Sleep Disturbances in Bipolar Disorder

Authors

  • Cátia Alves Moreira Centro Hospitalar Psiquiátrico de Lisboa
  • Pedro Afonso Professor Auxiliar de Psiquiatria na Faculdade de Medicina da Universidade de Lisboa

DOI:

https://doi.org/10.25752/psi.6095

Keywords:

Sleep Disturbance, Bipolar Disorder, Polysomnography, Sleep.

Abstract

Background: Bipolar disorder, characterized by episodes of mania, hypomania and depression is associated with sleep disturbances and circadian rhythm disruption. These changes have significant impact on quality of life and in the disease prognosis.

Aims: Review of the main sleep disturbances observed in the bipolar disorder, their clinical impact and the hypothetical pathophysiological mechanisms involved.

Methods: We conducted a non-systematic review of the literature in English through research in PubMed with the keywords “sleep disturbance”, “bipolar disorder”, “polysomnography”.

Results and Conclusions: Complaints about sleep pattern changes may occur during any phase of the disease. These in clude frequent night-time awakenings, poor sleep quality, reduction of the total sleeping time and decreased latency and increased density of REM sleep. The treatment of the sleep disturbances observed in bipolar disorder should be considered a priority, since it prevents symptoms recurrence and facilitate the socio-professional integration, thus providing greater success in patient’s rehabilitation and quality of life.

Author Biographies

Cátia Alves Moreira, Centro Hospitalar Psiquiátrico de Lisboa

Interna de Psiquiatria do Centro Hospitalar Psiquiátrico de Lisboa

Pedro Afonso, Professor Auxiliar de Psiquiatria na Faculdade de Medicina da Universidade de Lisboa

Professor Auxiliar de Psiquiatria na Faculdade de Medicina da Universidade de Lisboa

Published

2015-06-01

Issue

Section

Review Articles