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Psychiatry Research
journal homepage: www.elsevier.com/locate/psychres
Associations of depression and seasonality with morning-evening
preference: Comparison of contributions of its morning and evening
components
Arcady A. Putilov
⁎
Research Institute for Molecular Biology and Biophysics, Novosibirsk, Russia
ARTICLE INFO
Keywords:
Morningness-eveningness
Chronotype
Sleep-wake pattern
Seasonal affective disorder
Anxiety
Somatization
Health
ABSTRACT
Despite predominance of positive findings on associations of morning-evening preference with seasonality and
depression, it remains to be clarified whether morning and evening components of this preference equally
contribute to these associations and whether these associations persist after accounting for confounding vari-
ables. Data on retrospectively reported seasonal changes in well-being, mood, and behaviors were collected from
2398 residents of West Siberia, South and North Yakutia, Chukotka, Alaska, and Turkmenistan. Other self-
reports included mental and physical health, sleep duration, and adaptabilities of the sleep-wake cycle.
Depression was found to be linked to morning rather than evening component of morning-evening preference,
i.e., morning lateness. Morning lateness was also linked to retrospectively reported degree of seasonal changes
rather than to severity of problems associated with such changes. Variation in morning-evening preference
explained not more than 2% and 4% of the total variation in depression and seasonality, respectively. The
associations became even weaker but remained significant after accounting for other differences between re-
spondents, such as their gender, age, physical health, and adaptability of their sleep-wake cycle. These results
have practical relevance for understanding of the roles playing by morning earliness and insensitivity to seasonal
changes in the environment to protection against different mood disorders.
1. Introduction
Seasonality and morning-evening preference represent two major
domains of individual differences in adaptation of human mood, be-
havior and physiology to annual and diurnal changes in the natural and
social environment. As early as in the end of the 19th century, Emil
Kraepelin and his students have recognized that psychiatric disorders
can be associated with evening preference and certain seasons of the
year (see Becker et al. (2016), and Wehr (1989), respectively, for more
details). A modern search for possibility of such associations has been
initiated by description of the so-called Seasonal Affective Disorder
(SAD) and beneficial results of its treatment with morning and evening
bright light (Rosenthal et al., 1984b). A condition characterized by re-
occurrence of depressive episodes in winter (winter depression or SAD
of winter type) was related to a delayed circadian phase (Lewy et al.,
1987) and to seasonal changes in availability of bright light in the early
morning and late evening hours (Rosenthal et al., 1984b). Such at-
tempts to consider winter depression in the theoretical framework of
chronobiology led to prediction that depression is significantly linked to
morning-evening preference and seasonality.
Seasonality is defined as individual's tendency to annual mood and
behavioral variation, and it is often self-assessed retrospectively with
the Seasonal Pattern Assessment Questionnaire or SPAQ (Rosenthal
et al., 1984a). It was demonstrated that higher self-reported level of
depression significantly correlated with higher amplitude of retro-
spectively reported seasonal changes (Putilov et al., 1994, 1999; Oyane
et al., 2008). Moreover, higher seasonal fluctuations throughout sea-
sons were related to mood disorders (Brambilla et al., 2012;
Hakkarainen et al., 2003), evening preference (e.g., Baek et al., 2016;
Murray et al., 2003; Zhang et al., 2015), and delayed sleep phase
syndrome (Lee et al., 2011). However, negative findings were also re-
ported. In the study of Natale et al. (2005), evening preference was
found to correlate with seasonality scale in Italian but not Spanish
sample. Moreover, Oginska and Oginska-Bruchal, (2014) did not reveal
significant relationship between the SPAQ seasonality scale and a
morning-evening preference.
Based on morning-evening preference people can be divided into
chronotypes with different sleep-wake patterns (Kerkhof, 1998; Adan
et al., 2012) and this preference is usually scored with unidimensional
questionnaire instruments, such as the 19-item scale for self-assessment
http://dx.doi.org/10.1016/j.psychres.2017.09.054
Received 18 January 2017; Received in revised form 17 April 2017; Accepted 22 September 2017
⁎
Correspondence address: 11, Nipkowstr., 12489 Berlin, Germany.
E-mail address: putilov@ngs.ru.
Psychiatry Research xxx (xxxx) xxx–xxx
0165-1781/ © 2017 Elsevier B.V. All rights reserved.
Please cite this article as: Putilov, A.A., Psychiatry Research (2017), http://dx.doi.org/10.1016/j.psychres.2017.09.054