Overlapping prefrontal systems involved in cognitive and emotional processing in euthymic bipolar disorder and following sleep deprivation: A review of functional neuroimaging studies

McKenna, Benjamin S.; Eyler, Lisa T.

doi:10.1016/j.cpr.2012.07.003

Cited by 69Bipolar Disorder and TreatmentNeural and Behavioral Psychology StudiesSchizophrenia research and treatment

Overlapping prefrontal systems involved in cognitive and emotional processing in euthymic bipolar disorder and following sleep deprivation: A review of functional neuroimaging studies

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McKenna, Benjamin S., Eyler, Lisa T.·2012·Clinical Psychology Review

DOI 10.1016/j.cpr.2012.07.003PMC PMC3922056

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Abstract

Prefrontal cortex (PFC) mediated cognitive and emotional processing deficits in bipolar disorder lead to functional limitations even during periods of mood stability. Alterations of sleep and circadian functioning are well-documented in bipolar disorder, but there is little research directly examining the mechanistic role of sleep and/or circadian rhythms in the observed cognitive and emotional processing deficits. We systematically review the cognitive and emotional processing deficits reliant upon PFC functioning of euthymic patients with bipolar disorder and in healthy individuals deprived of sleep. The evidence from two parallel lines of investigation suggests that sleep and circadian rhythms may be involved in the cognitive and emotional processing deficits seen in bipolar disorder through overlapping neurobiological systems. We discuss current models of bipolar highlighting the PFC-limbic connections and discuss inclusion of sleep-related mechanisms. Sleep and circadian dysfunction is a core feature of bipolar disorder and models of neurobiological abnormalities should incorporate chronobiological measures. Further research into the role of sleep and circadian rhythms in cognition and emotional processing in bipolar disorder is warranted.

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Sleep disruption may lead to fatigue, executive deficits, mood dysregulation, and psychosocial impairments.
“Sleep disruption may lead to fatigue [244, 245], executive deficits [246, 247], mood dysregulation [10], and psychosocial impairments [248]”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [247]

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Authors: McKenna, B. S., & Eyler, L. T.
Affiliations: University of California San Diego (US)
Corresponding author: McKenna, Benjamin S.
ORCID: McKenna, Benjamin S.
Eyler, Lisa T.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2012-11
Volume: 32
Issue: 7
Pages: 650-663
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2012.07.003
PMC: PMC3922056
OpenAlex: W2035455940
Cited by: 69
References: 183
Citations by year: 2026: 4 · 2025: 4 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 2 · 2019: 4 · 2018: 7 · 2017: 8 · 2016: 6 · 2015: 12 · 2014: 7 · 2013: 2
FWCI: 0.90
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5r01mh083968-05)
National Institute of Mental Health (R01-MH083968)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords: bipolar disorder, prefrontal cortex, sleep deprivation, circadian rhythm, sleep, cognitive processing deficits, emotional processing deficits, euthymic bipolar disorder, chronobiology
MeSH terms: Bipolar Disorder, Brain Mapping, Cognition, Emotions, Humans, Sleep Deprivation, Prefrontal Cortex, Functional Neuroimaging

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Overlapping prefrontal systems involved in cognitive and emotional processing in euthymic bipolar disorder and following sleep deprivation: A review of functional neuroimaging studies

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