# GEO EN — MHR-077

```json
{
  "schema_version": "uw.editorial_geo.v1",
  "catalog_id": "MHR-077",
  "article_index": "MHR-077",
  "language": "en",
  "headline": "Alcohol and sleep: why falling asleep does not answer every question about rest",
  "description": "Alcohol and sleep: distinguishing sleep onset, the night and daytime functioning, discussing assessment, and retaining safety around changes and combinations.",
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "e865b47d1aebce2d19a30ec36956600ffcef78fc2111ffb42aea346096fa45c8",
  "short_answer": "Alcohol and sleep: distinguishing sleep onset, the night and daytime functioning, discussing assessment, and retaining safety around changes and combinations.",
  "claims": [
    {
      "id": "C01",
      "article_sections": [
        "I. Four different questions about one night"
      ],
      "text": "Falling asleep, the night, feeling rested and daytime functioning are separate questions.",
      "limitations": "No clinical score or new-night test.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C02",
      "article_sections": [
        "II. What is known about alcohol's acute effects"
      ],
      "text": "The review abstract reports REM changes and uncertainty in other measures.",
      "limitations": "Acute healthy-adult scope; no full review, doses or personal forecast.",
      "source_ids": [
        "S1"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C03",
      "article_sections": [
        "III. Acute effects, withdrawal, and recovery are different contexts"
      ],
      "text": "Acute effects, use changes, withdrawal and AUD recovery differ.",
      "limitations": "No diagnosis from a complaint or required improvement deadline.",
      "source_ids": [
        "S3",
        "S7"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C04",
      "article_sections": [
        "IV. Why other explanations need room"
      ],
      "text": "Other sleep causes and conditions retain a place in assessment.",
      "limitations": "No self-diagnosis or universally required tests.",
      "source_ids": [
        "S2"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C05",
      "article_sections": [
        "V. Medicines and combinations are considered separately"
      ],
      "text": "Alcohol with particular sedative and opioid medicines can be dangerous.",
      "limitations": "Not all medicines alike; no safe interval or change regimen.",
      "source_ids": [
        "S4"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C06",
      "article_sections": [
        "VI. Which help to discuss"
      ],
      "text": "CBT-I requires professional selection, including adaptation or delay conditions.",
      "limitations": "No delay of all assistance or home sleep restriction.",
      "source_ids": [
        "S8"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C07",
      "article_sections": [
        "VII. When a condition cannot be treated as simply sleep"
      ],
      "text": "Suspected poisoning and severe withdrawal require urgent help; abrupt stopping with dependence can be dangerous.",
      "limitations": "No home detox, maintenance dose or complete emergency algorithm.",
      "source_ids": [
        "S6",
        "S7"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C08",
      "article_sections": [
        "VIII. Weighing conclusions and respecting a person can coexist"
      ],
      "text": "Primary texts offer ethical analogies.",
      "limitations": "No clinical proof.",
      "source_ids": [
        "S9",
        "S10"
      ],
      "type": "source_bounded_information"
    }
  ],
  "questions": [],
  "retrieval_limits": [
    "Adults 18+; no individual diagnosis",
    "Current danger or urgent medical need takes precedence",
    "No self-exposure, recovered-memory instruction, medication change or compulsory calming",
    "Language is not jurisdiction; no foreign emergency numbers",
    "Author review only; no production acceptance, import, index or publication"
  ],
  "sources": [
    {
      "id": "S1",
      "author": "Gardiner et al.",
      "title": "The effect of alcohol on subsequent sleep in healthy adults: A systematic review and meta-analysis",
      "url": "https://pubmed.ncbi.nlm.nih.gov/39631226/",
      "role": "Acute healthy-adult REM findings and uncertainty in other measures",
      "limitations": "Abstract only, not full review or 27 studies; no dose/timing advice or personal prognosis"
    },
    {
      "id": "S2",
      "author": "NHLBI",
      "title": "Insomnia — Diagnosis",
      "url": "https://www.nhlbi.nih.gov/health/insomnia/diagnosis",
      "role": "Schedule, daytime impact, health and breathing observations for assessment",
      "limitations": "No self-diagnostic checklist, required diary or adopted diagnostic threshold"
    },
    {
      "id": "S3",
      "author": "NIAAA",
      "title": "Support Recovery: It’s a Marathon, Not a Sprint",
      "url": "https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/support-recovery-its-marathon-not-sprint",
      "role": "Sleep problems may persist during AUD recovery after stopping/reducing",
      "limitations": "No deadline, universal stage, safety judgement of new symptoms or home change plan"
    },
    {
      "id": "S4",
      "author": "NIAAA",
      "title": "Alcohol-Medication Interactions: Potentially Dangerous Mixes",
      "url": "https://www.niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol/alcohol-medication-interactions-potentially-dangerous-mixes",
      "role": "Particular sedative/opioid combinations and overdose/respiratory risks; discuss actual medicines",
      "limitations": "No universal interaction, dose, safe interval or clinical prescription"
    },
    {
      "id": "S5",
      "author": "Health Canada",
      "title": "About substance use",
      "url": "https://www.canada.ca/en/health-canada/services/substance-use/about-substance-use.html",
      "role": "Physical dependence/adaptation can occur with prescribed use without addiction",
      "limitations": "No diagnosis from one sign or permission for alcohol combinations"
    },
    {
      "id": "S6",
      "author": "NHS",
      "title": "Alcohol poisoning",
      "url": "https://www.nhs.uk/conditions/alcohol-poisoning/",
      "role": "Suspected poisoning requires immediate help; loss of consciousness/breathing/seizure risks; stay while help is sought",
      "limitations": "No complete emergency list, home procedure, transport or foreign number"
    },
    {
      "id": "S7",
      "author": "NHS",
      "title": "Alcohol use disorder",
      "url": "https://www.nhs.uk/conditions/alcohol-use-disorder/",
      "role": "Abrupt independent cessation with dependence can be dangerous; discuss a medical plan; severe withdrawal urgent",
      "limitations": "No home stopping/maintenance/reduction scheme or advice to drink"
    },
    {
      "id": "S8",
      "author": "VA/DoD",
      "title": "2025 Chronic Insomnia Disorder and OSA — Provider Summary",
      "url": "https://www.healthquality.va.gov/guidelines/CD/insomnia/I-OSA-CPG_2025-Provider-Summary_final_20250422.pdf",
      "role": "Professional CBT-I recommendation; adaptation or delay; patient-centred decisions",
      "limitations": "Adult VA/DoD scope; no individual protocol or universal contraindication; not full guideline or underlying trials"
    },
    {
      "id": "S9",
      "author": "Francis Bacon",
      "title": "Of Studies",
      "url": "https://www.gutenberg.org/files/575/575-h/575-h.htm",
      "role": "Brief epigraph and intellectual analogy of weighing a conclusion",
      "limitations": "No historical medical/exercise claims adopted; not a drinking experiment"
    },
    {
      "id": "S10",
      "author": "Confucius / James Legge",
      "title": "Analects, BookXV, chapterXXIII",
      "url": "https://www.gutenberg.org/cache/epub/4094/pg4094-images.html",
      "role": "Reciprocity dialogue; short key fragment and bounded help analogy",
      "limitations": "No clinical rules, diagnosis, compulsory forgiveness or global licence conclusion"
    }
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:MHR-077:en",
    "headline": "Alcohol and sleep: why falling asleep does not answer every question about rest",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}
```