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...
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Frontiers Media S.A.
2018-08-01
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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. |
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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 |
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