Assessment and treatment of sleep problems in bipolar disorder—A guide for psychologists and clinically focused review
Abstract
Sleep problems are highly prevalent in bipolar disorder (BD) and constitute an important therapeutic focus in this population: They are highly impairing and distressing, are an area of subjective importance to consumers, and likely play a role in predicting/triggering mood episodes. The aim of this review is to orient psychologists and psychotherapists to current research relevant to their clinical practice with people with BD, including (a) the prevalence and presentation of sleep problems, (b) the impacts and correlates of impaired sleep, and (c) the relationship between sleep problems and mood symptoms (including the predictive/triggering role of sleep in BD mood relapses). Detailed recommendations for assessment and cognitive–behavioural intervention strategies for use in BD are described. It will be concluded that although some sleep problems and comorbidities require interdisciplinary collaboration, a range of evidence‐informed strategies can be effectively and appropriately applied by clinical psychologists and psychotherapists.
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Sleep restriction is a technique that can be used to address insomnia in the general population, however this should be used with caution in BD due to the potential for triggering mania.
“For example, sleep restriction is a technique that can be used to address insomnia in the general population, however this should be used with caution in BD due to the potential for triggering mania (Morton and Murray 2020).”
From Evaluating the quality, safety, and functionality of commonly used smartphone apps for bipolar disorder mood and sleep self-management (2022) · cites this paper as Morton and Murray 2020
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Self-citationInitiation and long‐term use of benzodiazepines and Z‐drugs in bipolar disorder
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Self-citationAssociation between chronotype and nonrestorative sleep in a college population
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Murray, G. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00599 · Cited by 16 · see citing works
Self-citationCircadian science and psychiatry: Of planets, proteins and persons
Murray, G. (2019) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867419847279 · Cited by 14 · see citing works
Self-citationSleep Problems in Euthymic Bipolar Disorders: A Review of Clinical Studies
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Meaklim, H., Abbott, J.-A., Kennedy, G. A., Murray, G., Klein, B., & Rehm, I. C. (2018) · Australian Psychologist · doi:10.1111/ap.12374 · Cited by 11 · see citing works
Self-citationComplicated Management of Mania in the Setting of Undiagnosed Obstructive Sleep Apnea
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Self-citationTreatment preferences and help-seeking behaviors for sleep problems among psychiatric outpatients
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1 of the 122 references couldn’t be matched to a known paper.
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Self-citationMarx, W., Manger, S., Blencowe, M., Murray, G., Ho, F. Y., Lawn, S., Blumenthal, J. A., Schuch, F. B., Stubbs, B., Ruusunen, A. A., et al. (2022) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2022.2112074 · Cited by 188 · see citing works
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DellaCrosse, M., Pleet, M., Morton, E., Ashtari, A., Sakai, K., Woolley, J., & Michalak, E. (2022) · PLOS ONE · doi:10.1371/journal.pone.0279073 · Cited by 28 · see citing works
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“For example, sleep restriction is a technique that can be used to address insomnia in the general population, however this should be used with caution in BD due to the potential for triggering mania (Morton and Murray 2020).”
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Sleep disturbances in early clinical stages of psychotic and bipolar disorders: A meta-analysis
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Sleep Interventions in the Treatment of Schizophrenia and Bipolar Disorder
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Morton, E. E., Hou, S., Fogarty, O., Murray, G., Barnes, S. J., Depp, C. A., CREST.BD, & Michalak, E. (2020) · JMIR Mental Health · doi:10.2196/17497 · Cited by 9 · see citing works
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Personality Traits Interact With Sleep and Biological Rhythm in Patients With Bipolar Disorder
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- Authors
- Morton, E., & Murray, G.
- Affiliations
- University of British Columbia (CA)
- Swinburne University of Technology (AU)
- Corresponding author
- Murray, Greg
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2020-02-18
- Volume
- 27
- Issue
- 3
- Pages
- 364-377
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W3007070994
- Cited by
- 29
- References
- 122
- Citations by year
- 2026: 4 · 2024: 3 · 2023: 7 · 2022: 6 · 2021: 6 · 2020: 3
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- bipolar disorder, sleep disorders, mood episodes, cognitive-behavioural intervention, sleep assessment, clinical psychology practice
- MeSH terms
- Correlation of Data, Adult, Affect, Bipolar Disorder, Female, Humans, Male, Middle Aged, Personality Assessment, Prognosis, Psychology, Clinical, Psychometrics, Psychotherapy, Recurrence, Sleep Wake Disorders, Comorbidity, Cognitive Behavioral Therapy, Prevalence, Sleep Disorders, Circadian Rhythm
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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