The ecology of bipolar disorder: The importance of sleep

Mary Grace Umlauf, Mona Shattell

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


Although much of the emphasis in treating Bipolar Disorder patients is on pharmacotherapy, sleep loss is an important trigger for mania and plays an important role in the condition. The purpose of this paper is to fully explore the chronobiological, environmental, social, and genetic factors that contribute to the sleep disruption that is characteristic of mania and bipolar disorder. This review is important because sleep, chronobiology, and genetics are under-emphasized content areas in nursing education. As a result, many practicing nurses are unaware of the importance of sleep for mental health or what to teach patients to improve both the quality of their sleep and the management of their condition.

Original languageEnglish (US)
Pages (from-to)699-720
Number of pages22
JournalIssues in mental health nursing
Issue number7
StatePublished - Aug 2005
Externally publishedYes

ASJC Scopus subject areas

  • Phychiatric Mental Health


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