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. 2024 Jun 28;26:e55302. doi: 10.2196/55302

Table 3.

Coefficients, SE, and significancea of PHQ-8b, seasonality, and the interaction term between PHQ-8 and seasons in model 3c for the entire data set.

Feature PHQ-8, β1 (SE) Spring, β2 (SE) Summer, β2 (SE) Autumn, β2 (SE) PHQ-8 × spring β3 (SE) PHQ-8 × summer, β3 (SE) PHQ-8 × autumn, β3 (SE) Likelihood ratio test (P values)
Sleep duration 0.49 (0.18)** –4.55 (2.49) –16.27 (2.45)*** –7.2 (2.46)** –0.20 (0.22) –0.04 (0.22) 0.11 (0.21) .50
Sleep onset 0.79 (0.22)*** 4.57 (3.04) 11.14 (2.98)*** 0.55 (3) –0.09 (0.26) –0.41 (0.26) –0.53 (0.26)* .49
Sleep offset 1.01 (0.20)*** –2.88 (2.71) –7.28 (2.67)** –9.74 (2.68)*** 0.27 (0.24) 0.04 (0.23) 0.15 (0.23) .53
Sleep variability 1.23 (0.19)*** –4.32 (2.56) 0.19 (2.52) –1.43 (2.53) –0.42 (0.22) –0.57 (0.22)** –0.14 (0.22) .26
Daily step –73.21 (8.55)*** 289.04 (115.3)* 804.05 (113.32)*** 311.21 (113.92)** –31.51 (10.01)** –42.61 (9.95)*** –12.66 (9.87) <.001
Step IVd –0.001 (0.0008) –0.02 (0.01) –0.06 (0.01)*** –0.04 (0.01)*** 0.002 (0.001)* 0.004 (0.001)*** 0.002 (0.001) <.001
Step ISe –0.001 (0.0003)** 0.01 (0.005)* –0.001 (0.004) 0.005 (0.004) –0.001 (0.0004)* –0.001 (0.0004) –0.0001 (0.0004) <.001
L5 onsetf 0.51 (0.29) –4.11 (4.02) 1.26 (3.95) –2.89 (3.98) 0.31 (0.35) –0.54 (0.35) –0.11 (0.34) .23
M10 onsetg 0.26 (0.34) 4.86 (4.63) 10.33 (4.54)* –0.44 (4.57) 0.72 (0.41) 1.06 (0.40)** 0.21 (0.40) .04
HRh MESORi –0.03 (0.01)* –0.57 (0.16)*** 0.05 (0.16) 0.28 (0.16) 0.01 (0.01) –0.01 (0.01) –0.03 (0.01) .003
HR amplitude –0.04 (0.01)*** 0.36 (0.1)*** 0.87 (0.1)*** 0.38 (0.1)*** –0.02 (0.01)* 0.01 (0.01) 0.002 (0.008) .001
HR acrophase 0.50 (0.30) 40.39 (4.05)*** 62.99 (3.98)*** 23.3 (4)*** 0.30 (0.35) 0.52 (0.35) 0.08 (0.35) .75

aThe exact P values are reported in the main text.

bPHQ-8: 8-item Patient Health Questionnaire.

cModel 3: Circadian rhythm = β1 PHQ‑8 + β2 season + β3 PHQ‑8 × season + COVs, where COVs represents covariates mentioned in the Methods section. Note that winter is the reference season.

dIV: intradaily variability.

eIS: interdaily stability.

fL5 onset: the onset of least active continuous 5-hour period.

gM10 onset: the onset of the most active continuous 10-hour period.

hHR: heart rate.

iHR MESOR: midline estimating statistic of the fitted cosine wave for heart rate.

*P<.05, **P<.01, ***P<.001.