TY - JOUR PY - 2014// TI - Alterations in circadian/seasonal rhythms and vegetative functions are related to suicidality in DSM-5 PTSD JO - BMC psychiatry A1 - Dell Osso, Liliana A1 - Massimetti, Gabriele A1 - Conversano, Ciro A1 - Bertelloni, Carlo A1 - Carta, Mauro Giovanni A1 - Ricca, Valdo A1 - Carmassi, Claudia SP - 352 EP - 352 VL - 14 IS - 1 N2 - Background: Alterations in rhythmicity and vegetative functions have been reported as correlates of suicidality, particularly in patients with mood disorders. No investigation has addressed their impact on patients with post-traumatic stress disorder (PTSD). Aim of the present study was to fulfill this gap.

METHODS: Sixty-five out- and inpatients with DSM-5 PTSD were assessed by using the Mood Spectrum-Self Report-Lifetime Version (MOODS-SR), a questionnaire for lifetime mood spectrum symptomatology including alterations in circadian/seasonal rhythms and vegetative functions. Six items of the MOODS-SR were combined and dichotomized to assess suicidal ideation and/or attempts.

RESULTS: Significant and positive associations were found between symptoms of lifetime dysregulations in rhythmicity and vegetative functions and suicidal ideation and/or attempts. All MOODS-SR sub-domains (rhythmicity, sleep, appetite/weight, sexual function, physical symptoms) were associated with an increased likelihood of suicidal ideation, but only changes in appetite/weight were associated with greater odd ratios of suicide attempts (OR = 2.099 95% CI 1.148-3.841).

CONCLUSIONS: Our results suggest that lifetime dysregulations in rhythmicity and vegetative functions may represent correlates of suicidality in patients with DSM-5 PTSD.

Language: en

LA - en SN - 1471-244X UR - http://dx.doi.org/10.1186/s12888-014-0352-2 ID - ref1 ER -