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Psychological and behavioural interventions in bipolar disorder that target sleep and circadian rhythms: A systematic review of randomised controlled trials.

Authors :
Bisdounis L
Saunders KEA
Farley HJ
Lee CK
McGowan NM
Espie CA
Kyle SD
Source :
Neuroscience and biobehavioral reviews [Neurosci Biobehav Rev] 2022 Jan; Vol. 132, pp. 378-390. Date of Electronic Publication: 2021 Dec 03.
Publication Year :
2022

Abstract

Sleep and circadian disruptions are prominent symptoms of bipolar disorder (BD) and potential targets for adjunctive interventions. The aim of this review was to appraise the effectiveness of psychological and behavioural interventions in BD that target sleep and circadian rhythms, as reported by randomised controlled trials. Nineteen studies met the inclusion/exclusion criteria. They were summarised via narrative synthesis and meta-analysis wherever appropriate. Six studies delivered bright light therapy, five interpersonal and social rhythm therapy, two blue-light blocking glasses, one cognitive behavioural therapy for insomnia, one total sleep deprivation, and four combination treatments. More than half of the studies (N = 10, 52 %) did not measure sleep or circadian rhythms despite being the principal target of the intervention. Overall, the evidence base for the effectiveness of these interventions was limited. There was a small number of studies for each intervention, and a lack of consistency in protocols and outcomes. Meta-analysis was possible for the effect of bright light therapy on depression, revealing a medium-to-large post-treatment effect (Nc = 6; g=-0.74 [95 % CI=-1.05 to -0.42], p < 0.001).<br /> (Copyright © 2021. Published by Elsevier Ltd.)

Details

Language :
English
ISSN :
1873-7528
Volume :
132
Database :
MEDLINE
Journal :
Neuroscience and biobehavioral reviews
Publication Type :
Academic Journal
Accession number :
34871635
Full Text :
https://doi.org/10.1016/j.neubiorev.2021.12.002