Diurnal mood variation

Depression symptom varying during the day

Diurnal mood variation or morning depression is a prominent depression symptom characterized by gradual mood improvement through the day, reaching its peak sometime after twilight. While the main form of diurnal mood variation presents itself as described, a reversed form, with a worsening of mood towards the evening, also exists. While some mood changes are generally experienced by the majority of patients diagnosed with depression, such recurrent mood instability is a consistent predictor of suicidal ideation, and may cause increased mortality. Diurnal mood variation is most strongly associated with melancholic depression, which is also referred to as endogenous or somatic depression. According to the diagnostic criteria outlined in The Diagnostic and Statistical Manual of Mental Disorders (DSM) and The International Classification of Diseases (ICD), diurnal mood variation characterized by worsening symptoms in the early morning is recognized as a hallmark symptom of melancholic features in somatic major depressive disorder.

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