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Eveningness has been associated with both disturbed sleep and depression. It is unclear, however, if deprived sleep explains evening types' vulnerability to depression. The role of pre‐sleep rumination in these associations also remains understudied. The present study assessed the relationship between eveningness and sleep quality, as well as the possible mediating effect of pre‐sleep rumination and the moderating effect of a history of depression, under naturalistic conditions. Eighty‐eight Dutch‐speaking participants (87.5% females, 21.4 ± 3.7 years) were selected on the basis of their non‐intermediate chronotype using the Morningness Eveningness Questionnaire (evening types (n = 53); morning types (n = 35)). Depression status was assessed through a diagnostic interview (healthy (n = 61); remitted depressed (n = 27)). Participants' sleep characteristics were monitored via actigraphy and sleep diaries for seven consecutive days and nights. Pre‐sleep rumination was measured via a self‐report questionnaire. Evening types had longer subjective and actigraphic sleep onset latency than morning types. Pre‐sleep rumination did not mediate the former associations but predicted longer subjective sleep onset latency. Furthermore, the relationship between chronotype and subjective sleep onset latency was moderated by depression history. Remitted depressed evening types reported longer sleep onset latency than healthy evening and morning types, possibly posing the former at a higher risk for depressive relapse. Overall, the current findings address the need to further investigate the physiological signature of circadian rhythms and sleep latency. This could serve as a foundation for the development of prevention and early intervention programs, tailored for mood and sleep disorders. [ABSTRACT FROM AUTHOR]

The aim of this study is to examine the psychometric properties of the Turkish adaptation of the Morningness/Eveningness Scale (M/E Scale-Parent Report Form) family evaluation form for preschool children. The study sample consisted of 276 parents with children aged 4–6 years. The study calculated Cronbach's alpha internal consistency coefficient and corrected item-total correlations of the scale. It also determined the scale's distinctiveness, stability analyses, and convergent validity. The Turkish version of the M/E Scale (Parent Report Form), consisting of 10 items, is unidimensional. The Cronbach's alpha internal consistency coefficient of the scale was 0.80 and the corrected item-total correlation values varied between 0.51 and 0.76. There was a positive correlation at the level of 0.75 between the applications of the scale with two-week intervals and at the level of 0.63 between the single-item chronotype scale within the scope of convergent validity and the M/E Scale (Parent Report Form). This study determined a low correlation between the child's chronotype and the father's chronotype, and a moderate correlation with the mother's chronotype. The Turkish M/E Scale (Parent Report Form) was found to be valid and reliable. This scale is a short and easy-to-use measurement tool for determining the chronotypes of 4–6-year-old children. [ABSTRACT FROM AUTHOR]

Background: Evidence assessing the relationship between chronotype and disordered eating in adolescents is scarce. The current study tried to evaluate the association between chronotype and disordered eating in a sample of Spanish adolescents. Methods: This secondary cross-sectional study analyzed data from the Eating Healthy and Daily Life Activities (EHDLA) study. The sample consisted of 703 adolescents (56.3% girls) aged between 12 and 17 years from the Valle de Ricote (Region of Murcia, Spain). Chronotype was assessed using the Morningness/Eveningness Scale in Children (MESC). Disordered eating was evaluated by two psychologists using the Sick, Control, One, Fat, and Food (SCOFF) questionnaire. Results: Adolescents with an eveningness chronotype showed a higher SCOFF score (estimated marginal mean [M] = 1.1; 95% confidence interval [CI] 0.7 to 1.5) in comparison with adolescents with a morningness chronotype (M = 0.7; 95% CI 0.5 to 0.8) (p = 0.010), as well as with those with an intermediate chronotype (M = 0.6; 95% CI 0.5 to 0.8) (p = 0.032). A higher predictive probability of having disordered eating was identified in adolescents with an eveningness chronotype (39.5%; 95% CI 22.8% to 59.1%), compared to adolescents with an intermediate chronotype (14.9%; 95% CI 10.8% to 20.1%) (p = 0.008) and with their counterparts with a morningness chronotype (16.9%; 95% CI 11.6% to 24.0%) (p = 0.021). Conclusions: This study reveals that adolescents with an eveningness chronotype are more likely to exhibit disordered eating behaviors compared to those with morningness or intermediate chronotypes. These findings highlight the importance of considering chronotype in adolescent health, particularly in developing targeted interventions to prevent eating disorders. [ABSTRACT FROM AUTHOR]

Chronotype is an established concept designed to capture the internal clock's phase in real-life conditions. It is vital in many aspects of daily life and can interfere considerably with numerous factors in a given population. Recognizing nonmodifiable and modifiable factors is crucial for identifying covariates of interest when studying the link between chronotype and health status. To date, chronotype and its related factors have not been extensively investigated. The present study aimed to explore the association of chronotypes with meal frequency, physical activity, and demographic factors among the Saudi population. This cross-sectional web-based questionnaire involved 1369 adults (aged 18 years and above) from the general public in Saudi Arabia and was conducted between March and May 2019. Chronotype was assessed using the reduced version of the original Horne and Ostberg morningness-eveningness questionnaire (MEQ). Meal frequencies and demographics data (age, gender, marital status, place of residence, educational level, employment status, income) were obtained. Physical activity level was also obtained using the international physical activity questionnaire. The MEQ scores group individuals into three categories: morning-type, neither-type, and evening-type. The neither-type individuals represented 41.6% (95% confidence interval [CI], 37.5% − 45.6%) of the study population, followed by the morning-type (34.1%; 95% [CI], 29.8% − 38.4%), then the evening-type (24.3%, 95% [CI], 19.6% − 28.9%). Chronotype was significantly associated with age, marital status, employment status and monthly income (All p < 0.05). Significant associations between chronotype with meal frequencies (number of meals per day, breakfast frequency, lunch frequency, and dinner frequency) and physical activity were also observed (All p < 0.05). This study highlights that meal frequencies and physical activity levels are associated with chronotype distribution. Furthermore, demographics, including age, marital status, employment status, and income, were associated with chronotype distribution. [ABSTRACT FROM AUTHOR]

Circadian typology, or "morningness" and "eveningness," is generally assessed using the Morningness-Eveningness Questionnaire (MEQ), a 19-item scale that could be burdensome in large-scale surveys. To overcome this, a 5-item version known as the reduced morningness-eveningness questionnaire (rMEQ), which is sensitive to the assessment of circadian typology, was developed; however, a validated Japanese version of the rMEQ is yet to be established. This study aimed to develop and validate the Japanese version of the rMEQ. Five essential items for the rMEQ were selected from existing Japanese MEQ data (N = 2,213), and the rMEQ was compiled. We conducted a confirmatory factor analysis for the psychometric properties of the rMEQ and confirmed its robust one-factor structure for evaluating morningness-eveningness (GFI = 0.984, AGFI = 0.951, CFI = 0.935, and RMSEA = 0.091). Reliability was evaluated via internal consistency of rMEQ items using Cronbach's α and McDonald's ω, and the values were 0.618 and 0.654, respectively. The rMEQ scores strongly correlated with MEQ (ρ = 0.883, p < 0.001), and classification agreement (Morning, Neither, and Evening types) between rMEQ and MEQ was 77.6% (Cramer's V = 0.643, Weighted Cohen's κ = 0.72), confirming the validity. The Japanese rMEQ may be a valuable tool for the efficient assessment of circadian typologies. [ABSTRACT FROM AUTHOR]

Circadian rhythms influence a preference for people's time of activity and sleep time during the day and the hours of best performance. The aim of the study was to assess the associations between chronotype, physical activity, and well-being in adults aged 20–50. The chronotype, physical activity and well-being scores were determined based on the Composite Scale of Morningness (CSM) questionnaire, the International Physical Activity Questionnaire (IPAQ) and the Well-Being Index (WHO-5) questionnaire, respectively. Study data consisted of the answers of 213 respondents (including 64 men) who took part in an online survey. The Spearman rank correlation coefficient and the matrix scatter plots were used to check the correlations between the CSM score and quality of life parameters' values. General linear models (GLMs) were performed to find differences in quality-of-life parameters between different combinations of sex and chronotype. Morning types showed the highest value of well-being score (mean = 13.48) while evening types the lowest one (mean = 8.35). Evening types spent the most time sitting compared to other chronotypes. Results of this study revealed the significant effect of chronotype on well-being and physical activity among adults. These findings suggest that chronotype is an important factor that psychologists and personal trainers should take into account. [ABSTRACT FROM AUTHOR]

This systematic review investigates the bidirectional relationship between alcohol consumption and disrupted circadian rhythms. The goal of this study was to identify (i) the types of circadian rhythm disruptors (i.e. social jet lag, extreme chronotypes, and night shift work) associated with altered alcohol use and (ii) whether sex differences in the consequences of circadian disruption exist. We conducted a search of PubMed, Embase, and PsycINFO exclusively on human research. We identified 177 articles that met the inclusion criteria. Our analyses revealed that social jet lag and the extreme chronotype referred to as eveningness were consistently associated with increased alcohol consumption. Relationships between night shift work and alcohol consumption were variable; half of articles reported no effect of night shift work on alcohol consumption. Both sexes were included as participants in the majority of the chronotype and social jet lag papers, with no sex difference apparent in alcohol consumption. The night shift research, however, contained fewer studies that included both sexes. Not all forms of circadian disruption are associated with comparable patterns of alcohol use. The most at-risk individuals for increased alcohol consumption are those with social jet lag or those of an eveningness chronotype. Direct testing of the associations in this review should be conducted to evaluate the relationships among circadian disruption, alcohol intake, and sex differences to provide insight into temporal risk factors associated with development of alcohol use disorder. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate proper sleep hours to reduce the risk of cognitive decrease considering morningness-eveningness type. The Korean Community Health Survey was used, which includes adults aged over 19 years old. These data were obtained from a cross-sectional study and assessed sleep hours using questionnaire of Pittsburgh Sleep Quality Index. Based on the wake-up time of each participant, they were classified into the morningness, intermediate, eveningness, and none groups. The change in cognitive function was determined by a single question about memory loss experience. A total of 224,714 participants were included in the analysis. Of the participants, 55.6 % and 5.0 % of whom had morningness and eveningness, respectively. The risk of cognitive decline was significantly different by sleep hours and morningness-eveningness type. Without considering sleep quality, the intermediate and eveningness groups showed a higher risk of cognitive decline than the morningness group, and the risk was lowest in those with 7–9 sleep hours. However, when sleep quality showing significant effect was included in the analysis, sleep hours showing the lowest risk were different among morningness, intermediate, eveningness groups, and it was the shortest in the morningness type at 5–6 h and the longest in the eveningness type at 7–8 h. Proper sleep hours to decrease the risk of cognitive decline may be different by morningness-eveningness types. However, when considering sleep quality, sleep duration had little influence on cognitive decline. Future studies investigating healthy sleep hours need to consider sleep quality as well as the habitual sleep schedules. The morningness-eveningness types were classified based on wake-up time not morningness-eveningness types. The morningness-eveningness types in this study would be interpreted as habitual sleep schedule rather than chronotype. • The risk of cognitive declines was different by morningness-eveningness type as well as sleep hours. • The risk of cognitive decline was not significantly different by morningness-eveningness type when sleep quality was considered. • Without considering sleep quality, the risk of cognitive decline was lowest in the group sleep for 7–9 hours. • When sleep quality was adjusted, sleep hours showing the lowest risk of cognitive decline was the shortest in the morningness type at 5-6 hours and the longest in the eveningness type at 7-8 hours. • The risk of poor sleep quality was significant in all morningness, intermediate, and eveningness groups. [ABSTRACT FROM AUTHOR]

Summary: Morningness–eveningness preference, also known as chronotype, is the tendency for a person to sleep during certain hours of the day and is broadly categorised into morning and evening types. In‐laboratory polysomnography (iPSG) is the gold‐standard to assess sleep, however, an individual's chronotype is not accounted for in current protocols, which may confound collected sleep data. The objective of our study was to assess if chronotype had an association with sleep physiology. Patients who completed the diagnostic iPSG and the Morningness–Eveningness Questionnaire (MEQ), which categorises patients into morning type, neither or evening type, were assessed. Multivariable linear regression models were used to assess if chronotype was associated with sleep quality, duration, and physiology during iPSG. The study sample included 2612 patients (mean age of 53.6 years, 48% male) recruited during 2010–2015. Morning type, compared with neither type, was significantly associated with an increase in total sleep time and rapid eye movement (REM) sleep, and a decrease in sleep onset latency and the arousal index. Evening type, compared with neither type, was significantly associated with a decrease in total sleep time, sleep efficiency, and REM sleep, and an increase in sleep onset latency and wake after sleep onset. Additionally, iPSG lights out time was significantly different between the different chronotypes. Overall, a morningness chronotype was associated with favourable sleep quality and duration while an eveningness chronotype was associated with reduced sleep quality. Our study quantifies the association of chronotype with iPSG metrics and suggests that laboratory protocols should consider chronotype in their evaluations. [ABSTRACT FROM AUTHOR]

Introduction: Biological changes in human metabolism due to daylight and heat are expressed as circadian rhythm, and its classification according to individuals and their genetic differences is called chronotype. In recent years, there has been an increase in studies examining the relationship between circadian rhythm and birth. Purpose: This study’s first aim was to investigate the relationship between the chronotypes of mothers and time of birth, season, meridians in which they were born, and the gender of their babies. Its second aim was to examine the relationship between the birth times and chronotypes of pregnant women and the time of their deliveries. Method: The study was conducted among women presented to Alanya Training and Research Hospital Gynecology and Obstetrics Polyclinic between 01.02.2022 and 31.03.2022. The study included 147 women remembering the date and time of delivery. Participants were selected among the mothers who gave a normal birth, did not have labor induction, whose birth started with spontaneous contractions, and had a healthy pregnancy. A questionnaire form including sociodemographic characteristics, obstetric information, and Horne and Östberg's Morningness- Eveningness scale were applied face to face. One-way ANOVA, Chi-Square, and logistic regression analyses were employed to analyze the data. Results: The chronotypes of the participants revealed that 45 women (30.6%) were morning type, 90 women were intermediate type (61.2%), and 12 women were evening type (8.2%). No difference was found between the chronotype scores of the mothers and the birth hours of their babies (p = .324). There was no difference between mothers' chronotype scores and birth meridians (p = .842). In addition, no significant relationship was found between the mothers' own birth hours and the birth hours of their babies (p= .050). Conclusion: There was no relationship between birth time, season, gender, birth meridian, and chronotype. The limitation of the study may be related to the recall bias, the effect of confounding factors, and the sample size. However, we think it is an interesting field in terms of providing a different perspective on the differences in performance and mood of people with further studies regarding chronotype.

Polygenic risk scores (PRSs) estimate genetic liability for diseases and traits. However, the portability of PRSs in sleep traits has remained elusive. We generated PRSs for self-reported insomnia, chronotype and sleep duration using summary data from genome-wide association studies (GWASs) performed in 350,000 to 697,000 European-ancestry individuals. We then projected the scores in two independent Finnish population cohorts (N = 33,493) and tested whether the PRSs were associated with their respective sleep traits. We observed that all the generated PRSs were associated with their corresponding traits (p < 0.05 in all cases). Furthermore, we found that there was a 22.2 min difference in reported sleep between the 5% tails of the PRS for sleep duration (p < 0.001). Our findings indicate that sleep-related PRSs show portability across cohorts. The findings also demonstrate that sleep measures using PRSs for sleep behaviors may provide useful instruments for testing disease and trait associations in cohorts where direct sleep parameters have not yet been measured.

Introduction: Numerous studies have suggested a connection between circadian rhythm and neurological disorders with cognitive and consciousness impairments in humans, yet little evidence stands for a causal relationship between circadian rhythm and the brain cortex. Methods: The top 10,000 morningness-related single-nucleotide polymorphisms of the Genome-wide association study (GWAS) summary statistics were used to filter the instrumental variables. GWAS summary statistics from the ENIGMA Consortium were used to assess the causal relationship between morningness and variates like cortical thickness (TH) or surficial area (SA) on the brain cortex. The inverse-variance weighted (IVW) and weighted median (WM) were used as the major estimates whereas MR-Egger, MR Pleiotropy RESidual Sum and Outlier, leave-one-out analysis, and funnel-plot were used for heterogeneity and pleiotropy detecting. Results: Regionally, morningness decreased SA of the rostral middle frontal gyrus with genomic control (IVW: ß = -24.916 mm, 95% CI: -47.342 mm to -2.490 mm, p = 0.029. WM: ß = -33.208 mm, 95% CI: -61.933 mm to -4.483 mm, p = 0.023. MR Egger: ß < 0) and without genomic control (IVW: ß = -24.581 mm, 95% CI: -47.552 mm to -1.609 mm, p = 0.036. WM: ß = -32.310 mm, 95% CI: -60.717 mm to -3.902 mm, p = 0.026. MR Egger: ß < 0) on a nominal significance, with no heterogeneity or no outliers. Conclusions and implications: Circadian rhythm causally affects the rostral middle frontal gyrus; this sheds new light on the potential use of MRI in disease diagnosis, revealing the significance of circadian rhythm on the progression of disease, and might also suggest a fresh therapeutic approach for disorders related to the rostral middle frontal gyrus-related. [ABSTRACT FROM AUTHOR]

Individual preference for morning or evening activities (chronotype), affect, hardiness, and talent are associated with a variety of performance outcomes. This longitudinal study was designed to investigate the degree to which these variables are associated with academic, physical, and military performance. Self-reported measures of chronotype, affect, and hardiness were collected from 1149 cadets from the Class of 2016 upon entry to the United States Military Academy. Talent, a composite of academic, leadership, and physical fitness scores were drawn from cadet records. Academic, military, and physical performance measures were collected at graduation 4 years later. The results indicated that a morning orientation was associated with better physical and military performance. Higher talent scores, as well as lower levels of negative affect, were associated with better performance across all three performance measures. Hardiness was only associated with military performance. The findings suggest that a morning orientation and less negative affect may result in better performance overall within a challenging and structured military environment. Future studies of chronotype shifts may provide further insight into associated performance benefits. [ABSTRACT FROM AUTHOR]

Background: Morningness (morning-eveningness preference or chronotypes) and personality can be both associated with well-being, but few studies have directly compared these two constructs as correlates of well-being. Thus, the first purpose of this study was to test the effects of interactions between stable personality traits (temperaments) and morningness on well-being. Furthermore, personality factors are often composed of both stable biological factors (temperament) and socio-cultural factors (character), and little is known about personality interplay of temperament and character factors with respect to morningness and well-being. The second purpose of this study was therefore to examine the sequential mediating effects of temperament and character factors on the relationship between morningness and well-being. Methods: The Composite Scale of Morningness, the Korean version of the Temperament and Character Inventory-Revised Short Version (TCI-RS), and the Satisfaction with Life Scale were used to measure morningness, personality dimensions, and well-being, respectively, in 287 Korean university students. Moderating and sequentially mediating effects of temperament and character traits were determined using Hayes' PROCESS macro in SPSS after controlling for sex and age. Results: First, novelty-seeking (NS) and persistence (PS) temperaments have demonstrated the moderating effect in the association between morningness and well-being. The positive effects of morningness on life satisfaction increased with lower NS and PS, respectively. However, other temperaments such as harm avoidance (HA) and reward dependence (RD) have not shown the moderation in the relationship between morningness on well-being. Second, HA temperament and self-directedness (SD) character sequentially mediated the relationship between morningness and well-being. The combination of low scores of HA and high scores of SD have shown the positive effect on the relationship between morningness and well-being. Discussion: This study demonstrated that both the interactions between temperaments and morningness, and combination of specific TCI-RS temperament and character traits play important roles in influencing the association between morningness and well-being. The significance of the mature SD character and its implications for well-being are discussed with limitation of the present study. [ABSTRACT FROM AUTHOR]

Scientific evidence suggests a relation between dietary factors and sleep. Several studies show that higher adherence to the Mediterranean diet is associated with better sleep quality, but the relation with chronotype has been only recently explored. The aim of this study was to better understand the relation between chronotype and Mediterranean diet adherence. For this purpose, an analysis of 1936 adults (age 18–90 y) living in Italy was performed to investigate the association between chronotype (assessed with a short form of the morningness-eveningness questionnaire) and adherence to the Mediterranean diet (assessed through a 110-item food frequency questionnaire and the Medi-Lite literature-based Mediterranean adherence score). A multivariate logistic regression analysis was conducted to calculate odds ratios (OR) and 95 % confidence intervals (CIs) describing the association between chronotypes and high adherence to the Mediterranean diet (>14 points). Moreover, a systematic review of other observational studies published so far was performed. Individuals reporting having intermediate (n = 614) and evening (n = 173) chronotypes were less likely to have high adherence to the Mediterranean diet compared to morning chronotype (OR = 0.28, 95 % CI: 0.18, 0.42 and OR = 0.08, 95 % CI: 0.03, 0.27, respectively). When the analysis was conducted in subgroups of age, the results were similar in mid-age (>50 y) participants (for intermediate and evening chronotypes, OR = 0.21, 95 % CI: 0.10, 0.43 and OR = 0.92, 95 % CI: 0.01, 0.69, respectively) while the association with high adherence to the Mediterranean diet of evening compared to morning chronotype lost significance in older (>60 y) participants (for intermediate and evening chronotypes, OR = 0.27, 95 % CI: 0.09, 0.82 and OR = 0.22, 95 % CI: 0.02, 1.92, respectively). Out of 10 studies (date range of publication 2020–2022) included in the systematic review, there was a general consistence of findings showing higher adherence to the Mediterranean diet among morning chronotypes, although few studies reported null results. In conclusion, current evidence suggests that an intermediate and evening chronotype could be associated with lower adherence to a Mediterranean diet, but the association could be modified by other factors when considering older individuals.

Context: Chronotype varies from one individual to others and thus results in individual difference in physical performance and quality of sleep. Aims: This study's goal was to determine the chronotype and its relationship to sleep quality in university-level professional students. Settings and Design: This was a cross-sectional survey of professional students at university level. Subjects and Methods: A total of 240 students completed the Horne and Ostberg morningness–eveningness questionnaires (MEQs) to determine their chronotype and Pittsburgh Sleep Quality Index (PSQI) to determine the quality of sleep at university students. Statistical Analysis: The data were analyzed with Spearman's correlation test and Chi-square test. Results: A total of 240 students, 72 (30%) females and 168 (70%) males, participated in this study (age 18–28 years): 137 (57.1%) intermediate types, 75 (31.3%) morning types, and 28 (11.7%) evening types. Morning typology was more common among Indian males. In terms of MEQ typology, there was no discernible gender difference (P = 0.06 > 0.05). A noteworthy inverse relationship has been observed between the chronotype score (MEQ) and the sleep quality (PSQI) (rho = −0.15). It was noted that 10.4% of individuals had poor sleep quality. Conclusion: The majority of Indian university professionals are of the intermediate type, and it appears that Indian students, particularly males, are slightly more likely to be morning type than people from some Western societies. Evening chronotype students have poor quality of sleep. [ABSTRACT FROM AUTHOR]

Summary: Chronotype is linked to adverse health measures and may have important associations with obstructive sleep apnea and blood pressure, but data are limited. This study aimed to determine the separate and combined associations of chronotype with obstructive sleep apnea and blood pressure in a middle‐aged community population. Adults (n = 811) from the Raine Study (female = 59.2%; age mean [range] = 56.6 [42.1–76.6] years) were assessed for chronotype (Morningness–Eveningness Questionnaire), blood pressure and hypertension (doctor diagnosed or systolic blood pressure ≥ 140 mmHg and/or diastolic ≥ 90 mmHg), and obstructive sleep apnea at different in‐laboratory apnea–hypopnea index thresholds (5, 10, 15 events per hr). Linear and logistic regression models examined relationships between chronotype and the presence and severity of obstructive sleep apnea, blood pressure, hypertension, and blood pressure stratified by obstructive sleep apnea severity at above‐mentioned apnea–hypopnea index thresholds. Covariates included age, sex, body mass index, alcohol consumption, smoking, physical activity, sleep duration, anti‐hypertensive medication, insomnia, and depressive symptoms. Most participants were categorised as morning (40%) or intermediate (43%), with 17% meeting criteria for evening chronotypes. Participants with apnea–hypopnea index ≥ 15 events per hr and morning chronotype had higher systolic (9.9 mmHg, p < 0.001) and a trend for higher diastolic blood pressure (3.4 mmHg, p = 0.07) compared with those with an evening chronotype, and higher systolic blood pressure compared with those with an intermediate chronotype (4.8 mmHg, p = 0.03). Across chronotype categories, no differences in systolic or diastolic blood pressure or odds of hypertension were found at apnea–hypopnea index thresholds of ≥ 5 or ≥ 10 events per hr. Among participants with apnea–hypopnea index ≥ 15 events per hr, systolic blood pressure is higher in those with a morning chronotype than evening and intermediate chronotypes. Assessment for morning chronotype may improve risk stratification for hypertension in patients with obstructive sleep apnea. [ABSTRACT FROM AUTHOR]

Considerable evidence shows that nocturnal chronotypes have increased odds of mental health problems, poor academic performance, and impairment in executive functions. Although the cognitive and health costs of evening-oriented preference are well-documented in the literature, little is known about its interpersonal costs. In this article, we propose that people with a preference for an evening chronotype show a lower tendency to forgive following an interpersonal offense because of their lower self-control ability. Three studies using independent samples and complementary measures reveal that morning-evening preference plays a role in the emergence of forgiveness, which provides support for our theoretical perspective. In Study 1, we found that evening-type students were less forgiving when responding to a transgression than morning-type students. Employing a longer measure of forgiveness and a more representative population, Study 2 replicated our initial findings and supported our hypothesis regarding the mediating role of self-control. To circumvent methodological issues associated with self-report data, Study 3 used a behavioral measure of forgiveness and revealed that chronotype can also predict actual forgiving behavior in a laboratory setting. Together, these findings suggest that diurnal preference towards eveningness not only imposes threats on people's health, but can also incur interpersonal costs. [ABSTRACT FROM AUTHOR]

Excessive or abusive use of smartphones, which is related to personality traits, has led to the emergence of phubbing, which is becoming a very widespread problem. Excessive use of smartphones also affects sleep patterns. In this context, the concept of chronotype, which is closely related to sleep, becomes prominent. Therefore, the present study aims to examine the relationship between chronotypes, personality traits, and phubbing levels of students studying in the field of health. 732 students participated in the study, which was planned using a correlational research design. Data were collected using a demographic form, the phubbing scale, the big five personality traits scale, and the composite scale of morningness (CSM). Descriptive statistical analyses, Pearson correlation analysis, and multiple linear regression analysis were used in the analysis of the data. As a result, Agreeableness, Conscientiousness, Neuroticism, and Morningness/Eveningness were significant predictors of phubbing. Other variables, on the other hand, were not found to be significant predictors of phubbing. Among the student participants in the study the phubbing level was high for those who were evening- and neither chronotype, who were not agreeable and conscientious, and who had neurotic personality traits. [ABSTRACT FROM AUTHOR]

Polygenic risk scores (PRSs) estimate genetic liability for diseases and traits. However, the portability of PRSs in sleep traits has remained elusive. We generated PRSs for self-reported insomnia, chronotype and sleep duration using summary data from genome-wide association studies (GWASs) performed in 350,000 to 697,000 European-ancestry individuals. We then projected the scores in two independent Finnish population cohorts (N = 33,493) and tested whether the PRSs were associated with their respective sleep traits. We observed that all the generated PRSs were associated with their corresponding traits (p < 0.05 in all cases). Furthermore, we found that there was a 22.2 min difference in reported sleep between the 5% tails of the PRS for sleep duration (p < 0.001). Our findings indicate that sleep-related PRSs show portability across cohorts. The findings also demonstrate that sleep measures using PRSs for sleep behaviors may provide useful instruments for testing disease and trait associations in cohorts where direct sleep parameters have not yet been measured. [ABSTRACT FROM AUTHOR]

Abstract Background Life expectancy is significantly decreased in bipolar disorder (BD). This is associated with accelerated cellular aging which can be estimated by telomere length (TL). However, specific determinants of shorter TL in BD are under-explored. This study examines whether circadian misalignment (i.e. mismatch between preferred and actual phase of circadian activity rhythms) is associated with shorter TL in BD. Methods Euthymic individuals with BD (n = 101) undertook 21 consecutive days of actigraphy recording and completed the Composite Scale of Morningness (CSM) to assess phase preference for activities (chronotype). Polymerase chain reaction was used to measure TL in blood. Cluster analysis identified circadian aligned/misaligned subgroups as defined by preferred (CSM score) and actual phases of activity (actigraphically determined onset of active and inactive periods). We tested for any associations between TL and clusters, with adjustments for between-cluster differences in socio-demographic and illness factors. Results We identified three clusters: an "Aligned Morning" cluster (n = 31) with preferred and actual timing of activity in the morning, an "Aligned Evening" cluster (n = 37) with preferred and actual timing of activity in the evening and a "Misaligned" cluster (n = 32) with an evening chronotype, but an earlier objective onset of active periods. After adjustment for confounders, we found that TL was significantly associated with circadian misalignment and older age. Conclusions Circadian misalignment may partly explain shorter TL in BD and could contribute to accelerated aging in these individuals.

Emotion regulation strategies affect the experience and processing of emotions and emotional stimuli. Chronotype has also been shown to influence the processing of emotional stimuli, with late chronotypes showing a bias towards better processing of negative stimuli. Additionally, greater eveningness has been associated with increased difficulties in emotion regulation and preferential use of expressive suppression strategies. Therefore, the present study aimed to understand the interplay between chronotype and emotion regulation on the recognition of dynamic facial expressions of emotion. To that end, 287 participants answered self-report measures and performed an online facial emotion recognition task from short video clips where a neutral face gradually morphed into a full-emotion expression (one of the six basic emotions). Participants should press the spacebar to stop each video as soon as they could recognize the emotional expression, and then identify it from six provided labels/emotions. Greater eveningness was associated with shorter response times (RT) in the identification of sadness, disgust and happiness. Higher scores of expressive suppression were associated with longer RT in identifying sadness, disgust, anger and surprise. Expressive suppression significantly moderated the relationship between chronotype and the recognition of sadness and anger, with chronotype being a significant predictor of emotion recognition times only at higher levels of expressive suppression. No significant effects were observed for cognitive reappraisal. These results are consistent with a negative bias in emotion processing in late chronotypes and increased difficulty in anger and sadness recognition for expressive suppressor morning-types. [ABSTRACT FROM AUTHOR]

Child eveningness has been associated with many adverse outcomes for children. The aim of this study was to assess whether child eveningness poses a risk to parental sleep quality in follow-up. A total of 146 children (57% adopted, 47% boys, mean age at follow-up 5.1 years [standard deviation 1.7]) completed a 1-week actigraph recording to analyze their sleep twice, 1 year apart. The parents completed the Child ChronoType Questionnaire for their child and a short version of the Morningness–Eveningness Questionnaire for themselves and the Jenkins Sleep Scale for their sleep quality. Linear regression analyses showed that subjective parental sleeping problems at baseline were associated with subjective parental sleeping problems at follow-up. A morning-type child decreased the risk of parental sleeping problems at the 1-year follow-up compared to the child evening chronotype. Additionally, the child intermediate chronotype decreased the risk of maternal sleeping problems at the 1-year follow-up compared to the evening chronotype of the child. Parents of evening-type children experienced more sleeping problems in the follow-up, compared to parents of morning-type children. This finding encourages parents and professionals to steer the diurnal rhythm of evening-type children toward an earlier daily routine. [ABSTRACT FROM AUTHOR]

Background: Chronotype defines an organism's biological preference for timing of activity and sleep. Being a morning chronotype (i.e., tending to wake up early and go to bed earlier at night) is associated with protection against chronic musculoskeletal pain and headaches, but the relationship between chronotype and neuropathic pain sensitivity remains unclear., Objectives: The aim of this pilot study was to explore the relationship among chronotype, neuropathic pain sensitivity, and pain interference in patients with chronic neuropathic pain disorders., Study Design: This was a prospective, observational, single-center, cross-sectional study., Setting: Patients were recruited from pain management clinics., Methods: The Morningness-Eveningness Questionnaire (MEQ) was used to evaluate circadian typology. Linear mixed-effects models, principal component analysis, and principal component regression were used to determine the predictors of pain intensity and pain interference evaluated by the Numeric Rating Scale (NRS) and Patient-Reported Outcomes Measurement Information System Pain Interference (PROMIS-PI) scores, respectively., Results: We analyzed 38 adults who had at least one documented chronic neuropathic pain diagnosis. Morning-chronotype patients reported higher NRS scores over time and lower PROMIS-PI t-scores than did intermediate chronotypes. MEQ, depression, risk of sleep apnea, sleep quality, and body mass index (BMI) were all significant independent predictors of average NRS scores and PROMIS-PI t-scores., Limitations: The population was small and homogeneously white, with an average age of 57 years. However, this population was representative of our pain clinic., Conclusions: Morning chronotypes are more sensitive to chronic neuropathic pain, reporting higher pain scores than do intermediate chronotypes. However, in this study, morning chronotypes were more resistant to neuropathic pain interference, suggesting that they may experience less disturbance of their physical, mental, and social activities than intermediate chronotypes. Further, larger studies are needed.

Individuals can be classified into different chronotypes concerning their circadian rhythm features. Morningness-Eveningness (MEQ) can be defined as individual differences in sleep-wake patterns and people's time-of-day feel and perform the best. Various self-report instruments that measure the Morningness-Eveningness have been developed. The Morningness–Eveningness Questionnaire (MEQ), developed by Horne and Östberg, was the first and most used questionnaire for determining the chronotypes of an individual. The main aim of the current study was to translate and validate the Morningness-Eveningness Questionnaire (MEQ) to the Nepali language. The English version of the MEQ was translated to the Nepali language using the translation-back-translation method. Further, it was given to 10 native Nepali speakers for content validation. The final MEQ-Nepali version was then administered to 116 native Nepali speakers. Mean, standard deviation, variance, and reliability statistics such as Cronbach's alpha score, intraclass correlation coefficient, and item-total correlation were obtained for the data. Results showed that the MEQ-Nepali version has a Cronbach's alpha score and an inter-class correlation coefficient of 0.73, which is considered good reliability. The MEQ Nepali version developed in this study is found to be valid and reliable. Hence, it can be used to categorize Nepali-speaking populations into various circadian types. [ABSTRACT FROM AUTHOR]

Current evidence suggests that preventive measures, such as social distancing and wearing face masks, are critical to contain the spread of COVID-19. The recent burgeoning literature has empirically examined how a wide range of facet-level personality and individual-differences variables are associated with people's adherence to COVID-19 regulations. However, there lacks direct evidence regarding the role of chronotype in compliance with pandemic safety measures. According to the eveningness epidemiological liability hypothesis, people of later chronotype are more likely to breach COVID-19 restrictions. Despite this hypothesis shedding considerable light on the potential role of chronotype in the abidance of the virus-mitigating measures, it has not been rigorously tested using empirical data. To fill this gap, the present research investigated the link between morningness-eveningness and compliance with COVID-19 containment policies in Chinese samples. Two studies using multiple populations (students and community adults) and diverse measures of adherence to public health guidelines (self-report and actual behavior) consistently show that individuals who orient towards morningness display a higher level of compliance with COVID-19 prevention than people who orient towards eveningness. Overall, these findings present the first empirical confirmation of the eveningness epidemiological liability hypothesis, highlighting the role of chronotype in adherence to COVID-19 prevention guidelines. [ABSTRACT FROM AUTHOR]

Summary: There are only a few validated chronotype and morningness–eveningness questionnaires for adolescents. We evaluated three such questionnaires, namely Morningness–Eveningness Stability Scale improved; reduced Morningness–Eveningness Questionnaire for Children and Adolescents; and Composite Scale of Morningness in adolescents against actigraphy. Fifty‐five healthy 13‐ to 16‐year‐old adolescents completed the Morningness–Eveningness Stability Scale improved, reduced Morningness–Eveningness Questionnaire for Children and Adolescents, Composite Scale of Morningness, and Pediatric Daytime Sleepiness Scale, and provided a 7‐day actigraphy and sleep diary recording about their sleep–wake patterns. We examined the correlations between sleep–wake and activity parameters, and the questionnaires. The influence of age and sex on chronotype classification was studied using uni‐ and multivariate analyses. All three chronotype questionnaires showed good internal consistency and convergent validity. Spearman correlations reflected less daytime sleepiness, earlier sleep times, midpoints of sleep, and acrophase in morning‐oriented participants. Evening‐oriented participants had more sleepiness and later respective sleep–wake times. Chronotype classification differed significantly between questionnaires. The Composite Scale of Morningness classified more participants as morning types when compared with the reduced Morningness–Eveningness Questionnaire for Children and Adolescents (12 versus 7, respectively), and fewer adolescents as evening types (5 versus 9, respectively). Age and sex had no significant influence on questionnaire scores. The Morningness–Eveningness Stability Scale improved, reduced Morningness–Eveningness Questionnaire for Children and Adolescents, and Composite Scale of Morningness are valid instruments to determine circadian preference in adolescents; however, chronotype classification from the Composite Scale of Morningness and reduced Morningness–Eveningness Questionnaire for Children and Adolescents cannot be used interchangeably. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to investigate the relationships between intravaginal ejaculatory latency time (IELT), severity of disease, and chronotype in lifelong premature ejaculation (PE). Materials and Methods: Evaluation was made of 114 males with PE and 103 healthy individuals, and comparisons were made of self-estimated IELT, Arabic Index of Premature Ejaculation (AIPE), Pittsburg Sleep Quality Index (PSQI), and Morningness-Eveningness Questionnaire (MEQ). Results: The frequency of morningness chronotype (78.1%) was significantly higher, and Morningness-Eveningness Questionnaire (MEQ) scores were negatively correlated with both IELT (r = −0.490, p < 0.001) and Arabic Index of Premature Ejaculation (AIPE) scores (r = −0.639, p < 0.001) in the PE group. MEQ scores significantly predicted IELT (t = −2.465, p = 0.015) and AIPE scores (t = −4.003, p = 0.000) in the PE group but not in the control group. Conclusion: It can be asserted that morningness chronotype is more common, and ejaculatory latency time and PE severity are associated with chronotype in males with PE. [ABSTRACT FROM AUTHOR]

One dimension of human behaviour is characterized by seasonal changes, another by diurnal preference on a timeline from morning to evening hours. The degree of seasonality (n=20,792), as well as the diurnal preference (n=17,386), among adults living in Finland were analysed using the data derived from five population-based health examination surveys conducted during the years of 2000 to 2017. On average, the seasonal variation in mood and behaviour was experienced as a problem by 25% of the study participants, whereas 9% had no variation, 7% reported seasonal variation in their mood and behaviour to the extent that equalled the severity of subsyndromal seasonal affective disorder (SAD) and 2% that of SAD. On average, 15% of the study participants assessed themselves to be a definite evening type of person (night owls). Of the night owls, 9.7%, 3.2% of the intermediate chronotypes and 1.6% of the morning larks reported having seasonality which equalled the severity of SAD. These two behavioural dimensions can be screened easily with short self-report questionnaires, the use of which might benefit not only health promotion but also disease prevention. There is a reason to encourage their routine use in healthcare services.

Sport-specific skills display diurnal variation across various team sports such as badminton and tennis serving accuracy and soccer dribbling, volleying, and chipping execution. However, the effects of athlete chronotype on in-game sport-specific skill performance according to time of day across team sports is not well understood. Therefore, the aim of this study was to identify the effect of player chronotype on in-game basketball performance during evening games. Professional male basketball players (n = 11) completed a morningness–eveningness questionnaire and were categorized according to chronotype (morning-type: n = 4; neither-type: n = 6; evening-type: n = 1). Box score data from the 2019/20 season were utilized to determine individual in-game performance during evening games played after 18:00 h. Composite metrics (i.e., effective field goal percentage, offensive rating, defensive rating, and player efficiency) were used as indicators of player performance. Non-significant (p ≥ 0.21) differences were evident between M-types and N-types for most performance measures. Small to very large effects were observed in the number of rebounds favoring M-types, and three-point shots attempted and made, assists, and steals favored N-types. In-game performance appeared to not be affected by chronotype (i.e., M-type vs. N-type) in evening games among professional male basketball players. The lack of observed effect between chronotype and in-game performance suggest coaching staff may not need to consider player chronotype when developing a match strategy or assigning player roles if largely dealing with M-types and N-types. However, to ensure the greatest specificity, coaching staff may endeavor to schedule habitual training times in line with that of competition in an effort to align player circadian rhythms to games.

Dexin Meng,1,&ast; Ying Zhao,2,3,&ast; Jing Guo,2,3 Huiying Xu,4 Yiming Fu,2,3 Xiaohan Ma,2,3 Liwei Zhu,2,3 Li Mu2,3 1Department of Physiology, Jiamusi University, Jiamusi, People’s Republic of China; 2Research Center of Brain and Cognitive Neuroscience, Liaoning Normal University, Dalian, Liaoning Province, People’s Republic of China; 3Key Laboratory of Brain and Cognitive Neuroscience, Liaoning Province, Dalian, Liaoning Province, People’s Republic of China; 4School of Clinical Medicine, Changchun University of Chinese Medicine, Changchun, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Li MuResearch Center of Brain and Cognitive Neuroscience, Liaoning Normal University, No. 850 Huanghe Road, Shahekou District, Dalian, 116029, Liaoning Province, People’s Republic of ChinaEmail mul@lnnu.edu.cnIntroduction: Bedtime procrastination (BP) has a close relationship with one’s chronotype, from a biological perspective on time. However, it remains unknown whether there is an association between BP and psychological time. Therefore, the aim of the present study was to evaluate the relationship between time perspective (TP) and BP and the effect of TP on the relationship between BP and chronotype by examining a sample of college students pre- and post-COVID-19 outbreak.Methods: A total of 628 Chinese students (267 in pre-outbreak and 361 in post-outbreak) validly completed the Chinese version of the Bedtime Procrastination Scale, the Zimbardo Time Perspective Inventory (ZTPI), and the Morningness–Eveningness Questionnaire.Results: Students with more BP behaviors exhibited greater deviation from a balanced TP, especially after the COVID-19 outbreak. Hierarchical regression analyses revealed that the past-negative and future orientations, as operationalized by the ZTPI, contributed independently to BP behaviors. The structural equation modeling analyses further demonstrated that morningness was significantly related to a more future-oriented TP, which in turn decreased BP in pre- and post-COVID-19 outbreak samples, while morningness was associated with a less past-negative-oriented TP, which in turn decreased BP only in the post-COVID-19 outbreak sample.Conclusion: This study indicated that TP in students with BP predominantly focused on future orientation and that TP can mediate the relationship between chronotype and BP behaviors. However, the COVID-19 pandemic may disrupt the time flow and change the role of chronotype–TP in BP. These findings explain how individual differences in TP are associated with BP, which may be helpful in designing effective interventions to avoid BP, from the viewpoint of time perspective therapy.Keywords: bedtime procrastination, deviation from balanced time perspective, future time perspective, morningness, past negative time perspective, COVID-19

The aim of the present study was to develop a Polygenic Score–based model for molecular chronotype assessment. Questionnaire-based phenotypical chronotype assessment was used as a reference. In total, 54 extremely morning/morning (MM/M; 35 females, 39.7 ± 3.8 years) and 44 extremely evening/evening (EE/E; 20 females, 27.3 ± 7.7 years) individuals donated a buccal DNA sample for genotyping by sequencing of the entire genetic variability of 19 target genes known to be involved in circadian rhythmicity and/or sleep duration. Targeted genotyping was performed using the single primer enrichment technology and a specifically designed panel of 5526 primers. Among 2868 high-quality polymorphisms, a cross-validation approach lead to the identification of 83 chronotype predictive variants, including previously known and also novel chronotype-associated polymorphisms. A large (35 single-nucleotide polymorphisms [SNPs]) and also a small (13 SNPs) panel were obtained, both with an estimated predictive validity of approximately 80%. Potential mechanistic hypotheses for the role of some of the newly identified variants in modulating chronotype are formulated. Once validated in independent populations encompassing the whole range of chronotypes, the identified panels might become useful within the setting of both circadian public health initiatives and precision medicine. [ABSTRACT FROM AUTHOR]

Introduction: Circadian rhythm influences individuals' chronotype or morning-evening preferences. Chronotype affects an individual's lifestyle behaviors, social and work pattern, and even development of cardiovascular risk factors and diseases. This review aimed to examine the association between the chronotype and cardio-vascular risk factors. Methods: We systematically reviewed the association between chronotype and type 2 diabetes mellitus (T2DM). We searched relevant observational studies in PubMed, Embase, Scopus databases and adhered to the PRISMA guidelines and meta-analysis was performed to get the pooled odds ratios and mean differences using the random effects model. Results: Thirteen eligible studies were systematically reviewed, of which six studies were included in meta-analysis. Evening chronotype was significantly associated with higher odds of T2DM (OR 1.17; 95% CI: 1.13 to 1.22) and a higher Hemoglobin A1c level (Mean difference: 0.35; 95% CI: 0.06 to 0.65) as compared to the morning chronotype participants. Sensitivity analysis showed 53% higher odds of T2DM in evening chronotype participants when Morningness -Eveningness Questionnaire was applied in the studies, however, the result was statistically not significant. Conclusion: Evening chronotype was significantly associated with T2DM and higher HbA1c level than with morning-type. We need future large scale experimental or prospective longitudinal studies to explore the causal association between chronotype and T2DM.

Background: Life expectancy is significantly decreased in bipolar disorder (BD). This is associated with accelerated cellular aging which can be estimated by telomere length (TL). However, specific determinants of shorter TL in BD are under-explored. This study examines whether circadian misalignment (i.e. mismatch between preferred and actual phase of circadian activity rhythms) is associated with shorter TL in BD. Methods: Euthymic individuals with BD (n = 101) undertook 21 consecutive days of actigraphy recording and completed the Composite Scale of Morningness (CSM) to assess phase preference for activities (chronotype). Polymerase chain reaction was used to measure TL in blood. Cluster analysis identified circadian aligned/misaligned subgroups as defined by preferred (CSM score) and actual phases of activity (actigraphically determined onset of active and inactive periods). We tested for any associations between TL and clusters, with adjustments for between-cluster differences in socio-demographic and illness factors. Results: We identified three clusters: an "Aligned Morning" cluster (n = 31) with preferred and actual timing of activity in the morning, an "Aligned Evening" cluster (n = 37) with preferred and actual timing of activity in the evening and a "Misaligned" cluster (n = 32) with an evening chronotype, but an earlier objective onset of active periods. After adjustment for confounders, we found that TL was significantly associated with circadian misalignment and older age. Conclusions: Circadian misalignment may partly explain shorter TL in BD and could contribute to accelerated aging in these individuals. [ABSTRACT FROM AUTHOR]

There is a scarcity of evidence on the association between shift work, sleeping parameters, heart rate variability (HRV), and chronotype, i.e., morningness and eveningness. The aims of this study were to 1) compare participants with different chronotypes (morning (M), evening (E), or neither (N)) in terms of their total sleep time, sleep efficiency, and HRV parameters, taking their age into account, and 2) examine whether self-reported work-related stress, the length of the working career and years performing shift work affect this association. The participants of the study were home care workers working in two shifts in one municipality in Eastern Finland (N = 395). Of these, 52 females (mean age 42.78 y, SD 12.92 y) completed the study questionnaire and participated in physiological measurements. Several sleep-related parameters were assessed (total sleep time, sleep efficiency, number of awakenings, and length of awakening) and indices of autonomic nervous system based on HRV were calculated. The participants worked in two shifts: a morning shift (7:00–15:00 h) and an evening shift (14:00–21:30 h). All these parameters were assessed during the night before the first work shift (N1), the night before the second work shift (N2), the night before the final work shift (N3), and the night before the first day off work (N4). According to the results, 21.2% of the participants were M-types, 17.3% were E-types, and 61.5% were N-types. On average, the participants had been in working life for 18.8 years and performing shift work for 13.7 years. On night N3, E-types had a significantly shorter total sleep time and spent less time in bed compared to M- and N-types. The total sleep time of M-type and N-type participants was on average 66 minutes and 82 minutes longer, respectively, when compared to E-types on night N3. There were no statistically significant differences in actigraphy-based sleep quality parameters between M-, N-, and E-types on nights N1, N2, and N4. Our results together indicate that M- and N-type individuals may have better sleep quality than E-types, which was also reflected in HRV parameters. Further research with longitudinal study design and workplace interventions is needed to determine how the chronotype can be optimally and individually utilized to improve the health and well-being of morning-type and evening-type people. This is particularly important for both younger and older workers entering the workforce to support healthier and longer working lives. [ABSTRACT FROM AUTHOR]

Objective: Chronobiological models postulate that abnormalities in circadian rest/activity rhythms (CRAR) are core phenomena of bipolar disorders (BDs). We undertook a meta‐analysis of published studies to determine whether self‐ or observer ratings of CRAR differentiate BD cases from comparators (typically healthy controls [HCs]). Method: We undertook systematic searches of four databases to identify studies for inclusion in random effects meta‐analyses and meta‐regression analyses. Effect sizes (ES) for pooled analyses of self‐ and observer ratings were expressed as standardized mean differences with 95% confidence intervals (CIs). Results: The 30 studies meeting eligibility criteria included 2840 cases and 3573 controls. Compared with HC, BD cases showed greater eveningness (ES: 0.33; 95% CI: 0.12–0.54), lower flexibility of rhythms (ES: 0.36; 95% CI: 0.06–0.67), lower amplitude of rhythms (ES: 0.55; 95% CI: 0.39–0.70) and more disturbances across a range of CRAR (ES of 0.78–1.12 for general and social activities, sleep and eating patterns). Between study heterogeneity was high (I2 > 70%) and evidence indicated a potential publication bias for studies using the Biological Rhythms Interview of Assessment in Neuropsychiatry. Meta‐regression analyses suggested significantly larger ES were observed in studies using observer ratings or including BD cases with higher levels of depressive symptoms. Conclusion: This meta‐analysis demonstrates that BD is associated with higher levels of self‐ or observer‐rated CRAR disturbances compared with controls. However, further studies should examine the respective performance of individual instruments when used alone or in combination, to clarify their applicability and utility in clinical practice. [ABSTRACT FROM AUTHOR]

The present research examines the contribution of individual differences in chronotype and self-efficacy to the math performance of male and female students in STEM and no-STEM majors. Questionnaires assessing the selected individual differences were distributed to students of Middle Eastern descent enrolled in math courses of the general education curriculum. Summative assessment indices were used to measure performance comprehensively across the entire semester (course grades) and as a one-time occurrence (final test grades). The contribution of morningness and self-efficacy to both course and test performance of STEM students was sensitive to the interaction of gender and major. Instead, neither factor contributed to no-STEM students' course and test performance. These findings were used to plan improvements in the instruction and advising of students in STEM majors, thereby complying with a key tenet of action research. [ABSTRACT FROM AUTHOR]

Standard cognitive measures are often applied at various times of the day to assess cognitive deficits in patients with neuropsychiatric and neurodegenerative disorders, irrespective of their chronotype. In this study, we aimed to determine whether the subjectively nonpreferred time of an assessment might be a crucial factor in persons with extreme chronotypes. We compared morning (08:00) and evening (20:00) cognitive performance in extreme morning, extreme evening, and intermediate chronotypes determined by the Morningness-Eveningness Questionnaire, supported by actigraphy and peripheral temperature measurement. The assessment sessions were performed in pseudorandom order over two consecutive weekend days. We administered the commonly used test battery for neurocognitive assessment comprised of tasks aimed mainly at attention, processing speed, working memory, and declarative memory. The time of assessment influenced the declarative memory measures, whereas the chronotype-specific differences occurred only in the Stroop colour-naming subtest aimed at processing speed. The observed effects should be considered in routine clinical practice because they might cause misrepresentation of the results obtained during improperly timed cognitive assessment. Our results also point towards similarity of doves and owls in contrast to larks in cognitive performance, suggesting that early morning assessments should also be considered in cases of intermediate chronotypes. [ABSTRACT FROM AUTHOR]

The dataset contains structural T1-weighted magnetic resonance brain imaging data from 136 young individuals (87 females; age range from 18 to 35 years old) along with questionnaire-assessed measurements of trait-like chronotype, sleep quality and daytime sleepiness. The recruitment criteria excluded individuals with self-reported history of psychiatric or neurological conditions and current medication use. All the brain imaging sessions were performed between 5:20 PM and 8:55 PM in order to control the effect of time of day on acquired images. The data is mostly useful to scientists interested in circadian rhythmicity. It can be deployed in large-scale multicenter meta-analyzes investigating the structural brain correlates of chronotypes in humans. Additionally, the data could be of use in investigations into the effects of sleeping habits and latitude on brain anatomy.

The exceptionality of the Coronavirus-related quarantines motivated the design of a longitudinal study aimed at exploring how the confinement can affect psychological well-being. 205 participants (81% female) took part in the study. Personality, time perspective, and morningness were assessed at the beginning of the quarantine, along with levels of depression, anxiety, and satisfaction with life as mood and well-being indicators. A post measure was taken 2 weeks after the first data collection. Two weeks later, a supplementary follow-up measure was performed again. A significant increase in depression and anxiety was found between pre and post measures that remained stable at follow up, whereas life satisfaction was not affected. Past-negative temporal orientation and neuroticism were the highest risk factors for a decline in psychological well-being. Results are discussed in terms of how individual differences should be considered in assessing citizens’ response to public health policies regarding isolation measures.

The present study aimed to develop a TaqMan genotyping card for molecular chronotype assessment based on a predictive panel of 35 previously identified genetic variants. A reliable TaqMan assay was successfully developed for 33 out of the 35 chronotype-predictive variants. The resulting TaqMan genotyping card was utilized to genetically characterize 196 new individuals (in addition to the previously studied 96) and the Morningness-Eveningness Questionnaire was utilized for their phenotypical chronotype assessment. The predictive panel performance was validated on (a) a group of morning and evening individuals (logistic regression model), (b) a representative sample of the original study population also including intermediate chronotypes (linear regression model) and, (c) 25,986 individuals from the Estonian Biobank, for whom Munich Chronotype Questionnaire scores were available. The validation of the morningness-eveningness logistic regression model on 25 morning and 21 evening types resulted in a predictive value of 72%, confirming the reliability of the predictive panel and the success of its conversion into a TaqMan genotyping card. By contrast, the inclusion of intermediate individuals in the model led to a significant decrease in predictive performance (45% on 100 individuals [25 morning, 54 intermediate, and 21 evening]), with intermediate types being the most affected. No significant associations were observed between the genotype panel and chronotype in the Estonian Biobank sample. In conclusion, our genotyping card might represent a promising molecular chronotyping tool for the Italian population. Its performance in other populations is worthy of further study., Competing Interests: Conflict of interest statementThe authors have no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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There is a scarcity of evidence on the association between heart rate variability (HRV) and chronotype, i.e., morningness and eveningness. The aim of this systematic review was to examine the association between chronotype, HRV, mood and stress response. We searched PubMed, Web of Science, Scopus, Cinahl, PsycINFO and Google Scholar for peer-reviewed articles published in English between January 2000 and June 2020. A total of 11 articles met the inclusion criteria and were on study population, assessment of HRV and chronotype, main results and study limitations. Seven of the included studies were experimental and four were crossovers. The sample size varied from 9 to 221 participants, and both females and males were included. HRV was assessed using mostly time-domain and frequency-domain parameters; nonlinear parameters were used in only one study. The most used assessments for measuring chronotype were the Horne-Östberg Morningness-Eveningness Questionnaire (MEQ) and the Munich Chronotype Questionnaire (MCTQ). The results showed that chronotype was associated with HRV, but the study designs were situation-specific, focusing, for example, on the effects of shiftwork, stressful situations, exercise, or sleep deprivation on HRV. In addition, some studies showed that evening types (E-type) performed better during evening or nighttime tasks, whereas morning types (M-type) performed better during morning activities. Specifically, E-types showed decreased HRV and HRV recovery in relation to tasks performed during morning or daytime when compared to M-types. As the findings are somewhat contradictory and include some methodological limitations (e.g., small sample sizes, age groups), it is important for future studies to evaluate the association between chronotype and HRV in a longitudinal setting. In addition, further research is needed to determine how chronotype can be optimally and individually utilized to increase the health and well-being of M-type and E-type individuals. [ABSTRACT FROM AUTHOR]

Sport-specific skills display diurnal variation across various team sports such as badminton and tennis serving accuracy and soccer dribbling, volleying, and chipping execution. However, the effects of athlete chronotype on in-game sport-specific skill performance according to time of day across team sports is not well understood. Therefore, the aim of this study was to identify the effect of player chronotype on in-game basketball performance during evening games. Professional male basketball players (n = 11) completed a morningness-eveningness questionnaire and were categorized according to chronotype (morning-type: n = 4; neither-type: n = 6; evening-type: n = 1). Box score data from the 2019/20 season were utilized to determine individual in-game performance during evening games played after 18:00 h. Composite metrics (i.e., effective field goal percentage, offensive rating, defensive rating, and player efficiency) were used as indicators of player performance. Nonsignificant (p >0.21) differences were evident between M-types and N-types for most performance measures. Small to very large effects were observed in the number of rebounds favoring M-types, and three-point shots attempted and made, assists, and steals favored N-types. In-game performance appeared to not be affected by chronotype (i.e., M-type vs. N-type) in evening games among professional male basketball players. The lack of observed effect between chronotype and in-game performance suggest coaching staff may not need to consider player chronotype when developing a match strategy or assigning player roles if largely dealing with M-types and N-types. However, to ensure the greatest specificity, coaching staff may endeavor to schedule habitual training times in line with that of competition in an effort to align player circadian rhythms to games. [ABSTRACT FROM AUTHOR]

Child eveningness has been associated with many adverse outcomes for children. The aim of this study was to assess whether child eveningness poses a risk to parental sleep quality in follow-up. A total of 146 children (57% adopted, 47% boys, mean age at follow-up 5.1 years [standard deviation 1.7]) completed a 1-week actigraph recording to analyze their sleep twice, 1 year apart. The parents completed the Child ChronoType Questionnaire for their child and a short version of the Morningness–Eveningness Questionnaire for themselves and the Jenkins Sleep Scale for their sleep quality. Linear regression analyses showed that subjective parental sleeping problems at baseline were associated with subjective parental sleeping problems at follow-up. A morning-type child decreased the risk of parental sleeping problems at the 1-year follow-up compared to the child evening chronotype. Additionally, the child intermediate chronotype decreased the risk of maternal sleeping problems at the 1-year follow-up compared to the evening chronotype of the child. Parents of evening-type children experienced more sleeping problems in the follow-up, compared to parents of morning-type children. This finding encourages parents and professionals to steer the diurnal rhythm of evening-type children toward an earlier daily routine.

Morningness–Eveningness Stability Scale improved (MESSi) is an assessment tool that evaluates distinctness of daily changes as well as the person's propensity for morningness and eveningness. The aim of this study is to evaluate psychometric properties of the Turkish version of MESSi and associations of chronotypes and diurnal variations with personality, affect, sleep quality as well as validity of the scale in Turkish adolescents. The sample of this study consisted of 445 students between ages of 10–19. Participants filled in MESSi, Morningness/Eveningness Scale for Children, Composite Scale of Morningness, Personality Traits Scale (BIG-5), Positive and Negative Affect Scale (PANAS), Pittsburgh Sleep Quality Index (PSQI). Reliability analysis of the scale showed quite reliable internal consistency values. Confirmatory factor analysis (CFA) was used to test construct validity of three-factor model of MESSi. An acceptable model fit was demonstrated in CFA. There was a moderate and significant relationship between MA and DI subscale scores of MESSi. A moderate but negative correlation was found between MA and EV subscale scores of MESSi. MA and DI subscale scores of MESSi were found to be weakly correlated with conscientiousness, emotional stability, openness to experience and subscale scores of BIG-5, respectively. There was a positive correlation of positive affect subscale scores of PANAS with MA and DI subscale scores of MESSi. MA subscale scores of MESSi were found to be negatively correlated with scores of subjective sleep quality, latency, duration, disturbances, habitual sleep efficiency, daytime dysfunction, and global scores of PSQI. This study shows that Turkish version of MESSi is valid and reliable for use in adolescents. Three-factor MESSi provides an advantage over other chronotype scales in adolescence since it includes DI subscale as well as MA and EV subscales. Psychometric results were supported by other chronotype scales and clinical features such as sleep, affect, and personality. [ABSTRACT FROM AUTHOR]