Life Events, Sleep Disturbance, and Mania: An Integrated Model
Article first published online: 13 JUN 2013
© 2013 American Psychological Association. Published by Wiley Periodicals, Inc., on behalf of the American Psychological Association.
Clinical Psychology: Science and Practice
Volume 20, Issue 2, pages 195–210, June 2013
How to Cite
[Clin Psychol Sci Prac 20:195–210, 2013]
- Issue published online: 13 JUN 2013
- Article first published online: 13 JUN 2013
- Manuscript Accepted: 2 MAR 2013
- Manuscript Revised: 1 APR 2012
- Manuscript Received: 23 SEP 2011
- bipolar disorder;
- life events;
- social rhythms
Bipolar disorder contributes substantially to the global burden of disease. Both sleep disturbance and life events predict symptoms of mania, although the underlying mechanisms associated with these relationships have been difficult to elucidate. In this report, we explore the relationships among life events, sleep disturbance, and mania in an effort to provide support for the hypothesis that some life events lead to a disruption of sleep that may ultimately lead to the development of mania. We present an integrated conceptual model that draws on research examining the mechanisms by which life events disrupt sleep in various populations, and we evaluate the role of these mechanisms in individuals with mania. Suggestions for future work in this area are also presented.