Effects of chronotype on antidepressant treatment and symptoms in patients with depression: a multicenter, parallel, controlled study
Abstract Aim To analyze the changes of chronotypes in patients with depression before and after treatment, and explore the effects of different chronotypes on antidepressant treatment and the dimensions of common symptoms in patients with depression. Methods 180 patients with depression were selecte...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-023-04721-z |
| _version_ | 1797840876924305408 |
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| author | Shikai Wang Min Feng Yu Fang Liang Lv Guilan Sun Shanfei Cheng Weiquan Huang Shengliang Yang Ping Guo Mincai Qian Huanxin Chen |
| author_facet | Shikai Wang Min Feng Yu Fang Liang Lv Guilan Sun Shanfei Cheng Weiquan Huang Shengliang Yang Ping Guo Mincai Qian Huanxin Chen |
| author_sort | Shikai Wang |
| collection | DOAJ |
| description | Abstract Aim To analyze the changes of chronotypes in patients with depression before and after treatment, and explore the effects of different chronotypes on antidepressant treatment and the dimensions of common symptoms in patients with depression. Methods 180 patients with depression were selected from 10 tertiary psychiatric hospitals in Zhejiang province, according to the scores of morningness-eveningness questionnaire (MEQ), the patients were divided into three groups: early-type group, middle-type group and late-type group. The 17-item Hamilton Depression Rating Scale (HAMD-17), Hamilton Anxiety Rating Scale anxiety Scale (HAMA), Snaith Hamilton Pleasure Scale (SHAPS), multidimensional fatigue inventory-20(MFI-20) and Pittsburgh sleep quality index (PSQI) were measured at baseline and at the end of the 2nd, 4th, 8th and 12th weeks, the variance analysis of repeated measures was used to analyze the change of each index in the study. The remission rate of depression at each time point was statistically analyzed. Results Of the 180 patients included in the study, 26 were lost to follow-up, and 154 were finally included in the analysis. At baseline, 14.93%, 56.5% and 28.57% of the subjects were diagnosed as middle-late type, middle-late type and early-late type respectively, the total scores of Shaps and MFI-20 in the early-type group were higher than those in the late-type group and the middle-type group (p < 0.05). During the 12-week antidepressant treatment period, the time effect of PSQI, Shaps, MFI-20 and MEQ had interaction with different time groups (p < 0.05). During the treatment, the multiple symptom dimensions of depression were improved to different degrees, but the changing trend was not the same, and the recovery of the anhedonia was obviously delayed, in early-type patients, there are many symptoms such as loss of pleasure and sleep disorders. There was no significant effect on the remission rate of depression in different time type (p > 0.05) . Conclusion The disorder of chronotypes is common in patients with depression. The time effect of different time type on different symptom dimension of depression was affected, but the effect on remission rate of depression was not significant. To strengthen the management of biological chronotype rhythm in patients with depression may be of great significance in the treatment of depression. |
| first_indexed | 2024-04-09T16:21:54Z |
| format | Article |
| id | doaj.art-b4916a8a07cd45f1b2e8ef9346aebd72 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-09T16:21:54Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-b4916a8a07cd45f1b2e8ef9346aebd722023-04-23T11:24:48ZengBMCBMC Psychiatry1471-244X2023-04-012311910.1186/s12888-023-04721-zEffects of chronotype on antidepressant treatment and symptoms in patients with depression: a multicenter, parallel, controlled studyShikai Wang0Min Feng1Yu Fang2Liang Lv3Guilan Sun4Shanfei Cheng5Weiquan Huang6Shengliang Yang7Ping Guo8Mincai Qian9Huanxin Chen10Department of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Anesthesiology, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Laboratory, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityDepartment of Laboratory, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou UniversityAbstract Aim To analyze the changes of chronotypes in patients with depression before and after treatment, and explore the effects of different chronotypes on antidepressant treatment and the dimensions of common symptoms in patients with depression. Methods 180 patients with depression were selected from 10 tertiary psychiatric hospitals in Zhejiang province, according to the scores of morningness-eveningness questionnaire (MEQ), the patients were divided into three groups: early-type group, middle-type group and late-type group. The 17-item Hamilton Depression Rating Scale (HAMD-17), Hamilton Anxiety Rating Scale anxiety Scale (HAMA), Snaith Hamilton Pleasure Scale (SHAPS), multidimensional fatigue inventory-20(MFI-20) and Pittsburgh sleep quality index (PSQI) were measured at baseline and at the end of the 2nd, 4th, 8th and 12th weeks, the variance analysis of repeated measures was used to analyze the change of each index in the study. The remission rate of depression at each time point was statistically analyzed. Results Of the 180 patients included in the study, 26 were lost to follow-up, and 154 were finally included in the analysis. At baseline, 14.93%, 56.5% and 28.57% of the subjects were diagnosed as middle-late type, middle-late type and early-late type respectively, the total scores of Shaps and MFI-20 in the early-type group were higher than those in the late-type group and the middle-type group (p < 0.05). During the 12-week antidepressant treatment period, the time effect of PSQI, Shaps, MFI-20 and MEQ had interaction with different time groups (p < 0.05). During the treatment, the multiple symptom dimensions of depression were improved to different degrees, but the changing trend was not the same, and the recovery of the anhedonia was obviously delayed, in early-type patients, there are many symptoms such as loss of pleasure and sleep disorders. There was no significant effect on the remission rate of depression in different time type (p > 0.05) . Conclusion The disorder of chronotypes is common in patients with depression. The time effect of different time type on different symptom dimension of depression was affected, but the effect on remission rate of depression was not significant. To strengthen the management of biological chronotype rhythm in patients with depression may be of great significance in the treatment of depression.https://doi.org/10.1186/s12888-023-04721-zDepressionBiorhythmChronotypeAnhedoniaAntidepressant treatment |
| spellingShingle | Shikai Wang Min Feng Yu Fang Liang Lv Guilan Sun Shanfei Cheng Weiquan Huang Shengliang Yang Ping Guo Mincai Qian Huanxin Chen Effects of chronotype on antidepressant treatment and symptoms in patients with depression: a multicenter, parallel, controlled study BMC Psychiatry Depression Biorhythm Chronotype Anhedonia Antidepressant treatment |
| title | Effects of chronotype on antidepressant treatment and symptoms in patients with depression: a multicenter, parallel, controlled study |
| title_full | Effects of chronotype on antidepressant treatment and symptoms in patients with depression: a multicenter, parallel, controlled study |
| title_fullStr | Effects of chronotype on antidepressant treatment and symptoms in patients with depression: a multicenter, parallel, controlled study |
| title_full_unstemmed | Effects of chronotype on antidepressant treatment and symptoms in patients with depression: a multicenter, parallel, controlled study |
| title_short | Effects of chronotype on antidepressant treatment and symptoms in patients with depression: a multicenter, parallel, controlled study |
| title_sort | effects of chronotype on antidepressant treatment and symptoms in patients with depression a multicenter parallel controlled study |
| topic | Depression Biorhythm Chronotype Anhedonia Antidepressant treatment |
| url | https://doi.org/10.1186/s12888-023-04721-z |
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