Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-19T02:45:25.543Z Has data issue: false hasContentIssue false
  • English
  • Français

You'll feel better in the morning: slow wave activity and overnight mood regulation in interepisode bipolar disorder

Published online by Cambridge University Press:  19 June 2017

A. M. Soehner ,
K. A. Kaplan ,
J. M. Saletin ,
L. S. Talbot ,
I. S. Hairston ,
J. Gruber ,
P. Eidelman ,
M. P. Walker  and
A. G. Harvey
A. M. Soehner*
Affiliation:
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
K. A. Kaplan
Affiliation:
Department of Psychiatry, Stanford University School of Medicine, Stanford, CA, USA
J. M. Saletin
Affiliation:
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA
L. S. Talbot
Affiliation:
San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA
I. S. Hairston
Affiliation:
School of Behavioral Sciences, Academic College of Tel Aviv – Jaffa, Jaffa, Israel
J. Gruber
Affiliation:
Department of Psychology, University of Colorado, Boulder, Boulder, CO, USA
P. Eidelman
Affiliation:
Cognitive Behavior Therapy and Science Center, Oakland, CA, USA
M. P. Walker
Affiliation:
Department of Psychology, University of California, Berkeley, Berkeley, CA, USA
A. G. Harvey
Affiliation:
Department of Psychology, University of California, Berkeley, Berkeley, CA, USA
*
*Address for correspondence: A. Soehner, Department of Psychiatry, University of Pittsburgh School of Medicine, Loeffler Building, Rm 302, 121 Meyran Ave, Pittsburgh, PA 15213, USA (Email: [email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Sleep disturbances are prominent correlates of acute mood episodes and inadequate recovery in bipolar disorder (BD), yet the mechanistic relationship between sleep physiology and mood remains poorly understood. Using a series of pre-sleep mood inductions and overnight sleep recording, this study examined the relationship between overnight mood regulation and a marker of sleep intensity (non-rapid eye movement sleep slow wave activity; NREM SWA) during the interepisode phase of BD.

Methods

Adults with interepisode BD type 1 (BD; n = 20) and healthy adult controls (CTL; n = 23) slept in the laboratory for a screening night, a neutral mood induction night (baseline), a happy mood induction night, and a sad mood induction night. NREM SWA (0.75–4.75 Hz) was derived from overnight sleep EEG recordings. Overnight mood regulation was evaluated using an affect grid pleasantness rating post-mood induction (pre-sleep) and the next morning.

Results

Overnight mood regulation did not differ between groups following the sad or happy inductions. SWA did not significantly change for either group on the sad induction night compared with baseline. In BD only, SWA on the sad night was related to impaired overnight negative mood regulation. On the happy induction night, SWA increased relative to baseline in both groups, though SWA was not related to overnight mood regulation for either group.

Conclusions

These findings indicate that SWA disruption may play a role in sustaining negative mood state from the previous night in interepisode BD. However, positive mood state could enhance SWA in bipolar patients and healthy adults.

Keywords

Bipolar disordersleepmood regulationpolysomnography
Type
Original Articles
Information
Psychological Medicine , Volume 48 , Issue 2 , January 2018 , pp. 249 - 260
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aas, M, Pedersen, G, Henry, C, Bjella, T, Bellivier, F, Leboyer, M, Kahn, JP, Cohen, RF, Gard, S, Aminoff, SR, Lagerberg, TV, Andreassen, OA, Melle, I, Etain, B (2014). Psychometric properties of the Affective Lability Scale (54 and 18-item version) in patients with bipolar disorder, first-degree relatives, and healthy controls. Journal of Affective Disorders 172C, 375–380.Google Scholar
Admon, R, Pizzagalli, DA (2015). Corticostriatal pathways contribute to the natural time course of positive mood. Nature Communications 6, 10065.Google Scholar
Albersnagel, FA (1988). Velten and musical mood induction procedures: a comparison with accessibility of thought associations. Behavior Research and Therapy 26, 79–96.Google Scholar
Almeida, JR, Akkal, D, Hassel, S, Travis, MJ, Banihashemi, L, Kerr, N, Kupfer, DJ, Phillips, ML (2009). Reduced gray matter volume in ventral prefrontal cortex but not amygdala in bipolar disorder: significant effects of gender and trait anxiety. Psychiatry Research 171, 54–68.Google Scholar
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edn, text revision. American Psychiatric Association: Washington, DC.Google Scholar
APA (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. American Psychiatric Association: Washington, DC.Google Scholar
Armitage, R (2007). Sleep and circadian rhythms in mood disorders. Acta Psychiatrica Scandinavica Supplement 433, 104–115.Google Scholar
Artioli, P, Lorenzi, C, Pirovano, A, Serretti, A, Benedetti, F, Catalano, M, Smeraldi, E (2007). How do genes exert their role? Period 3 gene variants and possible influences on mood disorder phenotypes. European Neuropsychopharmacology 17, 587–594.Google Scholar
Asaad, T, Sabry, W, Rabie, M, El-Rassas, H (2016). Polysomnographic characteristics of bipolar hypomanic patients: comparison with unipolar depressed patients. Journal of Affective Disorders 191, 274–279.Google Scholar
Benedetti, F, Colombo, C (2011). Sleep deprivation in mood disorders. Neuropsychobiology 64, 141–151.Google Scholar
Boivin, DB, Czeisler, CA, Dijk, DJ, Duffy, JF, Folkard, S, Minors, DS, Totterdell, P, Waterhouse, JM (1997). Complex interaction of the sleep-wake cycle and circadian phase modulates mood in healthy subjects. Archives of General Psychiatry 54, 145–152.Google Scholar
Borbely, A, Wirz-Justice, A (1982). Sleep, sleep deprivation and depression. Human Neurobiology 1, 205–210.Google ScholarPubMed
Borbély, AA (1982). A two process model of sleep regulation. Human Neurobiology 1, 195–204.Google Scholar
Borbély, AA, Achermann, P (2000). Homeostasis of human sleep and models of sleep regulation. . In Principles and Practice of Sleep Medicine (ed. Kryger, M. H., Roth, T, Dement, W. C.), pp. 377–390. W. B. Saunders: Philadelphia.Google Scholar
Borbely, AA, Daan, S, Wirz-Justice, A, Deboer, T (2016). The two-process model of sleep regulation: a reappraisal. Journal of Sleep Research 25, 131–143.CrossRefGoogle ScholarPubMed
Cartwright, R, Baehr, E, Kirkby, J, Pandi-Perumal, SR, Kabat, J (2003). REM sleep reduction, mood regulation and remission in untreated depression. Psychiatry Research 121, 159–167.Google Scholar
Cartwright, R, Luten, A, Young, M, Mercer, P, Bears, M (1998). Role of REM sleep and dream affect in overnight mood regulation: a study of normal volunteers. Psychiatry Research 81, 1–8.Google Scholar
Cheng, P, Goldschmied, J, Casement, M, Kim, HS, Hoffmann, R, Armitage, R, Deldin, P (2015). Reduction in delta activity predicted improved negative affect in Major Depressive Disorder. Psychiatry Research 228, 715–718.Google Scholar
Chengappa, KN, Baker, RW, Shao, L, Yatham, LN, Tohen, M, Gershon, S, Kupfer, DJ (2003). Rates of response, euthymia and remission in two placebo-controlled olanzapine trials for bipolar mania. Bipolar Disorders 5, 1–5.Google Scholar
Dallaspezia, S, Locatelli, C, Lorenzi, C, Pirovano, A, Colombo, C, Benedetti, F (2016). Sleep homeostatic pressure and PER3 VNTR gene polymorphism influence antidepressant response to sleep deprivation in bipolar depression. Journal of Affective Disorders 192, 64–69.Google Scholar
Davis, JM, Chen, N (2004). Dose response and dose equivalence of antipsychotics. Journal of Clinical Psychopharmacology 24, 192–208.Google Scholar
Denicoff, KD, Smith-Jackson, EE, Disney, ER, Suddath, RL, Leverich, GS, Post, RM (1997). Preliminary evidence of the reliability and validity of the prospective life-chart methodology (LCM-p). Journal of Psychiatric Resesearch 31, 593–603.Google Scholar
Edinger, JD, Bonnet, MH, Bootzin, RR, Doghramji, K, Dorsey, CM, Espie, CA, Jamieson, AO, McCall, WV, Morin, CM, Stepanski, EJ (2004). Derivation of research diagnostic criteria for insomnia: report of an American Academy of Sleep Medicine Work Group. Sleep 27, 1567–1596.Google Scholar
Edinger, JD, Wyatt, JK, Olsen, MK, Stechuchak, KM, Carney, CE, Chiang, A, Krystal, AD, Lineberger, MD, Means, MK, Radtke, RA (2009). Reliability and validity of the Duke Structured Interview for Sleep Disorders for insomnia screening. Sleep 32, A265.Google Scholar
Eich, E, Macaulay, D, Ryan, L (1994). Mood dependent memory for events of the personal past. Journal of Experimental Psychology: General 123, 201–215.Google Scholar
Eidelman, P, Talbot, LS, Gruber, J, Hairston, I, Harvey, AG (2010). Sleep architecture as correlate and predictor of symptoms and impairment in inter-episode bipolar disorder: taking on the challenge of medication effects. Journal of Sleep Research 19, 516–524.Google Scholar
First, M, Spitzer, R, Gibbons, M, Williams, J (1997). Structured Clinical Interview for DSM IV Axis 1 Disorders: clinician version. American Psychiatric Press: Washington, DC.Google Scholar
Fossion, P, Staner, L, Dramaix, M, Kempenaers, C, Kerkhofs, M, Hubain, P, Verbanck, P, Mendlewicz, J, Linkowski, P (1998). Does sleep EEG data distinguish between UP, BPI or BPII major depressions? An age and gender controlled study. Journal of Affective Disorders 49, 181–187.Google Scholar
Gillin, JC, Duncan, W, Pettigrew, KD, Frankel, BL, Snyder, F (1979). Successful separation of depressed, normal and insomniac subjects by EEG sleep data. Archives of General Psychiatry 36, 85–90.Google Scholar
Harvey, AG (2008). Sleep and circadian rhythms in bipolar disorder: seeking synchrony, harmony, and regulation. American Journal of Psychiatry 165, 820–829.Google Scholar
Hoffmann, R, Hendrickse, W, Rush, AJ, Armitage, R (2000). Slow-wave activity during non-REM sleep in men with schizophrenia and major depressive disorders. Psychiatry Research 95, 215–225.Google Scholar
Huber, R, Maatta, S, Esser, SK, Sarasso, S, Ferrarelli, F, Watson, A, Ferreri, F, Peterson, MJ, Tononi, G (2008). Measures of cortical plasticity after transcranial paired associative stimulation predict changes in electroencephalogram slow-wave activity during subsequent sleep. Journal of Neuroscience 28, 7911–7918.Google Scholar
Hudson, JI, Lipinski, JF, Frankenburg, FR, Grochocinski, VJ, Kupfer, DJ (1988). Electroencephalographic sleep in mania. Archives of General Psychiatry 45, 267–273.Google Scholar
Joffe, RT, MacQueen, GM, Marriott, M, Trevor Young, L (2004). A prospective, longitudinal study of percentage of time spent ill in patients with bipolar I or bipolar II disorders. Bipolar Disorders 6, 62–66.Google Scholar
Knowles, JB, Cairns, J, MacLean, AW, Delva, N, Prowse, A, Waldron, J, Letemendia, FJ (1986). The sleep of remitted bipolar depressives: comparison with sex and age-matched controls. Canadian Journal of Psychiatry 31, 295–298.Google Scholar
Landsness, EC, Goldstein, MR, Peterson, MJ, Tononi, G, Benca, RM (2011). Antidepressant effects of selective slow wave sleep deprivation in major depression: a high-density EEG investigation. Journal of Psychiatric Research 45, 1019–1026.Google Scholar
Leverich, GS, Post, RM (1997). The NIMH Life Chart Manual for Recurrent Affective Illness: The LCM-S (Self Version) . NIMH Monograph, Biological Psychiatry Branch: Bethesda, MD.Google Scholar
Linkowski, P, Kerkhofs, M, Rielaert, C, Mendlewicz, J (1986). Sleep during mania in manic-depressive males. European Archives of Psychiatry and Neurological Science 235, 339–341.Google Scholar
Mendelson, WB, Sack, DA, James, SP, Martin, JV, Wagner, R, Garnett, D, Milton, J, Wehr, TA (1987). Frequency analysis of the sleep EEG in depression. Psychiatry Research 21, 89–94.Google Scholar
Murray, G, Allen, NB, Trinder, J (2002). Mood and the circadian system: investigation of a circadian component in positive affect. Chronobiology International 19, 1151–1169.Google Scholar
Ong, AD, Exner-Cortens, D, Riffin, C, Steptoe, A, Zautra, A, Almeida, DM (2013). Linking stable and dynamic features of positive affect to sleep. Annals of Behavioral Medicine 46, 52–61.Google Scholar
Phillips, ML, Travis, MJ, Fagiolini, A, Kupfer, DJ (2008). Medication effects in neuroimaging studies of bipolar disorder. American Journal of Psychiatry 165, 313–320.Google Scholar
Plante, DT, Landsness, EC, Peterson, MJ, Goldstein, MR, Riedner, BA, Wanger, T, Guokas, JJ, Tononi, G, Benca, RM (2012). Sex-related differences in sleep slow wave activity in major depressive disorder: a high-density EEG investigation. BMC Psychiatry 12, 146.Google Scholar
Rechtschaffen, A (1968). A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects. Brain Information Service/Brain Research Institute: Los Angeles (University of California).Google Scholar
Rush, AJ, Gullion, CM, Basco, MR, Jarrett, RB, Trivedi, MH (1996). The Inventory of Depressive Symptomatology (IDS): psychometric properties. Psychological Medicine 26, 477–486.Google Scholar
Russell, JA, Weiss, A, Mendelsohn, GA (1989). Affect Grid: a single-item scale of pleasure and arousal. Journal of Personality and Social Psychology 57, 493–502.Google Scholar
Sackeim, HA (2001). The definition and meaning of treatment-resistant depression. Journal of Clinical Psychiatry 62(Suppl. 16), 10–17.Google Scholar
Shiota, MN, Neufeld, SL, Yeung, WH, Moser, SE, Perea, EF (2011). Feeling good: autonomic nervous system responding in five positive emotions. Emotion 11, 1368–1378.Google Scholar
Sitaram, N, Nurnberger, JI Jr., Gershon, ES, Gillin, JC (1982). Cholinergic regulation of mood and REM sleep: potential model and marker of vulnerability to affective disorder. American Journal of Psychiatry 139, 571–576.Google Scholar
Stein, KD, Goldman, MS, Del Boca, FK (2000). The influence of alcohol expectancy priming and mood manipulation on subsequent alcohol consumption. Journal of Abnormal Psychology 109, 106–115.Google Scholar
Steptoe, A, O'Donnell, K, Marmot, M, Wardle, J (2008). Positive affect, psychological well-being, and good sleep. Journal of Psychosomatic Research 64, 409–415.Google Scholar
Talamini, LM, Bringmann, LF, de Boer, M, Hofman, WF (2013). Sleeping worries away or worrying away sleep? Physiological evidence on sleep-emotion interactions. PLoS ONE 8, e62480.Google Scholar
Talbot, LS, Hairston, IS, Eidelman, P, Gruber, J, Harvey, AG (2009). The effect of mood on sleep onset latency and REM sleep in interepisode bipolar disorder. Journal of Abnormal Psychology 118, 448–458.Google Scholar
Thompson, JM, Gallagher, P, Hughes, JH, Watson, S, Gray, JM, Ferrier, IN, Young, AH (2005). Neurocognitive impairment in euthymic patients with bipolar affective disorder. British Journal of Psychiatry 186, 32–40.Google Scholar
Tononi, G (2009). Slow wave homeostasis and synaptic plasticity. Journal of Clinical Sleep Medicine 5, S16–S19.Google Scholar
van der Helm, E, Yao, J, Dutt, S, Rao, V, Saletin, JM, Walker, MP (2011). REM sleep depotentiates amygdala activity to previous emotional experiences. Current Biology 21, 2029–2032.CrossRefGoogle ScholarPubMed
Werth, E, Achermann, P, Borbely, AA (1997). Fronto-occipital EEG power gradients in human sleep. Journal of Sleep Researcb 6, 102–112.Google Scholar
Williams, JMG, Healy, H, Eade, J, Windle, G, Cowen, PJ, Green, MW, Durlach, P (2002). Mood, eating behaviour and attention. Psychological Medicine 32, 469–481.Google Scholar
Young, R, Biggs, J, Ziegler, V, Meyer, D (1978). A rating scale for mania: reliability, validity and sensitivity. British Journal of Psychiatry 133, 429–425.Google Scholar
Supplementary material: File

Soehner supplementary material

Soehner supplementary material

Download Soehner supplementary material(File)
File 14.8 KB