a0min 2\u00a0nights later. Alcohol use was not significantly associated with subsequent wake after sleep onset or total sleep time, and insomnia symptoms were not significantly associated with subsequent alcohol use. To our knowledge, these data provide the first evidence that alcohol use negatively affects insomnia symptoms up to 2\u00a0days post\u2010consumption in patients reporting symptoms of insomnia and chronic pain. Findings suggest that one drink will have minimal impact on sleep, but heavier drinking (e.g. four\u2013five drinks) may have a clinically significant impact (16\u201325\u2010min increase in sleep\u2010onset latency). Future studies may assess alcohol use as a point of intervention within this population.<\/jats:p>","DOI":"10.1111\/jsr.12604","type":"journal-article","created":{"date-parts":[[2017,9,22]],"date-time":"2017-09-22T05:42:47Z","timestamp":1506058967000},"source":"Crossref","is-referenced-by-count":7,"title":["Dynamic daily associations between insomnia symptoms and alcohol use in adults with chronic pain"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0624-1414","authenticated-orcid":false,"given":"Mary Beth","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Missouri Columbia MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6829-7822","authenticated-orcid":false,"given":"Wai Sze","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Missouri Columbia MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff","family":"Boissoneault","sequence":"additional","affiliation":[{"name":"Department of Clinical and Health Psychology University of Florida Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Clinical and Health Psychology University of Florida Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Staud","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Florida Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard B.","family":"Berry","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Florida Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina S.","family":"McCrae","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Missouri Columbia MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,22]]},"reference":[{"key":"e_1_2_6_2_1","author":"Bates D.","year":"2015","journal-title":"Parsimonious mixed models"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"e_1_2_6_4_1","first-page":"72","article-title":"Reported changes in students' alcohol consumption following a brief education on what constitutes a standard drink","volume":"54","author":"Bergen\u2010Cico D.","year":"2010","journal-title":"J. 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