The Dark Side of the Night Owl Life
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Insomnia Mediates Effect of Eveningness 1
Running head: INSOMNIA MEDIATES EFFECT OF EVENINGNESS 1 Insomnia Mediates the Association between Eveningness and Suicidal Ideation, Defeat, Entrapment, and Psychological Distress in Young Adults Daniel Bradford, Stephany Biello, Kirsten Russell School of Psychology, University of Glasgow Author Note The authors have no competing interests to declare. Daniel Bradford MSc https://orcid.org/0000-0002-7523-8764 Prof. Stephany Biello https://orcid.org/0000-0002-3497-5215 Kirsten Russell PhD https://orcid.org/0000-0002-7034-2749 INSOMNIA MEDIATES EFFECT OF EVENINGNESS 2 Abstract Chronotype describes a person’s general preference for mornings, evenings or neither. It is typically conceptualized as a continuous unidimensional spectrum from morningness to eveningness. Eveningness is associated with poorer outcomes across a myriad of physical and mental health outcomes. This preference for later sleep and wake times is associated with increased risk of depression, anxiety, and suicidal ideation and behaviors in both clinical and community samples. However, the mechanisms underlying the negative consequences of this preference for evenings is not fully understood. Previous research has found that sleep disturbances may act as a mediator of this relationship. The present study aimed to explore the associations between chronotype and affective outcomes in a community sample of young adults. Additionally, it aimed to investigate the potential role of insomnia as a mediator within these relationships. Participants (n = 260) completed an anonymous self-report survey of validated measures online which assessed chronotype, insomnia symptoms, and a range of affective outcomes (defeat, entrapment, stress, suicide risk, and depressive and anxious symptomology). Eveningness was associated with more severe or frequent experiences of these outcomes, with young adults demonstrating a preference for eveningness more likely to report poorer affective functioning and increased psychological distress. -
The Effects of Time of Day and Chronotype on Cognitive and Physical Performance in Healthy Volunteers Facer-Childs, Elise; Boiling, Sophie; Balanos, George
CORE Metadata, citation and similar papers at core.ac.uk Provided by University of Birmingham Research Portal The effects of time of day and chronotype on cognitive and physical performance in healthy volunteers Facer-Childs, Elise; Boiling, Sophie; Balanos, George DOI: 10.1186/s40798-018-0162-z License: Creative Commons: Attribution (CC BY) Document Version Publisher's PDF, also known as Version of record Citation for published version (Harvard): Facer-Childs, E, Boiling, S & Balanos, G 2018, 'The effects of time of day and chronotype on cognitive and physical performance in healthy volunteers', Sports Medicine - Open, vol. 4, no. 1, 47. https://doi.org/10.1186/s40798-018-0162-z Link to publication on Research at Birmingham portal Publisher Rights Statement: Checked for eligibility 09/11/2018 Sports Medicine - Open20184:47 https://doi.org/10.1186/s40798-018-0162-z General rights Unless a licence is specified above, all rights (including copyright and moral rights) in this document are retained by the authors and/or the copyright holders. The express permission of the copyright holder must be obtained for any use of this material other than for purposes permitted by law. •Users may freely distribute the URL that is used to identify this publication. •Users may download and/or print one copy of the publication from the University of Birmingham research portal for the purpose of private study or non-commercial research. •User may use extracts from the document in line with the concept of ‘fair dealing’ under the Copyright, Designs and Patents Act 1988 (?) •Users may not further distribute the material nor use it for the purposes of commercial gain. -
INSOMNIA Authors: Dr
INSOMNIA Authors: Dr. Ashna Bowry, Dr. Karl Iglar Created Dec 2010 Overview Insomnia is commonly reported due to daytime fatigue, physical discomfort and psychological distress1. Although highly prevalent and can lead to physical and mental health problems as well as social, occupational and economic repercussions, poor sleep quality is often overlooked. The prevalence of insomnia is estimated to be 13.4% in Canada and 6-10% worldwide. 2 Definitions Acute insomnia: new onset of difficulty initiating or maintaining sleep, with the presence of an identifiable trigger lasting < 4 wks. duration;Chronic insomnia: symptoms lasting >4 weeks; Primary insomnia: a conditioned state of hyperarousal that inhibits the sleep process. Not usually associated with a comorbidity and often lasts < 1 month; Secondary insomnia: associated with primary sleep disorders (C: Circadian rhythm, A: sleep apnea, L: restless legs), medications, medical or psychiatric conditions (mood disorders and substance abuse) – see table 1; Sleep-onset latency: the time it takes to fall asleep. Normal is < 30 minutes8 Diagnostic Considerations Consider diagnosis of insomnia for patients with difficulty falling asleep, staying asleep or non-refreshing sleep in a person who has the opportunity to sleep 7-8 hours per night. Clinically relevant if effects daytime functionality (daytime dysfunction, fatigue, poor concentration and irritability.) 1,3 Sleep history is essential and should include: recent life changes, alcohol/drug use, sleep and wakefulness patterns, effect on functioning. -
MEDICAL CHALLENGES: EFFECTS of TRAVEL FATIGUE and JET LAG
MEDICAL CHALLENGES: EFFECTS of TRAVEL FATIGUE and JET LAG Prof Christa Janse van Rensburg MBChB, MSc, MMed, MD FACSM, FFIMS Sports Medicine & SEMLI, University of Pretoria Consultant Rheumatologist, Eugene Marais Hospital South Africa IOC Advanced Team Physician Course TOKYO, 01-03 JULY 2019 INTRODUCTION @ChristaJVR #IOCATPC2019 No disclosures A) CIRCADIAN SYSTEM ~24h self-sustained variation in physical, mental & behavioural function • Functions endogenously: ✓autonomous ✓rhythm maintained in absence of external cues • Circadian timing: Master Clock: Suprachiasmatic nucleus (SCN) in HT Peripheral Clocks: in mostly every cell of all tissue REGULATION • Complex series of interlocking transcriptional feedback loops (clock genes that code for clock proteins) • Various stimuli = zeitgebers or "time givers” ✓ Light/dark cycle most NB advance or delay phase • Rhythmical change phase response curve (PRC) - Amount of phase shift depends on zeitgeber: - timing - intensity - duration - frequency - Synergistic or antagonistic action of zeitgebers i.e. interact in ‘push’ or ‘pull’ on circadian rhythm phase • Inter-individual variations - Chronotype differences (morning lark vs. night owl) The Nobel Prize in Physiology or Medicine 2017 - Genetic variances of circadian-related phenotypes was awarded jointly to Rosbash M, Young MW, Hall JC for their pioneering discovery that our [Period (PER1, PER2, PER3); Cryptochrome (CRY1,CRY2) circadian clocks are regulated by a small group genes] of genes working at individual cell level. CIRCADIAN RHYTHM DESYNCHRONISATION -
Evening Types Have Social Jet Lag and Metabolic Alterations in School-Age
www.nature.com/scientificreports OPEN Evening types have social jet lag and metabolic alterations in school‑age children Nuria Martínez‑Lozano1, Gloria Maria Barraco1, Rafael Rios2, Maria José Ruiz2, Asta Tvarijonaviciute1, Paul Fardy1, Juan Antonio Madrid1 & Marta Garaulet1,3* Chronotype has been mostly assessed with subjective scales. Objective assessment has been undertaken with actigraphy, although problems may occur in classifying chronotype. The aims of the study were to assess chronotype in school‑age children using a novel integrative measurement (TAP) derived from non‑invasive assessments of wrist temperature (T) physical activity (A) and body position (P) and to explore associations between chronotype, sleep disturbances, and metabolic components. Four-hundred-thirty-two children of 8–12 years were recruited from a Mediterranean area of Spain. Measurements were: (a) Chronotype objectively (7-day-rhythms of TAP) and subjectively measured (Munich-chronotype-self-reported questionnaire); (b) sleep rhythms and light exposition; (c) 7-day- diaries of food intake; (d) anthropometry and metabolic parameters; (e) academic scores. TAP acrophase was able to assess eveningness. As compared to more morning‑types, more evening‑types displayed lower amplitude in temperature rhythms, increased physical activity in the evening, delayed sleep and midpoint of intake and had more frequent social jet lag (P < 0.05). More evening-types had higher light intensity at 2 h before sleep and lower melatonin values (01:00 h). Eveningness associated with higher BMI and metabolic risk (higher values of insulin, glucose, triglycerides and cholesterol). Evening‑types presented better grades in art. In conclusion, more evening‑types, as objectively assessed, presented sleep alterations, social jet lag, obesity and higher metabolic risk. -
Self-Regulation and Sleep Duration, Sleepiness, and Chronotype in Adolescents Judith A
Self-Regulation and Sleep Duration, Sleepiness, and Chronotype in Adolescents Judith A. Owens, MD, MPH, a Tracy Dearth-Wesley, PhD, MPH,b Daniel Lewin, PhD, c Gerard Gioia, PhD,d Robert C. Whitaker, MD, MPHb, e, f OBJECTIVE: To determine whether shorter school-night sleep duration, greater daytime abstract sleepiness, and greater eveningness chronotype were associated with lower self-regulation among adolescents. METHODS: An online survey of 7th- to 12th-grade students in 19 schools in Fairfax County, Virginia Public Schools was conducted in 2015. Self-regulation was measured with the Behavior Rating Inventory of Executive Function, 2nd edition, Screening Self-Report Form. Sleep measures included school night-sleep duration (hours between usual bedtime and wake time), daytime sleepiness (Sleepiness Scale in the Sleep Habits Survey, tertiles), and chronotype (Morningness–Eveningness Scale for Children, continuous score and tertiles). Sociodemographic factors and mental health conditions were analyzed as potential confounders. RESULTS: Among 2017 students surveyed, the mean age was 15.0 years (range, 12.1–18.9 years), and 21.7% slept <7 hours on school nights. In regression models adjusted for confounders, there was a significant independent association between self-regulation and both chronotype (P < .001) and daytime sleepiness (P < .001) but not sleep duration (P = .80). Compared with those in the lowest tertile of daytime sleepiness, those in the highest tertile had lower (0.59 SD units; 95% confidence interval, 0.48–0.71) self-regulation, as did those in the eveningness tertile of chronotype compared with those in the morningness tertile (0.35 SD units lower; 95% confidence interval, 0.24–0.46). -
Influence of Chronotype and Social Zeitgebers on Sleep/Wake Patterns
914Brazilian Journal of Medical and Biological Research (2008) 41: 914-919 A.L. Korczak et al. ISSN 0100-879X Influence of chronotype and social zeitgebers on sleep/wake patterns A.L. Korczak1, B.J. Martynhak1, M. Pedrazzoli2, A.F. Brito1 and F.M. Louzada1 1Setor de Ciências Biológicas, Departamento de Fisiologia, Universidade Federal do Paraná, Curitiba, PR, Brasil 2Departamento de Psicobiologia/Instituto de Sono, Universidade Federal de São Paulo, São Paulo, SP, Brasil Correspondence to: A.L. Korczak, Av. Francisco H. dos Santos, s/n, Setor de Ciências Biológicas, Departamento de Fisiologia, Centro Politécnico, UFPR, 81531-990 Curitiba, PR, Brasil E-mail: [email protected] Inter-individual differences in the phase of the endogenous circadian rhythms have been established. Individuals with early circadian phase are called morning types; those with late circadian phase are evening types. The Horne and Östberg Morningness-Eveningness Questionnaire (MEQ) is the most frequently used to assess individual chronotype. The distribution of MEQ scores is likely to be biased by several fact, ors, such as gender, age, genetic background, latitude, and social habits. The objective of the present study was to determine the effect of different social synchronizers on the sleep/wake cycle of persons with different chronotypes. Volunteers were selected from a total of 1232 UFPR undergraduate students who completed the MEQ. Thirty-two subjects completed the study, including 8 morning types, 8 evening types and 16 intermediate types. Sleep schedules were recorded by actigraphy for 1 week on two occasions: during the school term and during vacation. Sleep onset and offset times, sleep duration, and mid-sleep time for each chronotype group were compared by the Mann-Whitney U-test separately for school term and vacation. -
Short Sleep, Insomnia Symptoms, and Evening Chronotype Are Associated with Poorer Mood and Quality of Life in Adolescent Transgender Males
Short sleep, insomnia symptoms, and evening chronotype are associated with poorer mood and quality of life in adolescent transgender males Anne E. Bowen, BS1; Syd Staggs, BA2; Jill Kaar, PhD2; Stacey L. Simon, PhD1,2; Natalie Nokoff, MD1,2 1Children’s Hospital Colorado; 2University of Colorado BACKGROUND RESULTS RESULTS • Transgender youth, individuals whose gender Sample Characteristics • Shorter weekend sleep duration was associated identity differs from the sex assigned to them at Insomnia Chronotype with poorer physical QOL (p<0.05) birth, are at higher risk for depression, anxiety, • Later weekend waketimes were correlated with and suicide poorer physical QOL (p<0.05) • Gender-affirming hormone therapy reduces None (36.8%) Morning anxiety and depression • No weekday actigraphy variables were (26.3%) associated with mood or QOL • Short sleep duration is correlated with depression symptoms and suicidal ideation in general Subthreshold Evening • There were no differences by GnRHa status populations of adolescents (47.4%) (42.1%) • Over 70% of high schoolers sleep less than the Clinical (15.8%) Middle (31.6%) CONCLUSIONS recommended 8 hours • This is the first study to investigate associations • Yet, there is a significant literature gap on sleep in between sleep and mood in transgender transgender adolescents adolescents Anxiety Depression • The ongoing study will evaluate changes in sleep AIMS after initiation of testosterone therapy Normal (42.1%) Normal (43.8%) Characterize sleep and investigate association • Average sleep duration -
Taking Sleep Seriously
Registered Charity No. England 801130 Scotland SC 039714/ Company Registration No. 2350846 Sleep and our Oct 2020 Mental Health Taking Sleep Seriously Mental Health Foundation @mentalhealthfoundation @Mentalhealth Mental Health Foundation Taking Sleep Seriously: Sleep and our Mental Health 2 Executive Summary Sleep is integral to all aspects of our lives, yet sleep is often one of the first things we compromise when things become busy or overwhelming. In our surveys, nearly half Often our lives and daily routines, schools, workplaces and home or community environments are not structured in ways that value and prioritise the importance 48% of good sleep. of adults and two thirds of teenagers Sleep is a critical component of not just our physical health, but our mental health. In March 2020, the Mental Health Foundation commissioned two surveys on sleep and mental health froma YouGov: one b 66% of 4,437 UK adults aged 18+ and another agreed that sleeping badly has a negative of 2,412 GB teenagers aged 13-19.b effect on their mental health. Mental Health Foundation @mentalhealthfoundation @Mentalhealth Mental Health Foundation Taking Sleep Seriously: Sleep and our Mental Health 3 Increased awareness of the importance of sleep, and systemic action on sleep, should be a priority. Taking sleep seriously and understanding the many ways sleep interacts with our lives can help us harness its potential as a powerful way to promote and protect good mental health for all. Our review of the existing research, alongside our new polling, highlights the important role sleep plays in the context of: Mental health problems Sleep problems can be both a symptom of, and a contributor to, mental health problems. -
Sleep-Wake Patterns and Their Influence on School Performance In
Aten Primaria. 2014;46(Espec Cong 1):160-164 Atención Primaria www.elsevier.es/ap SCIENTIFIC ARTICLE Sleep-wake patterns and their inÁ uence on school performance in Portuguese adolescents João Duarte*, Paula Nelas, Cláudia Chaves, Manuela Ferreira, Emília Coutinho, Madalena Cunha Escola Superior de Saúde de Viseu, Instituto Politécnico de Viseu, Viseu, Portugal KEYWORDS Abstract Adolescent; Objective: To characterise sleep-wake patterns and their inÁ uence on academic performance Sleep; for a sample of Portuguese adolescents. Achievement; Research design: Cross-sectional, analytical-explanatory, correlational epidemiological Educational status; research. The protocol includes the composite morningness questionnaire (Barton et al, 1985 Habits; adapted by Silva et al, 1985), the Epworth Sleepiness Scale (Murray, 1991), chronic fatigue scale Students (Smith et al, 1995), the Pittsburgh Sleep Quality Index (Buysse, 1988), Educational Achievement (Fermin, 2005), personal and academic data. Participants: 2094 students (55.3% girls; 16-23 years old; M = 16.82 ± 1.25) attending secondary school in central Portugal. Living in urban areas, living with their parents and about 57.1% are in a family with reasonable economic resources. Results: Adolescents’ sleep patterns reveal that they sleep on average between 8-9 hours a night, do not use medication to sleep, with sleep latency within the normal range, with good sleep efficiency, without daytime dysfunction and with undisturbed sleep, predominantly intermediate chronotype. Minor drowsiness, increased sleep efÀ ciency, improved subjective sleep satisfaction, less sleep disturbance, less daytime dysfunction, not consuming hypnotic medications, associated with better academic performance. Morningness/eveningness, sleep efficiency, daytime dysfunction and sleep latency emerge as predictors of academic performance. -
Nightmares, Chronotype, Urbanicity, and Personality: an Online Study
Article Nightmares, Chronotype, Urbanicity, and Personality: An Online Study Michael Schredl 1,* and Anja S. Göritz 2 1 Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, 68159 Mannheim, Germany 2 Psychology Department, University of Freiburg, 79085 Freiburg, Germany; [email protected] * Correspondence: [email protected] Received: 28 July 2020; Accepted: 20 September 2020; Published: 22 September 2020 Abstract: Chronotype refers to individual differences in sleep timing (“owls” and “larks”) and “eveningness” has been associated with nightmares. However, it has not been tested as to whether neuroticism mediates this relationship. Urbanicity refers to being raised in an urban region and/or currently living in an urban region and is associated with heightened risk for developing mental disorders, and thus might be related to nightmare frequency and nightmare distress. Overall, 2492 persons (1437 women, 1055 men) completed an online survey between 23 March 2015 and 8 April 2015. The mean age of the sample was 47.75 14.41 years. The findings indicate that the ± previously reported relationship between chronotype and nightmare frequency was mediated by neuroticism and “morningness” was related to higher dream recall compared to persons with a late bedtime preference. Urbanicity was not related to nightmare frequency but to lower nightmare distress, raising the interesting question as to whether beliefs about nightmares might be an important variable that contributes to nightmare distress. Based on the few studies so far, there are still many unresolved questions about the interaction between nightmares, chronotype, and urbanicity. Keywords: nightmares; nightmare distress; chronotype; urbanicity; personality 1. Introduction Nightmares are defined as extended, extremely dysphoric and well-remembered dreams [1]. -
Evidence of Genetic Overlap Between Circadian Preference and Brain White Matter Microstructure
bioRxiv preprint doi: https://doi.org/10.1101/2020.11.09.374199; this version posted November 9, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC-ND 4.0 International license. Evidence of genetic overlap between circadian preference and brain white matter microstructure Luis M. García-Marín1, Sarael Alcauter2, Adrian I. Campos1,3, Aoibhe Mulcahy1,4, Pik-Fang Kho1,4, Gabriel Cuéllar-Partida3,*,^ and Miguel E. Rentería1,3,4,* 1. Genetic Epidemiology Lab, QIMR Berghofer Medical Research Institute, Brisbane QLD Australia 2. Instituto de Neurobiología, Universidad Nacional Autónoma de México, Querétaro, México 3. Faculty of Medicine, The University of Queensland, Brisbane QLD Australia 4.School of Biomedical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia These authors contributed equally ^Current address: 23andMe, Inc., Sunnyvale, CA, 94086, USA *Correspondence: Miguel E. Renteria ([email protected]) and Gabriel Cuéllar- Partida ([email protected]). 1 bioRxiv preprint doi: https://doi.org/10.1101/2020.11.09.374199; this version posted November 9, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC-ND 4.0 International license. Abstract Study objective. Previous neuroimaging studies have highlighted differences in white matter microstructure among individuals with different chronotypes, but it is unclear whether those differences are due to genetic or environmental factors.