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Diurnal mood variation or morning depression is a prominent [1] depression symptom characterized by gradual mood improvement through the day, reaching its peak sometime after twilight. While the main form of diurnal mood variation presents itself as described, a reversed form, with a worsening of mood towards the evening, also exists. [ 2 ]
Symptoms of Bipolar Disorder. The single most telling symptom of bipolar disorder is the episodic oscillation between high and low mood states — characteristic shifts between depression, normal ...
And also positive diurnal variation mood (bad mood in the morning, good mood in the evening), [73] sensitivity to negative stimulation and mixed symptoms in some people, etc. [74] [75] Mood swings in post-traumatic stress disorder (PTSD): Mood changes erratically [76] with episodic mood swings rising in the period of recovery process.
People with MDD sometimes show diurnal and seasonal variation of symptom severity, even in non-seasonal depression. Diurnal mood improvement was associated with activity of dorsal neural networks. Increased mean core temperature was also observed. One hypothesis proposed that depression was a result of a phase shift. [30]
There is some suggestion that the mood variation in bipolar disorder may not be cyclical as often assumed, nor completely random, but results from a complex interaction between internal and external variables unfolding over time; there is mixed evidence as to whether relevant life events are found more often in early than later episodes. [2]
Risk factors for suicide attempts and death from suicide in people with bipolar disorder include older age, prior suicide attempts, a depressive or mixed index episode (first episode), a manic index episode with psychotic symptoms, hopelessness or psychomotor agitation present during the episodes, co-existing anxiety disorder, a first degree ...
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