Sleep Disturbance in Bipolar Disorder Across the Lifespan
Article first published online: 10 JUN 2009
© 2009 American Psychological Association
Clinical Psychology: Science and Practice
Special Issue: Bipolar Disorder
Volume 16, Issue 2, pages 256–277, June 2009
How to Cite
Harvey, A. G., Talbot, L. S. and Gershon, A. (2009), Sleep Disturbance in Bipolar Disorder Across the Lifespan. Clinical Psychology: Science and Practice, 16: 256–277. doi: 10.1111/j.1468-2850.2009.01164.x
- Issue published online: 10 JUN 2009
- Article first published online: 10 JUN 2009
- Received August 5, 2008/October 13, 2008; accepted October 25, 2008.
- bipolar disorder;
The aim of this article is to highlight the importance of the sleep–wake cycle in children, adolescents, and adults with bipolar disorder. After reviewing the evidence that has accrued to date on the nature and severity of the sleep disturbance experienced, we document the importance of sleep for quality of life, risk for relapse, affective functioning, cognitive functioning, health (sleep disturbance is implicated in obesity, poor diet, and inadequate exercise), impulsivity, and risk taking. We argue that sleep may be critically important in the complex multifactorial cause of interepisode dysfunction, adverse health outcomes, and relapse. An agenda for future research is presented that includes improving the quality of sleep measures and controlling for the impact of bipolar medications.