The DOI matches its Crossref record.
Social rhythm disruption and stressful life events in the onset of bipolar and unipolar episodes
Abstract
Background. An association between social rhythm disruption (SRD) and onset of manic episodes has recently been observed. Whether other types of bipolar (depressive and cycling) or unipolar depressive episodes are similarly related to SRD is unclear, as is the association between severely threatening life events and onset of bipolar manic, depressed and cycling episodes. Methods. Bipolar patients with purely manic ( N = 21), purely depressed ( N = 21) and cycling ( N = 24) episodes, and 44 patients with recurrent unipolar depression, were interviewed with the Bedford College Life Events and Difficulties Schedule. The presence of severe and SRD events during the year prior to index episode onset was then determined. Results. More manic than cycling and unipolar subjects experienced SRD events during 8- and 20-week pre-onset periods, and severe events during 20-week pre-onset periods. Controlling for age and prior number of episodes left most findings unchanged. An earlier finding of more manic subjects with SRD events in an 8-week pre-onset versus control period was also replicated. Conclusions. It appears that manic onsets are influenced by stressful life events, especially those involving SRD, in a unique manner compared to onsets of other types of bipolar and unipolar episodes. Onset of bipolar cycling episodes, in contrast, seems to be relatively unaffected by SRD or severe life events. These findings refine the hypothesis that SRD may precipitate onset of affective episodes to be specific to manic onsets.
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In the citing paper
“A major social disruptive event is associated with inducing mania, but not depression in BD patients122.”
From Circadian rhythm disruption and mental health (2020) · cites this paper as [122]
In the citing paper
“Disruption of circadian social rhythms, such as social jet lag, may also induce bipolar episodes.”
From Circadian rhythm disruption and mental health (2020) · cites this paper as [122]
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Circadian rhythm disruption and mental health
Walker, W. H., Walton, J. C., DeVries, A. C., & Nelson, R. J. (2020) · Translational Psychiatry · doi:10.1038/s41398-020-0694-0 · Cited by 1,030
Two-Year Outcomes for Interpersonal and Social Rhythm Therapy in Individuals With Bipolar I Disorder
Frank, E., Kupfer, D. J., Thase, M. E., Mallinger, A. G., Swartz, H. A., Fagiolini, A. M., Grochocinski, V., Houck, P., Scott, J., Thompson, W., et al. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.9.996 · Cited by 770
“Subsequent studies of rhythm-disrupting life events suggested that such events were indeed implicated in the onset of bipolar episodes.(27,28) We hypothesized that IPSRT would be associated with shorter time to remission and longer time to recurrence during a 2-year maintenance phase than an intensive clinical managem…”
BackgroundSelf-citationSleep disturbance as transdiagnostic: Consideration of neurobiological mechanisms
Harvey, A. G., Murray, G., Chandler, R. A., & Soehner, A. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.04.003 · Cited by 609
Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder
Frank, E., Swartz, H. A., & Kupfer, D. J. (2000) · Biological Psychiatry · doi:10.1016/s0006-3223(00)00969-0 · Cited by 521
“…bipolar I disorder; however, given extant theories about the relationship between circadian rhythms and bipolar episodes and subsequent data linking SRD events to mania (Malkoff-Schwartz et al 1998, 2000), we decided to augment IPT with behavioral strategies designed to stabilize daily routines.”
Self-citationTreatment and prevention of depression
Hollon, S. D., Thase, M. E., & Markowitz, J. C. (2002) · Psychological Science in the Public Interest · doi:10.1111/1529-1006.00008 · Cited by 511
“Specific elements added to conventional IPT in this adaptation include scheduling activities and regularizing sleep schedules (Malkoff-Schwartz et al., 2000).”
Background
Metadata
- Authors
- MALKOFF-SCHWARTZ, S., FRANK, E., ANDERSON, B. P., HLASTALA, S. A., LUTHER, J. F., SHERRILL, J. T., HOUCK, P. R., & KUPFER, D. J.
- Affiliations
- University of Pittsburgh (US)
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2000-09
- Volume
- 30
- Issue
- 5
- Pages
- 1005-1016
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2085710201
- Cited by
- 234
- References
- 0
- Citations by year
- 2026: 1 · 2025: 9 · 2024: 10 · 2023: 15 · 2022: 9 · 2021: 6 · 2020: 10 · 2019: 5 · 2018: 10 · 2017: 7 · 2016: 8 · 2015: 15 · 2014: 8 · 2013: 11 · 2012: 9
- FWCI
- 2.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 29618, MH30915)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- life events, bipolar disorder, major depressive disorder
- MeSH terms
- Adult, Aged, Bipolar Disorder, Major Depressive Disorder, Female, Humans, Life Change Events, Male, Middle Aged, Recurrence, Risk Factors
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