Cited by 273Sleep and related disordersCircadian rhythm and melatoninSleep and Work-Related Fatigue

Chronotype and psychiatric disorders

Open access
Kivelä, Liia, Papadopoulos, Marinos Rodolfos, Antypa, Niki·2018·Current Sleep Medicine Reports

Abstract

PURPOSE OF REVIEW: Chronotype, reflecting interindividual differences in daily activity patterns and sleep-wake cycles, is intrinsically connected with well-being. Research indicates increased risk of many adverse mental health outcomes for evening-type individuals. Here, we provide an overview of the current evidence available on the relationship between chronotype and psychiatric disorders. RECENT FINDINGS: The association between eveningness and depression is well established cross-sectionally, with preliminary support from longitudinal studies. The mechanisms underlying this relationship warrant further research; deficient cognitive-emotional processes have recently been implicated. Eveningness is associated with unhealthy lifestyle habits, and the propensity of evening types to addiction has been recognized. Chronotype may also be implicated in disordered eating. SUMMARY: Eveningness is associated with depression-including seasonal affective disorder (SAD)-and substance dependence, while support for a relation with anxiety disorders and psychosis is lacking. In bipolar disorder, chronotype is linked to depression but not mania. Eveningness is also related to sleep disturbances and poor lifestyle habits, which may increase risk for psychiatric disorders.

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  • There is evidence of a correlation between evening chronotype and mood disorders, most notably seasonal affective disorder, depression, and worsening of bipolar disorder episodes.

    “There is also evidence of a correlation between evening chronotype and mood disorders, most notably seasonal affective disorder, depression, and worsening of bipolar disorder episodes (Srinivasan et al. 2006; Kivelä et al. 2018; Taylor and Hasler 2018).”

    From Archaic Introgression Shaped Human Circadian Traits (2023) · cites this paper as Kivelä et al. 2018

    The Summary and the seasonal affective disorder section link eveningness with depression and seasonal affective disorder. The bipolar disorder section links eveningness to elevated depressive symptoms in bipolar patients, but not to worsening bipolar episodes generally; it says the association is stronger for depression than for mania. Page numbers are not available in our copy. (LLM, conf=0.88)

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Authors
Kivelä, L., Papadopoulos, M. R., & Antypa, N.
Affiliations
Leiden University (NL)
Corresponding author
Antypa, Niki
Venue
Current Sleep Medicine Reports
Published
2018-04-16
Volume
4
Issue
2
Pages
94-103
ISSN
2198-6401 (ISSN-L)
OpenAlex
W2803037306
Cited by
273
References
107
Citations by year
2026: 22 · 2025: 39 · 2024: 48 · 2023: 34 · 2022: 48 · 2021: 47 · 2020: 20 · 2019: 14 · 2018: 1
FWCI
3.23
Type
journal article
Language
en
Open access
Locations
  • Current Sleep Medicine Reports (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Leiden Repository (Leiden University) (submittedVersion, cc-by)
  • Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
  • Leiden Repository (Leiden University) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders
Leiden University
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords
chronotype, eveningness, mental illness, depression, seasonal affective disorder, substance dependence, disordered eating, anxiety disorders, psychosis, bipolar disorder, sleep disorders, lifestyle habits, sleep-wake cycle

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