Development of a Measure of Sleep, Circadian Rhythms, and Mood: The SCRAM Questionnaire

Byrne, Jamie E. M.; Bullock, Ben; Murray, Greg

doi:10.3389/fpsyg.2017.02105

Cited by 11 publications

(13 citation statements)

References 67 publications

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“…The components and items have demonstrated strong internal consistency; global and component scores have been shown to be stable over time [ 59 ]. Sleep, Circadian Rhythms and Mood questionnaire (SCRAM) [ 60 ]. A self-report measure to assess overlap between sleep, circadian rhythms and mood.…”

Section: Methodsmentioning

confidence: 99%

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Web-based intervention to improve quality of life in late stage bipolar disorder (ORBIT): randomised controlled trial protocol

et al. 2018

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BackgroundThe primary objective of this randomised controlled trial (RCT) is to establish the effectiveness of a novel online quality of life (QoL) intervention tailored for people with late stage (≥ 10 episodes) bipolar disorder (BD) compared with psychoeducation. Relative to early stage individuals, this late stage group may not benefit as much from existing psychosocial treatments. The intervention is a guided self-help, mindfulness based intervention (MBI) developed in consultation with consumers, designed specifically for web-based delivery, with email coaching support.Methods/designThis international RCT will involve a comparison of the effectiveness and cost-effectiveness of two 5-week adjunctive online self-management interventions: Mindfulness for Bipolar 2.0 and an active control (Psychoeducation for Bipolar). A total of 300 participants will be recruited primarily via social media channels. Main inclusion criteria are: a diagnosis of BD (confirmed via a phone-administered structured diagnostic interview), no current mood episode, history of 10 or more mood episodes, no current psychotic features or active suicidality, under the care of a medical practitioner. Block randomisation will be used for allocation to the interventions, and participants will retain access to the program for 6 months. Evaluations will be conducted at pre- and post- treatment, and at 3- and 6- months follow-up. The primary outcome measure will be the Brief Quality of Life in Bipolar Disorder Scale (Brief QoL.BD), collected immediately post-intervention at 5 weeks (T1). Secondary measures include BD-related symptoms (mania, depression, anxiety, stress), time to first relapse, functioning, sleep quality, social rhythm stability and resource use. Measurements will be collected online and via telephone assessments at baseline (T0), 5 weeks (T1), three months (T2) and six months (T3). Candidate moderators (diagnosis, anxiety or substance comorbidities, demographics and current treatments) will be investigated as will putative therapeutic mechanisms including mindfulness, emotion regulation and self-compassion. A cost-effectiveness analysis will be conducted. Acceptability and any unwanted events (including adverse treatment reactions) will be documented and explored.DiscussionThis definitive trial will test the effectiveness and cost-effectiveness of a novel QoL focused, mindfulness based, online guided self-help intervention for late stage BD, and investigate its putative mechanisms of therapeutic action.Trial registrationClinicalTrials.gov: NCT03197974. Registered 23 June 2017.Electronic supplementary materialThe online version of this article (10.1186/s12888-018-1805-9) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

“…Sleep, Circadian Rhythms and Mood questionnaire (SCRAM) [ 60 ]. A self-report measure to assess overlap between sleep, circadian rhythms and mood.…”

Section: Methodsmentioning

confidence: 99%

Web-based intervention to improve quality of life in late stage bipolar disorder (ORBIT): randomised controlled trial protocol

et al. 2018

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“…The participants’ circadian rhythm, sleep and mood were evaluated with the Sleep, Circadian Rhythms, and Mood (SCRAM) questionnaire [ 37 ]. The tool consists of three 5-item scales assessing depressed mood, morningness and good sleep during the past two weeks.…”

Section: Methodsmentioning

confidence: 99%

Beat the Clock: Assessment of Night Eating Syndrome and Circadian Rhythm in a Sample of Greek Adults

Blouchou,

Chamou,

Eleftheriades

et al. 2024

Nutrients

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The night eating syndrome (NES) is characterized by excessive food intake during the evening and night hours, with 25% of the daily intake being consumed post-dinner, paired with ep-isodes of nocturnal food intake, at a frequency of more than twice weekly. The NES has been associated with a misaligned circadian rhythm related to a delay in overall food intake, increased energy and fat consumption. The present cross-sectional study aimed to assess NES in a Greek population and evaluate possible links between NES and chronotype. NES was assessed using the Night Eating Questionnaire (NEQ), and circadian rhythm, sleep and mood were evaluated with the Sleep, Circadian Rhythms, and Mood (SCRAM) questionnaire. A total of 533 adults participated in the study. A relatively high prevalence of NES was revealed, with more than 8.1% (NEQ ≥ 30) of the participants reporting experiencing NES symptoms, depending on the NEQ threshold used. Most participants had the intermediate chronotype. NEQ score was positively associated with the morning chronotype, and SCRAM was negatively related to “Good Sleep”. Each point increment in the depression score was associated with 6% higher odds of NES. The early identification of NES gains importance in clinical practice, in a collective effort aiming to reduce NES symptomatology and its detrimental health effects.

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“…Sleep quality 33 and diurnal preference 34 are factors that are relevant to the proposed circadian aetiology of mood disorders and are therefore important potential covariates/confounds that need to be controlled in the present study analyses. The Sleep, Circadian Rhythms and Mood (SCRAM) questionnaire 35 contains three 5-item scales assessing each of these factors – sleep quality, circadian phase, and depressed mood. All items are measured on a 6-point Likert scale ranging from 1 (strongly disagree) to 6 (strongly agree).…”

Section: Methodsmentioning

confidence: 99%

Social Rhythm Disruption is Associated with Greater Depressive Symptoms in People with Mood Disorders: Findings from a Multinational Online Survey During COVID-19

et al. 2022

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Objectives Societal restrictions imposed to prevent transmission of COVID-19 may challenge circadian-driven lifestyle behaviours, particularly amongst those vulnerable to mood disorders. The overarching aim of the present study was to investigate the hypothesis that, in the routine-disrupted environment of the COVID-19, amongst a sample of people living with mood disorders, greater social rhythm disruption would be associated with more severe mood symptoms. Methods We conducted a two-wave, multinational survey of 997 participants [Formula: see text] who self-reported a mood disorder diagnosis (i.e., major depressive disorder or bipolar disorder). Respondents completed questionnaires assessing demographics, social rhythmicity (The Brief Social Rhythm Scale), depression symptoms (Patient Health Questionnaire-9), sleep quality and diurnal preference (The Sleep, Circadian Rhythms and Mood questionnaire) and stressful life events during the COVID-19 pandemic (The Social Readjustment Rating Scale). Results The majority of participants indicated COVID-19-related social disruption had affected the regularity of their daily routines to at least some extent ( n = 788, 79.1%). As hypothesised, lower social rhythmicity was associated with greater depressive symptoms when tested cross-sectionally (standardised β = −.25, t = −7.94, P = 0.000) and when tested using a 2-level hierarchical linear model across two time points ( b = −0.14, t = −3.46, df = 264, P ≤ 0.001). Conclusions These results are consistent with the social zeitgeber hypothesis proposing that mood disorders are sensitive to life events that disrupt social rhythms.

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Development of a Measure of Sleep, Circadian Rhythms, and Mood: The SCRAM Questionnaire

Cited by 11 publications

References 67 publications

Web-based intervention to improve quality of life in late stage bipolar disorder (ORBIT): randomised controlled trial protocol

Web-based intervention to improve quality of life in late stage bipolar disorder (ORBIT): randomised controlled trial protocol

Beat the Clock: Assessment of Night Eating Syndrome and Circadian Rhythm in a Sample of Greek Adults

Social Rhythm Disruption is Associated with Greater Depressive Symptoms in People with Mood Disorders: Findings from a Multinational Online Survey During COVID-19

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