躁郁症患者的睡眠和昼夜节律模式与自杀风险之间的关系因亚型而异。

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2024-11-19 DOI:10.1016/j.jpsychires.2024.11.030

Jennifer R. Goldschmied , Emma Palermo , Anastasia Yocum , Melvin McInnis , Philip Gehrman

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引用次数: 0

摘要

引言睡眠和昼夜节律紊乱在精神疾病，尤其是双相情感障碍等情绪障碍中起着至关重要的作用。本研究调查了自我报告的睡眠和昼夜节律因素对双相情感障碍 I 型和 II 型患者自杀风险的预测价值：数据收集自 Heinz C. Prechter 双相情感障碍纵向研究。自杀风险采用哥伦比亚自杀-严重程度评定量表进行评估，睡眠和昼夜节律因素则从匹兹堡睡眠质量指数、汉密尔顿抑郁评定量表和慕尼黑时型问卷中提取：结果：通过逐步选择程序确定了各组的重要预测因素。结果显示，躁郁症 I 型患者的自杀风险与失眠有关，而躁郁症 II 型患者的自杀风险与晚间时型有关：这些研究结果表明，特定的睡眠和昼夜节律紊乱变量会给躁郁症亚型患者带来独特的自杀风险。这凸显了在临床实践中进行全面睡眠和昼夜节律评估的重要性，并强调有必要进行临床试验，研究睡眠和昼夜节律干预对降低躁郁症患者自杀风险的影响。

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The relationship between sleep and circadian patterns with risk for suicide in bipolar disorder varies by subtype

Introduction

Sleep and circadian disturbances play a crucial role in psychiatric disorders, especially mood disorders such as bipolar disorder. This study investigated the predictive value of self-reported sleep and circadian factors for suicide risk in individuals with bipolar type I and bipolar type II disorder.

Methods

Data were collected from the Heinz C. Prechter Longitudinal Study of Bipolar Disorder. Suicide risk was evaluated using the Columbia Suicide-Severity Rating Scale, while the sleep and circadian factors were extracted from the Pittsburgh Sleep Quality Index, Hamilton Depression Rating Scale, and Munich Chronotype Questionnaire.

Results

A stepwise selection procedure identified significant predictors for each group. Results showed that suicide risk in individuals with bipolar disorder type I was associated with insomnia, whereas risk in bipolar disorder type II was associated with evening chronotype.

Conclusion

These findings indicate that specific sleep and circadian disturbance variables confer unique risk for suicide in the subtypes of bipolar disorder. This highlights the importance of conducting a thorough sleep and circadian assessment in clinical practice and emphasizes the need for clinical trials investigating the impact of sleep and circadian interventions on mitigating suicide risk in individuals with bipolar disorder.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;