Performance of the biological rhythms interview for assessment in neuropsychiatry: An item response theory and actigraphy analysis

Allega, Olivia R; Leng, Xiamin; Vaccarino, Anthony L.; Skelly, Matthew; Lanzini, Mariana; Hidalgo, María Paz Loayza; Soares, Cláudio N.; Kennedy, Sidney H.; Frey, Benício N.

doi:10.1016/j.jad.2017.07.047

Cited by 37 publications

(26 citation statements)

References 86 publications

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“…Additionally, previous studies have considered disruptions of biological rhythm as a single symptom, or were conducted only in patients with bipolar disorder. 14,20,21,28,29 Only one recent study evaluated the effect of specific biological rhythm domains on unipolar depression, finding significant disruption in all biological rhythm domains (sleep, activity, social, and eating) and BRIAN-Total score both in patients with MDD and in those with bipolar disorder, compared to healthy controls. 21 However, this study was population-based, only included young adults (age 18-24 years), and did not take into consideration drug use or other confounders.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of biological rhythm domains in patients with major depression

Ozcelik

Şahbaz

2020

Braz. J. Psychiatry

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Objective: Sleep, physical activity, and social domains of biological rhythm disruptions may have specific effects on the symptom cluster and severity of depression. However, there is a lack of structured clinical evaluation to specify the domains of biological rhythms in patients with depression. Methods: Ninety drug-naïve subjects with depression and 91 matched healthy controls were recruited for the study. The severity of depression was examined with the Hamilton Rating Scale for Depression (HRSD), while biological rhythm was evaluated using the Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN). Results: Patients with depression showed significantly greater biological rhythm disturbances than healthy controls in all domains of BRIAN (sleep, activity, social, and eating). BRIAN-Total correlated positively with HRSD-Total and HRSD-Total without sleep cluster. The sleep and activity domains correlated significantly with HRSD-Total score. Additionally, the sleep, activity, and social domains correlated significantly with HRSD-Total without the sleep cluster score. Regression analysis revealed the activity (b = 0.476, t = 5.07, po0.001) and sleep (b = 0.209, t = 2.056, p = 0.043) domains may predict HRSD-Total score. Conclusion: Consideration of biological rhythm domains in clinical examination and focusing on the sleep and activity domains may hold promise for the management of depression.How to cite this article: Ozcelik M, Sahbaz C. Clinical evaluation of biological rhythm domains in patients with major depression. Braz J Psychiatry. 2020;42:258-263. http://dx.

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Section: Discussionmentioning

confidence: 99%

Clinical evaluation of biological rhythm domains in patients with major depression

Ozcelik

Şahbaz

2020

Braz. J. Psychiatry

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“…The total BRIAN scores from the 18 items range from 18 to 72, with higher scores indicating a more severe circadian rhythm disturbance. The BRIAN has been used in previous studies conducted in Brazil [1], Spain [27,28], and Canada [29].…”

Section: Methodsmentioning

confidence: 99%

Validation of the Korean Version of the Biological Rhythms Interview of Assessment in Neuropsychiatry

Cho

Jung

Kapczinski

et al. 2018

Psychiatry Investig

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ObjectiveThe Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN) is a scale used to clinically evaluate disturbances in biological rhythm. In this study, we aimed to examine the reliability and validity of the Korean version of the BRIAN (K-BRIAN) in a Korean population. MethodsA total of 181 participants, including 141 outpatients with bipolar disorder (BD; type I, 62; type II, 79) and 40 controls, were recruited. Construct validity was tested by comparing the mean K-BRIAN scores of the BD patients and control subjects. Concurrent validity was tested by evaluating the association between the K-BRIAN and the Morningness-Eveningness Questionnaire (MEQ). ResultsThe mean K-BRIAN scores of the control subjects and patients with BD differed significantly (p<0.001). Particularly, the mean K-BRIAN score was considerably lower among control subjects (mean±standard deviation=35.00±8.88) than among patients with BD type I (41.19±12.10) and type II (50.18±13.73). The Cronbach’s alpha for the K-BRIAN was 0.914. The K-BRIAN was found to correlate with the MEQ (r=-0.45, p<0.001). ConclusionThe findings affirm that the K-BRIAN has good construct validity and internal consistency. This suggests that the K-BRIAN can be used to assess biological rhythms in the Korean population, especially for patients with mood disorder.

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“…Additionally, integrated insights give an understanding of how biological rhythm disturbances affect a variety of conditions and biological functions such as—monoamine signaling of mood disorders, the immune system, hypothalamic–pituitary–adrenal (HPA) axis regulation, metabolic peptides, cellular processes (redox, mitochondria, apoptosis, neurogenesis) [9], cerebral parenchyma, suprachiasmatic nucleus [10], and regulation of the biological clock through epigenetic control [11]. Researchers have made an effort, through a variety of measurements and actigraphy, to evaluate biological rhythms in subjects with mood disorders objectively [12,13]. In addition, studies show that correction of biological rhythms through light therapy, behavior modification, and pharmacological agents (such as melatonin) reduces the duration of mood-related symptoms and the severity of other symptoms [14,15], improving the overall quality of life [16].…”

Section: Introductionmentioning

confidence: 99%

Similarities of Aspects of Biological Rhythms between Major Depression and Bipolar II Disorder Compared to Bipolar I Disorder: A Finding from the Early-Onset Mood Disorder Cohort

Kim

Cho

Lee

et al. 2019

Psychiatry Investig

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to mammals and drive circadian cycles (cycles that repeat roughly every 24 hours) to help anticipate and respond to environmental changes. 1 Circadian rhythms help synchronize an organism to periodic fluctuations in the external environment and also facilitate integration of an organism's internal social environment. 2 Recognition of its importance is growing, and the Nobel Prize in Physiology or Medicine 2017 was awarded to Jeffrey Hall, Michael Rosbash, and Michael Young, who contributed to circadian biology by studying the biological clock and circadian oscillation control through period proteins. 3 The biological rhythm represented by a circadian

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Performance of the biological rhythms interview for assessment in neuropsychiatry: An item response theory and actigraphy analysis

Cited by 37 publications

References 86 publications

Clinical evaluation of biological rhythm domains in patients with major depression

Clinical evaluation of biological rhythm domains in patients with major depression

Validation of the Korean Version of the Biological Rhythms Interview of Assessment in Neuropsychiatry

Similarities of Aspects of Biological Rhythms between Major Depression and Bipolar II Disorder Compared to Bipolar I Disorder: A Finding from the Early-Onset Mood Disorder Cohort

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