Ümran Eğilmez, Fatih Ekici, Ali Kandeğer, Yavuz Selvi
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引用次数: 0
Abstract
Objective: To examine associations of chronotype and social jetlag (SJL) with psychiatric symptoms and melatonin secretion in healthy adults.
Methods: In this cross-sectional study, 95 relatively young, university-affiliated students and staff completed the MEQ, SCL-90-R, MCTQ and a one-week sleep diary. SJL was defined as the workday-free-day difference in midsleep. Overnight workday urinary 6-sulfatoxymelatonin (6-SMT) was assayed by ELISA and indexed to creatinine.
Results: Evening chronotypes had longer SJL than intermediate and morning chronotypes (F = 16.70, p < .001). Higher MEQ scores were associated with shorter SJL and earlier midsleep (r = -0.54 to -0.66, all p < .001). Total SCL-90-R scores did not differ across chronotypes (p = .367), whereas obsessive-compulsive symptoms were higher in the evening group (p = .027). Urinary 6-SMT/creatinine did not differ by chronotype (F = 0.823, p = .442) or relate to SJL; BMI correlated inversely with 6-SMT (r = -0.21, p = .043). Lower MEQ scores independently predicted longer SJL (B = -2.82, β = -0.54, p < .001).
Conclusions: Eveningness was associated with greater SJL and obsessive-compulsive symptoms, whereas overnight 6-SMT was not linked to chronotype or SJL. The inverse BMI-6-SMT association may suggest metabolic relevance.
期刊介绍:
International Journal of Psychiatry in Clinical Practice provides an international forum for communication among health professionals with clinical, academic and research interests in psychiatry.
The journal gives particular emphasis to papers that integrate the findings of academic research into realities of clinical practice.
Focus on the practical aspects of managing and treating patients.
Essential reading for the busy psychiatrist, trainee and interested physician.
Includes original research papers, comprehensive review articles and short communications.
Key words: Psychiatry, Neuropsychopharmacology, Mental health, Neuropsychiatry, Clinical Neurophysiology, Psychophysiology, Psychotherapy, Addiction, Schizophrenia, Depression, Bipolar Disorders and Anxiety.