Uncoupling of social zeitgebers and diurnal cortisol secretion in clinical depression.
Daily activities (zeitgebers) such as waking, eating, and exercising, done alone or in the presence of others, may help to entrain biological rhythms. To examine whether the relationship between zeitgebers and biological rhythms is altered in depression, this study tracked daily activity and cortisol secretion in 50 depressed and 50 control participants using a daily diary methodology. The groups reported similar levels of regular daily activities. Among control participants, regular daily activities were associated with a normative decline in cortisol secretion. Among depressed participants, daily activities and cortisol secretion were unrelated, consistent with the hypothesis that these activities are less able to entrain diurnal rhythms. This lack of social entrainment may underlie some of the circadian disturbances in depression.
Stetler
Cinnamon
C
Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, BC, Canada V6T 1Z4. cstetler@psych.ubc.ca
Dickerson
Sally S
SS
Miller
Gregory E
GE
D000203:Activities of Daily Living; D000328:Adult; D002940:Circadian Rhythm / Q000502:physiology*; D003866:Depressive Disorder / Q000378:metabolism / Q000503:physiopathology*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000032:analysis / Q000378:metabolism*; D007030:Hypothalamo-Hypophyseal System / Q000503:physiopathology; D008297:Male; D010913:Pituitary-Adrenal System / Q000503:physiopathology; D012016:Reference Values; D012463:Saliva / Q000737:chemistry; D012931:Social Environment
D006854:Hydrocortisone