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dc.creatorBauer, Michaeles_ES
dc.creatorGlenn, Tashaes_ES
dc.creatorAchtyes, Eric D.es_ES
dc.creatorAlda, Martines_ES
dc.creatorAgaoglu, Esenes_ES
dc.creatorAltınbaş, Kürşates_ES
dc.creatorAndreassen, Ole A.es_ES
dc.creatorAngelopoulos, Eliases_ES
dc.creatorArdau, Rafaellaes_ES
dc.creatorArrua Vares, Edgares_ES
dc.creatorAydin, Memduhaes_ES
dc.creatorAyhan, Yavuzes_ES
dc.creatorBaethge, Christopheres_ES
dc.creatorBauer, Ritaes_ES
dc.creatorBaune, Bernhard T.es_ES
dc.creatorBalaban, Ceylanes_ES
dc.creatorBecerra‑Palars, Claudiaes_ES
dc.creatorBehere, Aniruddh P.es_ES
dc.creatorBehere. Prakash B.es_ES
dc.creatorBelete, Habtees_ES
dc.creatorBelete, Tilahunes_ES
dc.creatorBelizario, Gabriel Okawaes_ES
dc.creatorBellivier, Frankes_ES
dc.creatorBelmaker, Robert H.es_ES
dc.creatorBenedetti, Francescoes_ES
dc.creatorBerk, Michaeles_ES
dc.creatorBersudsky, Yulyes_ES
dc.creatorBicakci, Şulees_ES
dc.creatorBirabwa‑Oketcho, Harrietes_ES
dc.creatorBjella, Thomas D.es_ES
dc.creatorBrady, Conanes_ES
dc.creatorCabrera, Jorgees_ES
dc.creatorCappucciati, Marcoes_ES
dc.creatorParedes Castro, Angela Mariannees_ES
dc.creatorChen, Wei‑Linges_ES
dc.creatorCheung, Eric Y. Woes_ES
dc.creatorChiesa, Silviaes_ES
dc.creatorCrowe, Mariees_ES
dc.creatorCuomo, Alessandroes_ES
dc.creatorDallaspezia, Saraes_ES
dc.creatorZompo, Maria Deles_ES
dc.creatorDesai, Pratikkumares_ES
dc.creatorDodd, Seetales_ES
dc.creatorDonix, Markuses_ES
dc.creatorEtain, Brunoes_ES
dc.creatorFagiolini, Andreaes_ES
dc.creatorFellendorf, Frederike T.es_ES
dc.creatorFerensztajn‑Rochowiak, Ewaes_ES
dc.creatorFiedorowicz, Jess G.es_ES
dc.creatorFountoulakis, Kostas N.es_ES
dc.creatorFrye, Mark A.es_ES
dc.creatorGeofroy, Pierre A.es_ES
dc.creatorGonzalez‑Pinto, Anaes_ES
dc.creatorGottlieb, John F.es_ES
dc.creatorGrof, Paules_ES
dc.creatorHaarman, Bartholomeus C. M.es_ES
dc.creatorHarima, Hirohikoes_ES
dc.creatorHasse‑Sousa, Mathiases_ES
dc.creatorHenry, Chantales_ES
dc.creatorHofding, Lonees_ES
dc.creatorHouenou, Josselines_ES
dc.creatorImbesi, Massimilianoes_ES
dc.creatorIsometsä, Erkki T.es_ES
dc.creatorIvkovic, Majaes_ES
dc.creatorJanno, Svenes_ES
dc.creatorJohnsen, Simones_ES
dc.creatorKapczinski, Flávioes_ES
dc.creatorKarakatsoulis, Gregory N.es_ES
dc.creatorKardell, Mathiases_ES
dc.creatorKessing, Lars Vedeles_ES
dc.creatorKim, Seong Jaees_ES
dc.creatorKönig, Barbaraes_ES
dc.creatorKot, Timur L.es_ES
dc.creatorKoval, Michaeles_ES
dc.creatorKunz, Mauricioes_ES
dc.creatorLafer, Benyes_ES
dc.creatorLandén, Mikaeles_ES
dc.creatorLarsen, Erik R.es_ES
dc.creatorLenger, Melaniees_ES
dc.creatorLewitzka, Utees_ES
dc.creatorLicht, Rasmus W.es_ES
dc.creatorLopez‑Jaramillo, Carloses_ES
dc.creatorMacKenzie, Alanes_ES
dc.creatorMadsen, Helle Ostergaardes_ES
dc.creatorMadsen, Simone Alberte Kongstad A.es_ES
dc.creatorMahadevan, Jayantes_ES
dc.creatorMahardika, Agustinees_ES
dc.creatorManchia, Mirkoes_ES
dc.creatorMarsh, Wendyes_ES
dc.creatorMartinez‑Cengotitabengoa, Monicaes_ES
dc.creatorMartiny, Klauses_ES
dc.creatorMashima, Yukies_ES
dc.creatorMcLoughlin, Declan M.es_ES
dc.creatorMeesters, Ybees_ES
dc.creatorMelle, Ingrides_ES
dc.creatorMeza‑Urzúa, Fátimaes_ES
dc.creatorMing, Mok Yeees_ES
dc.creatorMonteith, Scottes_ES
dc.creatorMoorthy, Muthukumaranes_ES
dc.creatorMorken, Gunnares_ES
dc.creatorMosca, Enricaes_ES
dc.creatorMozzhegorov, Anton A.es_ES
dc.creatorMunoz, Rodrigoes_ES
dc.creatorMythri, Starlin V.es_ES
dc.creatorNacef, Fethies_ES
dc.creatorNadella, Ravi K.es_ES
dc.creatorNakanotani, Takakoes_ES
dc.creatorNielsen, René Ernstes_ES
dc.creatorO‘Donovan, Clairees_ES
dc.creatorOmrani, Adeles_ES
dc.creatorOsher, Yamimaes_ES
dc.creatorOuali, Utaes_ES
dc.creatorPantovic‑Stefanovic, Majaes_ES
dc.creatorPariwatcharakul, Pornjiraes_ES
dc.creatorPetite, Joannees_ES
dc.creatorPfennig, Andreaes_ES
dc.creatorRuiz, Yolanda Picaes_ES
dc.creatorPilhatsch, Maximilianes_ES
dc.creatorPinna, Marcoes_ES
dc.creatorPompili, Maurizioes_ES
dc.creatorPorter, Richardes_ES
dc.creatorQuiroz, Daniloes_ES
dc.creatorRabelo‑da‑Ponte, Francisco Diegoes_ES
dc.creatorRamesar, Rajes_ES
dc.creatorRasgon, Nataliees_ES
dc.creatorRatta‑apha, Woraphates_ES
dc.creatorRatzenhofer, Michaelaes_ES
dc.creatorRedahan, Mariaes_ES
dc.creatorReddy, M. S.es_ES
dc.creatorReif, Andreases_ES
dc.creatorReininghaus, Eva Z.es_ES
dc.creatorRichards, Jenny Gringeres_ES
dc.creatorRitter, Philippes_ES
dc.creatorRybakowski, Janusz K.es_ES
dc.creatorSathyaputri, Leelaes_ES
dc.creatorScippa, Ángela M.es_ES
dc.creatorSimhandl, Christianes_ES
dc.creatorSeverus, Emanueles_ES
dc.creatorSmith, Danieles_ES
dc.creatorSmith, Josées_ES
dc.creatorStackhouse Jr., Paul W.es_ES
dc.creatorStein, Dan J.es_ES
dc.creatorStilwell, Kellenes_ES
dc.creatorStrejilevich, Sergioes_ES
dc.creatorSu, Kuan‑Pines_ES
dc.creatorSubramaniam, Mythilyes_ES
dc.creatorSulaiman, Ahmad Hatimes_ES
dc.creatorSuominen, Kirsies_ES
dc.creatorTanra, Andi J.es_ES
dc.creatorTatebayashi, Yoshitakaes_ES
dc.creatorTeh, Wen Lines_ES
dc.creatorTondo, Leonardoes_ES
dc.creatorTorrent, Carlaes_ES
dc.creatorTuinstra, Danieles_ES
dc.creatorUchida, Takahitoes_ES
dc.creatorVaaler, Arne E.es_ES
dc.creatorVeeh, Juliaes_ES
dc.creatorVieta, Eduardes_ES
dc.creatorViswanath, Bijues_ES
dc.creatorYoldi‑Negrete, Mariaes_ES
dc.creatorYalcinkaya, Oguz Kaanes_ES
dc.creatorYoung, Allan H.es_ES
dc.creatorZgueb, Yosraes_ES
dc.creatorWhybrow, Peter C.es_ES
dc.date2021
dc.date.accessioned2024-01-03T21:27:03Z
dc.date.available2024-01-03T21:27:03Z
dc.date.issued2021
dc.identifierOE04DSC21es_ES
dc.identifier.issn2194-7511
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7861
dc.identifier.urihttps://doi.org/10.1186/s40345-021-00231-7
dc.descriptionBackground: Bipolar disorder is associated with circadian disruption and a high risk of suicidal behavior. In a previous exploratory study of patients with bipolar I disorder, we found that a history of suicide attempts was associated with diferences between winter and summer levels of solar insolation. The purpose of this study was to confrm this fnding using international data from 42% more collection sites and 25% more countries. Methods: Data analyzed were from 71 prior and new collection sites in 40 countries at a wide range of latitudes. The analysis included 4876 patients with bipolar I disorder, 45% more data than previously analyzed. Of the patients, 1496 (30.7%) had a history of suicide attempt. Solar insolation data, the amount of the sun’s electromagnetic energy striking the surface of the earth, was obtained for each onset location (479 locations in 64 countries). Results: This analysis confrmed the results of the exploratory study with the same best model and slightly better statistical signifcance. There was a signifcant inverse association between a history of suicide attempts and the ratio of mean winter insolation to mean summer insolation (mean winter insolation/mean summer insolation). This ratio is largest near the equator which has little change in solar insolation over the year, and smallest near the poles where the winter insolation is very small compared to the summer insolation. Other variables in the model associated with an increased risk of suicide attempts were a history of alcohol or substance abuse, female gender, and younger birth cohort. The winter/summer insolation ratio was also replaced with the ratio of minimum mean monthly insolation to the maximum mean monthly insolation to accommodate insolation patterns in the tropics, and nearly identical results were found. All estimated coefcients were signifcant at p<0.01. Conclusion: A large change in solar insolation, both between winter and summer and between the minimum and maximum monthly values, may increase the risk of suicide attempts in bipolar I disorder. With frequent circadian rhythm dysfunction and suicidal behavior in bipolar disorder, greater understanding of the optimal roles of daylight and electric lighting in circadian entrainment is needed.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherSpringer-Verlages_ES
dc.relation9(1):26
dc.rightsAcceso Cerradoes_ES
dc.titleVariations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorderes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
dc.contributor.emailMichael.Bauer@uniklinikum-dresden.de.
dc.relation.jnabreviadoINT J BIPOLAR DISORD
dc.relation.journalInternational Journal of Bipolar Disorders
dc.identifier.placeAlemania
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.doi10.1186/s40345-021-00231-7
dc.subject.kwBipolar disorder
dc.subject.kwCircadian
dc.subject.kwPsychiatry
dc.subject.kwSeasonal variation
dc.subject.kwSolar insolation
dc.subject.kwSuicide
dc.subject.kwSunlight


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