Jelena Bielen1, Anja Melada, Ivona Markelić. 1. Department of Emergency Medicine, Sisters of Charity University Hospital Centre, Vinogradska c. 29, 10000 Zagreb, Croatia, jelena.bielen87@gmail.com.
Abstract
BACKGROUND: The relationship between circadian disruptions and depressive disorders is a topic of great interest in contemporary psychiatry. Circadian rhythms include all physiological processes displaying a period around 24 hours. Sleep/wake cycles, body temperature, hormone secretion and other functions are subjected to person's individual circadian rhythm. Circadian typology includes three chronotypes: morning, neither and evening. The aim of this study was to examine the chronobiological aspects of depression. METHODS: This cross-sectional study aimed to determine circadian rhythmic expression in 60 patients suffering from depression. The patients were in remission and were treated as outpatients at the Department of Psychiatry of the University Hospital Center Zagreb. The data were compared to a control group consisting of 40 medical workers employed at the University Hospital Centre Zagreb. A self-report measure of circadian typology was utilized - the Morningness-Eveningness Questionnaire. RESULTS: According to our findings, among depressed patients 35% were morning, 58.3% neither and 6.7% evening types. In the control group 46% were morning, 48% neither and 6.0% evening types. Depressed patients reported stronger morning fatigue. Further, they tended to go to sleep earlier and felt more tired earlier in the evening, and they were less prone to choosing morning periods for completing complex cognitive tasks. CONCLUSION: This study supports the association between depression and some alterations in circadian rhythms of behavior and sleep. Depression may be considered as the consequence or trigger of circadian disturbances. However, both depression and circadian rhythm disturbances may have a common aetiology: a decreased cellular resilience associated with lower resistance to stressful events.
BACKGROUND: The relationship between circadian disruptions and depressive disorders is a topic of great interest in contemporary psychiatry. Circadian rhythms include all physiological processes displaying a period around 24 hours. Sleep/wake cycles, body temperature, hormone secretion and other functions are subjected to person's individual circadian rhythm. Circadian typology includes three chronotypes: morning, neither and evening. The aim of this study was to examine the chronobiological aspects of depression. METHODS: This cross-sectional study aimed to determine circadian rhythmic expression in 60 patients suffering from depression. The patients were in remission and were treated as outpatients at the Department of Psychiatry of the University Hospital Center Zagreb. The data were compared to a control group consisting of 40 medical workers employed at the University Hospital Centre Zagreb. A self-report measure of circadian typology was utilized - the Morningness-Eveningness Questionnaire. RESULTS: According to our findings, among depressedpatients 35% were morning, 58.3% neither and 6.7% evening types. In the control group 46% were morning, 48% neither and 6.0% evening types. Depressedpatients reported stronger morning fatigue. Further, they tended to go to sleep earlier and felt more tired earlier in the evening, and they were less prone to choosing morning periods for completing complex cognitive tasks. CONCLUSION: This study supports the association between depression and some alterations in circadian rhythms of behavior and sleep. Depression may be considered as the consequence or trigger of circadian disturbances. However, both depression and circadian rhythm disturbances may have a common aetiology: a decreased cellular resilience associated with lower resistance to stressful events.