Relationship between sleep and mood in patients with rapid-cycling bipolar disorder
Abstract
The relationship between sleep and mood was examined in a longitudinal, naturalistic data set derived from out-patients with rapid-cycling bipolar disorder. Eleven patients completed daily self-ratings of mood and sleep logs for 18 months. Using logistic regression with autoregressive terms, we examined the effect of prior sleep (sleep duration, time of sleep onset, and time of wake onset) on the probability of being in a depressed, manic, or hypomanic episode on one or more subsequent days. Of the three sleep parameters, decreased sleep duration was the best predictor of mania or hypomania the next day, followed by wake onset time. The association between sleep duration and subsequent mood was less consistent for depression than for mania or hypomania. Four of the patients showed no relationship between mood and any of the sleep variables measured. These results reinforce the importance of monitoring, and perhaps controlling, sleep duration and wake onset time in at least some patients with rapid-cycling bipolar disorder.
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Recent reports of lunar month variation of total sleep time in healthy individuals seem consistent with the finding of lunar month variation in onsets of mania.
“In this regard, recent reports of lunar month variation of total sleep time in healthy individuals seem consistent with the finding of lunar month variation in onsets of mania”
From Bipolar mood cycles and lunar tidal cycles (2018) · cites this paper as [41]
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Effects of night shifts in bipolar disorders and extreme morningness
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Risky sexual behavior and associated factors among patients with bipolar disorders in Ethiopia
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Interpersonal and Social Rhythm Therapy
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Sleep, Cognition, and Emotion: A Developmental View
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Behavioral Neurobiology of Bipolar Disorder and its Treatment
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Life events and juvenile bipolar disorder: Conceptual issues and early findings
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Rapid cycling bipolar disorder
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Sleep and Circadian Rhythm Abnormalities in the Pathophysiology of Bipolar Disorder
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Cho, C., Lee, H., Woo, H. G., Choi, J. H., Greenwood, T. A., & Kelsoe, J. R. (2015) · Psychiatry Investigation · doi:10.4306/pi.2015.12.3.402 · Cited by 17 · see citing works
- Authors
- Leibenluft, E., Albert, P. S., Rosenthal, N. E., & Wehr, T. A.
- Affiliations
- National Institute of Mental Health (US)
- National Heart, Lung, and Blood Institute (US)
- Corresponding author
- Leibenluft, Ellen
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 1996-07
- Volume
- 63
- Issue
- 2-3
- Pages
- 161-168
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2082743790
- Cited by
- 178
- References
- 18
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 5 · 2017: 9 · 2016: 7 · 2015: 13 · 2014: 10 · 2013: 9 · 2012: 7
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- rapid cycling bipolar disorder, sleep duration, sleep latency, mood episodes, mania, hypomania, depression
- MeSH terms
- Adult, Affect, Bipolar Disorder, Circadian Rhythm, Female, Humans, Longitudinal Studies, Male, Middle Aged, Periodicity, Sleep, Wakefulness
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