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Psychiatric Morbidity and Time Zone Changes: A Study of Patients from Heathrow Airport

Published online by Cambridge University Press:  29 January 2018

P. Jauhar  and
Malcolm P. I. Weller
P. Jauhar
Affiliation:
Duke Street Hospital, Glasgow; St Thomas's Hospital
Malcolm P. I. Weller
Affiliation:
Friern, Whittington and the Royal Northern Hospitals and Royal Free Hospital Medical School; Charing Cross Hospital Medical School
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Summary

In a two-year period, 186 patients were admitted from Heathrow Airport to the nearest psychiatric hospital. Affective illness was related to time zone change. Depression was diagnosed significantly more often on flights from east to west (P < 0.012 east to west versus west to east; P < 0.015 north to south combined with south to north versus east to west, Fisher's exact probability test, two tailed). Hypomania was inversely related to depression in an east to west comparison (P < 0.025). No other associations with direction of travel were seen in other diagnoses. Ninety-three (50 per cent) were diagnosed as schizophrenic; 24 of these had been aimlessly wandering. Twenty patients had been admitted at least once before under similar circumstances. Schizophrenic patients from Heathrow constituted 20 per cent of the total number of schizophrenic patients admitted to the hospital during that period.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 140 , Issue 3 , March 1982 , pp. 231 - 235
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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References

Carroll, B. J., Curtis, G. C. & Mendels, J. (1976) Neuroendocrine regulation in depression: 1. limbic system—adrenocortical dysfunction. Archives of General Psychiatry, 33, 1039–44.Google Scholar
Carruthers, M., Arguelles, A. E. & Mosovich, A. (1976) Man in transit: Biochemical and physiological changes during international flights. Lancet, i, 977–81.Google Scholar
Diethelm, O. (1955) Treatment in Psychiatry. 3rd Edition, p 168. Springfield, Illinois: Charles C Thomas.Google Scholar
Dublin, L. I. (1963) Suicide: A Sociological and Statistical Study. New York: Ronald Press.Google Scholar
Eastwood, M. R. & Peacock, C. A. J. (1976) Seasonal patterns of suicide, depression and electroconvulsive therapy. British Journal of Psychiatry, 129, 472–5.Google Scholar
Faris, R. E. L. & Dunham, H. W. (1939) Mental Disorders in Urban Areas. Reprinted in 1967. Chicago: University of Chicago Press.Google Scholar
Goldberg, E. M. & Morrison, S. L. (1963) Schizophrenia and social class. British Journal of Psychiatry, 109, 785–802.Google Scholar
Kalinowsky, L. R. & Hippius, H. (1969) Pharmacological, Convulsive and Other Somatic Treatments in Psychiatry, p 338. New York: Grune and Stratton.Google Scholar
Kreitman, N. (1973) Social and clinical aspects of suicide and attempted suicide. In Companion to Psychiatric Studies (ed. Forrest, A. et al), Volume 1, Chapter HI. Edinburgh: Churchill Livingstone.Google Scholar
Ødegaard, O. (1932) Emigration and Insanity: Study of Mental Disease Among Norwegian Born Population of Minnesota. Acta Psychiatrica Scandinavica, Supplementum 4.Google Scholar
Pflug, B. (1976) The effect of sleep deprivation on mood and central amine metabolism in depressed patients. Acta Psychiatrica Scandinavica, 53, 148–58.Google Scholar
Post, R. M., Kotin, J. & Goodwin, F. K. (1976) Effects of sleep deprivation on mood and central amine metabolism in depressed patients. Archives of General Psychiatry, 33, 627–32.CrossRefGoogle ScholarPubMed
Price, J. S. (1968) Genetics of the affective illnesses. British Journal of Hospital Medicine, 67–75. Also in Contemporary Psychiatry, British Journal of Psychiatry Special Publication No 9 (1975). Ashford, Kent: Headley Brothers.Google Scholar
Sachar, E. J., Hellman, L., Roffwarg, H. P., Halpern, F. S., Fukushima, D. K. & Gallagher, T. F. (1973) Disrupted 24-hour patterns of Cortisol secretion in psychotic depression. Archives of General Psychiatry, 28, 19–24.Google Scholar
Shapiro, S. (1976) A study of psychiatric syndromes manifested at an international airport Comprehensive Psychiatry, 17, 453–6.Google Scholar
Wehr, T. A., Wirz-Justice, A., Goodwin, F. K., Duncan, W. & Gillin, J. C. (1979) Phase advance of circadian sleep-wake cycle as an antidepressant. Science, 206, 710–13.Google Scholar
Wetterberg, L. (1979) Advances in pineology. Paper presented at the World Psychiatric Association Symposium on Science and Psychiatry, 12 November 1979, London.Google Scholar
Wetterberg, L., Beck-Friis, J., Aperia, B. & Petterson, U. (1979) Melatonin/cortical ratio in depression. Lancet, ii, 1361.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and the Catego Program. Cambridge University Press.Google Scholar
Wirz-Justice, A. & Arendt, J. (1978) Diurnal, menstrual cycle and seasonal indole rhythms in man and their modification in unipolar depression. Paper presented at the 2nd World Congress of Biological Psychiatry, Barcelona, 31 August to 6 September, 1978.Google Scholar
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