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Do sleep disturbances predict or moderate the response to psychotherapy in bipolar disorder?

journal contribution
posted on 2017-03-01, 00:00 authored by L G Sylvia, S Salcedo, A T Peters, P V D S Magalhães, E Frank, D J Miklowitz, M W Otto, Michael BerkMichael Berk, A A Nierenberg, T Deckersbach
This study examined whether sleep disturbance predicted or moderated responses to psychotherapy in participants who participated in STEP-BD, a national, multisite study that examined the effectiveness of different treatment combinations for bipolar disorder. Participants received either a brief psychosocial intervention called collaborative care (CC; n = 130) or intensive psychotherapy (IP; n = 163), with study-based pharmacotherapy. Participants (N = 243) were defined as current (past week) short sleepers (<6 hours/night), normal sleepers (6.5–8.5 hours/night), and long sleepers (≥9 hours/night), according to reported average nightly sleep duration the week before randomization. Sleep disturbances did not predict the likelihood of recovery nor time until recovery from a depressive episode. There was no difference in recovery rates between IP versus CC for normal sleepers, and medium effect sizes were observed for differences in short and long sleepers. In this study, sleep did not play a major role in predicting or moderating response to psychotherapy in bipolar disorder.

History

Journal

Journal of nervous and mental disease

Volume

205

Issue

3

Pagination

196 - 202

Publisher

Wolters Kluwer Health

Location

Philadelphia, Pa.

ISSN

0022-3018

eISSN

1539-736X

Language

eng

Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2017, Wolters Kluwer Health