Associations between sleep disturbance, cognitive functioning and work disability in Bipolar Disorder.

Abstract:

:Bipolar Disorder (BD) is associated with impairment in a number of areas including poor work functioning, often despite the remission of mood symptoms. The present study aimed to examine the role of sleep disturbance and cognitive functioning in occupational impairment in BD. Twenty-four euthymic BD participants and 24 healthy control participants completed a week of prospective assessment of sleep disruption via self-report and actigraphy, a battery of neuropsychological tests of executive functioning, working memory, and verbal learning, and assessments of work functioning. BD participants experienced significantly poorer cognitive functioning as well as greater months of unemployment and greater incidence of being fired than controls. Moderation analyses revealed that both poor sleep and cognitive functioning were associated with poor work performance in BD participants, but not control participants. Sleep and cognitive functioning may be impaired in euthymic BD and are associated with poor work functioning in this population. More research should be conducted to better understand how sleep and cognitive functioning may interact in BD.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Boland EM,Stange JP,Molz Adams A,LaBelle DR,Ong ML,Hamilton JL,Connolly SL,Black CL,Cedeño AB,Alloy LB

doi

10.1016/j.psychres.2015.09.051

subject

Has Abstract

pub_date

2015-12-15 00:00:00

pages

567-74

issue

2

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(15)30445-5

journal_volume

230

pub_type

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