Display options
Cite
Gershon A, Ram N, Johnson SL, et al. Daily Actigraphy Profiles Distinguish Depressive and Interepisode States in Bipolar Disorder. Clin Psychol Sci. 2015;4(4):641-650doi: 10.1177/2167702615604613.
Gershon, A., Ram, N., Johnson, S. L., Harvey, A. G., & Zeitzer, J. M. (2016). Daily Actigraphy Profiles Distinguish Depressive and Interepisode States in Bipolar Disorder. Clinical psychological science : a journal of the Association for Psychological Science, 4(4), 641-650. https://doi.org/10.1177/2167702615604613
Gershon, Anda, et al. "Daily Actigraphy Profiles Distinguish Depressive and Interepisode States in Bipolar Disorder." Clinical psychological science : a journal of the Association for Psychological Science vol. 4,4 (2016): 641-650. doi: https://doi.org/10.1177/2167702615604613
Gershon A, Ram N, Johnson SL, Harvey AG, Zeitzer JM. Daily Actigraphy Profiles Distinguish Depressive and Interepisode States in Bipolar Disorder. Clin Psychol Sci. 2016 Jul;4(4):641-650. doi: 10.1177/2167702615604613. Epub 2015 Nov 19. PMID: 27642544; PMCID: PMC5022043.
Copy Download .nbib Format: NLM
Share it on

Clin Psychol Sci. 2016 Jul;4(4):641-650. doi: 10.1177/2167702615604613. Epub 2015 Nov 19.

Daily Actigraphy Profiles Distinguish Depressive and Interepisode States in Bipolar Disorder.

Clinical psychological science : a journal of the Association for Psychological Science

Anda Gershon, Nilam Ram, Sheri L Johnson, Allison G Harvey, Jamie M Zeitzer

Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine.
  2. Department of Human Development and Family Studies, The Pennsylvania State University.
  3. Department of Psychology, University of California, Berkeley.
  4. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine; Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System.

PMID: 27642544 PMCID: PMC5022043 DOI: 10.1177/2167702615604613

Abstract

Disruptions in activity are core features of mood states in bipolar disorder (BD). This study sought to identify activity patterns that discriminate between mood states in BD. Locomotor activity was collected using actigraphy for six weeks in participants with inter-episode BD type I (n=37) or participants with no lifetime mood disorders (n=39). The 24-hour activity pattern of each participant-day was characterized and within-person differences in activity patterns were examined across mood states. Results show that among participants with BD, depressive days are distinguished from other mood states by an overall lower activity level, and a pattern of later activity onset, a midday elevation of activity, and low evening activity. No distinct within-person activity patterns were found for hypomanic/manic days. Since activity can be monitored non-invasively for extended time periods, activity pattern identification may be leveraged to detect mood states in BD, thereby providing more immediate delivery of care.

Keywords: Bipolar disorder; actigraphy; activity; circadian rhythms; depression

References

  1. Acta Psychiatr Scand. 2015 Feb;131(2):89-99 - PubMed
  2. Psychiatr Serv. 1997 Apr;48(4):491-6 - PubMed
  3. J Affect Disord. 2001 Dec;67(1-3):89-96 - PubMed
  4. J Affect Disord. 2014 Jan;152-154:498-504 - PubMed
  5. Bipolar Disord. 2007 Aug;9(5):531-5 - PubMed
  6. Annu Rev Clin Psychol. 2012;8:243-67 - PubMed
  7. Psychiatry Res. 2009 Apr 30;166(2-3):201-9 - PubMed
  8. Am J Psychiatry. 1995 Nov;152(11):1635-40 - PubMed
  9. Arch Gen Psychiatry. 1991 Sep;48(9):807-12 - PubMed
  10. J Affect Disord. 2014 Aug;164:101-6 - PubMed
  11. Bipolar Disord. 2008 Mar;10(2):256-65 - PubMed
  12. Arch Gen Psychiatry. 1974 Jun;30(6):765-8 - PubMed
  13. Biol Psychiatry. 1992 Feb 1;31(3):279-84 - PubMed
  14. Sleep. 1995 May;18(4):288-302 - PubMed
  15. Br J Psychiatry. 1978 Nov;133:429-35 - PubMed
  16. Sleep. 2004 Dec 15;27(8):1567-96 - PubMed
  17. Sleep. 2003 May 1;26(3):342-92 - PubMed
  18. PLoS One. 2014 Feb 20;9(2):e89574 - PubMed
  19. Curr Psychiatry Rep. 2009 Dec;11(6):459-65 - PubMed
  20. J Affect Disord. 2004 Jun;80(2-3):145-53 - PubMed
  21. Bipolar Disord. 2005 Apr;7(2):176-86 - PubMed
  22. Arch Gen Psychiatry. 1971 Mar;24(3):215-20 - PubMed
  23. Psychiatry Res. 1985 Aug;15(4):327-39 - PubMed
  24. J Affect Disord. 2013 Feb 15;145(1):21-8 - PubMed
  25. Arch Gen Psychiatry. 2002 Jun;59(6):530-7 - PubMed
  26. J Affect Disord. 2013 Feb 20;145(2):260-3 - PubMed
  27. Biol Psychiatry. 2000 Sep 15;48(6):593-604 - PubMed
  28. Psychol Med. 1996 May;26(3):477-86 - PubMed
  29. Am J Psychiatry. 2005 Jan;162(1):50-7 - PubMed
  30. Am J Geriatr Psychiatry. 2013 Apr;21(4):391-7 - PubMed
  31. Psychiatry Res. 2010 Jun 30;178(1):84-91 - PubMed
  32. Arch Gen Psychiatry. 2005 Oct;62(10):1089-96 - PubMed
  33. J Clin Psychiatry. 2014 Apr;75(4):e317-22 - PubMed
  34. Bipolar Disord. 2010 May;12(3):327-34 - PubMed

Publication Types

Grant support