Role of Chronobiology as a Transdisciplinary Field of Research: Its Applications in Treating Mood Disorders

Role of Chronobiology as a Transdisciplinary Field of Research: Its Applications in Treating Mood Disorders

Chronobiology is a field that studies the effects of time on biological systems. Periodicity is of particular interest. The master biological clock in the suprachiasmatic nucleus controls daily rhythms of core body temperature, rest-activity cycle, physiological and behavioral functions, psychomotor functions and mood in humans. The clock genes are involved in the generation of the circadian rhythms and the biological clock is synchronized to solar day by direct photic inputs. Various circadian rhythm abnormalities have been demonstrated in mood disorders such as unipolar depression, bipolar depression and seasonal affective disorder. Hypotheses involving circadian rhythm abnormalities related to the etiology of mood disorders have been raised. The resulting circadian rhythm changes can be measured and evaluated that these techniques can be used to identify subtypes of mood disorders associated with circadian rhythm changes. The data obtained from chronobiological studies reveal methods that manipulate circadian rhythms. The effects of lightand melatonin on circadian rhythms are determined by these studies. Chronobiological research has been applied to the psychiatric clinic and light therapy has been used as a chronotherapeutic in the treatment of mood disorders. On the other hand, chronotherapeutic approaches with effects on circadian rhythms such as sleep deprivation therapy have been used in the treatment of mood disorders too. As a good example of translational psychiatry, chronobiological studies have been projected in the psychiatry clinic. It may be possible, the data obtained from the basic sciences are used in the diagnosis of mood disorders and in the treatment of psychiatric disorders as chronotherapeutic techniques. Developments in the field of chronobiology and data obtained from chronotherapeutics may enable the development of evidence-based diagnosis and treatment in psychiatry

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  • 1. Rietveld WJ. Chronobiology. Horm Res 1990;33:53-7.
  • 2. Monteleone P, Maj M. The circadian basis of mood disorders: recent developments and treatment implications. Eur Neuropsychopharmacol 2008;18:701-11.
  • 3. Gillette MU, Tischkau SA. Suprachiasmatic nucleus: the brain's circadian clock. Recent prog Horm Res 1999;54:33-58.
  • 4. Moore RY. Circadian rhythms: basic neurobiology and clinical applications. Annu Rev Med 1997;48:253-66.
  • 5. Vitaterna MH, Takahashi JS, Turek FW. Overview of circadian rhythms. National Institute on Alcohol Abuse and Alcoholism 2001;25:85-93.
  • 6. Bechtel W. Circadian Rhythms and Mood Disorders: Are the Phenomena and Mechanisms Causally Related? Front Psychiatry 2015;6:118.
  • 7. Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, et al. Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 2004:21-7.
  • 8. Sher L. Etiology, pathogenesis, and treatment of seasonal and non-seasonal mood disorders: possible role of circadian rhythm abnormalities related to developmental alcohol exposure. Med Hypotheses 2004;62:797-801.
  • 9. Germain A, Kupfer DJ. Circadian rhythm disturbances in depression. Hum Psychopharmacol 2008;23:571-85.
  • 10. Milhiet V, Etain B, Boudebesse C, Bellivier F. Circadian biomarkers, circadian genes and bipolar disorders. J Physiol Paris 2011;105:183-9.
  • 11. Rosenthal NE, Sack DA, Gillin JC, Lewy AJ, Goodwin FK, Davenport Y, et al. Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry 1984;41:72-80.
  • 12. Wehr TA, Duncan WC, Jr., Sher L, Aeschbach D, Schwartz PJ, Turner EH, et al. A circadian signal of change of season in patients with seasonal affective disorder. Arch Gen Psychiatry 2001;58:1108-14.
  • 13. Albrecht U. Circadian clocks and mood-related behaviors. Handb Exp Pharmacol 2013:227-39.
  • 14. Hampp G, Albrecht U. The circadian clock and mood-related behavior. Commun Integr Biol 2008;1:1-3.
  • 15. Jones CR, Huang AL, Ptacek LJ, Fu YH. Genetic basis of human circadian rhythm disorders. Exp Neurol 2013;243:28-33.
  • 16. Hidalgo MP, Caumo W, Posser M, Coccaro SB, Camozzato AL, Chaves ML. Relationship between depressive mood and chronotype in healthy subjects. Psychiatry Clin Neurosci 2009;63:283-90.
  • 17. Shirayama M, Shirayama Y, Iida H, Kato M, Kajimura N, Watanabe T, et al. The psychological aspects of patients with delayed sleep phase syndrome (DSPS). Sleep Med 2003;4:427-33.
  • 18. Drake CL, Roehrs T, Richardson G, Walsh JK, Roth T. Shift work sleep disorder: prevalence and consequences beyond that of symptomatic day workers. Sleep 2004;27:1453-62.
  • 19. Levandovski R, Dantas G, Fernandes LC, Caumo W, Torres I, Roenneberg T, et al. Depression scores associate with chronotype and social jetlag in a rural population. Chronobiol Int 2011;28:771-8.
  • 20. Boivin DB. Influence of sleep-wake and circadian rhythm disturbances in psychiatric disorders. J Psychiatry Neurosci 2000;25:446-58.
  • 21. Maung HH. Diagnosis and causal explanation in psychiatry. Stud Hist Philos Biol Biomed Sci 2016;60:15-24.
  • 22. Banzato CE. Critical evaluation of current diagnostic systems. Indian J Psychiatry 2008;50:155-7.
  • 23. Cuthbert BN, Insel TR. Toward the future of psychiatric diagnosis: the seven pillars of RDoC. BMC Med 2013;11:126.
  • 24. McClung CA. Circadian genes, rhythms and the biology of mood disorders. Pharmacol Ther 2007;114:222-32.
  • 25. Wirz-Justice A. Chronobiology and mood disorders. Dialogues Clin Neurosci 2003;5:315-25.
  • 26. Wirz-Justice A. Circadian rhythms in mammalian neurotransmitter receptors. Prog Neurobiol 1987;29:219-59.
  • 27. Wirz-Justice A. How To Measure Circadian Rhythms In Humans. Medicographia 2007;29:84-90.
  • 28. Hanneman SK. Measuring circadian temperature rhythm. Biol Res Nurs 2001;2:236-48.
  • 29. Pandi-Perumal SR, Smits M, Spence W, Srinivasan V, Cardinali DP, Lowe AD, et al. Dim light melatonin onset (DLMO): a tool for the analysis of circadian phase in human sleep and chronobiological disorders. Prog Neuropsychopharmacol Biol Psychiatry 2007;31:1-11.
  • 30. Minors DS, Waterhouse JM. Investigating the endogenous component of human circadian rhythms: a review of some simple alternatives to constant routines. Chronobiol Int 1992;9:55-78.
  • 31. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol 1976;4:97-110.
  • 32. Roenneberg T, Wirz-Justice A, Merrow M. Life between clocks: daily temporal patterns of human chronotypes. J Biol Rhythms 2003;18:80-90. 33. Au J, Reece J. The relationship between chronotype and depressive symptoms: A meta-analysis. J Affect Disord 2017;218:93-104.
  • 34. Brown A, Smolensky M, D'Alonzo G, Redmond D, Conrad E, Hsi B. Circadian rhythm in human activity objectively quantified by actigraphy. Prog Clin Biol Res 1990;341:77-83.
  • 35. Benedetti F, Colombo C, Serretti A, Lorenzi C, Pontiggia A, Barbini B, et al. Antidepressant effects of light therapy combined with sleep deprivation are influenced by a functional polymorphism within the promoter of the serotonin transporter gene. Biol Psychiatry 2003;54:687-92.
  • 36. Partonen T, Treutlein J, Alpman A, Frank J, Johansson C, Depner M, et al. Three circadian clock genes Per2, Arntl, and Npas2 contribute to winter depression. Ann Med 2007;39:229-38.
  • 37. Qureshi IA, Mehler MF. Epigenetics of sleep and chronobiology. Curr Neurol Neurosci Rep 2014;14:432.
  • 38. Kosir R, Spaninger K, Rozman D. Circadian events in human diseases and in cytochrome P450-related drug metabolism and therapy. IUBMB Life 2013;65:487-96.
  • 39. Frank E, Swartz HA, Kupfer DJ. Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder. Biol Psychiatry 2000;48:593-604.
  • 40. Tosini G, Ferguson I, Tsubota K. Effects of blue light on the circadian system and eye physiology. Mol Vis 2016;22:61-72.
  • 41. Terman M, Terman JS. Light therapy for seasonal and nonseasonal depression: efficacy, protocol, safety, and side effects. CNS Spectr 2005;10:647-63.
  • 42. Pail G, Huf W, Pjrek E, Winkler D, Willeit M, Praschak-Rieder N, et al. Bright-light therapy in the treatment of mood disorders. Neuropsychobiology 2011;64:152-62.
  • 43. Wirz-Justice A, Benedetti FMT. Chronotherapeutics for affective disorders. A clinician’s manual for light and wake therapy. Basel: Karger AG, 2009.
  • 44. Terman M, Schlager D, Fairhurst S, Perlman B. Dawn and dusk simulation as a therapeutic intervention. Biol Psychiatry 1989;25:966-70.
  • 45. Wirz-Justice A, Van den Hoofdakker RH. Sleep deprivation in depression: what do we know, where do we go? Biol Psychiatry 1999;46:445-53.
  • 46. Dallaspezia S, Benedetti F. Sleep deprivation therapy for depression. Curr Top Behav Neurosci 2015;25:483-502.
  • 47. Bunney BG, Bunney WE. Mechanisms of rapid antidepressant effects of sleep deprivation therapy: clock genes and circadian rhythms. Biol Psychiatry 2013;73:1164-71.
  • 48. Madjirova NP, Tashev TG, Delchev NN, Bakalova RG. Interrelationship between cortisol levels in plasma and the circadian rhythm of temperature, pulse and blood pressure in depressed patients with good and disturbed sleep. Int J Psychophysiol 1995;20:145-54.
  • 49. Lewy AJ. Melatonin and human chronobiology. Cold Spring Harb Symp Quant Biol 2007;72:623-36.
  • 50. Verster GC. Melatonin and its agonists, circadian rhythms and psychiatry. Afr J Psychiatry (Johannesbg) 2009;12:42-6.
  • 51. Hickie IB, Rogers NL. Novel melatonin-based therapies: potential advances in the treatment of major depression. Lancet 2011;378:621- 31.
  • 52. Bouwmans ME, Bos EH, Booij SH, van Faassen M, Oldehinkel AJ, de Jonge P. Intra- and inter-individual variability of longitudinal daytime melatonin secretion patterns in depressed and non-depressed individuals. Chronobiol Int 2015;32:441-6.
  • 53. Wehr TA, Wirz-Justice A, Goodwin FK, Duncan W, Gillin JC. Phase advance of the circadian sleep-wake cycle as an antidepressant. Science 1979;206:710-3.
  • 54. Caliyurt O, Guducu F. Partial sleep deprivation therapy combined with sertraline induces more rapid improvements in quality of life items in major depressive disorder. J Affect Disord 2005;88:75-8.
  • 55. Sahlem GL, Kalivas B, Fox JB, Lamb K, Roper A, Williams EN, et al. Adjunctive triple chronotherapy (combined total sleep deprivation, sleep phase advance, and bright light therapy) rapidly improves mood and suicidality in suicidal depressed inpatients: an open label pilot study. J Psychiatr Res 2014;59:101-7.
  • 56. Fritzsche M, Heller R, Hill H, Kick H. Sleep deprivation as a predictor of response to light therapy in major depression. J Affect Disord 2001;62:207-15.
  • 57. Rosenwasser AM. W-JA. Circadian Rhythms and Depression: Clinical and Experimental Models In: Redfern PHLB, editor. Physiology and Pharmacology of Biological Rhythms. Berlin Heidelberg: Springer-Verlag; 1997.
  • 58. AdanA,Archer SN, Hidalgo MP, Di Milia L, Natale V, Randler C. Circadian typology: a comprehensive review. Chronobiol Int 2012;29:1153-75.
  • 59. Dallaspezia S, Benedetti F. Chronobiological therapy for mood disorders. Expert Rev Neurother 2011;11:961-70.
  • 60. Malhi GS, Kuiper S. Chronobiology of mood disorders. Acta Psychiatr Scand Suppl 2013:2-15.
  • 61. Merikanto I, Lahti T, Kronholm E, Peltonen M, Laatikainen T, Vartiainen E, et al. Evening types are prone to depression. Chronobiol Int 2013;30:719-25.
Balkan Medical Journal-Cover
  • ISSN: 2146-3123
  • Başlangıç: 2015
  • Yayıncı: Erkan Mor
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