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Biomedical subjects

M Terman

Publications and source records attributed to M Terman.

At least 55 records · Page 3Linked to original sources

Prevalence of seasonal affective disorder at four latitudes.

The Seasonal Pattern Assessment Questionnaire (SPAQ) was mailed to a sample population balanced for sex and randomly selected from local telephone directories in four areas: Nashua, NH, New York, NY, Montgomery County, MD, and Sarasota, FL. On the basis of responses to this questionnaire, prevalence rates of winter seasonal affective disorder (winter SAD), summer seasonal affective disorder (summer SAD), and subsyndromal winter SAD were estimated for the four areas. Rates of winter SAD and subsyndromal SAD were found to be significantly higher at the more northern latitudes, while no correlation was found between latitude and summer SAD. The positive correlation between latitude and prevalence of winter SAD applied predominantly to the age groups over 35.

Adult↗

Efficacy of brief, intense light exposure for treatment of winter depression.

A high-intensity fluorescent lighting system, tilted downward toward the head, and emitting negligible levels of ultraviolet radiation, was tested under two random crossover protocols in winter-depressed patients: 30-minute sessions at (a) 3,000 lux vs. 10,000 lux in early morning, and (b) morning vs. evening sessions at 10,000 lux. Judgment of clinical remission was based jointly on relative and absolute score improvements on a Structured Interview Guide for the Hamilton Depression Scale--Seasonal Affective Disorder Version (SIGH-SAD) and a set of supplementary atypical-vegetative items. Data are presented for 24 subjects who showed relapse upon withdrawal. An overall remission rate of 75 percent was found for morning light at 10,000 lux. The rates for evening light (25%) and 3,000 lux morning light (19%) were significantly lower. The remission rate for morning light treatment of 10,000 lux for 30 minutes approximately equalled 2,500 lux treatment for 2 hours (data from our earlier studies), suggesting a reciprocity between dosing dimensions of intensity and duration. No pathological changes were revealed by ophthalmological examinations given after 2 to 6 weeks of daily treatment.

Affect↗

Light therapy for seasonal affective disorder. A review of efficacy.

Bright artificial light has been found effective in reducing winter depressive symptoms of Seasonal Affective Disorder, although conclusions about the true magnitude of treatment effect and importance of time of day of light exposure have been limited by methodologic problems. Individual subjects' data from 14 research centers studying 332 patients over 5 years were analyzed with a pooled clustering technique. Overall, 2500-lux intensity light exposure for at least 2 hours daily for 1 week resulted in significantly more remissions--Hamilton Depression Rating Scale (HAM-D) score reduction of 50% or more to a level under 8--when administered in the early morning (53%) than in the evening (38%) or at midday (32%). All three times were significantly more effective than dim light controls (11%). Dual daily exposures (morning-plus-evening light) provided no benefit over morning light alone. In morning-evening crossovers, remission rates were 62% under morning light alone, compared with 28% under evening light alone, with a differential morning-evening response present in 59% of morning responders compared with 10% of evening responders (p less than 0.001). Remission rates with morning light were highest given low severity at baseline (HAM-D score of 10-16: 67% remission), as compared with moderate-to-severe cases (HAM-D score above 16: approximately 40% remission) where no morning-evening differences were found. Firmer conclusions await treatment studies with larger sample sizes and full assessment of atypical vegetative symptoms seen in winter depression but underrepresented in the Hamilton scale. Longer treatment course and greater light intensity may help clarify clinical response despite the impossibility of achieving a conventional blind placebo control.

Circadian Rhythm↗

Response of the melatonin cycle to phototherapy for Seasonal Affective Disorder. Short note.

It is well-established that human nocturnal melatonin secretion is suppressed by presentation of artificial light greater than 2,000 lux, a level that is also therapeutically effective in alleviating winter depression symptoms of Seasonal Affective Disorder [SAD]. Furthermore, early-morning bright light induces phase advances of the melatonin cycle in SAD patients (Lewy et al., 1987a). The functional significance of melatonin in SAD remains unclear. With plasma melatonin sampled at 20-min intervals in a series of overnight studies, we found marked phase delays of the cycle, relative to that previously reported for normals, in 4/5 depressed SAD patients. 2,500 lux light exposure at 6-8 a.m. resulted in exponentially declining melatonin levels that approached low daytime baselines within two hours (t1/2 = 45.52 min). All five patients showed clinical remissions as well as phase advances of the melatonin cycle of 0.75 to 3.27 hours (mean, 1.94 +/- 0.84 hours) after one week of daily exposure from 6-8 a.m. and p.m. These results suggest that the combination of early morning and early evening light exposures induces circadian phase adjustments similar to those of morning light alone, by impacting a photosensitive interval when, in SAD, melatonin secretion overshoots its normal nocturnal phase.

Adult↗

A circadian pacemaker for visual sensitivity?

Visual signal detectability oscillates as a circadian rhythm, capable of free-running in constant conditions, and entrainment by external lighting schedules. These functions persist after lesioning of the suprachiasmatic nucleus (SCN), implicating a separate pacemaker for visual sensitivity. Its locus, physiology, and mode of interaction with the SCN have yet to be established.

Animals↗

Daily meal anticipation: interaction of circadian and interval timing.

Both short-interval and circadian timing systems support anticipatory response accelerations prior to food reinforcement. In the first case, the behavior pattern is determined by a scalar timing process with an arbitrary-reset property. In contrast, under daily cycles of food-availability, behavior reflects a self-sustaining oscillation. With rats as subjects, the concurrent operation of timing of both kinds was studied by addition of premeal auditory cues on the circadian baseline, in the absence of a day-night illumination cycle. Cues within both minute and hour ranges served to lower the level of premeal anticipatory responding, although exponential accelerations were similar to the uncued case. Cues within the minutes range yielded interval-timing functions that reflected approximate superposition. Cues within the hours range suppressed respondings at their outset, in proportion to cue duration. When one of the shorter cues was suddenly lengthened, short-interval accelerations appeared at inappropriate circadian phases. When a premeal cue was extended through mealtime, anticipation rates increased markedly, suggesting that cue termination at the start of mealtime is a potent anchor for premeal anticipation regardless of cue duration. By use of meal-omission probes without external cues, peak rates were located after the onset of expected mealtime, often near its termination. The results suggest interactions between the scalar interval timer and the circadian anticipation timer, as modulated by the circadian free-run timer.

Animals↗

Circadian feeding and drinking rhythms in the rat under complete and skeleton photoperiods.

Feeding and drinking rhythms were studied in rats maintained under 24-hr light-dark (LD) cycles with various photoperiods, under two-pulse (2P) and one-pulse (1P) skeleton photoperiods, and under constant dark (DD). Rhythmic waveforms were similar under complete LD cycles and corresponding skeleton photoperiods, indicating that these rhythms mainly reflect the entrainment of underlying circadian pacemakers. Little or no role was found for masking effects of light on circadian feeding and drinking waveforms. Entrainment was found to depend mainly on the timing of the dawn light signal, whether it was a 15-min light pulse or a dark-to-light transition initiating a complete photoperiod. Furthermore, the use of 1P schedules revealed that a dawn signal was sufficient for entrainment. These results closely match those obtained for motor activity measures in other nocturnal rodent species, and generally conform to the predictions of Pittendrigh's nonparametric theory of entrainment. Furthermore, the close correspondence of the two rhythms during entrainment, phase-jumps, and free-running (DD) conditions indicates that they are controlled by common circadian pacemakers.

Animals↗

Food availability and daily biological rhythms.

Restricted daily feeding schedules result in the partial or complete synchronization of a wide range of rhythmic biological functions in rodents. In some cases, exemplified by drinking behavior and liver tyrosine transaminase activity, this represents primarily a direct, exogenous influence of food intake. In others, synchronization is achieved by entrainment of a circadian time-keeping mechanism distinct from that which underlies free-running rhythms in these functions. This food-entrained mechanism is responsible for the timing of anticipatory increases in locomotor and lever-pressing activity immediatley prior to food delivery, and may also underlie similar anticipatory increases in body temperature, corticosterone secretion, and in the activities of some intestinal enzymes. It is suggested that such a mechanism may enable an animal to recognize and take advantage of the periodic recurrence of significant events in its biotic environment.

Animals↗

Effects of illumination level on the rat's rhythmicity of brain self-stimulation behavior.

Rhythmic patterns in the rat's brain self-stimulation behavior were analyzed across levels of illumination, including conditions of constant illumination (LL), constant darkness (DD), and light-dark cycles (LD 12:12). LD entrainment was achieved with light intensities ranging from 0.25 to 440 lux, and little or no change was found in the phase-angle difference between the dominant spectral peak and the light transitions. Under constant conditions, the circadian period (tau) increased in proportion to illumination level, with means ranging from 24.10 h (DD) to 25.90 h (LL 440 lux). tau increased linearly as a function of long I within the range of 0.25 to 30 lux, yielding a change of 0.28 h for a 10-fold increment in illumination level, a value which closely matches Aschoff's [3] preliminary estimate of delta tau/delta ILL for the rat. The circadian spectral component was influenced by several factors. (1) Re-entrainment protocol. Given a succession of LL conditions without entrainment segments in between, circadian rhythmicity was obscured at high illumination levels. (2) Duration of LL exposure. Even following an entrainment segment, long-term LL resulted in reduced power or loss of the circadian component. (3) LD vs LL. Spectral power was consistently higher under entrainment than under corresponding LL intensities, and there was a trend toward reduced power as a function of LL intensity. A wide range of ultradian spectral components was found across conditions. Under entrainment, most such components were harmonics of the circadian fundamental; under constant conditions, the frequency relationships were relatively variable.

Animals↗

Feeding schedules and the circadian organization of behavior in the rat.

Feeding and drinking behavior of rats maintained in constant light were recorded before, during and after feeding schedules with periods lying within or outside the range of circadian entrainment. Regardless of period, all schedules immediately resulted in the partial or complete synchronization of drinking behavior, but failed to entrain the free-running circadian feeding and drinking rhythms. This indicated that drinking can be passively driven by periodic access to food. However, other results suggested that a separate circadian system was entrained by feeding schedules: First, the 24-h periodicity induced by 24-h feeding schedules often continued for several days after termination of the schedules. Second, the rats showed anticipatory activity under schedules with periods within, but not outside, the circadian range of entrainment. Third, lesions of the suprachiasmatic nuclei (SCN), which resulted in the immediate elimination of free-running rhythms, did not alter the rhythmic influences of the feeding schedules. These results provide evidence for the participation of two distinct circadian systems in the control of behavior in the rat. The two systems appear to have different entrainment characteristics and separate physiological substrates.

Adrenal Cortex Hormones↗

Comparison of yes-no and latency measures of auditory intensity discrimination.

Rats discriminated auditory intensity differences of sinusoids at 3.0 kilohertz in a go/no-go signal detection procedure. Responses to the signal (hits) were reinforced with electrical brain stimulation, and misses produced a brief timeout. On intermixed noise trials, withholding of responses (correct rejections) was reinforced, and false alarms produced the time-out. In two test conditions, the signal was either the louder (100 decibels) or softer (90, 93, 96, or 99 decibels) of the pair of intensities presented within a set of trials. Each animal was first trained with signal value louder or softer, and reversed for the second condition so that the former noise value served as signal. Hits showed shorter latencies than false alarms, regardless of the relative intensity of signal and noise, and the magnitude of differentiation was proportional to signal-noise separation. Both hits and false alarms showed longer latencies as the discrimination became more difficult. Isosensitivity contours derived from the latencies showed close similarity across conditions; in comparison, the yes-no measure of detectability, d', showed greater variability. The similarity of latency differentiation across louder and softer signal conditions supports a detection model in which the observer's judgment is controlled by the distance of sensory effect from criterion on each trial, as opposed to the loudness of the tones per se.

Animals↗

Control of the rat's circadian self-stimulation rhythm by light-dark cycles.

Rats with hypothalamic and septal electrodes were maintained in continuous test environments where bar-press responses produced brief reinforcing electrical stimulations. Long-term trends in response emission were measured under continuous exposure to light, dark and 12 hr light-dark alternations. In addition, transient behavioral adjustment to sudden 180 degrees phase shifts in the light-dark schedule was studied. The ambient light condition was found to control the period and phase of the circadian rhythm of brain self-stimulation behavior, as quantified by Fourier analysis. The circadian period was greatest under constant light (up to 24.90 hr under dim illumination), and approximated 24.00 hr under constant dark. Successful nocturnal entrainment to 12 hr light-dark alternations was obtained, with the peak of the 24 hr Fourier fundamental occurring in the middle-to-late dark segments. Three to 11 days were required for re-entrainment to 180 degrees light-dark phase shifts, during which the behavioral oscillation period increased to values comparable to periods under constant light. The rate of re-entrainment appeared to be proportional to illumination intensity during light segments.

Animals↗