A blood pressure measurement device including a measurement wave detection unit that detects a measurement wave that passed through a measurement region of a subject and generates a detection signal, a blood pressure analysis unit that repeatedly identifies a blood pressure of the subject by analyzing the detection signal, a state determination unit that determines whether or not the subject is in a sleep state, a change determination unit that determines whether or not a time change rate of the blood pressure exceeds a threshold value, and a measurement control unit that shortens a time interval where the blood pressure analysis unit identifies the blood pressure in a case where the state determination unit determines that the subject is in the sleep state and the change determination unit determines that the time change rate exceeds the threshold value.