Circadian Rhythm Dysregulation in Offspring of Parents With Bipolar Disorder

NCT ID: NCT03656302

Last Updated: 2018-09-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-02-11

Study Completion Date

2020-06-28

Brief Summary

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This study aims to 1) investigate the differences and variances in circadian rhythms at several levels, including physical activity, dim light melatonin onset, diurnal patterns of cortisol, and body temperature between the offspring of patients with bipolar disorder (BD) and offspring of healthy parents by using a high-risk study design; and 2) determine whether these indicators correlate with psychopathological symptoms as measured by the psychometric measurements.

Detailed Description

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Bipolar disorder (BD), characterized by episodes of mania or hypomania with frequent depressive episodes, is commonly found in the general population with a lifetime prevalence of 1-2% in the world. The morbidities and mortality associated with bipolar disorder are huge and the repercussion on their family members is considerate. Nonetheless, there is no existing well-established prevention strategy that may prevent this distressing mental disorder. A major reason is that there was limited understanding of the prodromal phase of BD. On the other hand, the genetic background determines about 60-85% of risk variance of BD. In other words, the offspring carries significant risk and propensity to develop future BD. Limited existing studies suggested that offspring of patients with BD have a higher rate of sleep and circadian disturbances and mental disorders than those offspring of parents without BD. Nonetheless, it is still unclear whether sleep and circadian disturbances are prodromal markers or risk factors for the development of bipolar disorder in this high-risk population.

In light of our research and other studies' preliminary findings on the relationship between circadian rhythms dysregulation and BD and robust heritability in BD, we hypothesize that

1. Circadian rhythm dysregulations are prodromal features and endophenotypes of BD. The offspring of BD parents will have more circadian rhythm dysregulations than those offspring of healthy controls;
2. The biologic indices of circadian rhythm dysregulations will be correlated with subsyndromal psychopathology.

Conditions

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Bipolar Disorder

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Case offspring

Inclusion criteria:

1\) aged 6-21 years old; 2) having at least one biological parent with a lifetime or current diagnosis of bipolar disorder; 3) being able to read, write and understand Chinese; 4) both the offspring and her/his parent(s) agree to sign the informed consent form

Exclusion criteria:

1\) having lifetime history or current diagnosis of bipolar disorder; 2) having no good ability to attend this project, such as patients with dementia and mental retardation.

No interventions assigned to this group

Control offspring

Inclusion criteria:

1\) aged 6-21 years old; 2) having no biological parent(s) with lifetime or current diagnosis of mood disorders. 3) being able to read, write and understand Chinese; 4) both the offspring and her/his parent(s) agree to sign the informed consent form.

Exclusion criteria:

1\) having lifetime history or current diagnosis of bipolar disorder. 2) having no good ability to attend this project, such as patients with dementia and mental retardation.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1\) aged 6-21 years old; 2) having at least one biological parent with a lifetime or current diagnosis of bipolar disorder; 3) being able to read, write and understand Chinese; 4) both the offspring and her/his parent(s) agree to sign the informed consent form


1\) aged 6-21 years old; 2) having no biological parent(s) with lifetime or current diagnosis of mood disorders. 3) being able to read, write and understand Chinese; 4) both the offspring and her/his parent(s) agree to sign the informed consent form.

Exclusion Criteria

1\) having lifetime history or current diagnosis of bipolar disorder; 2) having no good ability to attend this project, such as patients with dementia and mental retardation.

2\. Control offspring


1\) having lifetime history or current diagnosis of bipolar disorder. 2) having no good ability to attend this project, such as patients with dementia and mental retardation.
Minimum Eligible Age

6 Years

Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kowloon Hospital

UNKNOWN

Sponsor Role collaborator

The Affiliated Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital)

UNKNOWN

Sponsor Role collaborator

Shenzhen Nanshan Center for Chronic Disease Control

UNKNOWN

Sponsor Role collaborator

Shenzhen Baoan Center for Chronic Disease Control

UNKNOWN

Sponsor Role collaborator

Shenzhen Longgang Center for Chronic Disease Control

UNKNOWN

Sponsor Role collaborator

Shenzhen Futian Center for Chronic Disease Control

UNKNOWN

Sponsor Role collaborator

Chinese University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Dr. Zhang Jihui

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jihui Zhang, PhD

Role: PRINCIPAL_INVESTIGATOR

Chinese University of Hong Kong

Yun Kwok Wing, MBChB

Role: STUDY_CHAIR

Chinese University of Hong Kong

Siu Ping Lam

Role: STUDY_DIRECTOR

Shatin Hospital

Shirley Xin Li, PhD

Role: STUDY_DIRECTOR

Hong Kong University

Roger Man Kin Ng, PhD

Role: STUDY_DIRECTOR

Kowloon Hospital

Locations

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Department of psychiatry, Faculty of Medicine, The Chinese University of Hong Kong

Hong Kong, , Hong Kong

Site Status RECRUITING

Countries

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Hong Kong

Central Contacts

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Jihui Zhang, PhD

Role: CONTACT

(852) 39197647

Facility Contacts

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Jihui Zhang, PhD

Role: primary

References

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Lei B, Feng H, Yang L, Wang J, Chen J, Song W, Jiang C, Zhang K, Wang Q, Tsang JCC, Chan NY, Liu Y, Chan JWY, Pan J, Zhang B, Li T, Merikangas KR, Zhang J, Wing YK. Circadian rhythm dysfunction and psychopathology in the offspring of parents with bipolar disorder: a high-risk study in the Chinese population. Gen Psychiatr. 2024 May 22;37(3):e101239. doi: 10.1136/gpsych-2023-101239. eCollection 2024.

Reference Type DERIVED
PMID: 38800632 (View on PubMed)

Other Identifiers

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03140636

Identifier Type: -

Identifier Source: org_study_id

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