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CC BY-NC-ND 4.0 · Sleep Sci 2020; 13(01): 65-69
DOI: 10.5935/1984-0063.20190135
Original Article

Relationship between sleep quality and quality of life in patients with bipolar disorder

Farshid Shamsaei
1   Behavioral Disorders and Substance Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
,
Samira Yadollahifar
2   Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
,
Amir Sadeghi
2   Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
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Objective: Sleep disorder is one of the most classic symptoms of patients with bipolar I disorder (BID), which affects their quality of life (QOL). The current study aimed to determine the relationship between sleep quality and quality of life in patients with bipolar I.

Methods: In this descriptive cross-sectional study, 180 patients with bipolar I disorder were selected using convenience sampling in Farshchian Psychiatric Center of Hamadan, Iran, in 2017. The data collection instruments were Pittsburgh Sleep Inventory and Brief Quality of Life Questionnaire. Data analysis was performed using Pearson’s correlation coefficient and stepwise multiple regression by SPSS 23.

Results: The results indicated that 41.1% and 54.4% of patients with bipolar I disorder experienced low level of sleep quality and QOL, respectively. There was a statistically significant relationship between sleep quality and QOL (r=-0.571, p<0.001), so that low sleep quality has a negative impact on the QOL in these patients.

Discussion: Patients with bipolar disorder suffer from sleep disorder affecting their QOL. Therefore, it is suggested that treatment and care interventions be designed and implemented to improve sleep quality and patients’ QOL. Moreover, treatment interventions of bipolar disorder are inseparable from the treatment of sleep disturbance.

Sleep Quality - Quality of Life - Bipolar I Disorder


Publication History

Received: 23 November 2019

Accepted: 30 January 2020

Article published online:
09 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • REFERENCES

  • 1 American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: APA; 2013.
  • 2 Ayano G. Bipolar disorder: a concise overview of etiology, epidemiology diagnosis and management: review of literatures. SOJ Psychol. 2016;3(1):1-8.
  • 3 Gold AK, Sylvia LG. The role of sleep in bipolar disorder. Nat Sci Sleep. 2016;8:207-14.
  • 4 Deckersbach T, Peters AT, Sylvia L, Urdahl A, Magalhães PV, Otto MW, et al. Do comorbid anxiety disorders moderate the effects of psychotherapy for bipolar disorder? Results from STEP-BD. Am J Psychiatry. 2014;171(2):178-86.
  • 5 Shamsaei F, Kermanshahi SMK, Vanaki Z, Hajizadeh E, Hayatbakhsh MR. Experiences of family caregivers of patients with bipolar disorder. Asia Pac Psychiatry. 2010;2(4):201-20.
  • 6 Gruber J, Miklowitz DJ, Harvey AG, Frank E, Kupfer D, Thase ME, et al. Sleep matters: sleep functioning and course of illness in bipolar disorder. J Affect Disord. 2011;134(1-3):416-20.
  • 7 Robillard R, Naismith SL, Hickie IB. Recent advances in sleep-wake cycle and biological rhythms in bipolar disorder. Curr Psychiatry Rep. 2013;15(10):402.
  • 8 Alloy LB, Nusslock R, Boland EM. The development and course of bipolar spectrum disorders: an integrated reward and circadian rhythm dysregulation model. Annu Rev Clin Psychol. 2015;11:213-50.
  • 9 D’Avanzato C, Martinez J, Attiullah N, Friedman M, Toba C, Boerescu DA, et al. Anxiety symptoms among remitted depressed outpatients: prevalence and association with quality of life and psychosocial functioning. J Affect Disord. 2013;151(1):401-4.
  • 10 Fuente-Tomás L, Sierra P, Sanchez-Autet M, García-Blanco A, Safont G, Arranz B, et al. Sleep disturbances, functioning, and quality of life in euthymic patients with bipolar disorder. Psychiatry Res. 2018 Nov;269:501-7.
  • 11 Veauthier C, Gaede G, Radbruch H, Wernecke KD, Paul F. Sleep disorders reduce health-related quality of life in multiple sclerosis (Nottingham health profile data in patients with multiple sclerosis). Int J Mol Sci. 2015;16(7):16514-28.
  • 12 Bonnín CM, Reinares M, Martínez-Arán A, Jiménez E, Sánchez-Moreno J, Solé B, et al. Improving functioning, quality of life, and well-being in patients with bipolar disorder. Int J Neuropsychoph. 2019;22(8):467-77.
  • 13 Fernández-Cruza KA, Jiménez-Correa U, Marín-Agudeloc HA, Castro- Lópeza C, Poblano A. Proposing the Clinical Inventory of Sleep Quality. Sleep Sci. 2016 Jul/Sep;9(3):216-20.
  • 14 Moghaddam JF, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P). Sleep Breath. 2012;16(1):79-82.
  • 15 Shamsaei F, Daraei MM, Aahmadinia H, Khalili A, Seif M. The relationship between sleep habits and mental health in Iranian Elementary School Children. Sleep Sci. 2019;12(2):94-9.
  • 16 Suárez L, Tay B, Abdullah F. Psychometric properties of the World Health Organization WHOQOL-BREF Quality of Life assessment in Singapore. Qual Life Res. 2018;27(11):2945-52.
  • 17 Jahanlou AS, Karami NA. WHO quality of life-BREF 26 questionnaire: reliability and validity of the Persian version and compare it with Iranian diabetics quality of life questionnaire in diabetic patients. Prim Care Diabetes. 2011;5(2):103-7.
  • 18 Hombali A, Seow E, Yuan Q, Chang SHS, Satghare P, Kumar S, et al. Prevalence and correlates of sleep disorder symptoms in psychiatric disorders. Psychiatry Res. 2019;279:116-22.
  • 19 Gold AK, Sylvia LG. The role of sleep in bipolar disorder. Nat Sci Sleep. 2016;8:207-14.
  • 20 Steinan MK, Scott J, Lagerberg TV, Melle I, Andreassen OA, Vaaler AE, et al. Sleep problems in bipolar disorders: more than just insomnia. Acta Psychiatr Scand. 2016;133(5):368-77.
  • 21 Saunders EFH, Fernandez-Mendoza J, Kamali M, Assari S, McInnis MG. The effect of poor sleep quality on mood outcome differs between men and women: a longitudinal study of bipolar disorder. J Affect Disord. 2015;180:90-6.
  • 22 Sylvia LG, Dupuy JM, Ostacher MJ, Cowperthwait CM, Hay AC, Sachs GS, et al. Sleep disturbance in euthymic bipolar patients. J Psychopharmacol. 2012;26(8):1108-12.
  • 23 Rocha PM, Neves FS, Corrêa H. Signi.cant sleep disturbances in euthymic bipolar patients. Compr Psychiatry. 2013;54(7):1003-8.
  • 24 Rahimi A, Ahmadpanah M, Shamsaei F, Cheraghi F, Bahmani SD, Holsboer- Trachsler E, et al. Effect of adjuvant sleep hygiene psychoeducation and lorazepam on depression and sleep quality in patients with major depressive disorders: results from a randomized three-arm intervention. Neuropsychiatr Dis Treat. 2016;12:1507-15.
  • 25 Michalak EE, Murray G. Development of the QoL.BD: a disorder-specific scale to assess quality of life in bipolar disorder. Bipolar Disord. 2010;12(7):727-40.
  • 26 Morton E, Murray G, Michalak EE, Lam RW, Beaulieu S, Sharma V, et al. Quality of life in bipolar disorder: towards a dynamic understanding. Psychol Med. 2018;48(7):1111-18.
  • 27 Gomes BC, Kleinman A, Carvalho AF, Pereira TC, Gurgel AP, Lafer B, et al. Quality of life in youth with bipolar disorder and unaffected offspring of parents with bipolar disorder. J Affect Disord. 2016;15:202:53-7.
  • 28 Gutiérrez-Rojas L, Gurpegui M, Ayuso-Mateos JL, Gutiérrez-Ariza JA, Ruiz-Veguilla M, Jurado D. Quality of life in bipolar disorder patients: a comparison with a general population sample. Bipolar Disord. 2008 Jul;10(5):625-34.
  • 29 Gazalle FK, Hallal PC, Andreazza AC, Frey BN, Kauer-Sant’Anna M, Weyne F, et al. Manic symptoms and quality of life in bipolar disorder. Psychiatry Res. 2007;153(1):33-8.
  • 30 Sariarslan HA, Gulhan YB, Unalan D, Basturk M, Delibas S. The relationship of sleep problems to life quality and depression. Neurosciences (Riyadh). 2015;20(3):236-42.
  • 31 Palhares VC, Corrente JE, Matsubara BB. Association between sleep quality and quality of life in nursing professionals working rotating shifts. Rev Saude Publica. 2014;48(4):594-601.