Circadian Rhythmic Characteristics in Men With Substance Use Disorder Under Treatment. Influence of Age of Onset of Substance Use and Duration of Abstinence

There is evidence of the reciprocal influence between the alteration of circadian rhythms and Substance Use Disorders (SUD), and part of the success of the SUD treatment lays in the patient's rhythmic recovery. We aim to elucidate the effect of the SUD treatment in circadian rhythmicity conside...

Full description

Bibliographic Details
Main Authors: Maria del Mar Capella, Antonio Martinez-Nicolas, Ana Adan
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-08-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2018.00373/full
_version_ 1811293808382443520
author Maria del Mar Capella
Antonio Martinez-Nicolas
Antonio Martinez-Nicolas
Ana Adan
Ana Adan
author_facet Maria del Mar Capella
Antonio Martinez-Nicolas
Antonio Martinez-Nicolas
Ana Adan
Ana Adan
author_sort Maria del Mar Capella
collection DOAJ
description There is evidence of the reciprocal influence between the alteration of circadian rhythms and Substance Use Disorders (SUD), and part of the success of the SUD treatment lays in the patient's rhythmic recovery. We aim to elucidate the effect of the SUD treatment in circadian rhythmicity considering, for the first time, the age of onset of substance use (OSU) and duration of abstinence. We registered the sleep-wake schedules, the chronotype and the distal skin temperature of 114 SUD patients with at least 3 months of abstinence, considering whether they had begun consumption at age 16 or earlier (OSU ≤ 16, n = 56) or at 17 or later (OSU ≥ 17, n = 58), and duration of abstinence as short (SA: 3 to 5 months, n = 38), medium (MA: 6 to 9 months, n = 35) or long (LA: more than 9 months, n = 41). Moreover, we compared the patients' distal skin temperature pattern with a similar sample of healthy controls (HC, n = 103). SUD patients showed a morningness tendency and higher night values, amplitude and stability, a better adjustment to the cosine model and lower minimum temperature and circadianity index in the distal skin temperature rhythm, in contrast to the HC group. The OSU ≥ 17 and LA groups showed a more robust distal skin temperature pattern, as well as milder clinical characteristics when compared to the OSU ≤ 16 and SA groups, respectively. The circadian disturbances associated to substance consumption seem to improve with treatment, although the age of OSU and the duration of abstinence are modulating variables. Our results highlight the need to include chronobiological strategies that boost circadian rhythmicity both in SUD prevention and rehabilitation programs. The measurement of distal skin temperature rhythm, a simple and reliable procedure, could be considered an indicator of response to treatment in SUD patients.
first_indexed 2024-04-13T05:07:02Z
format Article
id doaj.art-0ef760a718be4af780f48a4a9b4d4487
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-04-13T05:07:02Z
publishDate 2018-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-0ef760a718be4af780f48a4a9b4d44872022-12-22T03:01:08ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402018-08-01910.3389/fpsyt.2018.00373396099Circadian Rhythmic Characteristics in Men With Substance Use Disorder Under Treatment. Influence of Age of Onset of Substance Use and Duration of AbstinenceMaria del Mar Capella0Antonio Martinez-Nicolas1Antonio Martinez-Nicolas2Ana Adan3Ana Adan4Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, Barcelona, SpainChronobiology Lab, Department of Physiology, College of Biology, University of Murcia, IUIE, IMIB-Arrixaca, Murcia, SpainCiber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, SpainDepartment of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, Barcelona, SpainInstitute of Neurosciences, University of Barcelona, Barcelona, SpainThere is evidence of the reciprocal influence between the alteration of circadian rhythms and Substance Use Disorders (SUD), and part of the success of the SUD treatment lays in the patient's rhythmic recovery. We aim to elucidate the effect of the SUD treatment in circadian rhythmicity considering, for the first time, the age of onset of substance use (OSU) and duration of abstinence. We registered the sleep-wake schedules, the chronotype and the distal skin temperature of 114 SUD patients with at least 3 months of abstinence, considering whether they had begun consumption at age 16 or earlier (OSU ≤ 16, n = 56) or at 17 or later (OSU ≥ 17, n = 58), and duration of abstinence as short (SA: 3 to 5 months, n = 38), medium (MA: 6 to 9 months, n = 35) or long (LA: more than 9 months, n = 41). Moreover, we compared the patients' distal skin temperature pattern with a similar sample of healthy controls (HC, n = 103). SUD patients showed a morningness tendency and higher night values, amplitude and stability, a better adjustment to the cosine model and lower minimum temperature and circadianity index in the distal skin temperature rhythm, in contrast to the HC group. The OSU ≥ 17 and LA groups showed a more robust distal skin temperature pattern, as well as milder clinical characteristics when compared to the OSU ≤ 16 and SA groups, respectively. The circadian disturbances associated to substance consumption seem to improve with treatment, although the age of OSU and the duration of abstinence are modulating variables. Our results highlight the need to include chronobiological strategies that boost circadian rhythmicity both in SUD prevention and rehabilitation programs. The measurement of distal skin temperature rhythm, a simple and reliable procedure, could be considered an indicator of response to treatment in SUD patients.https://www.frontiersin.org/article/10.3389/fpsyt.2018.00373/fullabstinencecircadian rhythmchronotypedistal skin temperatureonset of substance usesleep-wake schedules
spellingShingle Maria del Mar Capella
Antonio Martinez-Nicolas
Antonio Martinez-Nicolas
Ana Adan
Ana Adan
Circadian Rhythmic Characteristics in Men With Substance Use Disorder Under Treatment. Influence of Age of Onset of Substance Use and Duration of Abstinence
Frontiers in Psychiatry
abstinence
circadian rhythm
chronotype
distal skin temperature
onset of substance use
sleep-wake schedules
title Circadian Rhythmic Characteristics in Men With Substance Use Disorder Under Treatment. Influence of Age of Onset of Substance Use and Duration of Abstinence
title_full Circadian Rhythmic Characteristics in Men With Substance Use Disorder Under Treatment. Influence of Age of Onset of Substance Use and Duration of Abstinence
title_fullStr Circadian Rhythmic Characteristics in Men With Substance Use Disorder Under Treatment. Influence of Age of Onset of Substance Use and Duration of Abstinence
title_full_unstemmed Circadian Rhythmic Characteristics in Men With Substance Use Disorder Under Treatment. Influence of Age of Onset of Substance Use and Duration of Abstinence
title_short Circadian Rhythmic Characteristics in Men With Substance Use Disorder Under Treatment. Influence of Age of Onset of Substance Use and Duration of Abstinence
title_sort circadian rhythmic characteristics in men with substance use disorder under treatment influence of age of onset of substance use and duration of abstinence
topic abstinence
circadian rhythm
chronotype
distal skin temperature
onset of substance use
sleep-wake schedules
url https://www.frontiersin.org/article/10.3389/fpsyt.2018.00373/full
work_keys_str_mv AT mariadelmarcapella circadianrhythmiccharacteristicsinmenwithsubstanceusedisorderundertreatmentinfluenceofageofonsetofsubstanceuseanddurationofabstinence
AT antoniomartineznicolas circadianrhythmiccharacteristicsinmenwithsubstanceusedisorderundertreatmentinfluenceofageofonsetofsubstanceuseanddurationofabstinence
AT antoniomartineznicolas circadianrhythmiccharacteristicsinmenwithsubstanceusedisorderundertreatmentinfluenceofageofonsetofsubstanceuseanddurationofabstinence
AT anaadan circadianrhythmiccharacteristicsinmenwithsubstanceusedisorderundertreatmentinfluenceofageofonsetofsubstanceuseanddurationofabstinence
AT anaadan circadianrhythmiccharacteristicsinmenwithsubstanceusedisorderundertreatmentinfluenceofageofonsetofsubstanceuseanddurationofabstinence