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Relationship between bipolar disorder and circadian rhythm sleep-wake disorders and effectiveness of chronobiological intervention on the prevention of relapse of mood episodes.

Research Project

Project/Area Number 15K19747
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Psychiatric science
Research InstitutionKyorin University (2017)
Tokyo Medical University (2015-2016)

Principal Investigator

Yoshikazu Takaesu  杏林大学, 医学部, 講師 (90421015)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2015: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords双極性障害 / 概日リズム睡眠障害 / 再燃 / 時間生物学 / うつ病 / 気分障害 / 概日リズム障害 / 再発予測因子 / 時間生物学的治療
Outline of Final Research Achievements

One hundred four BD (41 type I and 63 type II) outpatients and 73 age- and sex-matched major depressive disorder (MDD) outpatients participated in this study. Circadian rhythm sleep-wake disorders (CRSWD) was diagnosed by clinical interview and sleep logs based on the International Classification of Sleep Disorders, third edition. As a result, the rate of CRSWD in BD subjects was significantly higher than that in MDD subjects. A multiple logistic regression analysis revealed that comorbid CRSWD was significantly associated with BD in patients with remitted mood disorders.
Of the total 104 BD subjects, 51 (49.0%) subjects experienced relapse during the 48-week follow-up period. Multivariate Cox hazard regression analyses revealed that two or more previous mood episodes within the past year and comorbidity of CRSWD were significantly associated with the time to relapse of mood episodes.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (9 results)

All 2018 2017 2016

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 1 results) Presentation (6 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Circadian Rhythm Sleep-Wake Disorders Predict Shorter Time to Relapse of Mood Episodes in Euthymic Patients With Bipolar Disorder2018

    • Author(s)
      Takaesu Yoshikazu、Inoue Yuichi、Ono Kotaro、Murakoshi Akiko、Futenma Kunihiro、Komada Yoko、Inoue Takeshi
    • Journal Title

      The Journal of Clinical Psychiatry

      Volume: 79 Issue: 1 Pages: 17m11565-17m11565

    • DOI

      10.4088/jcp.17m11565

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Circadian rhythm sleep-wake disorders as predictors for bipolar disorder in patients with remitted mood disorders2017

    • Author(s)
      Takaesu Yoshikazu、Inoue Yuichi、Ono Kotaro、Murakoshi Akiko、Futenma Kunihiro、Komada Yoko、Inoue Takeshi
    • Journal Title

      Journal of Affective Disorders

      Volume: 220 Pages: 57-61

    • DOI

      10.1016/j.jad.2017.05.041

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Prevalence of Circadian Rhythm Sleep-Wake Disorders and Associated Factors in Euthymic Patients with Bipolar Disorder2016

    • Author(s)
      Yoshikazu Takaesu
    • Journal Title

      Plos one

      Volume: 11 Issue: 7 Pages: e0159578-e0159578

    • DOI

      10.1371/journal.pone.0159578

    • NAID

      120007170567

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Circadian rhythm sleep-wake disorders predict shorter time to relapse of mood episodes in euthymic patients with bipolar disorder: a prospective 48-week study2017

    • Author(s)
      Yoshikazu Takaesu
    • Organizer
      World Sleep
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 概日リズムと気分障害の関連性について2017

    • Author(s)
      高江洲義和
    • Organizer
      日本うつ病学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 双極性障害の診断と治療における睡眠・覚醒リズム2017

    • Author(s)
      高江洲義和
    • Organizer
      日本精神神経学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 気分障害における睡眠障害を考える2017

    • Author(s)
      高江洲義和
    • Organizer
      日本心身医学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 双極性障害患者における概日リズム睡眠障害の病相再発に与える影響の検討2016

    • Author(s)
      高江洲義和
    • Organizer
      精神神経薬理学会
    • Place of Presentation
      韓国 ソウル
    • Year and Date
      2016-07-02
    • Related Report
      2015 Research-status Report
  • [Presentation] Prevalence of and factors associated with circadian rhythm sleep-wake disorders in euthymic patients with bipolar disorder2016

    • Author(s)
      高江洲義和
    • Organizer
      APSS
    • Place of Presentation
      アメリカ デンバー
    • Year and Date
      2016-06-11
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research

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Published: 2015-04-16   Modified: 2019-03-29  

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