共 113 条
The Adverse Consequences of Sleep Disturbance in Pediatric Bipolar Disorder: Implications for Intervention
被引:32
作者:
Harvey, Allison G.
[1
]
机构:
[1] Univ Calif Berkeley, Dept Psychol, Berkeley, CA 94720 USA
关键词:
Bipolar disorder;
Sleep;
Insomnia;
Hypersomnia;
Mood;
Obesity;
Substance use;
Impulsivity;
COGNITIVE-BEHAVIORAL THERAPY;
SUBSTANCE USE DISORDERS;
SOCIAL RHYTHM THERAPY;
EARLY-ONSET;
RELAPSE PREVENTION;
CIRCADIAN-RHYTHMS;
EEG SLEEP;
HIGH-RISK;
ADOLESCENTS;
CHILDREN;
D O I:
10.1016/j.chc.2008.11.006
中图分类号:
R749 [精神病学];
学科分类号:
100205 ;
摘要:
Bipolar disorder (BPD) is a severe and chronic disorder, ranked among the top 10 leading causes of disability worldwide. Bipolar spectrum disorders with onset in childhood and adolescence have a particularly severe course, including more suicide attempts and greater comorbidity. The evidence accrued to date indicates that sleep disturbances are common among youth with BPD. Moreover, sleep problems may be an early marker for BPD, a distinguishing feature of BPD, and a contributor to relapse. The evidence reviewed highlights that sleep problems are associated with a range of serious adverse consequences, including difficulty in regulating affect in the daytime and difficulties with cognitive functions, such as memory, learning, attention, and concentration. Evidence reviewed also points to sleep disturbance as one possible contributor to weight gain, comorbid substance use, and impulsivity. The implications for intervention are explored, and a multicomponent sleep intervention for youth with BPD is outlined.
引用
收藏
页码:321 / +
页数:19
相关论文