Relationship between sleep and mood in patients with rapid-cycling bipolar disorder

被引:121
作者
Leibenluft, E [1 ]
Albert, PS [1 ]
Rosenthal, NE [1 ]
Wehr, TA [1 ]
机构
[1] NHLBI,OFF BIOSTAT RES,BETHESDA,MD 20892
关键词
circadian rhythms; hypomania; mania; depression; wake onset;
D O I
10.1016/0165-1781(96)02854-5
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The relationship between sleep and mood was examined in a longitudinal, naturalistic data set derived from out-patients with rapid-cycling bipolar disorder. Eleven patients completed daily self-ratings of mood and sleep logs for 18 months. Using logistic regression with autoregressive terms, we examined the effect of prior sleep (sleep duration, time of sleep onset, and time of wake onset) on the probability of being in a depressed, manic, or hypomanic episode on one or more subsequent days. Of the three sleep parameters, decreased sleep duration was the best predictor of mania or hypomania the next day, followed by wake onset time. The association between sleep duration and subsequent mood was less consistent for depression than for mania or hypomania. Four of the patients showed no relationship between mood and any of the sleep variables measured. These results reinforce the importance of monitoring, and perhaps controlling, sleep duration and wake onset time in at least some patients with rapid-cycling bipolar disorder.
引用
收藏
页码:161 / 168
页数:8
相关论文
共 22 条
[1]   EFFECT OF DAILY VARIATION IN WEATHER AND SLEEP ON SEASONAL AFFECTIVE-DISORDER [J].
ALBERT, PS ;
ROSEN, LN ;
ALEXANDER, JR ;
ROSENTHAL, NE .
PSYCHIATRY RESEARCH, 1991, 36 (01) :51-63
[2]  
Association A.P., 1987, Diagnostic and Statistical Manual of Mental Disorders-Revision
[3]  
CARLSON G, 1979, PSYCHIATR CLIN N AM, V2, P511
[4]  
CASPER RC, 1985, ARCH GEN PSYCHIAT, V42, P1098
[5]  
Cox DE., 1989, Analysis of Binary Data, V2nd
[6]   HYPERSOMNIA AND MANIC-DEPRESSIVE DISEASE [J].
DETRE, T ;
BYCK, R ;
ANDERSON, CM ;
KUPFER, DJ ;
SWARTZBU.M ;
HIMMELHO.J .
AMERICAN JOURNAL OF PSYCHIATRY, 1972, 128 (10) :1303-&
[7]  
DUNNER DL, 1974, ARCH GEN PSYCHIAT, V30, P229
[8]   2-OSCILLATOR STRUCTURE OF THE PACEMAKER CONTROLLING THE CIRCADIAN-RHYTHM OF N-ACETYLTRANSFERASE IN THE RAT PINEAL-GLAND [J].
ILLNEROVA, H ;
VANECEK, J .
JOURNAL OF COMPARATIVE PHYSIOLOGY, 1982, 145 (04) :539-548
[9]   24-HOUR PROFILES OF ADRENOCORTICOTROPIN, CORTISOL, AND GROWTH-HORMONE IN MAJOR DEPRESSIVE-ILLNESS - EFFECT OF ANTIDEPRESSANT TREATMENT [J].
LINKOWSKI, P ;
MENDLEWICZ, J ;
KERKHOFS, M ;
LECLERCQ, R ;
GOLSTEIN, J ;
BRASSEUR, M ;
COPINSCHI, G ;
VANCAUTER, E .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1987, 65 (01) :141-152
[10]  
REGESTEIN QR, 1995, AM J PSYCHIAT, V152, P602