The relationship between mood instability and sleep problems in England
-
1
University of Oxford, Department of Psychiatry, United Kingdom
Background: Sleep disturbance and mood instability frequently co-occur both in the general population and in individuals with psychiatric disease. Independently, mood instability and sleep disturbance are associated with medical and psychiatric dysfunction. This study aimed to quantify the relationship between mood instability and sleep disturbance in a general population sample, and examine whether the relationship was present irrespective of a psychiatric diagnosis.
Method: A representative sample of the adult household population in England (n =7303) from the Adult Psychiatric Morbidity Survey 2007 (response rate 57%). A single item from the Structured Clinical Interview for DSM-IV AXIS-II measured mood instability. Self-reported sleep disturbance during the past month, and presence of a psychiatric diagnosis were also measured. Analyses included generalised linear modelling and logistic regression with 95% confidence intervals. All estimates were weighted.
Results: Prevalence estimates of mood instability and sleep disturbance were 14.7% (95% CI: 13.6%-15.7%) and 42.4% (95% CI: 56.3%-59.0%), respectively. Relative to individuals with no psychiatric diagnosis or mood instability, the odds of having a sleep problem in those with a diagnosis and mood instability were significantly increased (males OR=11.6, 95% CI: 6.7-19.9; female OR = 3.8, 95% CI: 2.8-5.1). Odds ratios were also significant in groups with mood instability without a psychiatric diagnosis and a diagnosis without mood instability.
Conclusion: Both mood instability and sleep problems are common in the general population and they appear to be closely linked, even in the absence of a diagnosed psychiatric condition. Understanding the link between sleep disturbance and mood instability may be particularly valuable for transdiagnostic approaches to treatment, which are shown to be efficacious for improving common maladaptive processes that underpin multiple mental disorders.
Acknowledgements
We acknowledge the UK Data Archive and the National Centre for Social Research for the collection and sharing of the data from the Adult Psychiatric Morbidity Survey, 2007.
References
McDonald, K. C., Saunders, K. E., & Geddes, J. R. (2017). Sleep problems and suicide associated with mood instability in the Adult Psychiatric Morbidity Survey, 2007. Aust N Z J Psychiatry. doi:10.1177/0004867416687398
Keywords:
Mood instability,
Sleep disturbance,
Psychiatric illness,
Cross-Sectional Studies,
population studies
Conference:
ISAD LONDON 2017: Perspectives on Mood and Anxiety Disorders: Looking to the future, London, United Kingdom, 6 Jul - 7 Jul, 2017.
Presentation Type:
Poster
Topic:
Epidemiology
Citation:
McDonald
K
(2019). The relationship between mood instability and sleep problems in England.
Front. Psychiatry.
Conference Abstract:
ISAD LONDON 2017: Perspectives on Mood and Anxiety Disorders: Looking to the future.
doi: 10.3389/conf.fpsyt.2017.48.00003
Copyright:
The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers.
They are made available through the Frontiers publishing platform as a service to conference organizers and presenters.
The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated.
Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed.
For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions.
Received:
26 May 2017;
Published Online:
25 Jan 2019.
*
Correspondence:
Miss. Keltie McDonald, University of Oxford, Department of Psychiatry, Oxford, OX3 7JX, United Kingdom, keltie.mcdonald@st-annes.ox.ac.uk