Morton Emma, Murray Greg
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
Centre for Mental Health, Department of Psychological Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia.
Curr Opin Psychol. 2020 Aug;34:1-6. doi: 10.1016/j.copsyc.2019.08.022. Epub 2019 Aug 26.
Sleep and circadian rhythms have been implicated in the onset, course, and treatment of bipolar disorder. The aim of the present review is to provide an update on emerging understandings of the role of sleep in BD. Recent research in this population has provided further clarity around the prevalence of sleep problems and comorbidities, their relationship to mood symptoms and other clinical features, and their assessment and treatment. A number of important trends are highlighted: the need for more granularity in the characterisation of sleep problems, the potentially disruptive role of commercial sleep monitoring technologies in assessment and treatment, and the urgent need for further research into pharmacological and psychosocial strategies to treat sleep problems in bipolar disorder.
睡眠和昼夜节律与双相情感障碍的发病、病程及治疗有关。本综述的目的是更新对睡眠在双相情感障碍中作用的新认识。最近针对该人群的研究进一步明确了睡眠问题及合并症的患病率、它们与情绪症状及其他临床特征的关系，以及它们的评估和治疗方法。突出了一些重要趋势：在描述睡眠问题时需要更细化，商业睡眠监测技术在评估和治疗中可能具有干扰作用，以及迫切需要进一步研究治疗双相情感障碍睡眠问题的药理和心理社会策略。
