{"id":54600,"date":"2021-07-23T18:00:05","date_gmt":"2021-07-23T18:00:05","guid":{"rendered":"https:\/\/condor.fabbricaweb.com.br\/blog\/?p=172"},"modified":"2026-08-24T12:12:22","modified_gmt":"2026-08-24T15:12:22","slug":"disturbio-bipolar-um-problema-de-sono-ou-de-ritmo","status":"publish","type":"post","link":"https:\/\/condor.fabbricaweb.com.br\/en\/disturbio-bipolar-um-problema-de-sono-ou-de-ritmo\/","title":{"rendered":"Bipolar disorder, a sleep problem or a rhythm problem?"},"content":{"rendered":"\n

Bipolar disorder, a sleep problem or a rhythm problem?<\/strong><\/h3>\n\n\n\n

As we covered in a previous article. It is very common for patients with psychiatric disorders to report complaints related to sleep disturbances, including bipolar disorder. Formerly known as manic-depressive illness, this disorder is characterized by the alternation, from time to time, of a depressive state to a state of hyperactivity (manic).<\/p>\n\n\n\n

When it comes to sleep duration, depression and mania have some similar characteristics, and some different ones. Both cases are characterized by a decrease in total sleep time. However, while depressed individuals report complaints related to insomnia, individuals with mania have a feeling of less need for sleep time.<\/p>\n\n\n\n

Generally speaking, when a person diagnosed with bipolar disorder goes to the doctor to complain about their sleep pattern, they are often prescribed sleep-inducing drugs to treat the problem acutely. In the short term, this may resolve the initial complaints of insomnia, but it may be creating a snowball that will worsen over time.<\/p>\n\n\n\n

Some studies published in recent years are associating the incidence of bipolar disorder with circadian rhythm disturbances. As already mentioned in other articles on this blog, basically all of our body cells, hormones, gene expression and other physiological events in our body have a stable rhythm of around 24 hours, which is regulated by the interaction of the individual’s internal rhythm with external information, the main one being the light\/dark cycle.<\/p>\n\n\n\n

A study by Japanese researchers published in 2018 in the Journal of Psychiatry and Clinical Neuroscience conducted a literature review on the interaction between circadian rhythmicity and bipolar disorder. And some conclusions were drawn from the papers consulted<\/p>\n\n\n\n

Characteristics of circadian rhythmicity<\/strong><\/h3>\n\n\n\n

In people with bipolar disorder, it is common to observe a delayed sleep-wake rhythm, i.e. they tend to sleep later and wake up later than people who don’t have bipolar disorder. And this characteristic is observed even when the person is not in a depressive state.<\/p>\n\n\n\n

Still on the subject of rhythm expression, using a specific questionnaire to assess biological rhythm expression, it was observed that individuals with bipolar disorder have problems related to rhythmicity, which is to be expected in individuals with psychiatric disorders.<\/p>\n\n\n\n

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One of the most striking physiological biological rhythms in the expression of the circadian rhythm is the secretion of melatonin, which, despite being called the sleep hormone, is actually a hormone whose secretion takes place at night, and serves as an endogenous nighttime signal for our entire body and circadian timing system. Studies have identified abnormalities in melatonin secretion in individuals, even when they are in the controlled period of bipolar disorder. These abnormalities are characterized by a delay in the peak and decrease of melatonin secretion in individuals.<\/p>\n\n\n\n

When we talk about circadian rhythms, we are talking about a timing system present at the cellular level, i.e. every cell has a circadian timing system that is regulated and synchronized from the main oscillators of the human body, the suprachiasmatic nuclei and their interactions with hypothalamic regions. Dysfunctions in the expression of genes that are part of the circadian rhythm timing system at a cellular level appear to be associated with bipolar disorder.<\/p>\n\n\n\n

Studies show that people with depressive episodes generally have a delayed sleep phase, so much so that the prevalence of depression is higher in people who are more depressed in the evening. However, people with bipolar disorder have an even greater sleep phase delay, and lower levels and more delayed secretion of melatonin than people with other types of depressive disorders. Because of these characteristics, the authors suggest that the detection of circadian rhythm dysfunctions can be used as a marker for clinical monitoring as well as for diagnosing bipolar disorder.<\/p>\n\n\n\n

In relation to the daily interaction of the individual’s circadian rhythm with the environment, it has been observed that socially imposed temporal challenges, with sudden changes in social schedules, such as work or study, negatively affect and can be triggers for the onset or recurrence of mood disorders in individuals with bipolar disorder. Thus, a destabilization of the circadian rhythm may be a predictor of the occurrence of mood swings.<\/p>\n\n\n\n

Treatment focused on improving circadian rhythm<\/strong><\/h3>\n\n\n\n

It’s worth remembering that it’s always necessary to seek out a competent health professional – psychiatrists, sleep doctors, therapists, among others. The search for qualified professionals is essential for improving the clinical picture. This section aims to inform you about the most common therapies for improving bipolar disorder when the focus is on treating circadian rhythm disorders.<\/p>\n\n\n\n

One of the most recommended drugs for the treatment of mood disorders is lithium, which is also used to help stabilize the circadian rhythm. Lithium has the ability to help correct the phase advance of the circadian rhythm that is characteristic of patients with bipolar disorder.<\/p>\n\n\n\n

Melatonin supplementation for the treatment of sleep and rhythm disorders has been talked about for a long time. It is therefore to be expected that it will also be used to correct the expression of the circadian rhythm. In addition, melatonin is also effective for treating mood swings in patients with bipolar disorder by regulating the circadian rhythm.
Sleep hygiene procedures, such as manipulating the light\/dark cycle through light therapy for individuals with depressive symptoms and dark therapy for individuals with manic symptoms, seem to be effective in preventing severe clinical conditions. Another strategy is to combine psychotherapy with a standardized routine to prevent possible outbreaks and improve depressive episodes. Finally, the use of specific Cognitive Behavioral Therapy for patients with bipolar disorder is also effective in preventing and improving clinical conditions.<\/p>\n\n\n\n

In order to monitor the circadian rhythm routine and, consequently, sleep, there are a number of alternatives on the market. The use of these technologies in the detection of disorders, clinical monitoring and final assessment is already a reality beyond the academic environment.<\/p>\n\n\n\n

More simply, you can use the Sleep Diary, which can be found online in various academic articles, or you can use online digital diaries that are already available on the market. The Sleep Diary<\/strong> of Condor Instruments’<\/strong> is used as an accessory to the Condor Instruments’<\/strong> aimed at professionals who want to apply Cognitive Behavioral Therapy-I and other therapies that require them to monitor their clients’ sleep. Its main features include: an application with a simple interface, access control by the professional and data sent automatically to the company’s server. Condor<\/strong>.<\/p>\n\n\n\n

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The use of actimetry, or actigraphy, is a reality for monitoring circadian rhythm and sleep in patients with psychiatric disorders, and has even been used in clinical research with patients with bipolar disorder.<\/p>\n\n\n\n

Most often similar to a wristwatch, the actigraph is a modern device used to monitor cycles of activity and rest. The aim is to collect a range of important information for studying sleep and wakefulness rhythms.<\/p>\n\n\n\n

The patient should wear it strapped to their wrist, on their non-dominant arm, throughout the assessment period. By analyzing the actigraphy, it is possible to identify sleep disorders and circadian rhythmicity, providing the attending physician with the patient’s time in bed, sleep episodes throughout the day and a series of other data that will be fundamental for diagnosing and treating the problem. The most modern models have temperature and light sensors, which allow an even more in-depth analysis of the expression of physiological rhythmicity, as well as the patient’s interaction with the natural environment.<\/p>\n\n\n\n

In this way, it became clear how important it is to evaluate the expression of the circadian rhythm in patients with bipolar disorder, in order to be able to provide a more efficient, long-lasting treatment that will actually solve the individual’s problem and promote a definitive improvement in their quality of life.<\/p>\n\n\n\n

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Bipolar disorder, a sleep problem or a rhythm problem? As we covered in a previous article. It is very common for patients with psychiatric disorders to report complaints related to sleep disturbances, including bipolar disorder. Formerly known as manic-depressive illness, this disorder is characterized by the alternation, from time to time, of a depressive state […]<\/p>\n","protected":false},"author":3,"featured_media":34127,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[10,12],"tags":[],"class_list":["post-54600","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-circadian-rhythm-and-health","category-sleep-and-health"],"yoast_head":"\nBipolar disorder, a sleep problem or a rhythm problem? - Condor Instruments<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bipolar disorder, a sleep problem or a rhythm problem? - Condor Instruments\" \/>\n<meta property=\"og:description\" content=\"Bipolar disorder, a sleep problem or a rhythm problem? 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