Greater within- and between-day instability is associated with worse anxiety and depression symptoms

被引:0
作者
Nexha, Adile [1 ]
Pilz, Luisa K. [4 ,5 ]
Oliveira, Melissa A. B. [2 ,3 ]
Xavier, Nicoli B. [2 ,3 ]
Borges, Rogerio Boff [6 ,7 ]
Frey, Benicio N. [8 ,9 ]
Hidalgo, Maria Paz L. [2 ,3 ]
机构
[1] McMaster Univ, Dept Psychiat & Behav Neurosci, 100 West 5th St, Hamilton L8N 3K7, ON, Canada
[2] Univ Fed Rio Grande Do Sul, Fac Med, Grad Program Psychiat & Behav Sci, Porto Alegre, Brazil
[3] Hosp Clin Porto Alegre, Laborato rio Cronobiol & Sono, Porto Alegre, Brazil
[4] Charite Univ Med Berlin, Dept Anesthesiol & Intens Care Med CCM CVK, Berlin, Germany
[5] Charite Univ Med Berlin, ECRC Expt & Clin Res Ctr, Berlin, Germany
[6] Hosp Clin Porto Alegre, Biostat Unit Res Board DIPE, Porto Alegre, Brazil
[7] Univ Fed Rio Grande Do Sul, Inst Math & Stat, Dept Stat, Porto Alegre, Brazil
[8] St Josephs Healthcare Hamilton, Mood Disorders Program, Hamilton, ON, Canada
[9] St Josephs Healthcare Hamilton, Womens Hlth Concerns Clin, Hamilton, ON, Canada
关键词
Affective instability; Mood; Circadian rhythm; Depression; Anxiety; DIURNAL MOOD VARIATION; EMOTION REGULATION; DISORDERS; HELP; VARIABILITY; COMORBIDITY; ADULTS; PHQ-9; MEN;
D O I
10.1016/j.jad.2024.04.014
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Depression and anxiety affect hundreds of millions of people worldwide, and their prevalence increased during the COVID-19 pandemic as social schedules were disrupted. This study explores the associations between anxiety and depression and within- and between-day instability of affective, somatic, and cognitive symptoms during the early pandemic stages. Methods: Participants (n = 153, ages 18-77, 72 % female) reported daily levels of affective (anxiety/sadness), somatic (appetite/sleepiness), and cognitive (concentration/energy) symptoms for 14-44 days at five timepoints: 0, 3, 6, 9, and 12 h after awakening. At the end of the study, participants completed validated scales for anxiety (GAD-7) and depression (PHQ-9). Symptom instability was assessed using the Absolute Real Variability (ARV) index. Regression models examined within-day instability (WD-I) and between-day instability (BD-I) with GAD-7 and PHQ-9 scores as outcomes. Results: Greater instability (both WD-I and BD-I) of affective symptoms correlated with elevated GAD-7 and PHQ9 scores. For somatic and cognitive symptoms, greater BD-I was associated with higher scores. Limitations: The study used retrospective daily data, which could benefit from real-time assessments for improved accuracy. Conclusions: This study provides empirical evidence of a connection between greater anxiety and depression severity and increased instability in daily mood and physiological symptoms. The findings underscore the importance of consistent symptom monitoring to understand overall mental health trajectories. Additionally, it highlights the role of daily routines in stabilizing the circadian system, potentially regulating physiological and psychological processes and reducing symptom instability.
引用
收藏
页码:215 / 223
页数:9
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