Morningness-eveningness and treatment response in major depressive disorder

Chronobiol Int. 2014 Mar;31(2):283-9. doi: 10.3109/07420528.2013.834924. Epub 2013 Oct 15.

Abstract

In a large, prospective, 8-week open study of 721 outpatients receiving agomelatine treatment for a current major depressive episode (MDE), morningness-eveningness (Composite Scale of Morningness) was assessed before and after treatment to investigate possible changes in morningness-eveningness after treatment and evaluate whether morningness-eveningness at baseline predicted treatment response. A change towards morningness was observed after treatment. This change was greater in responders than non-responders. Moreover, being a morning type at baseline was an independent predictor of response to treatment. Once thought to be a trait variable, morningness-eveningness is a potential treatment target that should be systematically assessed in MDE patients.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetamides / therapeutic use*
  • Activity Cycles / drug effects
  • Adult
  • Antidepressive Agents / therapeutic use*
  • Circadian Rhythm / drug effects*
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / drug therapy*
  • Depressive Disorder, Major / physiopathology
  • Depressive Disorder, Major / psychology
  • Female
  • France
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Social Behavior
  • Time Factors
  • Treatment Outcome

Substances

  • Acetamides
  • Antidepressive Agents
  • agomelatine