Sleep disturbances are highly prevalent across all stages of Bipolar Disorder. Despite a wealth of research on the neurophysiological features of sleep in this population, progress in this field has been slow. We aimed to review the literature on sleep electroencephalography (EEG) studies in Bipolar Disorder, considering sleep architecture and microstructural oscillatory activity. We included a total of 22 studies: six on sleep during manic episodes, seven during depressive episodes, seven in euthymic patients and two in high-risk individuals. The most consistent findings were increased SOL and REM density across all stages of the disorder. Only two studies reported a reduced spindle count during bipolar depression and euthymia, respectively. Although not specific for Bipolar Disorder, SOL and REM density have been repeatedly found to be increased across all stages of illness in this population. Whereas the former reflects a difficulty initiating sleep, the latter can be considered a neurophysiological signature of patients’ overall reduced sleep need, independent of illness stage.

Sleep abnormalities across different clinical stages of Bipolar Disorder: A review of EEG studies / C. Zangani, C. Casetta, A.S. Saunders, F. Donati, E. Maggioni, A. D’Agostino. - In: NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS. - ISSN 0149-7634. - (2020). [Epub ahead of print] [10.1016/j.neubiorev.2020.07.031]

Sleep abnormalities across different clinical stages of Bipolar Disorder: A review of EEG studies

C. Zangani
Primo
;
C. Casetta
Secondo
;
F. Donati;A. D’Agostino
Ultimo
2020

Abstract

Sleep disturbances are highly prevalent across all stages of Bipolar Disorder. Despite a wealth of research on the neurophysiological features of sleep in this population, progress in this field has been slow. We aimed to review the literature on sleep electroencephalography (EEG) studies in Bipolar Disorder, considering sleep architecture and microstructural oscillatory activity. We included a total of 22 studies: six on sleep during manic episodes, seven during depressive episodes, seven in euthymic patients and two in high-risk individuals. The most consistent findings were increased SOL and REM density across all stages of the disorder. Only two studies reported a reduced spindle count during bipolar depression and euthymia, respectively. Although not specific for Bipolar Disorder, SOL and REM density have been repeatedly found to be increased across all stages of illness in this population. Whereas the former reflects a difficulty initiating sleep, the latter can be considered a neurophysiological signature of patients’ overall reduced sleep need, independent of illness stage.
Sleep need; REM density; Insomnia; Circadian rhythms; Bipolar Depression; Sleep oscillations
Settore MED/25 - Psichiatria
27-lug-2020
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/756760
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