{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T01:19:07Z","timestamp":1789607947066,"version":"build-2803163510"},"reference-count":76,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI21\/00340"],"award-info":[{"award-number":["PI21\/00340"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Affective states influence the sympathetic nervous system, inducing variations in electrodermal activity (EDA), however, EDA association with bipolar disorder (BD) remains uncertain in real\u2010world settings due to confounders like physical activity and temperature. We analysed EDA separately during sleep and wakefulness due to varying confounders and potential differences in mood state discrimination capacities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We monitored EDA from 102 participants with BD including 35 manic, 29 depressive, 38 euthymic patients, and 38 healthy controls (HC), for 48\u2009h. Fifteen EDA features were inferred by mixed\u2010effect models for repeated measures considering sleep state, group and covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirteen EDA feature models were significantly influenced by sleep state, notably including phasic peaks (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). During wakefulness, phasic peaks showed different values for mania (\n                      <jats:italic>M<\/jats:italic>\n                      [SD]\u2009=\u20096.49 [5.74, 7.23]), euthymia (5.89 [4.83, 6.94]), HC (3.04 [1.65, 4.42]), and depression (3.00 [2.07, 3.92]). Four phasic features during wakefulness better discriminated between HC and mania or euthymia, and between depression and euthymia or mania, compared to sleep. Mixed symptoms, average skin temperature, and anticholinergic medication affected the models, while sex and age did not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EDA measured from awake recordings better distinguished between BD states than sleep recordings, when controlled by confounders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.13718","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T21:29:10Z","timestamp":1718746150000},"page":"412-425","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Sleep\u2013wake variations of electrodermal activity in bipolar disorder"],"prefix":"10.1111","volume":"151","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0495-7793","authenticated-orcid":false,"given":"Cl\u00e0udia","family":"Valenzuela\u2010Pascual","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychology Hospital Cl\u00ednic de Barcelona  Catalonia Barcelona Spain"},{"name":"Bipolar and Depressive Disorders Unit Institut d'Investigacions Biom\u00e8diques August Pi I Sunyer (IDIBAPS)  Catalonia Barcelona Spain"},{"name":"Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM) Instituto de Salud Carlos III  Madrid Spain"},{"name":"Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro) University of Barcelona (UB)  Catalonia Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8738-8655","authenticated-orcid":false,"given":"Ariadna","family":"Mas","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology Hospital Cl\u00ednic de Barcelona  Catalonia Barcelona Spain"},{"name":"Bipolar and Depressive Disorders Unit Institut d'Investigacions Biom\u00e8diques August Pi I Sunyer (IDIBAPS)  Catalonia Barcelona Spain"},{"name":"Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM) Instituto de Salud Carlos III  Madrid Spain"},{"name":"Department of Medicine, School of Medicine and Health Sciences, Institute of Neurosciences (UBNeuro) University of Barcelona (UB)  Catalonia Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8585-2522","authenticated-orcid":false,"given":"Roger","family":"Borr\u00e0s","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology Hospital Cl\u00ednic de Barcelona  Catalonia Barcelona Spain"},{"name":"Biomedical Research Networking Centre Consortium on Mental Health (CIBERSAM) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6798-4054","authenticated-orcid":false,"given":"Gerard","family":"Anmella","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology Hospital Cl\u00ednic de Barcelona  Catalonia Barcelona Spain"},{"name":"Bipolar and Depressive Disorders Unit Institut d'Investigacions Biom\u00e8diques August Pi I Sunyer (IDIBAPS)  Catalonia Barcelona Spain"},{"name":"Biomedical Research Networking Centre Consortium on Mental 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