Sleep and Chronobiology Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA.
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm 171 65, Sweden; Department of Psychology, Stress Research Institute, Stockholm University, Stockholm 114 19, Sweden.
Psychiatry Res. 2024 Aug;338:116006. doi: 10.1016/j.psychres.2024.116006. Epub 2024 Jun 2.
Anxiety symptoms vary moment-to-moment within a day. One factor that may influence these variations is chronotype. Evening chronotypes prefer to engage in activities (e.g., sleep, physical and social activity) later in the day, and evening chronotype is implicated in psychopathology, including anxiety-related disorders. However, it is unknown whether chronotype influences diurnal variation in anxiety symptoms and whether these effects are amplified in individuals with a probable anxiety-related disorder. We examined the diurnal variation in anxiety symptoms and daily activities in morning and evening chronotypes with and without probable generalized anxiety disorder (GAD) or obsessive-compulsive disorder (OCD) in a community sample of adults (N = 410). Evening chronotypes reported higher anxiety symptoms, particularly in the evening hours, and lower engagement in daily activities, predominantly in the morning hours. Evening chronotypes with probable GAD or OCD reported worse anxiety symptoms in the evening. Our findings indicate that anxiety symptoms and engagement in daily activities fluctuate considerably across the day, and these patterns differ depending on chronotype. Evening chronotypes have more anxiety symptoms in the evening, despite preferring this time of day. Personalized treatment approaches that consider chronotype and target certain times of day may be efficient in alleviating peaks in anxiety symptoms.
焦虑症状在一天内会随时间变化。一个可能影响这些变化的因素是昼夜节律类型。喜欢在晚上活动的人,喜欢在一天中较晚的时候进行活动(例如睡眠、身体和社交活动),并且夜间型昼夜节律与精神病理学有关,包括与焦虑相关的障碍。然而,目前尚不清楚昼夜节律类型是否会影响焦虑症状的昼夜变化,以及这些影响是否会在患有可能与焦虑相关的障碍的个体中放大。我们在一个成年人的社区样本中(N=410),检查了有或没有可能的广泛性焦虑症(GAD)或强迫症(OCD)的早晨和晚上型昼夜节律者的焦虑症状和日常活动的昼夜变化。夜间型昼夜节律者报告了更高的焦虑症状,尤其是在晚上,并且日常活动的参与度较低,主要是在早上。有 GAD 或 OCD 的夜间型昼夜节律者报告说,他们在晚上的焦虑症状更严重。我们的研究结果表明,焦虑症状和日常活动的参与度在一天中会有很大的波动,而且这些模式取决于昼夜节律类型。尽管夜间型昼夜节律者喜欢晚上的时间,但他们在晚上的焦虑症状更多。考虑到昼夜节律类型并针对特定的时间点的个性化治疗方法可能有助于缓解焦虑症状的高峰期。
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