Association between polarity of first episode and solar insolation in bipolar I disorder

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Michael Bauer - , Department of Psychiatry and Psychotherapy (Author)
  • Tasha Glenn - , ChronoRecord Association (Author)
  • Eric D. Achtyes - , Michigan State University, Pine Rest Christian Mental Health Services (Author)
  • Martin Alda - , Dalhousie University (Author)
  • Esen Agaoglu - , Hacettepe University (Author)
  • Kürşat Altınbaş - , Selcuk University (Author)
  • Ole A. Andreassen - , University of Oslo (Author)
  • Elias Angelopoulos - , National and Kapodistrian University of Athens (Author)
  • Raffaella Ardau - , University of Cagliari (Author)
  • Memduha Aydin - , Selcuk University (Author)
  • Yavuz Ayhan - , Hacettepe University (Author)
  • Christopher Baethge - , University of Cologne (Author)
  • Rita Bauer - , Department of Psychiatry and Psychotherapy (Author)
  • Bernhard T. Baune - , University of Münster, University of Melbourne (Author)
  • Ceylan Balaban - , University Hospital Frankfurt (Author)
  • Claudia Becerra-Palars - , Instituto Nacional de Psiquiatria Ramon de la Fuente (Author)
  • Aniruddh P. Behere - , Michigan State University (Author)
  • Prakash B. Behere - , Datta Meghe Institute of Medical Sciences (Author)
  • Habte Belete - , Bahir Dar University (Author)
  • Tilahun Belete - , Bahir Dar University (Author)
  • Gabriel Okawa Belizario - , Universidade de São Paulo (Author)
  • Frank Bellivier - , Université Paris Cité (Author)
  • Robert H. Belmaker - , Ben-Gurion University of the Negev (Author)
  • Francesco Benedetti - , Vita-Salute San Raffaele University (Author)
  • Michael Berk - , Deakin University, University of Melbourne (Author)
  • Yuly Bersudsky - , Ben-Gurion University of the Negev (Author)
  • Şule Bicakci - , Hacettepe University, Baskent University (Author)
  • Harriet Birabwa-Oketcho - , Butabika Hospital (Author)
  • Thomas D. Bjella - , University of Oslo (Author)
  • Conan Brady - , Trinity College Dublin (Author)
  • Jorge Cabrera - , Dr. Jose Horwitz Psychiatric Institute (Author)
  • Marco Cappucciati - , Civil Hospital of Piacenza (Author)
  • Angela Marianne Paredes Castro - , Deakin University (Author)
  • Wei Ling Chen - , Veterans General Hospital-Taichung Taiwan (Author)
  • Eric Y.W. Cheung - (Author)
  • Silvia Chiesa - , Civil Hospital of Piacenza (Author)
  • Marie Crowe - , University of Otago (Author)
  • Alessandro Cuomo - , University of Siena (Author)
  • Sara Dallaspezia - , Vita-Salute San Raffaele University (Author)
  • Maria Del Zompo - , University of Cagliari (Author)
  • Pratikkumar Desai - , Pine Rest Christian Mental Health Services (Author)
  • Seetal Dodd - , Deakin University, University of Melbourne (Author)
  • Bruno Etain - , Université Paris Cité (Author)
  • Andrea Fagiolini - , University of Siena (Author)
  • Frederike T. Fellendorf - , Medical University of Graz (Author)
  • Ewa Ferensztajn-Rochowiak - , University of Medical Sciences Poznan (Author)
  • Ute Lewitzka - , Department of Psychiatry and Psychotherapy (Author)
  • Andrea Pfennig - , Department of Psychiatry and Psychotherapy (Author)
  • Philipp Ritter - , Department of Psychiatry and Psychotherapy (Author)
  • Allan H. Young - , King's College London (KCL) (Author)

Abstract

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.

Details

Original languageEnglish
Article number110982
JournalJournal of psychosomatic research
Volume160
Publication statusPublished - Sept 2022
Peer-reviewedYes

External IDs

PubMed 35932492
ORCID /0000-0003-4286-5830/work/149796266
ORCID /0000-0002-2666-859X/work/149797550
ORCID /0000-0002-3415-5583/work/150329732

Keywords

Sustainable Development Goals

Keywords

  • Bipolar disorder, Circadian rhythm, Depression, Polarity, Solar insolation, Sunlight

Library keywords