Chronotype and psychiatric disorders
Open accessAbstract
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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The brain’s reward system in health and disease
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“There is also evidence of a correlation be-tween 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).”
Background
- 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)
- PMC
- PMC5972175
- 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
- hybrid
- doi.org
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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