Association between polarity of first episode and solar insolation in bipolar I disorder
Open accessAbstract
Objective Circadian rhythm disruption is commonly observed in bipolar disorder (BD). Daylight is the most powerful signal to entrain the human circadian clock system. This exploratory study investigated if solar insolation at the onset location was associated with the polarity of the first episode of BD I. Solar insolation is the amount of electromagnetic energy from the Sun striking a surface area of the Earth.Methods Data from 7488 patients with BD I were collected at 75 sites in 42 countries. The first episode occurred at 591 onset locations in 67 countries at a wide range of latitudes in both hemispheres. Solar insolation values were obtained for every onset location, and the ratio of the minimum mean monthly insolation to the maximum mean monthly insolation was calculated. This ratio is largest near the equator (with little change in solar insolation over the year), and smallest near the poles (where winter insolation is very small compared to summer insolation). This ratio also applies to tropical locations which may have a cloudy wet and clear dry season, rather than winter and summer.Results The larger the change in solar insolation throughout the year (smaller the ratio between the minimum monthly and maximum monthly values), the greater the likelihood the first episode polarity was depression. Other associated variables were being female and increasing percentage of gross domestic product spent on country health expenditures. (All coefficients: P ≤ 0.001).Conclusion Increased awareness and research into circadian dysfunction throughout the course of BD is warranted.
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Self-citationCremaschi, L., Dell’Osso, B. M., Vismara, M. E. M., Dobrea, C., Buoli, M., Ketter, T. A., & Altamura, A. C. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.11.043 · Cited by 33 · see citing works
Solar insolation in springtime influences age of onset of bipolar I disorder
Bauer, M., Glenn, T., Alda, M., Aleksandrovich, M. A., Andreassen, O. A., Angelopoulos, E. K., Ardau, R., Ayhan, Y., Baethge, C., Bharathram, S. R., et al. (2017) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12772 · Cited by 33 · see citing works
Self-citationKalman, J. L., Papiol, S., Forstner, A. J., Heilbronner, U., Degenhardt, F., Strohmaier, J., Adli, M., Adorjan, K., Akula, N., Alda, M., et al. (2018) · Bipolar Disorders · doi:10.1111/bdi.12659 · Cited by 31 · see citing works
Self-citationPolarity of the First Episode and Time to Diagnosis of Bipolar I Disorder
Cha, B., Kim, J., Ha, T. H., Chang, J. S., & Ha, K. (2009) · Psychiatry Investigation · doi:10.4306/pi.2009.6.2.96 · Cited by 30 · see citing works
Bauer, M., Glenn, T., Achtyes, E. D., Alda, M., Ağaoğlu, E., Altınbaş, K., Andreassen, O., Angelopoulos, E., Ardau, R., Vares, E., et al. (2021) · International Journal of Bipolar Disorders · doi:10.1186/s40345-021-00231-7 · Cited by 29 · see citing works
Self-citationDepression diagnoses following the identification of bipolar disorder: costly incongruent diagnoses
Stensland, M. D., Schultz, J. F., & Frytak, J. R. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-39 · Cited by 27 · see citing works
Gender-related differences in patients with bipolar disorder: a nationwide study
Buoli, M., Cesana, B. M., Dell’Osso, B. M., Fagiolini, A. M., de Bartolomeis, A., Bondi, E., Maina, G., Bellomo, A., & Altamura, A. C. (2019) · CNS Spectrums · doi:10.1017/s1092852918001529 · Cited by 27 · see citing works
Self-citationClinical correlates of seasonality in bipolar disorder: A specifier that needs specification?
Fico, G., Toffol, M. D., Anmella, G., Sagué‐Vilavella, M., Dellink, A., Verdolini, N., Pacchiarotti, I., Goikolea, J. M., Solmi, M., Vieta, E., et al. (2020) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13251 · Cited by 19 · see citing works
Self-citationUsing Chronobiological Phenotypes to Address Heterogeneity in Bipolar Disorder
Gonzalez, R., Gonzalez, S., & McCarthy, M. J. (2019) · Complex Psychiatry · doi:10.1159/000506636 · Cited by 17 · see citing works
Tse, A. C., Fok, M. L.-Y., Yim, L. C. L., Leung, M. M. W., & Leung, C. M. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.02.060 · Cited by 17 · see citing works
Barbuti, M., Mazzarini, L., Vieta, E., Azorin, J., Angst, J., Bowden, C. L., Mosolov, S. N., Young, A. H., & Perugi, G. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.06.005 · Cited by 16 · see citing works
Self-citationRitter, P. S., Soltmann, B., Sauer, C., Yakac, A., Boekstaegers, L., Reichard, M., Koenitz, K., Bauer, M., Güldner, H., Neumann, S., et al. (2021) · Biological Psychiatry Global Open Science · doi:10.1016/j.bpsgos.2021.06.004 · Cited by 16 · see citing works
Self-citationTen‐year course of treated bipolar I disorder: The role of polarity at onset
Yoldi‐Negrete, M., Fresán, A., Jiménez‐Tirado, M., Martínez‐Camarillo, S., Palacios‐Cruz, L., Vieta, E., Ortega‐Ortíz, H., Becerra‐Palars, C., Gutiérrez‐Mora, D., & Camarena, B. (2021) · Brain and Behavior · doi:10.1002/brb3.2279 · Cited by 6 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 3
- [11]Dallaspezia S Benedetti F Alteration in circadian rhythms in bipolar disorder: mechanisms and implications Quevedo J Carvalho AF Vieta E Neurobiology of Bipolar Disorder: Road to Novel Therapeutics Academic Press 2021 117 128
- [28]Münch M Brøndsted AE Brown SA Gjedde A Kantermann T Martiny K The effect of light on humans Changing perspectives on daylight: Science, technology, and culture Science/AAAS Washington, DC 2017 16 23 10.1126/resource.2377906/full/daylight_booklet_2017-11-02.pdf · DOI
- [105]AMA (American Medical Association) Human and environmental effects of light emitting diode (LED) community lighting. Report of the council on science and public health. CSAPH Report 2-A-16 2016 accessed 12 March 2022 https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/public/about-ama/councils/Council%20Reports/council-on-science-public-health/a16-csaph2.pdf
Cited by
Sorted by citations
Crouse, J. J., Loblay, V., Jorm, A., Wong, T. R., de Haan, Z., Gorban, C., Shin, M., Tonini, E., Aiken, C., Alloy, L. B., et al. (2026) · Bipolar Disorders · doi:10.1111/bdi.70141 · Cited by 3 · see citing works
“Supportive evidence has since accumulated across many approaches including genetic [4], family [11, 12], epidemiologic [13], longitudinal [14, 15], physiologic [4, 16–20], biobehavioural [4, 14, 21–23], and therapeutic [24].”
Self-citation
- Authors
- Bauer, M., Glenn, T., Achtyes, E. D., Alda, M., Agaoglu, E., Altınbaş, K., Andreassen, O. A., Angelopoulos, E., Ardau, R., Aydin, M., Ayhan, Y., Baethge, C., Bauer, R., Baune, B. T., Balaban, C., Becerra-Palars, C., Behere, A. P., Behere, P. B., Belete, H., Belete, T., Belizario, G. O., Bellivier, F., Belmaker, R. H., Benedetti, F., Berk, M., Bersudsky, Y., Bicakci, Ş., Birabwa-Oketcho, H., Bjella, T. D., Brady, C., Cabrera, J., Cappucciati, M., Castro, A. M. P., Chen, W.-L., Cheung, E. Y. W., Chiesa, S., Crowe, M., Cuomo, A., Dallaspezia, S., Del Zompo, M., Desai, P., Dodd, S., Etain, B., Fagiolini, A., Fellendorf, F. T., Ferensztajn-Rochowiak, E., Fiedorowicz, J. G., Fountoulakis, K. N., Frye, M. A., Geoffroy, P. A., Gonzalez-Pinto, A., Gottlieb, J. F., Grof, P., Haarman, B. C. M., Harima, H., Hasse-Sousa, M., Henry, C., Høffding, L., Houenou, J., Imbesi, M., Isometsä, E. T., Ivkovic, M., Janno, S., Johnsen, S., Kapczinski, F., Karakatsoulis, G. N., Kardell, M., Kessing, L. V., Kim, S. J., König, B., Kot, T. L., Koval, M., Kunz, M., Lafer, B., Landén, M., Larsen, E. R., Lenger, M., Lewitzka, U., Licht, R. W., Lopez-Jaramillo, C., MacKenzie, A., Madsen, H. Ø., Madsen, S. A. K. A., Mahadevan, J., Mahardika, A., Manchia, M., Marsh, W., Martinez-Cengotitabengoa, M., Martiny, K., Mashima, Y., McLoughlin, D. M., Meesters, Y., Melle, I., Meza-Urzúa, F., Mok, Y. M., Monteith, S., Moorthy, M., Morken, G., Mosca, E., Mozzhegorov, A. A., Munoz, R., Mythri, S. V., Nacef, F., Nadella, R. K., Nakanotani, T., Nielsen, R. E., O'Donovan, C., Omrani, A., Osher, Y., Ouali, U., Pantovic-Stefanovic, M., Pariwatcharakul, P., Petite, J., Pfennig, A., Ruiz, Y. P., Pinna, M., Pompili, M., Porter, R., Quiroz, D., Rabelo-da-Ponte, F. D., Ramesar, R., Rasgon, N., Ratta-apha, W., Ratzenhofer, M., Redahan, M., Reddy, M. S., Reif, A., Reininghaus, E. Z., Richards, J. G., Ritter, P., Rybakowski, J. K., Sathyaputri, L., Scippa, Â. M., Simhandl, C., Smith, D., Smith, J., Stackhouse, P. W., Stein, D. J., Stilwell, K., Strejilevich, S., Su, K.-P., Subramaniam, M., Sulaiman, A. H., Suominen, K., Tanra, A. J., Tatebayashi, Y., Teh, W. L., Tondo, L., Torrent, C., Tuinstra, D., Uchida, T., Vaaler, A. E., Vieta, E., Viswanath, B., Yoldi-Negrete, M., Yalcinkaya, O. K., Young, A. H., Zgueb, Y., & Whybrow, P. C.
- Affiliations
- University Hospital Carl Gustav Carus (DE)
- Pine Rest Christian Mental Health Services (US)
- Dalhousie University (CA)
- Selçuk University (TR)
- Oslo University Hospital (NO)
- National and Kapodistrian University of Athens (GR)
- University of Cagliari (IT)
- Hacettepe University (TR)
- University of Cologne (DE)
- The University of Melbourne (AU)
- Goethe University Frankfurt (DE)
- Michigan State University (US)
- Datta Meghe Institute of Higher Education and Research (IN)
- Bahir Dar University (ET)
- Inserm (FR)
- Ben-Gurion University of the Negev (IL)
- Vita-Salute San Raffaele University (IT)
- Barwon Health (AU)
- Trinity College Dublin (IE)
- University of the Basque Country (ES)
- University of Siena (IT)
- IRCCS Ospedale San Raffaele (IT)
- University of Iowa (US)
- Northwestern University (US)
- University Medical Center Groningen (NL)
- Universidade Federal do Rio Grande do Sul (BR)
- University of Southern Denmark (DK)
- University of Helsinki (FI)
- Chosun University (KR)
- Universidade de São Paulo (BR)
- Aalborg University Hospital (DK)
- Başkent University (TR)
- University of Copenhagen (DK)
- Butabika Hospital (UG)
- University of Mataram (ID)
- University of Massachusetts Chan Medical School (US)
- Keio University (JP)
- Tokyo Metropolitan Institute of Medical Science (JP)
- National Institute of Mental Health and Neurosciences (IN)
- Norwegian University of Science and Technology (NO)
- University of California San Diego (US)
- Siriraj Hospital (TH)
- Faculté de médecine de Tunis (TN)
- Azienda Ospedaliera Sant'Andrea (IT)
- University of Lancashire (GB)
- University of Cape Town (ZA)
- Stanford Medicine (US)
- Sigmund Freud Privatuniversität Wien (AT)
- Asha Hospital (IN)
- Poznan University of Medical Sciences (PL)
- Langley Research Center (US)
- Corresponding author
- Bauer, Michael
- ORCID
- Bauer, Michael
- Glenn, Tasha
- Achtyes, Eric D.
- Alda, Martin
- Altınbaş, Kürşat
- Andreassen, Ole A.
- Ardau, Raffaella
- Ayhan, Yavuz
- Baethge, Christopher
- Baune, Bernhard T.
- Behere, Prakash B.
- Belete, Habte
- Bellivier, Frank
- Belmaker, Robert H.
- Benedetti, Francesco
- Bjella, Thomas D.
- Brady, Conan
- Cabrera, Jorge
- Cappucciati, Marco
- Castro, Angela Marianne Paredes
- Crowe, Marie
- Cuomo, Alessandro
- Dallaspezia, Sara
- Desai, Pratikkumar
- Dodd, Seetal
- Fagiolini, Andrea
- Fellendorf, Frederike T.
- Fiedorowicz, Jess G.
- Frye, Mark A.
- Geoffroy, Pierre A.
- Gottlieb, John F.
- Grof, Paul
- Haarman, Bartholomeus C.M.
- Hasse-Sousa, Mathias
- Henry, Chantal
- Houenou, Josselin
- Isometsä, Erkki T.
- Janno, Sven
- Johnsen, Simon
- Kapczinski, Flávio
- Kessing, Lars Vedel
- Kim, Seong Jae
- König, Barbara
- Koval, Michael
- Lafer, Beny
- Landén, Mikael
- Larsen, Erik R.
- Lenger, Melanie
- Lewitzka, Ute
- Licht, Rasmus W.
- MacKenzie, Alan
- Madsen, Helle Østergaard
- Mahadevan, Jayant
- Mahardika, Agustine
- Manchia, Mirko
- Marsh, Wendy
- Martiny, Klaus
- Mashima, Yuki
- McLoughlin, Declan M.
- Meesters, Ybe
- Melle, Ingrid
- Mok, Yee Ming
- Monteith, Scott
- Morken, Gunnar
- Mythri, Starlin V.
- Nadella, Ravi K.
- Nielsen, René Ernst
- Osher, Yamima
- Ouali, Uta
- Pariwatcharakul, Pornjira
- Pfennig, Andrea
- Pinna, Marco
- Pompili, Maurizio
- Porter, Richard
- Quiroz, Danilo
- Ramesar, Raj
- Rasgon, Natalie
- Reif, Andreas
- Reininghaus, Eva Z.
- Ritter, Philipp
- Rybakowski, Janusz K.
- Sathyaputri, Leela
- Simhandl, Christian
- Stackhouse, Paul W.
- Stein, Dan J.
- Strejilevich, Sergio
- Su, Kuan-Pin
- Subramaniam, Mythily
- Sulaiman, Ahmad Hatim
- Tatebayashi, Yoshitaka
- Teh, Wen Lin
- Tondo, Leonardo
- Torrent, Carla
- Vieta, Eduard
- Viswanath, Biju
- Young, Allan H.
- Zgueb, Yosra
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2022-09
- Volume
- 160
- Issue
- 7
- Pages
- 110982
- ISSN
- 0022-3999 (ISSN-L)
- PMC
- PMC7615104
- OpenAlex
- W4283462360
- Cited by
- 14
- References
- 107
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 4 · 2023: 3
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- VBN Forskningsportal (Aalborg Universitet) (publishedVersion, other-oa)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion, other-oa)
- UWA Profiles and Research Repository (UWA) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- PubMed Central (acceptedVersion)
- HAL (submittedVersion, other-oa)
- HAL (submittedVersion)
- Institutional Repository University of Antioquia (University of Antioquia) (submittedVersion, cc-by-nc-nd)
- CLOK (University of Central Lancashire) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Use Siena air (University of Siena) (submittedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, cc-by)
- Funders
- Wellcome Trust (505266)
- Department of Biotechnology, Ministry of Science and Technology, India
- Deutsche Forschungsgemeinschaft
- Agence Nationale de la Recherche (ANR-10- COHO-10-01, ANR-10-COHO-0010, ANR-11-IDEX, ANR-14-CE35-0035, ANR-11-IDEX-0004, ANR-10)
- The Wellcome Trust DBT India Alliance (IA/CPHI/20/1/505266)
- National Health and Medical Research Council (1156072)
- National Medical Research Council
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- bipolar I disorder, first-episode bipolar disorder, solar irradiation, circadian rhythm disruption, seasonal variation, latitude, circadian dysfunction, health care costs
- MeSH terms
- Bipolar Disorder, Circadian Rhythm, Female, Humans, Male, Seasons, Sunlight
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