Eveningness chronotype influences social functioning by deteriorating depressive symptoms in remitted patients with schizophrenia

May 16, 2024Chronobiology international

Evening preference may harm social life by worsening depression in recovered schizophrenia patients

AI simplified

Circadian Biology on OpenScience ↗PubMed ↗DOI ↗

Abstract

The eveningness chronotype group exhibited higher depressive symptoms and poorer social functioning than morningness and intermediate groups.

185 patients with schizophrenia were categorized into morningness, eveningness, or intermediate chronotypes.
The eveningness group had higher scores on depression and sleep quality assessments.
Lower scores in personal and social performance were observed in the eveningness group compared to others.
The influence of chronotype on social functioning may be mediated by depressive symptoms.
Inclusion of depressive symptoms reduced the significance of chronotype effects on social functioning.

AI simplified

Sleep and circadian rhythm disruption (SCRD) is common in schizophrenia patients, who also typically experience impaired social functioning. While various factors influence social functioning in schizophrenia, the specific impact of sleep and circadian rhythm disruption remains unclear. This study aimed to investigate the connection between chronotype and social functioning in remitted schizophrenia patients, examining the mediating roles of depression and sleep quality. The study included 185 patients diagnosed with schizophrenia based on DSM-5 criteria. After categorizing the patients into morningness, eveningness, or intermediate chronotypes using the Morningness-Eveningness Questionnaire(MEQ), they were assessed with the Positive and Negative Syndrome Scale(PANSS), Calgary Depression Scale for Schizophrenia(CDSS), Personal and Social Performance Scale(PSPS) and Pittsburgh Sleep Quality Index(PSQI). The eveningness chronotype group showed higher CDSS and PSQI scores and lower PWBS and PSPS-Total scores than the other groups ( < 0.05). A hierarchical linear regression model assessed MEQ, PSQI, and CDSS scores' effects on PSPS total scores. MEQ scores' significance diminished when CDSS scores were included. Eveningness chronotype, particularly with increased depressive symptoms, negatively impacts social functioning in remitted schizophrenia patients.These findings contribute to the understudied area of chronotype in schizophrenia and its impact on social functioning, including its interaction with sleep.. p

Full Text

Full text is available at the source.

View full text ↗

Eveningness chronotype influences social functioning by deteriorating depressive symptoms in remitted patients with schizophrenia

Abstract

Full Text

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the circadian biology brief

Abstract

Full Text

Related papers

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the circadian biology brief