World Mental Health Day: How Bad Sleep Can Literally Make You Go Crazy
You probably don’t need scientific evidence to know that lack of
sleep makes a person very cranky. And the fact that regular sleep has
such a huge impact on a person’s mood is reason enough to make it a
priority. The National Alliance on Mental Illness estimates that
insomnia influences depression, anxiety and other psychological
conditions in at least half of all people who suffer such sleeplessness.
Scientists don’t fully understand why sleep and mood are so
connected. One study published in Current Biology looked at the
amygdala, which is part of the deep brain located in the temporal lobe.
This region is known to play a role in our ability to regulate emotions.
For the study, the researchers showed the participants—who hadn’t
slept in 35 hours—photos that could be classified as sad. Magnetic
resonance imaging revealed the sleep-deprived participants had more
responsive amygdalas. But the links to other areas of the brain were
weaker, suggesting that the reason people who are sleep deprived tend to
be emotionally volatile is also due to the lack of response from other
mental faculties. In short, lack of sleep hinders the ability to
regulate emotions.
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"With poor sleep, thoughts can be more negative, and the processing
of them may be more likely to include negative repetitive loops, or
rumination, leading to negative emotions," says Jenna Carl, a clinical
psychologist who specializes in the research and treatment of anxiety,
depression and insomnia. She is also the medical director of Big Health,
a digital medicine company that created a program known as Sleepio that
helps users track their sleeping habits.
A recent paper tested out the program as a way to manage and change
poor sleep habits and found it also appeared to improve the mental
health of study participants. The study, published in the October issue
of The Lancet Psychiatry, involved more than 3,700 college students who
used the Sleepio program, which is based on cognitive behavioral
therapy, a type of psychological intervention that focuses on how
thought processes influence behaviors.
The participants filled out self-reported questionnaires about their
sleep habits and mental health symptoms such as anxiety and depression
and more severe problems such as hallucinations and paranoia. They were
randomly assigned to either the test or control group for six weeks.
Each participant kept a sleep diary.
The researchers found that at 10 weeks people in the treatment group
reported far less insomnia and experienced fewer hallucinations and
less depression, anxiety and paranoia than people in the control group.
It turns out that keeping a consistent sleep schedule and getting at
least eight hours a night could be one of the most effective ways to
manage existing psychological conditions. Mental health
professionals emphasize the importance of getting plenty of sleep since
it's one of the most effective ways to control symptoms of depression,
anxiety and bipolar disorder. "Historically, clinicians believed that
sleep difficulties were merely symptoms of anxiety and depression and
would resolve when good mental health was restored," says Carl.
But it's also important to remember that changes in sleeping habits
can also be a sign of mental health problems. According to the Sleep
Foundation, people with insomnia are 10 times more likely to have
clinical depression and 17 times as likely to suffer from anxiety.
For people who struggle with bipolar disorder, insomnia is a
significant problem. At the same time, lack of sleep can also increase
the severity of a person’s manic episode. For that reason alone, sleep
disturbance is considered a core symptom of bipolar disorder. "The
advantage of sleep is that it is a far less stigmatized topic than
anxiety or depression, making it a great starting point for addressing
these conditions," says Carl.