ArticleInternational journal of bipolar disorders2013
Sleep quality during euthymia in bipolar disorder: the role of clinical features, personality traits, and stressful life events.
Article in International journal of bipolar disorders, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Sleep abnormalities in bipolar disorders across mood phases: A systematic review and meta-analysis.Sleep medicine reviews · 2025Pooled it
- Article
- Perceived cognitive loss, symptomology, and psychological well-being with bipolar disorder.International journal of bipolar disorders · 2024Article
- Machiavellianism and psychopathy affect sleep quality in people with affective disorders and mentally healthy individuals.Frontiers in psychology · 2023Article
- Factors Associated With Sleep Disturbance Amongst Youth With Bipolar Disorder.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022Article
- The big five model in bipolar disorder: a latent profile analysis and its impact on longterm illness severity.International journal of bipolar disorders · 2022Article
- The significance of sleep quality in euthymic bipolar patients from Nigeria.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022Article
- Sleep Interventions in the Treatment of Schizophrenia and Bipolar Disorder.Noro psikiyatri arsivi · 2021Review
- Use of ecological momentary assessment to detect variability in mood, sleep and stress in bipolar disorder.BMC research notes · 2019Article
- Total sleep time and kynurenine metabolism associated with mood symptom severity in bipolar disorder.Bipolar disorders · 2018Article
- Cohort Profile: The Heinz C. Prechter Longitudinal Study of Bipolar Disorder.International journal of epidemiology · 2018Article
- Circadian Rhythm Dysregulation in Bipolar Spectrum Disorders.Current psychiatry reports · 2017Review
- Article
- Increased sleep duration precedes the improvement of other symptom domains during the treatment of acute mania: a retrospective chart review.BMC psychiatry · 2016Article
- The effect of poor sleep quality on mood outcome differs between men and women: A longitudinal study of bipolar disorder.Journal of affective disorders · 2015Article
- The development and course of bipolar spectrum disorders: an integrated reward and circadian rhythm dysregulation model.Annual review of clinical psychology · 2015Review
- Sleep quality impairments in schizophrenia and bipolar affective disorder patients continue during periods of remission: a case-controlled study.Sleep science (Sao Paulo, Brazil)Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPoor sleep quality is known to precede the onset of mood episodes and to be associated with poor treatment outcomes in bipolar disorder (BD). We sought to identify modifiable factors that correlate with poor sleep quality in BD independent of residual mood symptoms.
methodsA retrospective analysis was conducted to assess the association between the Pittsburgh Sleep Quality Index and clinical variables of interest in euthymic patients with DSM-IV BD (n = 119) and healthy controls (HC; n = 136) participating in the Prechter Longitudinal Study of Bipolar Disorder. Multivariable linear regression models were constructed to investigate the relationship between sleep quality and demographic and clinical variables in BD and HC participants. A unified model determined independent predictors of sleep quality. RESULTS AND DISCUSSION: Euthymic participants with BD and HC differed in all domains. The best fitting unified multivariable model of poor sleep quality in euthymic participants with BD included rapid cycling (β = .20, p = .03), neuroticism (β = .28, p = 2 × 10(-3)), and stressful life events (β = .20, p = .02). Poor sleep quality often persists during euthymia and can be a target for treatment. Clinicians should remain vigilant for treating subjective sleep complaints independent of residual mood symptoms in those sensitive to poor sleep quality, including individuals with high neuroticism, rapid cycling, and recent stressful life events. Modifiable factors associated with sleep quality should be targeted directly with psychosocial or somatic treatment. Sleep quality may be a useful outcome measure in BD treatment studies.
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Registered trials
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