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Social rhythms and occupational functioning disturbance in remitted bipolar patients

Published online by Cambridge University Press:  13 August 2021

A. Ben Cheikh Ahmed ,
U. Ouali ,
H. Jemli ,
A. Aissa  and
F. Nacef
A. Ben Cheikh Ahmed
Affiliation:
Department Psychiatry A, Razi Hospital, Manouba, Tunisia
U. Ouali*
Affiliation:
Department Psychiatry A, Razi Hospital, Manouba, Tunisia
H. Jemli
Affiliation:
Department Psychiatry A, Razi Hospital, Manouba, Tunisia
A. Aissa
Affiliation:
Department Psychiatry A, Razi Hospital, Manouba, Tunisia
F. Nacef
Affiliation:
Department Psychiatry A, Razi Hospital, Manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Biological rhythm disturbance is etiologically involved in mood disorders. Previous literature focused on studying sleep disruption in bipolar disorders (BD). However, only a few studies addressed the influence of social rhythms and occupational functioning as they may affect circadian regularity and consequently be a critical pathway to mood symptoms.

Objectives

The main aim of this study was to assess biological rhythms in remitted bipolar patients and to evaluate their social rhythms and occupational functioning.

Methods

We recruited a total of 80 euthymic outpatients with BD and 80 control subjects. Biological rhythm disruptions were assessed using the Biological Rhythm Interview of Assessment in Neuropsychiatry (BRIAN), an interviewer administered questionnaire that assesses disruptions in sleep, eating patterns, social rhythms, and general activity.

Results

Patients with BD experienced greater biological rhythm alterations than the control group (BRIAN total scores 35.26±9.21 vs. 25.84±2.68). In addition to their sleep-wake rhythm (mean scores 11.1±3.95 vs. 7.41±1.41), patients were particularly more impaired than the control group with regards to social rhythms (7.31 ± 2.57 vs. 5.24 ± 1.06) and general activity (8.9 ± 3.35 vs. 7.01 ± 1.4).

Conclusions

Our study indicated that patients with BD experience major disruptions in their social rhythms and occupational functioning. These alterations may lead to unstable biological rhythms and to a higher risk of mood episodes. Therefore, consolidating social rhythms and functioning appears to be a crucial step for preventing relapses in patients with BD.

Disclosure

No significant relationships.

Keywords

chronobiologysocial rhythmsoccupational functioningBipolar Disorders
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S622
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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