ArticleJournal of affective disorders2015
The effect of poor sleep quality on mood outcome differs between men and women: A longitudinal study of bipolar disorder.
Article in Journal of affective disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Large-scale patterns of self-reported mood and sleep across the day and week on an online cognitive-training platform.PLOS digital health · 2026Article
- The Relationship Between Sleep Quality and Prodromal Symptoms in Euthymic Patients with Bipolar Disorder.Noro psikiyatri arsivi · 2026Article
- Influence of Socio-Demographic, Occupational and Lifestyle Variables on Sleep Time.Nature and science of sleep · 2025Article
- Validation and cutoff score for the single-item sleep quality scale.Sleep & breathing = Schlaf & Atmung · 2024Article
- The dynamic interplay between sleep and mood: an intensive longitudinal study of individuals with bipolar disorder.Psychological medicine · 2023Article
- The stress of losing sleep: Sex-specific neurobiological outcomes.Neurobiology of stress · 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
- Associations between comorbid anxiety and sleep disturbance in people with bipolar disorder: Findings from actigraphy and subjective sleep measures.Journal of affective disorders · 2022Article
- Which Actigraphy Dimensions Predict Longitudinal Outcomes in Bipolar Disorders?Journal of clinical medicine · 2022Article
- Bipolar spectrum disorders are associated with increased gray matter volume in the medial orbitofrontal cortex and nucleus accumbens.JCPP advances · 2022Article
- Transdiagnostic and functional predictors of depression severity and trajectory in the Penn state psychiatry clinical assessment and rating evaluation system (PCARES) registry.Journal of affective disorders · 2022Article
- The Coronavirus Pandemic: A Possible Model of the Direct and Indirect Impact of the Pandemic on Sleep Quality in Italians.Nature and science of sleep · 2021Article
- Use of ecological momentary assessment to detect variability in mood, sleep and stress in bipolar disorder.BMC research notes · 2019Article
- Insomnia Symptoms among African-American Older Adults in Economically Disadvantaged Areas of South Los Angeles.Brain sciences · 2019Article
- Going to Altitude with a Preexisting Psychiatric Condition.High altitude medicine & biology · 2019Review
- Race, Education Attainment, and Happiness in the United States.International journal of epidemiologic research · 2019Article
- Education and Income Predict Future Emotional Well-Being of Whites but Not Blacks: A Ten-Year Cohort.Brain sciences · 2018Article
- 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
- Does ovulation affect performance in tennis players?BMJ open sport & exercise medicine · 2018Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
backgroundSleep disturbance is bi-directionally related to mood de-stabilization in bipolar disorder (BD), and sleep quality differs in men and women. We aimed to determine whether perception of poor sleep quality would have a different effect on mood outcome in men versus women.
methodsWe assessed association between sleep quality (Pittsburgh Sleep Quality Index (PSQI)) at study intake and mood outcome over 2 years in subjects from the Prechter Longitudinal Study of Bipolar Disorder (N=216; 29.6% males). The main outcome measure was the severity, variability, and frequency of mood episodes measured by self-report over 2 years of follow-up. Multivariable linear regression models stratified by sex examined the relationship between PSQI with mood outcomes, while age, stressful life events, mood state and neuroticism at baseline were controlled.
resultsIn women, poor sleep quality at baseline predicted increased severity (B=0.28, p<0.001) and frequency of episodes (B=0.32, p<0.001) of depression, and poor sleep quality was a stronger predictor than baseline depression; poor sleep quality predicted increased severity (B=0.19, p<0.05) and variability (B=0.20, p<0.05) of mania, and frequency of mixed episodes (B=0.27, p<0.01). In men, baseline depression and neuroticism were stronger predictors of mood outcome compared to poor sleep quality. LIMITATIONS: We measured perception of sleep quality, but not objective changes in sleep.
conclusionsIn a longitudinal study of BD, women reported poorer perceived sleep quality than men, and poor sleep quality predicted worse mood outcome in BD. Clinicians should be sensitive to addressing sleep complaints in women with BD early in treatment to improve outcome in BD.
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