A systematic review and meta-analysis of sleep and circadian rhythms disturbances in individuals at high-risk of developing or with early onset of bipolar disorders

Autor: Jan Scott, Bruno Etain, David Miklowitz, Jacob J. Crouse, Joanne Carpenter, Steven Marwaha, Daniel Smith, Kathleen Merikangas, Ian Hickie
Přispěvatelé: Newcastle University [Newcastle], Optimisation thérapeutique en Neuropsychopharmacologie (OPTeN (UMR_S_1144 / U1144)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), David Geffen School of Medicine [Los Angeles], University of California [Los Angeles] (UCLA), University of California (UC)-University of California (UC), The University of Sydney, University of Birmingham [Birmingham], Birmingham & Solihull Mental Health NHS Foundation Trust [Birmingham, UK] (BSMH), University of Edinburgh, National Institutes of Health [Bethesda] (NIH), Etain, Bruno
Rok vydání: 2022
Předmět:
Zdroj: Neuroscience and Biobehavioral Reviews
Neuroscience and Biobehavioral Reviews, 2022, 135, pp.104585. ⟨10.1016/j.neubiorev.2022.104585⟩
Scott, J, Etain, B, Miklowitz, D, Crouse, J J, Carpenter, J, Marwaha, S, Smith, D, Merikangas, K & Hickie, I 2022, ' A systematic review and meta-analysis of sleep and circadian rhythms disturbances in individuals at high-risk of developing or with early onset of bipolar disorders ', Neuroscience & Biobehavioral Reviews, vol. 135, pp. 104585 . https://doi.org/10.1016/j.neubiorev.2022.104585
Neurosci Biobehav Rev
ISSN: 0149-7634
Popis: International audience; Sleep and circadian rhythms disturbances (SCRD) in young people at high risk or with early onset of bipolar disorders (BD) are poorly understood. We systematically searched for studies of self, observer or objective estimates of SCRD in asymptomatic or symptomatic offspring of parents with BD (OSBD), individuals with presentations meeting recognised BD-at-risk criteria (BAR) and youth with recent onset of full-threshold BD (FT-BD). Of 76 studies eligible for systematic review, 35 (46%) were included in random effects meta-analyses. Pooled analyses of self-ratings related to circadian rhythms demonstrated greater preference for eveningness and more dysregulation of social rhythms in BAR and FT-BD groups; analyses of actigraphy provided some support for these findings. Meta-analysis of prospective studies showed that pre-existing SCRD were associated with a 40% increased risk of onset of BD, but heterogeneity in assessments was a significant concern. Overall, we identified longer total sleep time (Hedges g: 0.34; 95% confidence intervals:.1, .57), especially in OSBD and FT-BD and meta-regression analysis indicated the effect sizes was moderated by the proportion of any sample manifesting psychopathology or receiving psychotropic medications. This evolving field of research would benefit from greater attention to circadian rhythm as well as sleep quality measures.
Databáze: OpenAIRE