Circadian rhythm disruptions: A possible link of bipolar disorder and endocrine comorbidities

Front Psychiatry. 2023 Jan 5:13:1065754. doi: 10.3389/fpsyt.2022.1065754. eCollection 2022.

Abstract

Epidemiological studies have demonstrated an association between bipolar disorder (BP) and endocrine diseases. Further, circadian rhythm disruptions may be a potential common pathophysiological mechanism of both disorders. This review provides a brief overview of the molecular mechanisms of circadian rhythms, as well as roles circadian rhythms play in BP and common endocrine comorbidities such as diabetes and thyroid disease. Treatments targeting the circadian system, both pharmacological and non-pharmacological, are also discussed. The hope is to elicit new interest to the importance of circadian system in BP and offer new entry points and impetus to the development of medicine.

Keywords: bipolar disorder; chronotherapy; circadian rhythm; clock gene; endocrine comorbidities.

Publication types

  • Review