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Circadian principles: Behavioral health implications
Journal of Applied Biobehavioral Research Pub Date : 2017-07-25 , DOI: 10.1111/jabr.12102
Michael V. DeSanctis 1
Affiliation  

In the context of inter-disciplinary and collaborative practice models, this article introduces behavioral health clinicians to circadian concepts such as chronotype, phase-response curve and entrainment as they impact self-regulation, behavior, and neuro-cognitive performance. A review of selected research studies and theoretical commentary represents the basis for describing chronobiologic principles and their pertinence to everyday mental health practice. Despite scholarly references to methodologic limitations in the research, environmental and clinical applications of chronobiologic knowledge/techniques, including but not limited to bright light therapy, for managing mood and the sleep-wake balance, continue to be documented in the scientific literature with subjective as well as measurable benefit in practice and community settings. In the developed world, urban environments expose individuals to excessive and ill- timed artificial illumination across the 24-hr period, leading to varying degrees of circadian shifting. Seasonal rhythms related to natural light availability, reflect additional, recurring disruptions in sleep-wake patterning and impacts on behavior. Circadian management principles, mindful of external and internal clock time, and strategically integrated with psychological services, provide further clues to understanding downstream fluctuations in levels of alertness, neuro-cognitive performance, mood and sleep quality and inform risk management practices.

中文翻译:

昼夜节律原则:行为健康影响

在跨学科和协作实践模型的背景下,本文向行为健康临床医生介绍了昼夜节律概念,例如时间表、相位响应曲线和夹带,因为它们会影响自我调节、行为和神经认知表现。对选定的研究和理论评论的回顾是描述时间生物学原理及其与日常心理健康实践相关性的基础。尽管学术上提到了时间生物学知识/技术的研究、环境和临床应用中的方法学局限性,包括但不限于用于管理情绪和睡眠-觉醒平衡的亮光疗法,科学文献中继续记录在以及在实践和社区环境中的可衡量收益。在发达国家,城市环境在 24 小时内将个人暴露在过度和不合时宜的人工照明下,导致不同程度的昼夜节律变化。与自然光可用性相关的季节性节律反映了睡眠-觉醒模式中额外的、反复出现的中断以及对行为的影响。昼夜节律管理原则,注意外部和内部时钟时间,并与心理服务战略整合,为了解下游警觉水平、神经认知表现、情绪和睡眠质量的波动提供进一步线索,并为风险管理实践提供信息。与自然光可用性相关的季节性节律反映了睡眠-觉醒模式中额外的、反复出现的中断以及对行为的影响。昼夜节律管理原则,注意外部和内部时钟时间,并与心理服务战略整合,为了解下游警觉水平、神经认知表现、情绪和睡眠质量的波动提供进一步线索,并为风险管理实践提供信息。与自然光可用性相关的季节性节律反映了睡眠-觉醒模式中额外的、反复出现的中断以及对行为的影响。昼夜节律管理原则,注意外部和内部时钟时间,并与心理服务战略整合,为了解下游警觉水平、神经认知表现、情绪和睡眠质量的波动提供进一步线索,并为风险管理实践提供信息。
更新日期:2017-07-25
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