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10.1017/S0033291714002918 http://scihub22266oqcxt.onion/10.1017/S0033291714002918 C4412779!4412779!25515854     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Psychol+Med 2015 ; 45 (8): 1751-63 Nephropedia Template TP {{tp|p=25515854|t=2015. Hypersomnia Subtypes, Sleep and Relapse in Bipolar Disorder |pdf=|usr=}}{{25515854}} gab.com Text Hypersomnia Subtypes, Sleep and Relapse in Bipolar Disorder JO: Psychol Med http://www.kidney.de/pget.php?&tw=1&pmid=25515854 #FOAvip Background: Though poorly defined, hypersomnia is associated with negative health outcomes, and new-onset and recurrence of psychiatric illness. Lack of definition impedes generalizability across studies. The present research clarifies hypersomnia diagnoses in bipolar disorder by exploring possible subgroups and their relationship to prospective sleep data and relapse into mood episodes. Methods: A community sample of 159 adults (ages 18?70) with bipolar spectrum diagnoses, euthymic at study entry, were included. Self-report inventories and clinician-administered interviews determined features of hypersomnia. Participants completed sleep diaries and wore wrist actigraphy at home to obtain prospective sleep data. Approximately seven months later, psychiatric status was reassessed. Factor analysis and latent profile analysis explored empirical groupings within hypersomnia diagnoses. Results: Factor analyses confirmed two separate subtypes of hypersomnia (?long sleep? and ?excessive sleepiness?) that were uncorrelated. Latent profile analyses suggested a four-class solution, with ?long sleep? and ?excessive sleepiness? again representing two separate classes. Prospective sleep data suggested that the sleep of ?long sleepers? is characterized by long time in bed, not long sleep duration. Longitudinal assessment suggested that ?excessive sleepiness? at baseline predicted mania/hypomania relapse. Conclusions: This study is the largest of hypersomnia to include objective sleep measurement, and refines our understanding of classification, characterization and associated morbidity. Hypersomnia appears to be comprised of two separate subgroups, long sleep and excessive sleepiness. Long sleep is characterized primarily by long bedrest duration. Excessive sleepiness is not associated with longer sleep or bedrest, but predicts relapse to mania/hypomania. Understanding these entities has important research and treatment implications. Twit Text FOAVip Hypersomnia Subtypes, Sleep and Relapse in Bipolar Disorder ????Psychol Med http://www.kidney.de/pget.php?&tw=1&pmid=25515854 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25515854 #FOAvip English Wikipedia <ref>{{Cite pmid|25515854}}</ref> Hypersomnia Subtypes, Sleep and Relapse in Bipolar Disorder #MMPMID25515854 Kaplan KA; McGlinchey EL; Soehner A; Gershon A; Talbot LS; Eidelman P; Gruber J; Harvey AG Psychol Med 2015[Jun]; 45 (8): 1751-63 PMID25515854show ga Background: Though poorly defined, hypersomnia is associated with negative health outcomes, and new-onset and recurrence of psychiatric illness. Lack of definition impedes generalizability across studies. The present research clarifies hypersomnia diagnoses in bipolar disorder by exploring possible subgroups and their relationship to prospective sleep data and relapse into mood episodes. Methods: A community sample of 159 adults (ages 18?70) with bipolar spectrum diagnoses, euthymic at study entry, were included. Self-report inventories and clinician-administered interviews determined features of hypersomnia. Participants completed sleep diaries and wore wrist actigraphy at home to obtain prospective sleep data. Approximately seven months later, psychiatric status was reassessed. Factor analysis and latent profile analysis explored empirical groupings within hypersomnia diagnoses. Results: Factor analyses confirmed two separate subtypes of hypersomnia (?long sleep? and ?excessive sleepiness?) that were uncorrelated. Latent profile analyses suggested a four-class solution, with ?long sleep? and ?excessive sleepiness? again representing two separate classes. Prospective sleep data suggested that the sleep of ?long sleepers? is characterized by long time in bed, not long sleep duration. Longitudinal assessment suggested that ?excessive sleepiness? at baseline predicted mania/hypomania relapse. Conclusions: This study is the largest of hypersomnia to include objective sleep measurement, and refines our understanding of classification, characterization and associated morbidity. Hypersomnia appears to be comprised of two separate subgroups, long sleep and excessive sleepiness. Long sleep is characterized primarily by long bedrest duration. Excessive sleepiness is not associated with longer sleep or bedrest, but predicts relapse to mania/hypomania. Understanding these entities has important research and treatment implications. äHypersomnia Subtypes, Sleep and Relapse in Bipolar Disorder (epmc).pdf DeepDyve Pubget Overpricing