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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | McKenna, Benjamin S. Eyler, Lisa T. |
| Description | Country affiliation: United States Author Affiliation: McKenna BS ( Mental Illness Research, Education, and Clinical Center, Veterans Affairs San Diego Healthcare System, San Diego, CA 92161, USA. bmckenna@ucsd.edu) |
| Abstract | Prefrontal cortex (PFC) mediated cognitive and emotional processing deficits in bipolar disorder lead to functional limitations even during periods of mood stability. Alterations of sleep and circadian functioning are well-documented in bipolar disorder, but there is little research directly examining the mechanistic role of sleep and/or circadian rhythms in the observed cognitive and emotional processing deficits. We systematically review the cognitive and emotional processing deficits reliant upon PFC functioning of euthymic patients with bipolar disorder and in healthy individuals deprived of sleep. The evidence from two parallel lines of investigation suggests that sleep and circadian rhythms may be involved in the cognitive and emotional processing deficits seen in bipolar disorder through overlapping neurobiological systems. We discuss current models of bipolar highlighting the PFC-limbic connections and discuss inclusion of sleep-related mechanisms. Sleep and circadian dysfunction is a core feature of bipolar disorder and models of neurobiological abnormalities should incorporate chronobiological measures. Further research into the role of sleep and circadian rhythms in cognition and emotional processing in bipolar disorder is warranted. |
| File Format | HTM / HTML |
| ISSN | 02727358 |
| e-ISSN | 18737811 |
| DOI | 10.1016/j.cpr.2012.07.003 |
| Journal | Clinical Psychology Review |
| Issue Number | 7 |
| Volume Number | 32 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-11-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Psychology Bipolar Disorder Physiopathology Cognition Physiology Emotions Prefrontal Cortex Sleep Deprivation Psychology Brain Mapping Functional Neuroimaging |
| Content Type | Text |
| Resource Type | Article |
| Subject | Clinical Psychology Psychiatry and Mental Health |
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