ArticleJournal of affective disorders2024
Sleep quality predicts future mood symptoms in adolescents with bipolar disorder.
Article in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sleep abnormalities in bipolar disorders across mood phases: A systematic review and meta-analysis.Sleep medicine reviews · 2025Pooled it
- Childhood Trauma, Perceived Stress, and Developmental Trajectories of Sleep Problems in Adolescents.Stress and health : journal of the International Society for the Investigation of Stress · 2026Article
- Sleeping Less Than Usual Is Associated With Greater Daily Depression and Higher Reactivity to Negative Interpersonal Events Among Suicidal Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026Article
- Anxiety severity moderates the relation between pineal parenchymal volume and objective sleep problems in peri-adolescent youth.Scientific reports · 2026Article
- Associations Between Mental Health Status and Sleep and Physical Activity Among Adolescents in Hawai'i.Hawai'i journal of health & social welfare · 2026Article
- Sleep characteristics and cognitive impairment in bipolar disorder: age-specific associations.Frontiers in psychiatry · 2026Article
- Perinatal maternal factors influencing postpartum feeding practices at six weeks.BMC pregnancy and childbirth · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundPoor sleep is prevalent in adolescents with bipolar disorder, precedes illness onset, and is associated with worse mood symptoms. We examined interrelationships between sleep quality and mood symptoms in adolescents with bipolar disorder, particularly effects of sleep quality on emergent mood symptoms.
methodsAdolescents with bipolar disorder participated in a two-year longitudinal treatment study. Sleep quality (Pittsburgh Sleep Quality Index, PSQI) was assessed quarterly during treatment (baseline, 3-, 6-, 9-, 12-month visits) and twice during follow-up (18-, 24-month visits). Mood symptoms (ALIFE Psychiatric Status Ratings) were retrospectively rated weekly by an independent clinician. Lag models tested whether sleep quality predicted next month's mood symptoms and whether mood symptoms predicted future sleep quality.
resultsAdolescents with bipolar disorder had poor sleep quality. Sleep quality initially improved but remained stable thereafter. Worse sleep quality at 6-months predicted worse depression, hypomania, and suicidal ideation the following month. Sleep quality was worse for adolescents who had a suicide attempt during the study compared to those who did not and was worse preceding months with a suicide attempt compared to months without attempts. Alternatively, worse depression predicted worse future sleep quality at baseline, 3-, and 18-months and worse suicidal ideation predicted worse future sleep quality at baseline, 12-, and 18-months. LIMITATIONS: Mood symptoms were rated retrospectively and the PSQI may not capture all dimensions of sleep important for mood symptoms.
conclusionsTargeted evidence-based sleep treatment in adolescents with bipolar disorder may alleviate sleep problems and have additional benefits on mood symptoms and suicidality risk.
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