title: Circadian Rhythm Characteristics in Mood Disorders: Comparison among Bipolar I Disorder, Bipolar II Disorder and Recurrent Major Depressive Disorder.
abstract: OBJECTIVE
  Morningness/eveningness (M/E) is a stable characteristic of individuals. Circadian rhythms are altered in episodes of mood disorder. Mood disorder patients were more evening-type than normal population. In this study, we compared the characteristics of M/E among the 257 patients with bipolar I disorder (BPD1), bipolar II disorder (BPD2) and major depressive disorder, recurrent (MDDR).
  
  
  METHODS
  M/E was evaluated using the Korean version of the composite scale of morningness (CS). Factor analysis was done to extract specific elements of circadian rhythm (morning preference, morning alertness, and evening tiredness). The total score and scores for factors and individual items of CS were compared in order to evaluate differences among the three different diagnostic groups. Factor scores of CS were different among the diagnostic groups.
  
  
  RESULTS
  BPD1 subjects had a higher score for evening tiredness than BPD2 subjects (p=0.060), and BPD1 subjects had a significantly higher score for morning alertness than subjects with MDDR (p=0.034). This difference was even more profound for the representative item scores of each factor; item 2 of CS for evening tiredness (BPD1>BPD2, p=0.007) and item 5 of CS for morning alertness (BPD1>MDDR, p=0.002). Total score of CS were not different among 3 diagnostic groups.
  
  
  CONCLUSIONS
  Circadian rhythm characteristics measured by CS were different among BPD1, BPD2, and MDDR. BPD2 showed more eveningness than BPD1. MDDR showed less morningness than BPD1. CS would be a reasonable endophenotype associated with mood disorders. More studies with large sample size of mood disorders on M/E are warranted.
authors: Department of Neuropsychiatry, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea.
authors: Jae Kyung
authors: JK
authors: Chung
authors: Kyu Young
authors: KY
authors: Lee
authors: Se Hyun
authors: SH
authors: Kim
authors: Eui-Joong
authors: EJ
authors: Kim
authors: Seong Hoon
authors: SH
authors: Jeong
authors: Hee Yeon
authors: HY
authors: Jung
authors: Jung-Eun
authors: JE
authors: Choi
authors: Yong Min
authors: YM
authors: Ahn
authors: Yong Sik
authors: YS
authors: Kim
authors: Eun-Jeong
authors: EJ
authors: Joo
keywords: Bipolar I disorder; Bipolar II disorder; Chronotype; Composite scale; Major depressive disorder