ArticleJournal of psychiatric research2016
Clinical significance of mobile health assessed sleep duration and variability in bipolar disorder.
Article in Journal of psychiatric research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Exploring the digital footprint of depression: a PRISMA systematic literature review of the empirical evidence.BMC psychiatry · 2022Pooled it
- Chronic pain patients low in social connectedness report higher pain and need deeper pressure for pain relief.Emotion (Washington, D.C.) · 2023Trial
- Widespread Pressure Delivered by a Weighted Blanket Reduces Chronic Pain: A Randomized Controlled Trial.The journal of pain · 2022Trial
- Trial
- Sleep fluctuations precede self-reported mood changes in bipolar disorder: results from the BipoSense study.International journal of bipolar disorders · 2026Article
- Digital tools for assessing bipolar disorder: A scoping review of the current landscape.Neuroscience applied · 2026Article
- Can Sleep Parameters Predict Upcoming Mood Episodes in Bipolar Disorder?Bipolar disorders · 2025Article
- Day-to-day variability in sleep and activity predict the onset of a hypomanic episode in patients with bipolar disorder.Journal of affective disorders · 2025Observational
- Irregular sleep is linked to poorer mental health: A pooled analysis of eight studies.Sleep health · 2024Article
- How much does sleep vary from night-to-night? A quantitative summary of intraindividual variability in sleep by age, gender, and racial/ethnic identity across eight-pooled datasets.Journal of sleep research · 2022Article
- The interplay of daily affect and impulsivity measured by mobile surveys in bipolar disorder.International journal of bipolar disorders · 2022Article
- Temporal relationships of ecological momentary mood and actigraphy-based sleep measures in bipolar disorder.Journal of psychiatric research · 2022Article
- Review
- Use of digital health technologies to examine subjective and objective sleep with next-day cognition and daily indicators of health in persons with and without HIV.Journal of behavioral medicine · 2022Article
- Correlates of poor sleep based upon wrist actigraphy data in bipolar disorder.Journal of psychiatric research · 2021Article
- Links between objective sleep and sleep variability measures and inflammatory markers in adults with bipolar disorder.Journal of psychiatric research · 2021Article
- Vulnerability to bipolar disorder is linked to sleep and sleepiness.Translational psychiatry · 2019Article
- Combining Continuous Smartphone Native Sensors Data Capture and Unsupervised Data Mining Techniques for Behavioral Changes Detection: A Case Series of the Evidence-Based Behavior (eB2) Study.JMIR mHealth and uHealth · 2018Article
- Daytime midpoint as a digital biomarker for chronotype in bipolar disorder.Journal of affective disorders · 2018Article
- Cognitive control under stressful conditions in transitional age youth with bipolar disorder: Diagnostic and sleep-related differences in fronto-limbic activation patterns.Bipolar disorders · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveSleep disturbances are prevalent, persistent, and impairing features of bipolar disorder. However, the near-term and cumulative impact of the severity and variability of sleep disturbances on symptoms and functioning remains unclear. We examined self-reported daily sleep duration and variability in relation to mood symptoms, medication adherence, cognitive functioning, and concurrent daily affect.
methodsForty-one outpatients diagnosed with bipolar disorder were asked to provide daily reports of sleep duration and affect collected via ecological momentary assessment with smartphones over eleven weeks. Measures of depressive and manic symptoms, medication adherence, and cognitive function were collected at baseline and concurrent assessment of affect were collected daily. Analyses examined whether sleep duration or variability were associated with baseline measures and changes in same-day or next-day affect.
resultsGreater sleep duration variability (but not average sleep duration) was associated with greater depressive and manic symptom severity, and lower medication adherence at baseline, and with lower and more variable ratings of positive affect and higher ratings of negative affect. Sleep durations shorter than 7-8 h were associated with lower same-day ratings of positive and higher same-day ratings of negative affect, however this did not extend to next-day affect.
conclusionsGreater cumulative day-to-day sleep duration variability, but not average sleep duration, was related to more severe mood symptoms, lower self-reported medication adherence and higher levels of negative affect. Bouts of short- or long-duration sleep had transient impact on affect. Day-to-day sleep variability may be important to incorporate into clinical assessment of sleep disturbances in bipolar disorder.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.