The role of chronotype, circadian misalignment, and tiredness in the substance use behaviors of gay and bisexual men

Bibliographic Data

ID13088415
AuthorsBrett M Millar (0000-0001-7870-7055, The Graduate Center, CUNY, corresponding author), H Jonathon Rendina (0000-0002-0148-2852, The Graduate Center, CUNY), Tyrel J Starks (0000-0003-0746-3844, The Graduate Center, CUNY), Christian Grov (0000-0001-6871-3531, The Graduate Center, CUNY), Jeffrey T Parsons (0000-0002-6875-7566, The Graduate Center, CUNY)
Year2018
Volume6
Issue1
Pages96-106
Publication date2018-11-05
Open AccessYes
TypeARTICLE
VenuePsychology of Sexual Orientation and Gender Diversity (JOURNAL)
Journal identifiersISSN: 2329-0382 • E-ISSN: 2329-0390
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/sgd0000311
PMID30906800
OpenAlexW2899539068
LanguageEN
Citations received4
References cited12

Although the potential of alcohol and drugs to detrimentally affect sleep has been established, the potential of tiredness to in turn influence substance use has received less attention. We contend that tiredness increases risk for substance use because tiredness impairs self-regulation and heightens the utility of substances to combat tiredness, albeit temporarily-and that these links are especially important because decision-making regarding use often occurs late at night when people are tired. Accordingly, we investigated chronotype, circadian misalignment, and perceived tiredness as risk factors in substance use among gay and bisexual men (GBM). We analyzed two online survey datasets-one of 3,696 GBM and one of 1,113 GBM-asking participants about their time for most frequently using alcohol or club/party drugs, their chronotype, whether they use substances to stay awake, and use severity. Alcohol use and club/party drug use most often occurred from 9pm onwards (for 51.3% and 75.1% of men, respectively), especially among younger men and evening types. Further, many men with a morning chronotype reported most often using alcohol (33.2%) and drugs (64.7%) from 9pm onwards, implicating circadian misalignment. Additionally, feeling tired was a motivator of alcohol use and drug use (for 53.1% and 26.9% of men, respectively), especially among younger men. Finally, those endorsing this motivation had greater use severity. These findings highlight the importance of chronotype, circadian misalignment, and tiredness in substance use, especially among younger men. We therefore recommend including substance use among the behaviors adversely affected by tiredness from circadian misalignment and inadequate/overdue sleep

Affect (linguistics · Chronotype · Circadian rhythm · Club · Evening · Feeling · Human immunodeficiency virus (HIV · Men who have sex with men · Morning · Psychiatry · Substance use · Behavioral Health and Interventions · Clinical Psychology · Medicine · Psychology · Sleep and related disorders · Sleep and Work-Related Fatigue · Social Psychology · Internal Medicine

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