Six of the variables involved in the psychoendocrine "catabolic-anabolic sequence" as defined by Mason-urinary corticosteroids, epinephrine, norepinephrine, aldosterone, urine volume and plasma growth hormoneundergo diurnal variations of large amplitude. Androgen secretion probably has, and estrogen, insulin and thyroid secretion may have, diurnal variations.The organization of the daily neuroendocrine cycle differs in important respects from that of the psychoendocrine catabolic-anabolic sequence. Alteration of normal phase relations among endocrine rhythms could have an impact on overall hormone balance equal to or greater than that of psychoendocrine responses as usually understood. Such alterations could occur either as a result of unusual living schedules or of impaired capacity of the organism to synchronize its rhythms with environmental cycles. The capacity to synchronize internal rhythms with each other and with environmental cycles appears to involve higher nervous activity and to depend on structural and functional integrity of the brain.Chronobiology is the study of biologic chronobiologic knowledge to the treatment of rhythms-ie, of the temporal structure of disease. organisms as opposed to the morphologic strucRecently the psychosomatic and chronobiture (1). Several subdivisions, including the fol-ology movements have begun to interact. It lowing, may be delineated: a) chronophysiolo-remains to be seen how fruitful the exchange gy, the study of normal rhythmic processes; b) will be, but a number of common interests are chronopharmacology, the study of rhythmic readily apparent. Both have strong commitfluctuations in the organism's response to drugs ments to the integrative approach in biologic and of drug effects on rhythmic functions; c) research; both are concerned with variations chronopathology, the study of the relationships within the physiologically normal range; both between rhythm abnormalities and disease; and have interests which extend from the molecular d) chronotherapeutics, the application of to the sociologic'levels of organization; and both aspire to improve the practice of clinical medicine.
From the Eastern Pennsylvania Psychiatric Institute andA i m o f t e n s i o n i n t h e interaction is