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            <idno type="stamp" n="NET" corresp="UNILIM">Neuroépidémiologie Tropicale</idno>
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                <title xml:lang="en">Association of insomnia with mania in Lebanese patients with bipolar disorder</title>
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                <term xml:lang="en">Sleep</term>
                <term xml:lang="en">Mania</term>
                <term xml:lang="en">Insomnia</term>
                <term xml:lang="en">Bipolar disorder</term>
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              <p>Objective: To assess: (1) the association between insomnia experienced at admission, sociodemographic and other patients' characteristics and mania; and (2) the variation of insomnia and mania before and after treatment in bipolar patients with manic episodes (type I).Methods: Sixty-two patients were interviewed shortly after their admission to the hospital (after 3 to 5 days). The current symptoms experienced by the patients were assessed upon admission and again at discharge from the hospital.Results: A poorer quality of sleep (higher PSQI scores) (Beta=0.590) was significantly associated with higher mania, whereas the intake of SSRIs (Beta=-5.952) and TCAs (Beta=-8.181) was significantly associated with lower mania. Furthermore, highly significant reductions were reported in the PSQI scores (4.96 vs. 2.75, P&lt;0.001), ISI scores (8.30 vs. 3.45, P&lt;0.001) and YMRS scores (8.60 vs. 3.06, P&lt;0.001) between admission to and discharge from the hospital.Conclusion: Insomnia in patients with bipolar disorder type I is associated with mania, with a significant reduction of sleep problems seen during a period of approximately 20 days of hospitalization. Further longitudinal studies are needed to confirm the validity of our results and identify the causes. In the meantime, this research recommends a strategy to improve sleeplessness experienced during inter-episode phases may be helpful in preventing manic episodes in BD.</p>
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