The British Journal of Psychiatry
Sleep loss triggering episodes of high mood was associated with female gender (OR = 143, 95% CI 1.17–1.75) and BD-I subtype (OR=2.81, 95% CI 2.26–3.50)
BD-I subtype (OR=2.81, 95% CI 2.26–3.50, P<0.001). Gender and bipolar subtype may increase vulnerability to high mood following sleep deprivation
This should be considered in situations where patients encounter sleep disruption, such as shift work and international travel.