[Skip to Content]
[Skip to Content Landing]
Views 2,105
Citations 0
Editorial
November 21, 2019

The Importance of Sleep Phenotypes in Bipolar Disorders

Author Affiliations
  • 1University of Wisconsin-Madison, Department of Psychiatry, Madison
JAMA Psychiatry. Published online November 21, 2019. doi:https://doi.org/10.1001/jamapsychiatry.2019.3747

Sleep disturbance plays several key roles in bipolar disorder (BD). From a diagnostic perspective, insomnia and hypersomnia are criteria for a depressive episode, while decreased need for sleep is a highly specific symptom for a manic episode.1,2 Sleep disturbance is the most common prodromal symptom preceding mania, and the duration of sleep observed early in the course of psychiatric hospitalization may predict the speed of recovery from a manic episode.3,4 Even during euthymic periods, patients with BD frequently struggle with sleep difficulties, which may affect quality of life and the choice of pharmacotherapy and increase the likelihood of major mood episode recurrence.5

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×