Psychiatric morbidity in travelers to Honolulu, Hawaii
Abstract
To investigate the phenomenon of acute psychiatric decompensation in travelers, charts of all psychiatric-emergency patients with a history of recent travel involving time-zone changes were reviewed at a major medical center in Honolulu, HI. Charts of a control group with no history of travel were also reviewed. Significantly more travelers than controls showed symptoms of depression and mania (P < .012). East-bound travelers were significantly more likely to show symptoms of mania than controls (P < .001). In an eastbound-versus-westbound comparison, significantly more eastbound travelers showed symptoms of mania, whereas significantly more westbound travelers showed symptoms of depression (P < .05). These findings support the phase-advance hypothesis of depression. Psychosocial and biologic factors that may contribute to psychiatric decompensation in travelers are discussed.
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Generalizing depression by combining all types of depression results in a link between jet lag/social jet lag and depression.
“However, in common with shift work, generalizing depression (i.e., combining all types of depression) results in a link between jet lag/social jet lag and depression75–79.”
From Circadian rhythm disruption and mental health (2020) · cites this paper as [75]
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- Authors
- Young, D. M.
- Affiliations
- University of Hawaiʻi at Mānoa (US)
- Corresponding author
- Young, Dykes M
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 1995-05
- Volume
- 36
- Issue
- 3
- Pages
- 224-228
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2032708320
- Cited by
- 68
- References
- 21
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2017: 4 · 2016: 2 · 2015: 5 · 2014: 1 · 2013: 6 · 2012: 1
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Travel-related health issues
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Sociology and Political Science › Diverse Aspects of Tourism Research
- Keywords
- psychiatric decompensation, travelers, time zone change, jet lag, depression, mania, psychiatric emergency patients, Honolulu
- MeSH terms
- Acute Disease, Bipolar Disorder, Circadian Rhythm, Cross-Sectional Studies, Depressive Disorder, Emergency Services, Psychiatric, Hawaii, Humans, Orientation, Referral and Consultation, Risk Factors, Travel, Incidence
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