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Cited by 346Bipolar Disorder and TreatmentSleep and related disordersSleep and Wakefulness Research

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Sleep reduction as a final common pathway in the genesis of mania [published erratum appears in Am J Psychiatry 1987 Apr;144(4):542]

Thomas A. Wehr, David Allen Sack, N E Rosenthal·1987·American Journal of Psychiatry
DOI 10.1176/ajp.144.2.201
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Abstract

Diverse psychological, interpersonal, environmental, and pharmacological factors that appear to trigger the onset of mania could act via their capacity to cause sleep deprivation, a mechanism that has been shown in experiments with bipolar patients to induce transient or sustained switches into mania. Since mania in turn causes insomnia, the development of mania is potentially self-reinforcing and could become autonomous after being initiated by precipitating factors. The sleep reduction model is based on experimental evidence and is a parsimonious explanation for the precipitation of manic episodes by a wide variety of factors. Furthermore, this model has clear implications for the prevention and treatment of mania and provides a conceptual focus and an experimental paradigm for psychological investigations of the causes of mania.

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Research works printed but not linked: 13

  1. Westphal A, 1911, Lehrbuck der Psychiatrie, 3 Aufi. Edited by Binswanger 0, Siemerling E. Jena
  2. Tolle R, 1971, Psychiatr Clin (Basel), 4, 12
  3. Borgna E, La provocazione psicoreattiva delle ciclotimie nei suoi aspetti psicopatologici clinici e teoretici. Giornale di Psichiatria e Neuropatologia 1964
  4. Scotti F, Cerletri-Scotti A: II Iutto maniacale. Rivista Sperimentale di Freniatria e Medicina Legale delle Alienazioni Mentali 1969; 93:110-130
  5. Racamier PC, Blanchard M: Dc l'angoisse a la manic. L'Evolution Psychiatrique 1957
  6. Zimanova J, 1974, Act Nerv Super (Praha), 16, 188
  7. Wirz-Justice A, 1976, Lancet, 2, 350
  8. van Scheyen JD, 1977, Ned Tijdschr Geneeskd, 121, 564
  9. Vovin RY, 1979, Zh Nevropatol Psikhiat, 79, 449
  10. Doust JWL, 1980, Chronobiologia, 7, 505
  11. Winokur G, 1969, CV Mosby
  12. Weitzman ED, 1982, Circadian and Ultradian Variations of Pituitary Hormones in Man
  13. Chouinard G, 1983, Biol Psychiatry, 18, 451

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Metadata

Authors
Wehr, T. A., Sack, D. A., & Rosenthal, N. E.
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
1987-02-01
Volume
144
Issue
2
Pages
201-204
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/ajp.144.2.201
OpenAlex
W2338607498
Cited by
346
References
33
Citations by year
2026: 4 · 2025: 4 · 2024: 8 · 2023: 4 · 2022: 5 · 2021: 8 · 2020: 7 · 2019: 12 · 2018: 9 · 2017: 10 · 2016: 10 · 2015: 13 · 2014: 15 · 2013: 13 · 2012: 9
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (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 › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords
mania, sleep deprivation, bipolar disorder, insomnia, precipitating factors, mania treatment
MeSH terms
Adult, Bipolar Disorder, Female, Humans, Sleep Initiation and Maintenance Disorders, Life Change Events, Male, Middle Aged, Models, Psychological, Sleep Deprivation

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