Evidence map›Paper›PMID 31712668›Full record

ArticleTranslational psychiatry2019

Vulnerability to bipolar disorder is linked to sleep and sleepiness.

Tilman Hensch, David Wozniak, Janek Spada, Christian Sander, Christine Ulke, Dirk Alexander Wittekind, Joachim Thiery, Markus Löffler, Philippe Jawinski, Ulrich Hegerl

Abstract read
In one paragraph

Article in Translational psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  4. Exploring Dapagliflozin's Influence on Autophagic Flux in Mania-like Behaviour: Insights from the LKB1/AMPK/LC3 Pathway in a Mouse Model.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tilman HenschDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany. tilman.hensch@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0003-2696-6017
David WozniakDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Janek SpadaDepression Research Centre, German Depression Foundation, Frankfurt am Main, Germany.
Christian SanderDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Christine UlkeDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.ORCID http://orcid.org/0000-0002-8277-1671
Dirk Alexander WittekindDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Joachim ThieryLIFE-Leipzig Research Center for Civilization Diseases, Universität Leipzig, Leipzig, Germany.
Markus LöfflerLIFE-Leipzig Research Center for Civilization Diseases, Universität Leipzig, Leipzig, Germany.
Philippe JawinskiLIFE-Leipzig Research Center for Civilization Diseases, Universität Leipzig, Leipzig, Germany. philippe.jawinski@hu-berlin.de.ORCID http://orcid.org/0000-0002-2994-3075
Ulrich HegerlLIFE-Leipzig Research Center for Civilization Diseases, Universität Leipzig, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep impairments are a hallmark of acute bipolar disorder (BD) episodes and are present even in the euthymic state. Studying healthy subjects who are vulnerable to BD can improve our understanding of whether sleep impairment is a predisposing factor. Therefore, we investigated whether vulnerability to BD, dimensionally assessed by the hypomanic personality scale (HPS), is associated with sleep disturbances in healthy subjects. We analyzed participants from a population-based cohort who had completed the HPS and had either a 7-day actigraphy recording or a Pittsburgh sleep quality index (PSQI) assessment. In addition, subjects had to be free of confounding diseases or medications. This resulted in 771 subjects for actigraphy and 1766 for PSQI analyses. We found strong evidence that higher HPS scores are associated with greater intraindividual sleep variability, more disturbed sleep and more daytime sleepiness. In addition, factor analyses revealed that core hypomanic features were especially associated with self-reported sleep impairments. Results support the assumption of disturbed sleep as a possibly predisposing factor for BD and suggest sleep improvement as a potential early prevention target.

Indexed as

ActigraphyCircadian RhythmSleepSleepinessAgedAged, 80 and overBipolar DisorderCase-Control StudiesFemaleHumansLinear ModelsMaleMiddle AgedSelf ReportSeverity of Illness IndexSleep Wake Disorders

Identifiers

PMID31712668
PMCPMC6848097

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Registered trials

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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.