Sleep and circadian rhythms in children and adolescents with bipolar disorder
Abstract
The aim of this paper is to highlight the importance of the sleep-wake cycle in children and adolescents with bipolar disorder. After presenting an overview of the measurement and function of human sleep, we describe changes in sleep and circadian functioning across the life cycle. We then review evidence that, in adults, sleep and/or circadian rhythms are of considerable influence in the multifactorial causal chain implicated in relapse in bipolar disorder, discussing relevant mechanisms. The latter include abnormalities in the amount and timing of sleep, the role of social zeitgebers, and the importance of sleep in regulating emotional responses and mood. We next present preliminary data indicating considerable sleep disturbance among children and adolescents with bipolar disorder. Given the considerable sleep disturbance evident among children and adolescents with bipolar disorder along with a key role for sleep in emotion regulation and learning, we conclude that sleep among children and adolescents with bipolar disorder is a critical domain for future research. An agenda for future research is presented that includes descriptive studies, investigations of causality, and treatment development research.
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Sleep and circadian rhythm abnormalities have been implicated in depression and bipolar disorder, attention-deficit disorder, and autism.
“Sleep and circadian rhythm abnormalities in children and adolescents may be risk factors for the development of psychiatric disorders, and have been implicated in depression and bipolar disorder (Harvey et al 2006), attention-deficit disorder (Owens 2008) and autism (Bourgeron 2007).”
From Biological rhythms, higher brain function, and behavior: Gaps, opportunities, and challenges (2009) · cites this paper as Harvey et al 2006
Sleep and circadian rhythm abnormalities in children and adolescents may be risk factors for the development of psychiatric disorders.
“Sleep and circadian rhythm abnormalities in children and adolescents may be risk factors for the development of psychiatric disorders, and have been implicated in depression and bipolar disorder (Harvey et al 2006), attention-deficit disorder (Owens 2008) and autism (Bourgeron 2007).”
From Biological rhythms, higher brain function, and behavior: Gaps, opportunities, and challenges (2009) · cites this paper as Harvey et al 2006
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“However, when the severity of the stressful life events is considered, severe events are related to the onset of both manic and depressive episodes ~Malkoff-Schwartz et al., 1998, 2000!.”
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- Authors
- HARVEY, A. G., MULLIN, B. C., & HINSHAW, S. P.
- Affiliations
- University of California System (US)
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2006-10-25
- Volume
- 18
- Issue
- 4
- Pages
- 1147-1168
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- OpenAlex
- W2113884011
- Cited by
- 88
- References
- 172
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 6 · 2014: 4 · 2013: 6 · 2012: 9
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Development and Psychopathology (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
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- bipolar disorder, sleep disorders, circadian rhythm, children and adolescents, sleep-wake cycle, relapse, emotion regulation, mood regulation, sleep timing, sleep duration
- MeSH terms
- Adolescent, Aging, Bipolar Disorder, Child, Circadian Rhythm, Humans, Sleep
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