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Published on: April 26, 2024
Rest-activity rhythm profiles associated with manic-hypomanic and depressive symptoms
Stephen F Smagula1, Robert T Krafty2, Julian F Thayer3
1Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Rest-activity rhythm (RAR) disturbances are linked to mood disorders. Specific RAR profiles correlate with distinct psychiatric symptoms, offering insights into clinical heterogeneity.
Area of Science:
- Chronobiology
- Psychiatry
- Sleep Medicine
Background:
- Rest-activity rhythm (RAR) disturbances are increasingly recognized as potential biomarkers for mood disorders.
- Identifying specific RAR profiles associated with psychiatric symptom dimensions is crucial for understanding clinical heterogeneity.
Purpose of the Study:
- To identify distinct rest-activity rhythm (RAR) profiles using data-driven clustering.
- To evaluate the association between these empirically-derived RAR profiles and various psychiatric symptom dimensions.
Main Methods:
- 145 adults (aged 36-82) were analyzed using data-driven clustering to identify RAR profiles.
- Psychiatric symptom dimensions, including affect, depression, mania, panic, and substance use, were assessed and correlated with identified RAR profiles.
Main Results:
- Three RAR profiles emerged: 'earlier/robust,' 'later/irregular,' and 'later/narrower.'
- The 'later/irregular' group showed significantly higher lifetime manic-hypomanic and depressive symptoms compared to the 'earlier/robust' group.
- The 'later/narrower' group exhibited higher lifetime depressive symptoms than the 'earlier/robust' group, even after adjusting for sleep continuity and duration.
Conclusions:
- Distinct RAR profiles are associated with specific psychiatric symptom dimensions, highlighting their role in clinical heterogeneity.
- Objective assessment of RARs may offer opportunities for monitoring and intervention to improve mental health outcomes.
- Further longitudinal research is needed to determine if RAR characteristics predict manic/depressive episodes or result from psychiatric conditions.
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