On the Daily Rhythm of Depression Symptomatology

Tölle, Rainer; Goetze, U

doi:10.1159/000284507

Cited by 37 publications

(8 citation statements)

References 5 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is presumably a more severe form of depression (Hamilton, 1982). In a study of several different groups of depressed subjects, Tolle and Goetze (1987) found that a sinus-type daily curve, with a worsening of depressed feelings in the morning, was found more often than any other form of diurnal mood variation. In an early study of depression and daily variation and mood, Stallone, Huba, Lawlor, and Fieve (1973) followed 10 depressed inpatients over periods of up to 80 days.…”

Section: The Morning-worse Patternmentioning

confidence: 99%

Diurnal Patterns of Unpleasant Mood: Associations with Neuroticism, Depression, and Anxiety

Rusting

Larsen

1998

Journal of Personality

View full text Add to dashboard Cite

The literature on symptoms of depression has included diurnal changes in mood. The morning-worse pattern is commonly mentioned. This pattern is often associated with endogenous or vegetative symptoms (e.g., weight and appetite loss, loss of pleasure, psychomotor retardation). However, depression researchers have also identified an evening-worse pattern of mood. This pattern is sometimes thought to be associated with milder depressive symptoms, and may characterize chronic dysthymia rather than clinical depression. The present study examines a nonclinical sample to test the hypothesis that an evening-worse diurnal pattern of mood would be associated with trait neuroticism, anxiety, and subclinical depressive symptoms. An experience sampling methodology was employed to assess mood three times a day for 60 consecutive days. This allowed us to calculate a reliable aggregate score for diurnal mood patterns. The evening-worse pattern was associated with many neurotic features, with scores on depression and anxiety measures, and with a cognitive style indicative of hopelessness. Discussion focuses on how an evening-worse diurnal pattern of mood may be indicative of mild subclinical depression, chronic dysthymia, or personality traits associated with negative affectivity.

show abstract

Section: The Morning-worse Patternmentioning

confidence: 99%

Diurnal Patterns of Unpleasant Mood: Associations with Neuroticism, Depression, and Anxiety

Rusting

Larsen

1998

Journal of Personality

View full text Add to dashboard Cite

show abstract

“…It was confirmed that diurnal mood variations in patients and healthy controls vary substantially from one day to the next [6][7][8]. Only a minority of probands displayed a specific diurnal variation type on 3 successive days according to all 3 instruments.…”

Section: Discussionmentioning

confidence: 61%

“…The frequency of the different types of diurnal variation seems to be virtually no different from that of depressive patients [7]. According to the few studies published on this aspect, typical diurnal variations among healthy controls are recorded with almost the same frequency [15] or with even greater frequency [16] than a lack of circadian mood rhythm, whereas inverse diurnal variations (with an evening low.…”

Section: Introductionmentioning

confidence: 98%

“…As such, they are still taken into account in currently valid classification systems [4.5], Recent investigations, however, show that the circa dian rhythm of depressive patients is irregular inter-and intraindividually [6][7][8]. If shorter (ultradian) variations are also taken into account, a large number of different daily courses can be detected in melancholic patients [9], Typical diurnal variations are not confined to melancholia but are also recorded in other forms of depressive disorders [10][11][12][13], Diurnal mood variations are obviously characteristic of affective disturbances in general, irrespective of their etiology; they also occur, for example, in depressive states of schizophrenia [12].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diurnal Mood Variation in Melancholic Patients and Healthy Controls

Wefelmeyer¹,

Kuhs²

1996

Psychopathology

View full text Add to dashboard Cite

In 30 melancholic patients and 21 healthy controls, diurnal mood variation was investigated on 3 successive days at 7.30 a.m., 11.30 a.m., 3.30 p.m. and 7.30 p.m. Daily courses with no variation or with a so-called typical variation (morning low, afternoon/evening high) occurred with the same frequency in both samples. Circadian mood variations vary substantially inter- and intraindividually in both depressive patients and healthy controls. However, the controls reported short (ultradian) mood variations more frequently than the patients. Using a semistructured interview, the subjective experience of diurnal mood variations was compared: In melancholic patients, mood variations occur spontaneously in more than half of all cases, whereas healthy controls attribute them almost exclusively to their own activities and/or external circumstances. It is discussed whether ‘typical’ diurnal variations in melancholic patients may have been emphasized in earlier psychopathological literature not because of their frequency but because patients experience the circadian mood rhythm as uninfluenceable.

show abstract

“…Many patients with non-seasonal depression show a regular daily pattern of symptoms, usually with more severe symptoms in the morning [72,73], while a minority show the opposite pattern known as ''reversed diurnal variation'' [74]. Healthy subjects typically report deterioration of mood in the evening compared to the morning [75,76].…”

Section: Circadian Rhythm Disturbances In Depressionmentioning

confidence: 99%

Antidepressants and Sleep: Neurophysiology and Clinical Correlates

Iorio¹,

Marini²,

Acciavatti³

et al. 2012

CPSR

View full text Add to dashboard Cite

Introduction: Depression is a common disorder associated with significant disability and is a substantial burden on the individual, their relatives and friends, and on society as a whole. Sleep disturbances are key features of depressive symptomatology, with more than 80% of depressed patients complaining of poor quality sleep.Methods: The range of available antidepressants is here reviewed in relation to mechanisms of action and the evidence of sleep alteration in patients with depression.Results: The available treatments are largely effective but their use is compromised by poor tolerability and low adherence to treatment. It is also clear that currently used antidepressant agents tend to disrupt sleep architecture. Agomelatine, a novel antidepressant, has been found successful in treating depressed patients. Because of its dual mechanism of action on MT1 and MT2 melatonin receptors in the SCN and its 5-HT2c antagonist properties, agomelatine has been effective in improving both quality of sleep and mood in depressed patients.Conclusions: There is clinical and epidemiological evidence that sleep disturbances in depression constitute a risk factor for poor clinical outcomes. Specifically, insomnia complaints precede the onset and recurrence of depression. For this reason antidepressants with a faster onset of action, with less interferences on sleep architecture would be expected to bring larger numbers of depressed patients to full remission.

show abstract

On the Daily Rhythm of Depression Symptomatology

Cited by 37 publications

References 5 publications

Diurnal Patterns of Unpleasant Mood: Associations with Neuroticism, Depression, and Anxiety

Diurnal Patterns of Unpleasant Mood: Associations with Neuroticism, Depression, and Anxiety

Diurnal Mood Variation in Melancholic Patients and Healthy Controls

Antidepressants and Sleep: Neurophysiology and Clinical Correlates

Contact Info

Product

Resources

About