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  • Psychosocial 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. Methods: 101 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. Results: Less 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). Limitations: Self-reported data, naturalistic study, and computer access required. Conclusions: Self-monitoring of sleep duration is recommended for patients with bipolar disorder. Better understanding of the long sleep duration of euthymic patients is required.
  • Psychosocial 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. Methods: 101 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. Results: Less 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). Limitations: Self-reported data, naturalistic study, and computer access required. Conclusions: Self-monitoring of sleep duration is recommended for patients with bipolar disorder. Better understanding of the long sleep duration of euthymic patients is required. (en)
Title
  • Comparison of sleep/wake parameters for self-monitoring bipolar disorder
  • Comparison of sleep/wake parameters for self-monitoring bipolar disorder (en)
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  • Comparison of sleep/wake parameters for self-monitoring bipolar disorder
  • Comparison of sleep/wake parameters for self-monitoring bipolar disorder (en)
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  • RIV/00216208:11120/09:43906861!RIV13-MSM-11120___
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  • 307773
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  • RIV/00216208:11120/09:43906861
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  • Prodromes; Sleep; Bipolar disorder (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • NL - Nizozemsko
http://linked.open...ontrolniKodProRIV
  • [3897F3F969F6]
http://linked.open...i/riv/nazevZdroje
  • Journal of Affective Disorders
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http://linked.open...UplatneniVysledku
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  • 116
http://linked.open...iv/tvurceVysledku
  • Alda, Martin
http://linked.open...ain/vavai/riv/wos
  • 000268074400003
issn
  • 0165-0327
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.jad.2008.11.014
http://localhost/t...ganizacniJednotka
  • 11120
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