title: The ecology of bipolar disorder: the importance of sleep.
abstract: 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.
authors.affiliation: University of Alabama School of Nursing, 1530 3rd Avenue South, Birmingham, AL 35294-1210, USA. mgumlauf@uab.edu
authors.forename: Mary Grace
authors.initials: MG
authors.lastname: Umlauf
authors.forename: Mona
authors.initials: M
authors.lastname: Shattell
mesh_terms: D001714:Bipolar Disorder / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology; D001831:Body Temperature; D021081:Chronobiology Disorders / Q000209:etiology; D004463:Ecology; D020022:Genetic Predisposition to Disease / Q000209:etiology; D006304:Health Status; D006801:Humans; D008027:Light; D008029:Lighting; D008487:Medical History Taking; D008960:Models, Psychological; D024802:Nurse's Role; D009730:Nursing Assessment; D010353:Patient Education as Topic; D012307:Risk Factors; D012449:Safety; D012648:Self Care / Q000379:methods; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control*; D012919:Social Behavior; D014481:United States / Q000453:epidemiology