A warm welcome to CREST.BD’s Bipolar Wellness Centre webinar series! These webinar slides provide a summary of current research evidence on the relationship between sleep, bipolar disorder (BD) and quality of life (QoL), as well as pointing you to some tools and resources to help you optimally manage your sleep.
3. 3
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BDCREST.BD
Featuring: Dr. Greg Murray
CREST.BD Network Deputy and
Research Professor,
Swinburne University of Technology,
Australia
Sleep
4. 4
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why sleep is important to your QoL
How you can take action
Tools and resources
Webinar focus
5. 5
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is sleep important to QoL?
Inadequate sleep
increases negative affect, decreases positive
affect and motivation
decreases concentration, attention, memory,
planning1
1
Walker, M. P. (2010). Sleep, memory and emotion. Progress in Brain Research, 185: 49-68.
6. 6
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is sleep important to QoL?
Inadequate sleep
increases negative affect, decreases positive
affect and motivation
decreases concentration, attention, memory,
planning1
1
Walker, M. P. (2010). Sleep, memory and emotion. Progress in Brain Research, 185: 49-68.
7. 7
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is sleep important to QoL?
Inadequate sleep
increases negative affect, decreases positive
affect and motivation
decreases concentration, attention, memory,
planning1
1
Walker, M. P. (2010). Sleep, memory and emotion. Progress in Brain Research, 185: 49-68.
8. 8
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is sleep important to QoL?
Changes in sleep can be a marker of episode onset
altered sleep and depression
decreased sleep need and mania2
Changes in sleep can cause relapse in BD3
2
Eidelman, P., et al. (2010). Sleep, illness course, and concurrent symptoms in inter-episode BD. Journal of Behavior
Therapy and Experimental Psychiatry, 2: 145-149.
Pilar, S., et al. (2007). Prodromal symptoms to relapse in BD. Australian and New Zealand Journal of Psychiatry 41, 5:
385-391.
3
Murray, G. and Harvey, A. (2010). Circadian rhythms and sleep in BD. BD 12, 5: 459-472.
9. 9
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is sleep important to QoL?
Changes in sleep can be a marker of episode onset
altered sleep and depression
decreased sleep need and mania2
Changes in sleep can cause relapse in BD3
2
Eidelman, P., et al. (2010). Sleep, illness course, and concurrent symptoms in inter-episode BD. Journal of Behavior
Therapy and Experimental Psychiatry, 2: 145-149.
Pilar, S., et al. (2007). Prodromal symptoms to relapse in BD. Australian and New Zealand Journal of Psychiatry 41, 5:
385-391.
3
Murray, G. and Harvey, A. (2010). Circadian rhythms and sleep in BD. BD 12, 5: 459-472.
10. 10
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is sleep important to QoL?
Changes in sleep can be a marker of episode onset
altered sleep and depression
decreased sleep need and mania2
Changes in sleep can cause relapse in BD3
2
Eidelman, P., et al. (2010). Sleep, illness course, and concurrent symptoms in inter-episode BD. Journal of Behavior
Therapy and Experimental Psychiatry, 2: 145-149.
Pilar, S., et al. (2007). Prodromal symptoms to relapse in BD. Australian and New Zealand Journal of Psychiatry 41, 5:
385-391.
3
Murray, G. and Harvey, A. (2010). Circadian rhythms and sleep in BD. BD 12, 5: 459-472.
11. 11
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Why is sleep important to QoL?
Changes in sleep can be a marker of episode onset
altered sleep and depression
decreased sleep need and mania2
Changes in sleep can cause relapse in BD3
2
Eidelman, P., et al. (2010). Sleep, illness course, and concurrent symptoms in inter-episode BD. Journal of Behavior
Therapy and Experimental Psychiatry, 2: 145-149.
Pilar, S., et al. (2007). Prodromal symptoms to relapse in BD. Australian and New Zealand Journal of Psychiatry 41, 5:
385-391.
3
Murray, G. and Harvey, A. (2010). Circadian rhythms and sleep in BD. BD 12, 5: 459-472.
13. 13
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Support your biological clock
• Regularise wake time and bed time across 7 days of the week
• Sunlight close to waking
• Regularise meals, exercise
• Activity in the day supports rest at night and vice versa
Strengthen sleep drive
• No napping
• Avoid caffeine, nicotine and other stimulants
• Regular rise time irrespective of sleep duration
How you can take action
14. 14
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
In the evening
• Avoid bright light and social stimulation
• Wind down before bed, train sleepiness
Decrease arousal at bedtime
Actively manage anxiety
• Problem solve well before bed time
• Employ active relaxation, mindfulness
Condition bed as cue for rest and relaxation
• Cool, quiet, dark, uncontactable
• Bed only for sex and sleep
• Go to bed only when sleepy
• Get out of bed during nighttime wakings
16. 16
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Sleep diary
http://www.cci.health.wa.gov.au/docs/ACF1946.pdf
Get familiar with your sleep habits:
17. 17
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Sleep Cycle for iPhone
http://www.sleepcycle.com/
SleepBot for
Android
http://appcrawlr.com/
android/sleepbot-
tracker-sleep-suite
Smartphone:
18. 18
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
Sleep Hygiene
This document was produced by the Centre for Clinical
Interventions and provides 15 tips for improving sleeping patterns
and behaviours
http://www.cci.health.wa.gov.au/docs/Info-sleep%20hygiene.pdf
Improving sleep:
19. 19
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
The Benefits of a Good Night’s Sleep,
Insomnia Slideshow: 20 Tips for Better Sleep
Slideshow providing tools and techniques
to achieve a better nights sleep
http://www.webmd.com/sleep-disorders/
sleep-benefits-10/slideshow-sleep-tips
Improving sleep:
20. 20
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
Resources
When might you need professional assistance to improve your sleep?
Sleep Quiz
http://www.nps.org.au/conditions/mental-
health-conditions/sleep-problems/insomnia/
for-individuals/resources-to-help-you-sleep-
right/sleep_quiz
21. 21
Bipolar Wellness Center Webinars
Connect. Learn. Engage.CREST.BD
For more information and resources,
visit our Bipolar Wellness Center at:
http://www.bdwellness.com/
To assess your quality of life,
visit our QoL tool at:
http://www.bdqol.com/