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Illuminating Hypomania in Early Adolescence: Associations Between Dark-Side and Bright-Side Hypomania, Insomnia, and Health-Related Quality of Life Publisher



Eisenhut L1 ; Sadeghibahmani D2, 3 ; Dursteler KM4, 5 ; Mikoteit T6 ; Fichter C7 ; Bruhl AB1 ; Stanga Z8, 9 ; Brand S1, 10, 11, 12, 13, 14
Authors
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Authors Affiliations
  1. 1. Center for Affective, Stress and Sleep Disorders (ZASS), Psychiatric University Hospital Basel, Basel, 4002, Switzerland
  2. 2. Department of Psychology, Stanford University, Stanford, 94305, CA, United States
  3. 3. Department of Epidemiology & Population Health, Stanford University, Stanford, 94305, CA, United States
  4. 4. Psychiatric Clinics, Division of Substance Use Disorders, University of Basel, Basel, 4002, Switzerland
  5. 5. Center for Addictive Disorders, Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, 8057, Switzerland
  6. 6. Psychiatric Services Solothurn, University of Basel, Solothurn, 4503, Switzerland
  7. 7. Department of Psychology, Kalaidos Private University of Applied Sciences, Zurich, 8050, Switzerland
  8. 8. Centre of Competence for Military and Disaster Medicine, Swiss Armed Forces, Bern, 3008, Switzerland
  9. 9. Division of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, University Hospital and University of Bern, Bern, 3010, Switzerland
  10. 10. Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, 6714869914, Iran
  11. 11. Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, 6714869914, Iran
  12. 12. Department of Sport, Exercise and Health, Division of Sport Science and Psychosocial Health, University of Basel, Basel, 4052, Switzerland
  13. 13. School of Medicine, Tehran University of Medical Sciences, Tehran, 1417466191, Iran
  14. 14. Center for Disaster Psychiatry and Disaster Psychology, Psychiatric University Hospital Basel, Basel, 4002, Switzerland

Source: Journal of Clinical Medicine Published:2024


Abstract

Background: Adolescence is a period of significant psychological, physical, and social changes. During this time, adolescents face increasing responsibilities, such as making educational and career decisions, managing peer relationships, and becoming more independent from their families. These changes are often accompanied by mood fluctuations and altered sleep patterns. This study aimed to explore the relationships between bright- and dark-side hypomania, insomnia, and various dimensions of health-related quality of life (HRQOL), such as self-esteem, family and peer relationships, social acceptance, and autonomy. Methods: A total of 1475 participants in mid-adolescence (mean age: 13.4 years; range: 11–16 years; 48.8% males) completed a series of self-reported questionnaires covering sociodemographic information, hypomania, including dark and bright-side hypomania, insomnia, and HRQOL. Results: Compared to participants with no or dark-side hypomania, participants with bright-side hypomania reported better HRQOL. Bright-side hypomania was significantly associated with favorable relationships with parents and home, peer relationships, and the school environment and with less insomnia. In contrast, dark-side hypomania showed significant associations with lower scores for self-esteem, moods and emotional states, peer relationships, social acceptance, the school environment, and more insomnia. Conclusions: Among a larger sample of adolescents, bright- and dark-side hypomania were associated with a broad, though specific variety of aspects of HRQOL and insomnia. Given that standardized programs are available to improve insomnia and resilience as a proxy of psychological well-being, such interventions may have the potential to improve adolescents’ psychological well-being and sleep quality concomitantly. © 2024 by the authors.
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