کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4187075 1277616 2009 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comparison of sleep/wake parameters for self-monitoring bipolar disorder
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
پیش نمایش صفحه اول مقاله
Comparison of sleep/wake parameters for self-monitoring bipolar disorder
چکیده انگلیسی

BackgroundPsychosocial interventions may teach patients with bipolar disorder to successfully detect warning signs of relapse. These interventions often include ongoing self-monitoring of sleep. We previously reported that a change in sleep duration (sleep plus bedrest) of > 3 h may indicate that a mood change is imminent. This analysis further investigated whether sleep duration, sleep onset or sleep offset was the most useful sleep/wake parameter to monitor for an oncoming mood change.Methods101 adult outpatients receiving treatment as usual recorded mood, sleep and medications every day on a home computer for a mean of 265 ± 103 days. A daily time series of mood, sleep duration (sleep plus bedrest), sleep onset and sleep offset was constructed for each patient. After applying an ARIMA (0,1,1) filter, a cross correlation function was used to analyze the temporal relationship between the residuals for lags of ± 7 days.ResultsLess frequent significant correlations were found between a change in either sleep onset or sleep offset and mood, than between sleep duration and mood. Patients with a significant correlation between sleep duration and mood included 86% of those with a significant correlation between sleep onset or sleep offset and mood. Mean sleep duration when euthymic was long (≥ 8 h in 89% of patients, ≥ 9 h in 51% of patients).LimitationsSelf-reported data, naturalistic study, and computer access required.ConclusionsSelf-monitoring of sleep duration is recommended for patients with bipolar disorder. Better understanding of the long sleep duration of euthymic patients is required.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Affective Disorders - Volume 116, Issue 3, August 2009, Pages 170–175
نویسندگان
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