Evidence map›Paper›PMID 42429210›Full record

ArticleBipolar disorders2026

Essential Information About Chronobiology and Chronotherapy for the Optimal Care of People With Bipolar Disorders: An Expert Consensus.

Jacob J Crouse, Victoria Loblay, Anthony Jorm, Timothy R Wong, Zsofi de Haan, Carla Gorban, Mirim Shin, Emiliana Tonini, Chris Aiken, Lauren B Alloy and 31 more

Abstract readConsensus Statement
In one paragraph

Article in Bipolar disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors.

Jacob J CrouseBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-3805-2936
Victoria LoblayBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-4094-9619
Anthony JormCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-1424-4116
Timothy R WongBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7301-6965
Zsofi de HaanBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0009-0003-3341-5982
Carla GorbanBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0009-0003-9568-1792
Mirim ShinBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-1648-341X
Emiliana ToniniBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-8582-0491
Chris AikenNYU Lagone School of Medicine, New York, New York, USA.
Lauren B AlloyDepartment of Psychology and Neuroscience, Temple University, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-5196-2635
Kürşat AltinbaşDepartment of Psychiatry, Faculty of Medicine, Atlas University, Istanbul, Türkiye.ORCID https://orcid.org/0000-0002-9800-5015
Serge BeaulieuDepartment of Psychiatry, Faculty of Medicine, McGill University, Montreal, Québec, Canada.ORCID https://orcid.org/0000-0001-6921-3870
Joanne S CarpenterBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-9766-6700
Bruno EtainUniversité Paris Cité, Paris, France.ORCID https://orcid.org/0000-0002-5377-1488
Yuichi EsakiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Japan.ORCID https://orcid.org/0000-0001-5165-6171
Jess G FiedorowiczThe Ottawa Hospital, Ottawa Hospital Research Institute, and, University of Ottawa, Ottawa, Ontario, Canada.ORCID https://orcid.org/0000-0003-2057-4071
Corrado GarbazzaCentre for Chronobiology, University of Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0002-8606-2944
Pierre A GeoffroyCentre ChronoS, GHU Paris-Psychiatry & Neurosciences, Paris, France.ORCID https://orcid.org/0000-0001-9121-209X
Bartholomeus C M HaarmanUniversity Medical Center Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0002-9006-8863
Tone E G HenriksenDivision of Mental Health Care, Valen Hospital, Valen, Norway.ORCID https://orcid.org/0000-0002-5343-342X
Maria Paz HidalgoUniversidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0002-7886-770X
Maree L InderDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-6326-6100
Raymond W LamDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0001-7142-4669
Helle Ø MadsenCopenhagen Affective Disorder Research Center (CADIC), Mental Health Center Copenhagen, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-2000-8264
Colleen A McClungDepartment of Psychiatry, Translational Neuroscience Program, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-4719-6197
Gunnar MorkenDepartment of Mental Health, St Olav University Hospital, Trondheim, Norway.ORCID https://orcid.org/0000-0003-1972-5901
Laura PalaginiDepartment of Neuroscience, Psychiatric Section, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0003-1676-629X
James PhelpsMedical Director, DepressionEducation.org, USA.
Richard J PorterDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-8695-3966
Aswin RatheeshDiscipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Randwick, Australia.ORCID https://orcid.org/0000-0002-8029-9422
Rixt F Riemersma-Van der LekMental Health Services Drenthe, Assen, the Netherlands.
Janusz K RybakowskiDepartment of Adult Psychiatry, Poznan University of Medical Sciences, Poznan, Poland.ORCID https://orcid.org/0000-0003-0577-0381
Erika F H SaundersDepartment of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-7222-0828
Peter F J SchulteMental Health Services Noord-Holland-Noord, Alkmaar, the Netherlands.
Daniel J SmithDivision of Psychiatry, Institute for Neuroscience and Cardiovascular Research, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-2267-1951
Holly A SwartzUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-7611-9900
Bryan K TolliverAddiction Sciences Division, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0001-7113-7256
Anna Wirz-JusticeCentre for Chronobiology, University of Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0003-3790-3652
Ian B HickieBrain and Mind Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-8832-9895
John F GottliebChicago Psychiatry Associates, Chicago, Illinois, USA.
Chronobiology & Chronotherapy Task Force of the International Society for Bipolar Disorders

Funding

National Health and Medical Research Council 2008196
6 · The paper itself

Abstract

introductionCircadian dysfunction is involved in the pathophysiology of bipolar disorders (BD), and circadian-based interventions are gaining recognition in their management. Moreover, basic and epidemiologic research has generated findings inspiring circadian-informed self- and clinician-management strategies. Despite these gains, many Clinical Practice Guidelines and clinical training programs have not incorporated this evidence in their recommendations and curricula. This International Society for Bipolar Disorders (ISBD) Chronobiology and Chronotherapy Task Force position paper reports a Delphi-based expert consensus on what is essential for mental health clinicians to know about the chronobiology and chronotherapy of BD.

methodsAn initial pool of statements was extracted from academic and grey literature, and experts could suggest additional statements. Statements were rated on a 5-point scale ('essential'; 'important'; 'don't know/depends'; 'unimportant'; 'should not be included'). Consensus was reached when statements were rated as essential or important by ≥ 80% of experts.

resultsThirty experts from 15 countries in Europe, North and South America, and the Asia Pacific participated (mean age of 55.3 years [SD = 11.8]; 40% female; 83% psychiatrists; mean clinical experience of 26 years [SD = 10.8]). Eight-hundred-and-thirty-seven statements were rated across three rounds. Consensus was reached on 342 statements spanning four major themes: basic circadian science; circadian health and disruption; chronobiology of BD; and six chronotherapies (e.g., protocols, outcomes, risks/contraindications).

conclusionsAn expert consensus was obtained on the essential information about the chronobiology and chronotherapy of BD, intended to help clinicians optimise their management of BD. Dissemination of this knowledge is expected to enhance the training and efficacy of clinicians.

Indexed as

Bipolar DisorderChronobiology PhenomenaChronotherapyCircadian RhythmFemaleHumansMaleMiddle Agedbipolar disorderchronotherapeuticcircadianmoodpathophysiologyrhythmstreatment

Identifiers

PMID42429210
PMCPMC13352581

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.