ArticlePsychological medicine2023
The dynamic interplay between sleep and mood: an intensive longitudinal study of individuals with bipolar disorder.
Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Dropout, Attrition, Adherence, and Compliance in Mood Monitoring and Ambulatory Assessment Studies for Depression and Bipolar Disorder: Systematic Review and Meta-Analysis.JMIR mental health · 2026Pooled it
- At least 150 min per week of Tai chi practice improves sleep quality in the older people: evidence from a meta-analysis.European geriatric medicine · 2025Pooled it
- Management of Lithium in Pregnancy and Lactation: An Individualized Approach.Current psychiatry reports · 2026Review
- Performance of active and passive ambulatory assessment measures and mood monitoring in bipolar disorder: a systematic review.International journal of bipolar disorders · 2026Review
- Sleep Disturbances Among Adult Patients with Mood Disorders: A Saudi Cross-Sectional Study.Nature and science of sleep · 2026Article
- Frequency analysis of mood, sleep, and alcohol and nicotine use: investigating instability in bipolar I and II disorder.Frontiers in psychiatry · 2026Article
- Digital tools for assessing bipolar disorder: A scoping review of the current landscape.Neuroscience applied · 2026Article
- The implementation of digital biomarkers in the diagnosis, treatment and monitoring of mood disorders: a narrative review.Frontiers in digital health · 2025Review
- Sleep quality predicts future mood symptoms in adolescents with bipolar disorder.Journal of affective disorders · 2024Article
- Specificity of affective dynamics of bipolar and major depressive disorder.Brain and behavior · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundSleep disturbances are important symptoms to monitor in people with bipolar disorder (BD) but the precise longitudinal relationships between sleep and mood remain unclear. We aimed to examine associations between stable and dynamic aspects of sleep and mood in people with BD, and assess individual differences in the strength of these associations.
methodsParticipants (
resultsIncreased variability in insomnia symptoms was associated with increased mood variability. In the sample as a whole, we found strong evidence of bidirectional relationships between insomnia and depressive symptoms but only weak support for bidirectional relationships between insomnia and (hypo)manic symptoms. We found substantial variability between participants in the strength of prospective associations between insomnia and mood, which depended on age, gender, bipolar subtype, and a history of rapid cycling.
conclusionsOur results highlight the importance of monitoring sleep in people with BD. However, researchers and clinicians investigating the association between sleep and mood should consider subgroup differences in this relationship. Advances in digital technology mean that intensive longitudinal data on sleep and mood are becoming increasingly available. Novel methods to analyse these data present an exciting opportunity for furthering our understanding of BD.
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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.