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[HEALTH] · Australia · 24 sources

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University of Sydney researchers identify circadian depression subtype

Researchers at the University of Sydney have identified a new subtype of depression, termed “circadian depression,” which is linked to disruptions in the body’s internal 24-hour biological clock. The study, published in the British Journal of Psychiatry, analyzed clinical and genetic data from over 10,000 Australians participating in the Australian Genetics of Depression Study.

Approximately one-quarter of the participants—2,604 individuals—met the criteria for this subtype. Key characteristics include seasonal symptom patterns, sleeping longer during depressive episodes, waking up feeling exhausted, and a tendency to be a “night owl.” The research also noted a phenomenon described as “social jet lag,” where biological rhythms mismatch social routines.

Findings suggest that individuals with circadian depression may experience more severe symptoms, including higher rates of mania, suicidal ideation, and earlier onset of the illness. Genetically, this group showed a higher predisposition to ADHD, inflammatory conditions, and cardiovascular issues.

Crucially, the study indicates that this subtype may be more resistant to traditional treatments like selective serotonin reuptake inhibitors (SSRIs) and cognitive behavioral therapy (CBT). Instead, researchers suggest that therapies targeting circadian rhythms, such as light therapy and melatonin-based treatments, may offer more effective alternatives.

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Brain and Mind Centre · British Journal of Psychiatry · Emiliana Tonini · Ian Hickie · The British Journal of Psychiatry · University of Sydney

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