“…Furthermore, sleep problems are not specific to BD and are ubiquitous across psychiatric conditions (Baglioni et al, ; Remi, Pollmacher, Spiegelhalder, Trenkwalder, & Young, ); there may also be transdiagnostic mechanisms that influence the relationship between sleep and mental illâhealth (Harvey, Murray, Chandler, & Soehner, ). In the opinion of the present authors, valid characterization of the relationship between sleep and mood relapses in BD will ultimately account for interplay between multilevel psychophysiological systems involved in mood (positive affect/reward, negative affect/threat), biological rhythms (the circadian system and its output rhythms), and sleep homeostasis (see for discussion: Alloy, Nusslock, & Boland, ; Byrne & Murray, ; Byrne et al, ). Importantly, volitional behaviour in the environment is a facet of each of these three adapted processes, underscoring the potential importance of behavioural causes, behavioural maintaining factors, and behavioural treatments (below).…”