Significance
Evidence for seasonality in humans is limited. Mood probably stands as the aspect of human brain function most acknowledged as being affected by season. Yet, the present study provides compelling evidence for previously unappreciated annual variations in the cerebral activity required to sustain ongoing cognitive processes in healthy volunteers. The data further show that this annual rhythmicity is cognitive-process-specific (i.e., the phase of the rhythm changes between cognitive tasks), speaking for a complex impact of season on human brain function. Annual variations in cognitive brain function may contribute to explain intraindividual cognitive changes that could emerge at specific times of year.
Keywords: season, cognition, fMRI, annual, attention
Abstract
Daily variations in the environment have shaped life on Earth, with circadian cycles identified in most living organisms. Likewise, seasons correspond to annual environmental fluctuations to which organisms have adapted. However, little is known about seasonal variations in human brain physiology. We investigated annual rhythms of brain activity in a cross-sectional study of healthy young participants. They were maintained in an environment free of seasonal cues for 4.5 d, after which brain responses were assessed using functional magnetic resonance imaging (fMRI) while they performed two different cognitive tasks. Brain responses to both tasks varied significantly across seasons, but the phase of these annual rhythms was strikingly different, speaking for a complex impact of season on human brain function. For the sustained attention task, the maximum and minimum responses were located around summer and winter solstices, respectively, whereas for the working memory task, maximum and minimum responses were observed around autumn and spring equinoxes. These findings reveal previously unappreciated process-specific seasonality in human cognitive brain function that could contribute to intraindividual cognitive changes at specific times of year and changes in affective control in vulnerable populations.
Daily variations in the environment have constrained life on Earth, with circadian cycles identified in most living organisms, including in human physiology and cognition (1, 2). Seasonal variations in the environment have also triggered annual adaptations that are observed in the majority of species (for a review, see ref. 1). However, seasonal variations may seem more limited in our species or they are at least less recognized (3). Seasonality has indeed been reported for several physiological aspects including blood pressure (4), cholesterol (5), or calorie intake (6), with higher levels seen in winter or fall for food intake. Recently, seasonal variation in expression levels of a large set of genes has been reported for human white blood cells and adipose tissue (7). Furthermore, seasonal variations have been observed in several behavioral dimensions with peaks occurring at different time of year depending on the variable considered: conception (winter/spring peak) and death [winter peak (8)] or violent suicide [spring/summer peak (9)]. Mood has been the most extensively studied aspect of human behavior, with a large portion of the general population undergoing seasonal deteriorations in mood in winter, but these do not reach clinical threshold [e.g., subsyndromal seasonal affective disorder: up to 18% in North America (10)]. Furthermore, sparse studies suggest that, in addition to mood, other cognitive brain functions show annual variations in healthy individuals, but results are not consistent (11–13).
Animal research suggests that the suprachiasmatic nucleus, site of the master circadian clock, is at least one of the sites mediating annual rhythmicity (14). The well-characterized circadian genetic machinery is also implicated in tracking seasonal changes (15). It is therefore likely that seasonality in human species involves the circadian timing system and that the previously identified brain correlates of the circadian variations in cognitive brain function (2) play a role in annual changes in human cognition. Although seasonal changes in photoperiod together with neurotransmitters and neurotrophic factors seem to mediate seasonal mood variation in humans (16–20), the brain bases of seasonality in human cognition remain elusive. This lack of evidence arises in part from the fact that genuine seasonal rhythms of human brain function are difficult to measure. A number of factors that could directly affect brain function have indeed to be controlled: light exposure, sleep/wake rhythm, external temperature, food intake, physical exercise, and social interactions.
Here, we took advantage of a study completed in our laboratory under strictly controlled conditions, devoid of seasonal cues for 4.5 d, to assess annual rhythms in human cognitive brain function. The primary goal of the study was to assess the neural correlates of two tasks probing different cognitive domains during total sleep deprivation. Because the enrollment of participant was carefully timed such that the assessments would span all seasons, annual variations in the neural responses (assessed after recovery from the sleep deprivation) could be assessed. We hypothesized that, following 4.5 d under controlled conditions, brain responses to both tasks would undergo seasonal variations with higher and lower responses, respectively, around summer and winter solstices. In line with previous observations (13), we further postulated that annual variations would be more evident in the more basic attentional task compared with the more complex, higher-order executive task.
Results and Discussion
Twenty-eight young, healthy participants [age 21 ± 1.5 y (mean ± SD); 14 women; Table S1] took part in a cross-sectional study conducted in Liège (Belgium, latitude 50.633° N, longitude 5.567° E), between May 2010 and October 2011. They were instructed to follow a regular sleep/wake schedule for 3 wk before a 4.5-d in-laboratory protocol devoid of seasonal cues (Figs. S1 and S2). Functional MRI (fMRI) recordings were acquired 1 h after wake-up time, following 63 h of strictly controlled experimental conditions (Fig. 1). Each recording included a sustained attention task [visual psychomotor vigilance task, PVT (21)], and a higher-order executive function task [auditory n-back task, involving storage, updating, and comparison of information in working memory (22)].
Table S1.
Description of the study sample
Item | Mean ± SD |
N | 28 |
Age | 21.0 ± 1.54 |
Body mass index | 21.87 ± 2.37 |
Gender (male/female) | 14/14 |
Daytime propensity to fall asleep (Epworth Sleepiness Scale) (54) | 4.07 ± 2.95 |
Chronotype (Horne and Ostberg questionnaire) (52) | 53.57 ± 5.45 neutral |
Sleep disturbance (PSQI) (53) | 3.68 ± 2.33 |
Fluid intelligence (Raven) (66) | 51.81 ± 5.61 |
A Pearson χ2 analysis shows a uniform distribution of males and females across seasons (χ2 = 1.889, df = 3, P = 0.59).
Fig. S1.
Schematic representation of the entire experimental protocol, for a participant waking up at 8:00 AM. All participants respected 3 wk of regular sleep/wake schedule before coming to the laboratory (compliance verified with actigraphy). The first day was devoted to the structural MRI session before a habituation night of 8 h in our laboratory (scheduled from 00:00—08:00 hours). Through day 2, participants performed five MSLT before the baseline night of 8 h (same schedule as for the habituation night). From day 3 to the end of day 4, participants were sleep-deprived for 42 consecutive hours under constant routine conditions [semirecumbent position (except for fMRI sessions in a horizontal position), constant dim light (<5 lx at eye level), humidity (60%), and temperature (19 °C ± 1), no clock-time information, sound-proof room] and had an isocaloric liquid snack every 2 h. While participants were under sleep deprivation, they performed 12 n-back and PVT under fMRI. They performed a final fMRI session in the afternoon of the last day (still under CR conditions) 1 h after waking up from the 12-h recovery night. Only data of this last fMRI session are presented in this paper. Clock times of fMRI sessions during sleep deprivation and following recovery sleep are indicated on the lower axis (for an individual habitually sleeping from midnight to 8:00 AM).
Fig. S2.
Distribution of the participants through seasons. The vertical axis represents the number of participants. A χ2 analysis show a uniform distribution across seasons (χ2 = 2.57, df = 3, P = 0.46).
Fig. 1.
Schematic representation of the protocol. Following an 8-h baseline night of sleep in complete darkness, participants underwent a 42-h sleep deprivation under constant routine conditions in dim light (<5 lx, 19 °C, semirecumbent position, regular liquid isocaloric food intake, no time cues, sound-proofed room). They were then given a 12-h recovery sleep opportunity in darkness, an hour after which they completed fMRI recordings (red star). Functional MRI recordings were completed while lying down in darkness and included PVT and n-back tasks. Relative clock time for participants habitually waking up at 8:00 AM. Striped blue box during sleep deprivation represents the habitual sleep period. The figure represents the last ∼2.5 d of the protocol; see Fig. S1 for a description of the entire in-laboratory experiment.
We first focused on the brain responses induced by the PVT and found significant annual variations in areas involved in alertness [thalamus (23) and amygdala (24)] and in executive control [frontal areas (25) and hippocampus (26)] (Fig. 2A and Table 1). Seasonal variations were also detected in the globus pallidus, parahippocampal gyrus, fusiform gyrus, supramarginal gyrus, and in the temporal pole recruited during PVT execution (27, 28) and in the precuneus involved in visuospatial attention (29). As postulated, extraction of the seasonal variations in PVT brain responses revealed a similar rhythm in all these brain regions, with maximal responses around mid-June, and minimal around mid-December (i.e., around solstices) (Fig. 2B).
Fig. 2.
Seasonal variations in brain activity associated with sustained attention. (A) Significant (pcorrected < 0.05) seasonal variations in PVT brain responses displayed over the mean structural image of all participants (display at puncorrected < 0.001). Only clusters >30 voxels are displayed (see Table 1 for full results). Vertical color bar corresponds to F-test values (B) Double plot of PVT brain response estimates in regions of A in a sinusoidal representation. Day 1 corresponds to January 1. First letter of each month is displayed on top. Thick black line corresponds to average of all response estimates. Gray area represents daily da ylength (in minutes) in Liège. (C) Same as B in polar coordinates; arrow length represents seasonal variation amplitude. One degree is roughly equal to 1 d (360° for 365 d). Maximum responses were located between 152° and 188° (mean 168.9) (i.e., June 3 and July 9) (mean June 20). (D) Double plot of individual activity estimates in a representative region of A (amygdala) and its sinusoidal fit (red line). (E) Seasonal environmental factors recorded in Liège in 2011: temperature (Celsius degrees, blue), humidity (percent, red), day length (minutes, green), and day-to-day day-length gain/loss (minutes, violet).
Table 1.
Seasonal variation in PVT brain responses
Brain areas | Side | X Y Z | Z score | P value |
Frontoorbital gyrus | L | −38 54 −6 | 3.43 | 0.017 |
L | −26 52 −10 | 3.56 | 0.012 | |
Medial frontoorbital gyrus | R | 10 56 −12 | 3.34 | 0.022 |
Superior frontopolar gyrus | L | −26 60 20 | 4.32 | <0.01* |
Superior frontal gyrus | L | −14 20 64 | 4.56 | <0.01* |
Middle frontal gyrus | L | −50 18 38 | 3.29 | 0.025 |
Pre-SMA | R | 2 20 48 | 3.11 | 0.042 |
Posterior cingulate gyrus | L | −4 −42 22 | 3.10 | 0.042 |
Precuneus | L | −18 −50 36 | 3.50 | 0.014 |
Supramarginal gyrus | L | −56 −36 30 | 3.93 | 0.004 |
Intraparietal sulcus | L | −30 −46 34 | 3.29 | 0.025 |
R | 30 −42 36 | 3.37 | 0.021 | |
Superior temporal sulcus | L | −48 −58 16 | 3.45 | 0.016 |
Temporal pole | L | −38 16 −36 | 4.66 | <0.05* |
Fusiform gyrus | R | 50 −56 −20 | 3.74 | 0.007 |
R | 42 −58 −18 | 3.12 | 0.039 | |
Parahippocampal gyrus | L | −32 −28 -24 | 4.61 | <0.05* |
Hippocampus | R | 28 −14 -24 | 4.58 | <0.05* |
Caudate nucleus | L | −6 4 −4 | 3.23 | 0.030 |
Amygdala | L | −22 −10 −24 | 4.87 | <0.05* |
Globus pallidus | R | 18 −2 0 | 4.21 | 0.001 |
Thalamus | R | 10 −6 8 | 3.86 | 0.005 |
L | −8 −8 10 | 3.79 | 0.006 |
P values corrected for multiple comparisons over a priori small volume of interests, except *corrected over the entire brain. X Y Z: coordinates (millimeters) in Montreal Neurological Institute stereotactic space. All regions survived to an inclusive mask (puncorrected = 0.001) consisting of a brain map of the potential PVT brain responses covarying with day length, suggesting that annual variations in all regions are significantly driven by the seasonal changes in day length. No region survived to an inclusive mask (puncorrected = 0.001), whereas all regions survived exclusive masking (puncorrected < 0.05) with a brain map of the potential executive brain responses covarying (i) subjective mood and (ii) PVT performance (median, 20% fastest, 20% slowest reaction times), suggesting that annual variations in all regions are not significantly driven by the seasonal changes in these variables. L, left; R, right.
Variations in PVT brain responses were not related to significant changes in PVT performance, which remained good and stable throughout the year (P > 0.2; Table S2). This guarantees that fMRI differences were not significantly biased by differences in performance to the task and suggests that fMRI is more sensitive than the behavioral tests we used in identifying seasonal variations in cognition. Stable performance throughout the year via distinct brain dynamics implies, however, that the “cost” of cognition (i.e., the neural resources involved in or at disposal for cognition) change with time of year. We hypothesize that the seasonality in brain responses could predict some of the seasonal variations in performance previously reported for potentially more sensitive tasks (11–13).
Table S2.
Multiple regression analyses searching for seasonal variation in behavioral, endocrine, and neurophysiological measures
Variables | F value | P value |
KSS | 0.099 | 0.906 |
VAS anxiety | 1.603 | 0.221 |
VAS fatigue | 0.562 | 0.577 |
VAS mood | 7.341 | 0.003* |
VAS motivation | 1.295 | 0.292 |
VAS sociability | 0.991 | 0.385 |
VAS stress | 1.759 | 0.193 |
Melatonin amplitude | 0.013 | 0.987 |
DLMOn | 0.143 | 0.868 |
DLMOff | 0.091 | 0.913 |
Melatonin midpoint | 0.036 | 0.965 |
Melatonin width | 0.034 | 0.966 |
D′ 3b | 1.454 | 0.253 |
Criterion 3b | 0.273 | 0.763 |
PVT lapses | 0.054 | 0.948 |
Median reaction time | 0.625 | 0.543 |
PVT percentile 20 | 0.388 | 0.683 |
PVT percentile 80 | 1.679 | 0.206 |
Wake EEG, alpha on CZ | 2.956 | 0.072 |
Wake EEG, delta on CZ | 1.936 | 0.167 |
Wake EEG, theta on CZ | 0.677 | 0.518 |
Sleep efficiency for the baseline night | 0.222 | 0.802 |
Total sleep time for the baseline night | 0.719 | 0.496 |
Stage 2 (minutes) for the baseline night | 0.172 | 0.842 |
Slow wave sleep (minutes) for the baseline night | 1.041 | 0.367 |
Sleep efficiency for the recovery night | 1.344 | 0.278 |
Total sleep time for the recovery night | 0.117 | 0.889 |
Stage 2 (minutes) for the recovery night | 0.263 | 0.770 |
Slow wave sleep (minutes) for the recovery night | 0.219 | 0.804 |
MRI timing, DLMon | 0.014 | 0.986 |
MRI timing, DLMoff | 0.045 | 0.956 |
Asterisk indicates a significant result that survives to correction for multiple comparisons (Bonferroni 0.05/6 = 0.0083). Items shaded in gray indicate separated variables analyzed together.
We next investigated whether other behavioral and physiological variables could account for the observed annual variations in PVT brain responses. Subjective and objective neurophysiological measures of alertness and subjective assessments of affective dimensions acquired immediately before fMRI acquisitions did not change significantly across seasons. In addition, in our dataset we could not replicate seasonal changes in melatonin secretion profile that were reported in some (30–33), but not all (34, 35), publications (P > 0.05; Table S2). Only self-reported mood varied significantly over season (P = 0.003; Table S2), but this variation was not significantly related to the seasonal changes in brain responses (Table 1 and Fig. S3). In summary, sustained attention-related brain activity fluctuates across seasons but these changes were not related to variations in the behavioral, endocrine, or neurophysiological parameters assessed in our study.
Fig. S3.
Double plot of subjective mood across the year (values collected immediately before the fMRI session). The blue dots represent individual raw data (z-scored) and the black line represents the sinusoidal fit. Fitted maximum of subjective mood was observed on October 31 (i.e., 135 and 38 d later than the peak in PVT and n-back brain responses, respectively). n = 28. Two participants share the same subjective mood at days 123 and 333.
Photoperiod is the most obvious factor associated with season and both the intensity and spectral composition of light to which people are exposed vary with season (36). Fig. 2, indeed, suggests that PVT brain responses were closely related to photoperiod (gray area, Fig. 2B). A formal analysis revealed that all PVT brain responses showing seasonal variations were significantly associated with day length. This finding could imply that there is a “physiological memory” for the photoperiod to which participants were exposed before admission to the laboratory. Indeed, before fMRI recordings, participants had not seen sunlight for 4.5 d and had been for 63 h in dim light during wakefulness and in darkness during sleep episodes. Consistently, effects of prior light exposure (“photic memory”) on cognitive brain responses have formerly been demonstrated on a much shorter timescale in humans (37) and photoperiod memory has previously been described as “after-effects” of photoperiod on circadian clock neurons in rodents (38). Whether our data reflect a true human photoperiod memory is, however, not possible to ascertain because many other environmental factors covary with season and photoperiod, including air temperature and humidity (Fig. 2E).
Having established seasonal/annual variations in sustained-attention-related brain responses, we then examined whether such variations could be generalized to other cognitive domains by considering the n-back task implemented in our protocol. We found that brain responses to this executive task varied significantly with season in the thalamus, including the pulvinar, and in prefrontal and frontopolar areas, similar to the PVT results. In addition, significant annual variation was observed in the insula, a brain region involved in executive processes, attention, and affective regulation (39) (Fig. 3A and Table 2). Compared with PVT brain responses, significant seasonal variations seemed to encompass a reduced set of brain areas, which could indicate a relative decrease in seasonality on executive brain responses, in line with previous suggestions of a reduced seasonal impact on behavioral measures of more complex tasks (13).
Fig. 3.
Seasonal variations in executive brain activity. Display as in Fig. 2. (A) Significant (pcorrected < 0.05) seasonal variations in auditory three-back brain responses minus control task brain responses (simple letter detection). (B) Executive brain response estimates in regions of A. Gray area represents day-to-day change in photoperiod in Liège (minutes). (C) Same as B in polar coordinates. Maximum responses were located between 243° and 282° (mean 265.75) (i.e., September 3 and October 12) (mean September 22). (D) Double plot of individual activity estimates in a representative regions of A (middle frontal region) and its sinusoidal fit (red line).
Table 2.
Seasonal variation in executive brain responses (three-back minus letter detection)
Brain areas | Side | X Y Z | Z score | P value |
Superior frontopolar gyrus | R | 32 56 18 | 4.16 | 0.001 |
Superior frontal sulcus | L | −24 42 22 | 3.19 | 0.032 |
Middle frontal gyrus | R | 26 52 6 | 4.07 | 0.002 |
L | −20 56 4 | 3.66 | 0.008 | |
Inferior frontal sulcus | L | −50 30 14 | 3.20 | 0.031 |
Frontal operculum | L | −46 −14 20 | 3.29 | 0.024 |
Anterior insula | R | 34 16 10 | 3.52 | 0.013 |
Insula | L | −30 −6 14 | 3.39 | 0.018 |
Posterior insula | R | 38 −20 4 | 3.56 | 0.011 |
R | 34 −16 −6 | 3.34 | 0.021 | |
Thalamus | R | 16 −18 12 | 3.14 | 0.037 |
Pulvinar | R | 10 −22 12 | 3.10 | 0.040 |
P values corrected for multiple comparisons over a priori small volume of interests. X Y Z: coordinates (millimeters) in Montreal Neurological Institute stereotactic space. No regions survived inclusive masking (puncorrected < 0.001), whereas all regions survived exclusive masking (puncorrected < 0.05) with a brain map of the potential executive brain responses covarying with (i) daylength, (ii) subjective mood, and (iii) three-back performance (d-prime), suggesting that annual variations in all regions are not significantly driven by these variables. Most regions survived inclusive masking (puncorrected = 0.001) consisting of a brain map of the potential executive brain responses covarying with day-to-day day-length variation, suggesting that annual variations in all regions, except thalamus and pulvinar, are significantly driven by the seasonal changes in day-to-day day-length variation. L, left; R, right.
This qualitative task-specific difference was complemented by a statistically significant difference in the dynamics of brain response estimates across the year, with maximum and minimum responses being located ∼3 mo later for the n-back compared with the PVT (i.e., around autumn and spring equinoxes, respectively) (Fig. 3 B and C) (day of the year at responses maximum phase: PVT, 168.9 ± 8.2; n-back, 265.7 ± 13; t11 = −20.16; P < 0.001).
Similar to the PVT, performance on the n-back was good and stable throughout the year in our sample (Table S2). However, covariation with photoperiod was not significant for any of the executive brain responses that significantly varied with season. As depicted in Fig. 3, there seems, however, to be a striking similarity between annual dynamics in executive brain responses and day-to-day variation in daylength (i.e., the number of minutes of day length gained or lost from one day to the next, which peaks at the equinoxes). This similarity is indeed confirmed statistically (Table 2). As for photoperiod, however, factors such as air temperature and humidity (Fig. 2E) covary with day-to-day day-length variations such that these are equally likely to contribute to seasonality in cognitive brain function.
Overall, the results provide clear evidence for seasonality in diverse types of cognitive processes and suggest that the annual dynamics are process-specific. One might postulate that more basic cognitive processes, such as attention, are more tightly related to basic environmental changes (e.g., day length), whereas higher cognitive processes are related to more complex cues, such as, for instance, social interactions (e.g., summer holidays usually encompass usually July and August in Belgium). This speculation cannot be tested here but would imply that brain response seasonal dynamics would be different in countries with different environmental and social constraints.
Interestingly, seasonal variations have been found in monoamines that are often related to cognitive functions, notably attention and executive processes (40, 41). Seasonal changes in serotonin levels in cerebrospinal fluid and blood as well as serotonin transporter binding have been repeatedly observed (but not systematically; see refs. 42 and 43), mostly leading to higher serotonin levels in summer (19, 44, 45) (i.e., with a pattern potentially similar to the annual variations we observed in PVT brain responses). As a matter of fact, sunlight-dependent variations in serotonin levels have been detected in cortical (frontal, cingulate, and insular cortex), limbic (amygdala and hippocampus), and subcortical (thalamus) areas (44–46), similar to those detected here in response to a PVT task. In contrast, the emerging seasonal pattern for dopamine brain concentration is characterized by higher levels in fall and lower levels in spring (47, 48), that is, with a pattern reminiscent of the annual variations in executive brain response observed in our sample. Similarly, seasonal variation in serum brain-derived neurotrophic factor concentration, a protein involved in learning and the regulation and plasticity of neuronal network, has been reported to undergo annual dynamics leading to higher circulating levels in the fall (49). Whether brain responses to learning tasks would have a similar annual pattern as the brain activity related to a working memory task remains to be investigated. As a whole, it seems that key modulators of brain function show at least some seasonality, potentially contributing to the seasonal changes in cognitive brain response we detected.
Influence of season is broad in the animal kingdom and encompasses locomotion, body mass, endocrine function (melatonin secretion), pelage, and sexual activity (1, 50, 51). Expression of at least part of the human genome seems to be seasonal (7), speaking for a potential broad impact of season also in humans. Our findings indicate that, in addition to time of day (2), time of year influences higher cognitive brain function in healthy participants. Our results have direct and important bearing on our understanding of intraindividual cognitive changes that could emerge at specific times of year.
Materials and Methods
Additional methodological descriptions are provided in SI Materials and Methods.
The study was approved by the local Ethics Committee of the University of Liège and participants gave their written informed consent. Participants underwent first 3 wk of a controlled sleep–wake schedule before the in-laboratory procedure which began in the evening of day 1 and ran over four nights (Fig. S1). This period was completed in the absence of seasonal cues (no access to daylight or external information such as internet access or cellular phones). Starting on the morning of day 3, participants remained awake for 42 h under constant routine (CR) conditions during which endocrine, neurophysiology, and neuropsychological measures were regularly collected. Sleep deprivation was followed by a 12-h recovery night in darkness. Day 5, while the participant were still in dim light, was devoted to an fMRI session that was carried out 1 h after wake up and is the main focus of the current paper. Subjective sleepiness and affective dimensions were assessed hourly throughout the protocol.
Cognitive Tasks.
The fMRI session included two cognitive tasks separated in two acquisition runs. The PVT required pressing a button as quickly as possible when a stopwatch pseudorandomly started in the center of the screen. Mean interstimulus interval was set to be between 2 and 10 s and trial duration was a maximum of 10 s. The auditory three-back implies to state whether or not a consonant was identical to the consonant presented three stimuli earlier. Stimulus onset interval was set at 2 s. Letters were presented in block of 30 consonants separated by 10 to 20 s of rest. Six blocks of three-back were presented to each participant in addition to four blocks of a letter detection task consisting of identifying the letter “k” in a stream of consonants (same block duration and stimulus interval).
fMRI Data Analysis.
Data were spatially preprocessed (standard parameters) and analyzed using SPM8 (www.fil.ion.ucl.ac.uk/spm) implemented in MATLAB 7.10 (MathWorks Inc.). Statistical analysis proceeded in two steps, a fixed and a random effects analysis, to take into account the variance at the individual and at the group level, respectively. Each trial type of the PVT and each hit of the three-back and letter detection task were modeled using stick functions, convolved with a canonical hemodynamic response function. For the PVT 20% fastest, 20% slowest, and intermediate reaction times and lapses were modeled as separate regressors. For the n-back, three-back, and letter detection task trial types were modeled separately. The design matrix also included regressors for movement parameters, derived from realignment of functional volumes, which were considered as covariates of no interest. A high-pass filter was implemented using a cutoff period of 128 s. Contrasts of interest consisted of the main effect of the intermediate reaction times of the PVT and the executive component of the three-back (three-back hits minus letter detection hits). These individual contrast images were entered in the second-level analysis. This latter random effects analysis included two covariates consisting of year-long period sine and cosine functions for which each day of the year (day 1 = January first) is almost equivalent to 1° (365 d for 360°).
Statistical inferences were performed using F test combining both sine and cosine covariates and thresholded at P < 0.05 after corrections for multiple comparisons (familywise error method) over the entire brain volume or over small spherical volumes (10-mm radius) around a priori locations of interest taken from literature (SI Materials and Methods).
Significant F tests indicate voxels with a response showing a seasonal variation with annual periodicity. From the parameters of the sine and cosine regressors, the phase and amplitude of the seasonal effect are estimated as the arctangent of the ratio of the parameters and the square root of their sum of square, respectively:
and
where R is the voxel response, betas/betac are the parameters for the sine/cosine regressors, T is the period of 1 y, ε is the residual of the model, φ is the phase of the seasonal response [R is maximum at tMAX = φ*T/(2*π)], and A is the amplitude of the seasonal response.
Four additional separate random effects analyses included (i) day length, (ii) subjective mood, (iii) day-to-day day-length variation, and (iv) behavioral performance (PVT performance: median, 20% fastest, and 20% slowest reaction times; three-back performance: d-prime) as covariates to constitute maps of the brain areas covarying with each variable. Maps were used as inclusive or exclusive masks over the results of the seasonality analyses thresholded at P < 0.001 or P < 0.05 uncorrected, respectively.
Behavioral and Physiological Data Analysis.
Multiple regression analyses searching for seasonal variation in behavioral measures were performed (STATISTICA 10; StatSoft) using sine and cosine as independent variables. We tested their influence on (i) the subjective sleepiness alone, (ii) the six affective dimensions of the visual analog scale, (iii) PVT median reaction time, lapses, per 20 and per 80 together, and (iv) and three-back d-prime and criterion together.
Similar multiple regression analyses searching for seasonal variation in physiological and endocrine measures were also performed. Dependent variables were grouped as follows: (i) theta and alpha power on Cz together; (ii) melatonin amplitude, DMOn, DLMOff, midpoint, and width; (iii) total sleep time, sleep efficiency, stage-two and slow wave, each one separately, for baseline night and recovery night; and (iv) the timing of the last fMRI session relatively to DLMon and DLMoff.
SI Materials and Methods
Participants.
Participant exclusion criteria were as follows: body mass index > 27, extreme chronotype based on the Horne and Ostberg (52) questionnaire (score <31 and score >69), poor sleep quality index assayed by the Pittsburgh questionnaire (PSQI (53); >7), and excessive daytime sleepiness assessed by the Epworth Sleepiness Scale (54) (>10) (Table S1). We also excluded those who had worked on night shifts during the last year or traveled through more than one time zone during the last 3 mo. All participants were right-handed, free from medication or psychoactive drugs, nonsmokers, and moderate caffeine and alcohol consumers. Drug-free status was controlled via urinary toxicological analysis (multipanel drug test; SureScreen Diagnostics Ltd.). We also excluded individuals with respiratory or periodic limb movement problems, assessed by a clinical polysomnographic recording conducted during screening/habituation night in the laboratory. Participants had been screened for their PERIOD3 variable-number- tandem-repeat genotype, such that we included 24 participants with the PER3 homozygous for the short allele (PER34/4) and 12 homozygous for the long allele (PER35/5). All participants were pooled together for the current analyses such that genotype was not considered any further. Out of the 36 participants who took part in the experiment, 8 were discarded because of incomplete data (due to technical issues).
Participants wore a wrist actigraph (Actiwatch; Cambridge Neurotechnology) for 3 wk before their entrance to the laboratory. For the first 2 wk participants were asked to follow a regular sleep/wake schedule (±30 min) with ∼8 h of sleep. During the third week, a strict sleep schedule adjusted on two possible timetables (0000–0800 hours or 0100–0900 hours) was imposed to match with fMRI sessions during the experimental protocol. Compliance to the schedule was double-checked using sleep diaries.
Two individuals underwent the protocol simultaneously, staggered by 1 h. Individuals with habitual bed time <12:00 AM or >1:00 AM were assigned to the 12:00 AM–8:00 AM and 1:00 AM–9:00 AM schedule, respectively. Individuals with habitual bedtime between 12:00 AM and 1:00 AM were assigned to the schedule available after the other participant had been assigned to a schedule or, in case both participants had habitual sleep time between 12:00 AM and 1:00 AM, to the schedule closest to their habitual sleep time. In our sample, average habitual sleep and wake times were (mean ± SD) 0001 hours ± 49 min and 0824 hours ± 55 min, respectively. Difference in habitual vs. imposed sleep and wake times were 24 ± 42 min and 1 ± 57 min, respectively.
Detailed Experimental Procedures.
The laboratory study began in the evening of day 1 and ran over four nights (Fig. S1). This period was completed in the absence of seasonal cues (no access to daylight or external information such as internet access or cellular phones). Day 1 was only devoted to the acquisition of structural images in a 3-T head-only scanner (Magnetom Allegra; Siemens). During day 2, five multiple sleep latency tests (MSLT) were performed. During the first two nights (habituation and baseline nights), participants slept according to their habitual sleep/wake schedule (0000–0800 hours or 0100–0900 hours).
Starting on the morning of day 3, participants remained awake for 42 h under CR conditions [semirecumbent position, constant dim light (<5 lx at eye level), humidity (60%), and temperature (19 °C ± 1), no clock-time information, sound-proof rooms] (55). Saliva samples were collected hourly for melatonin analysis. Every 2 h, participants received calibrated isocaloric liquid food intake. During the CR protocol, participants performed 12 fMRI sessions (see Fig. S1 for the schedule) in which n-back (12.5 min) and PVT (10 min) brain responses were recorded (horizontal position in darkness. Half an hour before each fMRI session, 3-min quite resting waking EEG was recorded and from that 60 s of blink suppression periods were used for subsequent spectral analyses (56). Test batteries including n-back and PVT were also included on 10 occasions between fMRI sessions. Sleep deprivation was followed by a 12-h recovery night during which participants were not allowed to leave the bed or ask for lights on before the end of the 12 h. Finally, day 5, still in dim light, was devoted to the 13th and last fMRI sessions 1 h after wake-up. Subjective sleepiness and affective dimensions were assessed hourly throughout the protocol using the Karolinska Sleepiness Scale (KSS) (56) and visual analog scales (VAS).
Cognitive Tasks.
Stimuli were produced using Cogent 2000 (www.vislab.ucl.ac.uk/cogent.php) implemented in MATLAB 6.1 (MathWorks Inc.) and transmitted to the participants using MR CONTROL amplifier and headphones (MR Confon). fMRI session included two cognitive tasks separated in two acquisition runs. The first run was preceded by a short run, during which participants adjusted the volume level to ensure optimal auditory perception during scanning. Participants were trained to the tasks in the MRI before the CR (day 2).
MRI Data Acquisition.
Structural images were obtained using a T1-weighted sequence [3D MDEFT (57); TR = 7.92 ms, TE = 2.4 ms, TI = 910 ms, FA = 15°, FoV = 256 × 224 × 176 mm3, 1 mm isotropic spatial resolution]. Multislice T2*-weighted functional images were acquired with a gradient-echo echo-planar imaging sequence using axial slice orientation and covering the whole brain (34 slices, FoV = 192 × 192 mm2, voxel size 3 × 3 × 3 mm3, 25% interslice gap, matrix size 64 × 64 × 34, TR = 2,040 ms, TE = 30 ms, FA = 90°). Between 300 and 315 functional volumes were acquired for each PVT session and between 360 and 390 volumes were obtained for the n-back task. For both tasks, the first three volumes were discarded to account for T1 saturation effects. Data were spatially preprocessed using SPM8 as follows: realignment, coregistration, normalization to Montreal Neurology Institute space, and smoothing 8- × 8- × 8-mm Gaussian kernel.
Day Lengths and Gain/Losses of Light Calculation.
Day lengths were calculated by subtracting sunset from sunrise measured by the Belgian Royal Meteorological Institute for each day of the experiment. Gains/losses of light from day to day were extracted from day length by subtracting the day length of day 2 from day length of day 1, and so on.
A Priori Locations of Interest Used for fMRI Multiple-Comparison Corrections over Small Spherical Volumes.
Significant covariations were expected in structures involved in the PVT, alertness, arousal regulation, and in the n-back task, working memory, updating, shifting/manipulating information, and light effect.
A priori areas of interest used for our fMRI analysis on seasonal variation in PVT brain responses (Table 1) come from prior publication in ref. 28.
A priori areas of interest used for our fMRI analysis on seasonal variation executive brain responses (three-back minus letter detection) (Table 2) come from prior publications on the following: superior frontopolar gyrus (58), superior frontal sulcus (59), right middle frontal gyrus (58), left middle frontal gyrus (60), inferior frontal sulcus (60), frontal operculum (59), anterior insula (61), insula (59), posterior insula 38 −20 4 (61), posterior insula 34 −16 −6 (62), thalamus (62), and pulvinar (37).
Behavioral Performance Analysis.
PVT variables consisted of median reaction time (RT), lapses of attention (RT > 500 ms), fastest reaction times (20% fastest), and slowest reaction times (20% slowest). Following the signal detection theory (63) individual performance to the three-back for each fMRI session was characterized by d-prime and criterion, which represent, respectively, the sensibility to discriminate signal from noise and the inclination to be more liberal or more conservative. Variables were normalized using a z-score transformation.
EEG, Polysomnography, and Sleep Variables.
Habituation night was recorded on five EEG (Fz, C3, Cz, Pz, and Oz) according to the international 10–20 system, two electrooculogram (EOG), two electromyogram (EMG), and two ECG channels. Two electrodes were placed on a leg to check for periodic movements. A thoracic band and an oximeter were used to detect any sign of respiratory problem. All other EEG measurements (sleep and waking) were recorded on nine EEG channels (F3, Fz, F4, C3, Cz, C4, Pz, O1, and O2), rereferenced to the mean of the two mastoid electrodes, and included two EOG, two EMG, and two ECG channels. EEG signals were recorded on a V-Amp 16 amplifier (Brain Products GmbH) and digitized at a sampling rate of 500 Hz with a band-pass filter from DC to Nyquist frequency and a 50-Hz notch filter.
Sleep variables were defined as follows: total sleep time (time spent sleeping during the time from the first epoch of sleep stage 2 to the last epoch of sleep), sleep efficiency (total sleep time/time from light off to light on), stage 2 [in minutes, EEG data were scored on a 20-s epoch basis, according to the Rechtschaffen and Kales criteria (64)], and slow-wave sleep (stage 3 + stage 4 in minutes).
Melatonin Assays.
During the 42 h of CR, 43 saliva samples were collected. The first sample was obtained immediately after lights on, then at hourly intervals. Saliva samples were placed in a refrigerator and then centrifuged at 4 °C for 10 min at 3,000 rounds per minute. The supernatant liquid was sampled and frozen at −28 °C. Salivary melatonin was measured by RIA (Stockgrand Ltd.), as previously described (65). For each sample, 500-µL volumes were analyzed for melatonin concentration. The limit of detection of the assay was 0.8 ± 0.2 pg/mL.
Melatonin secretion profile characteristics were determined based on raw values. Maximum secretion level was set as the median of the three highest concentrations during the constant routine. Baseline level was set to be the median of the values collected from wake-up time + 5 h to wake-up time + 10 h. Dim light melatonin onset (DLMOn) and offset (DLMOff) were computed as time at which melatonin levels reach 20% of the baseline to maximum difference (linear interpolation of the crossing point). Melatonin midpoint was computed as the midpoint between DLMOn and DLMOff while melatonin secretion period consisted in the time duration between DLMOn and DLMOff.
Acknowledgments
We thank the Institut Royal Météorologique of Belgium and A. Shaffii-Le Bourdiec, A. Golabek, A. Claes, B. Herbillon, B. Lauricella, and P. Hawotte. This study was funded by Fonds De La Recherche Scientifique Grant FRSM 3.4516.11, Actions de Recherche Concertées Grant ARC 09/14-03 of the Fédération Wallonie-Bruxelles, Université de Liège, Fondation Médicale Reine Elisabeth, Walloon Excellence in Life Sciences and Biotechnology Grant WELBIO-CR-2010-06E, the European Regional Development Fund Radiomed project, Fondation Simone et Pierre Clerdent, Fonds Léon Fredericq, Wallonie-Bruxelles International, Fonds H. et L. Fredericq, Fundação Bial Grant 226/10, and Wolfson-Royal Society Merit Award WM120086.
Footnotes
The authors declare no conflict of interest.
This article is a PNAS Direct Submission.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1518129113/-/DCSupplemental.
References
- 1.Hut RA, Beersma DGM. Evolution of time-keeping mechanisms: Early emergence and adaptation to photoperiod. Philos Trans R Soc Lond B Biol Sci. 2011;366(1574):2141–2154. doi: 10.1098/rstb.2010.0409. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Gaggioni G, Maquet P, Schmidt C, Dijk DJ, Vandewalle G. Neuroimaging, cognition, light and circadian rhythms. Front Syst Neurosci. 2014;8:126. doi: 10.3389/fnsys.2014.00126. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Bronson FH. Are humans seasonally photoperiodic? J Biol Rhythms. 2004;19(3):180–192. doi: 10.1177/0748730404264658. [DOI] [PubMed] [Google Scholar]
- 4.Brennan PJ, Greenberg G, Miall WE, Thompson SG. Seasonal variation in arterial blood pressure. Br Med J (Clin Res Ed) 1982;285(6346):919–923. doi: 10.1136/bmj.285.6346.919. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Gordon DJ, et al. Seasonal cholesterol cycles: the Lipid Research Clinics Coronary Primary Prevention Trial placebo group. Circulation. 1987;76(6):1224–1231. doi: 10.1161/01.cir.76.6.1224. [DOI] [PubMed] [Google Scholar]
- 6.de Castro JM. Seasonal rhythms of human nutrient intake and meal pattern. Physiol Behav. 1991;50(1):243–248. doi: 10.1016/0031-9384(91)90527-u. [DOI] [PubMed] [Google Scholar]
- 7.Dopico XC, et al. Widespread seasonal gene expression reveals annual differences in human immunity and physiology. Nat Commun. 2015;6(May):7000. doi: 10.1038/ncomms8000. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Foster RG, Roenneberg T. Human responses to the geophysical daily, annual and lunar cycles. Curr Biol. 2008;18(17):R784–R794. doi: 10.1016/j.cub.2008.07.003. [DOI] [PubMed] [Google Scholar]
- 9.Christodoulou C, et al. Suicide and seasonality. Acta Psychiatr Scand. 2012;125(2):127–146. doi: 10.1111/j.1600-0447.2011.01750.x. [DOI] [PubMed] [Google Scholar]
- 10.Kasper S, Wehr TA, Bartko JJ, Gaist PA, Rosenthal NE. Epidemiological findings of seasonal changes in mood and behavior. A telephone survey of Montgomery County, Maryland. Arch Gen Psychiatry. 1989;46(9):823–833. doi: 10.1001/archpsyc.1989.01810090065010. [DOI] [PubMed] [Google Scholar]
- 11.Polich J, Geisler MW. P300 seasonal variation. Biol Psychol. 1991;32(2-3):173–179. doi: 10.1016/0301-0511(91)90008-5. [DOI] [PubMed] [Google Scholar]
- 12.Kosmidis MH, Duncan CC, Mirsky AF. Sex differences in seasonal variations in P300. Biol Psychol. 1998;49(3):249–268. doi: 10.1016/s0301-0511(98)00043-x. [DOI] [PubMed] [Google Scholar]
- 13.Brennen T, Martinussen M, Hansen BO, Hjemdal O. Arctic cognition: A study of cognitive performance in summer and winter at 69 degrees N. Appl Cogn Psychol. 1999;13(6):561–580. doi: 10.1002/(SICI)1099-0720(199912)13:6<561::AID-ACP661>3.0.CO;2-J. [DOI] [PubMed] [Google Scholar]
- 14.VanderLeest HT, et al. Seasonal encoding by the circadian pacemaker of the SCN. Curr Biol. 2007;17(5):468–473. doi: 10.1016/j.cub.2007.01.048. [DOI] [PubMed] [Google Scholar]
- 15.Tournier BB, et al. Photoperiod differentially regulates clock genes’ expression in the suprachiasmatic nucleus of Syrian hamster. Neuroscience. 2003;118(2):317–322. doi: 10.1016/s0306-4522(03)00008-3. [DOI] [PubMed] [Google Scholar]
- 16.Farajnia S, van Westering TL, Meijer JH, Michel S. Seasonal induction of GABAergic excitation in the central mammalian clock. Proc Natl Acad Sci USA. 2014;111(26):9627–9632. doi: 10.1073/pnas.1319820111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Castrén E, Võikar V, Rantamäki T. Role of neurotrophic factors in depression. Curr Opin Pharmacol. 2007;7(1):18–21. doi: 10.1016/j.coph.2006.08.009. [DOI] [PubMed] [Google Scholar]
- 18.Green NH, Jackson CR, Iwamoto H, Tackenberg MC, McMahon DG. Photoperiod programs dorsal raphe serotonergic neurons and affective behaviors. Curr Biol. 2015;25(10):1389–1394. doi: 10.1016/j.cub.2015.03.050. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Lambert GW, Reid C, Kaye DM, Jennings GL, Esler MD. Effect of sunlight and season on serotonin turnover in the brain. Lancet. 2002;360(9348):1840–1842. doi: 10.1016/s0140-6736(02)11737-5. [DOI] [PubMed] [Google Scholar]
- 20.Neumeister A, et al. Dopamine transporter availability in symptomatic depressed patients with seasonal affective disorder and healthy controls. Psychol Med. 2001;31(8):1467–1473. doi: 10.1017/s003329170105434z. [DOI] [PubMed] [Google Scholar]
- 21.Dinges D, Powell J. Microcomputer analyses of performance on a portable, simple visual RT task during sustained operations. Behav Res Methods Instrum Comput. 1985;17(6):652–655. [Google Scholar]
- 22.Cohen JD, et al. Temporal dynamics of brain activation during a working memory task. Nature. 1997;386(6625):604–608. doi: 10.1038/386604a0. [DOI] [PubMed] [Google Scholar]
- 23.Portas CM, et al. A specific role for the thalamus in mediating the interaction of attention and arousal in humans. J Neurosci. 1998;18(21):8979–8989. doi: 10.1523/JNEUROSCI.18-21-08979.1998. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Phelps EA, LeDoux JE. Contributions of the amygdala to emotion processing: from animal models to human behavior. Neuron. 2005;48(2):175–187. doi: 10.1016/j.neuron.2005.09.025. [DOI] [PubMed] [Google Scholar]
- 25.Koechlin E, Ody C, Kouneiher F. The architecture of cognitive control in the human prefrontal cortex. Science. 2003;302(5648):1181–1185. doi: 10.1126/science.1088545. [DOI] [PubMed] [Google Scholar]
- 26.Halgren E, Marinkovic K, Chauvel P. Generators of the late cognitive potentials in auditory and visual oddball tasks. Electroencephalogr Clin Neurophysiol. 1998;106(2):156–164. doi: 10.1016/s0013-4694(97)00119-3. [DOI] [PubMed] [Google Scholar]
- 27.Drummond SP, et al. The neural basis of the psychomotor vigilance task. Sleep. 2005;28(9):1059–1068. [PubMed] [Google Scholar]
- 28.Schmidt C, et al. Homeostatic sleep pressure and responses to sustained attention in the suprachiasmatic area. Science. 2009;324(5926):516–519. doi: 10.1126/science.1167337. [DOI] [PubMed] [Google Scholar]
- 29.Parks EL, Madden DJ. Brain connectivity and visual attention. Brain Connect. 2013;3(4):317–338. doi: 10.1089/brain.2012.0139. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Honma K, Honma S, Kohsaka M, Fukuda N. Seasonal variation in the human circadian rhythm: Dissociation between sleep and temperature rhythm. Am J Physiol. 1992;262(5 Pt 2):R885–R891. doi: 10.1152/ajpregu.1992.262.5.R885. [DOI] [PubMed] [Google Scholar]
- 31.Bojkowski CJ, Arendt J. Annual changes in 6-sulphatoxymelatonin excretion in man. Acta Endocrinol (Copenh) 1988;117(4):470–476. doi: 10.1530/acta.0.1170470. [DOI] [PubMed] [Google Scholar]
- 32.Vondrasová D, Hájek I, Illnerová H. Exposure to long summer days affects the human melatonin and cortisol rhythms. Brain Res. 1997;759(1):166–170. doi: 10.1016/s0006-8993(97)00358-2. [DOI] [PubMed] [Google Scholar]
- 33.Wehr TA. The durations of human melatonin secretion and sleep respond to changes in daylength (photoperiod) J Clin Endocrinol Metab. 1991;73(6):1276–1280. doi: 10.1210/jcem-73-6-1276. [DOI] [PubMed] [Google Scholar]
- 34.Wehr TA, Giesen HA, Moul DE, Turner EH, Schwartz PJ. Suppression of men’s responses to seasonal changes in day length by modern artificial lighting. Am J Physiol. 1995;269(1 Pt 2):R173–R178. doi: 10.1152/ajpregu.1995.269.1.R173. [DOI] [PubMed] [Google Scholar]
- 35.Wehr TA, et al. A circadian signal of change of season in patients with seasonal affective disorder. Arch Gen Psychiatry. 2001;58(12):1108–1114. doi: 10.1001/archpsyc.58.12.1108. [DOI] [PubMed] [Google Scholar]
- 36.Thorne HC, Jones KH, Peters SP, Archer SN, Dijk D-J. Daily and seasonal variation in the spectral composition of light exposure in humans. Chronobiol Int. 2009;26(5):854–866. doi: 10.1080/07420520903044315. [DOI] [PubMed] [Google Scholar]
- 37.Chellappa SL, et al. Photic memory for executive brain responses. Proc Natl Acad Sci USA. 2014;111(16):6087–6091. doi: 10.1073/pnas.1320005111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Meijer JH, Michel S, Vanderleest HT, Rohling JH. Daily and seasonal adaptation of the circadian clock requires plasticity of the SCN neuronal network. Eur J Neurosci. 2010;32(12):2143–2151. doi: 10.1111/j.1460-9568.2010.07522.x. [DOI] [PubMed] [Google Scholar]
- 39.Chang LJ, Yarkoni T, Khaw MW, Sanfey AG. Decoding the role of the insula in human cognition: Functional parcellation and large-scale reverse inference. Cereb Cortex. 2013;23(3):739–749. doi: 10.1093/cercor/bhs065. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Robbins TW, Roberts AC. Differential regulation of fronto-executive function by the monoamines and acetylcholine. Cereb Cortex. 2007;17(Suppl 1):i151–i160. doi: 10.1093/cercor/bhm066. [DOI] [PubMed] [Google Scholar]
- 41.Nieoullon A. Dopamine and the regulation of cognition and attention. Prog Neurobiol. 2002;67(1):53–83. doi: 10.1016/s0301-0082(02)00011-4. [DOI] [PubMed] [Google Scholar]
- 42.Kanikowska D, et al. Seasonal variation in blood concentrations of interleukin-6, adrenocorticotrophic hormone, metabolites of catecholamine and cortisol in healthy volunteers. Int J Biometeorol. 2009;53(6):479–485. doi: 10.1007/s00484-009-0236-1. [DOI] [PubMed] [Google Scholar]
- 43.Koskela A, et al. Brain serotonin transporter binding of [123I]ADAM: Within-subject variation between summer and winter data. Chronobiol Int. 2008;25(5):657–665. doi: 10.1080/07420520802380000. [DOI] [PubMed] [Google Scholar]
- 44.Matheson GJ, et al. Diurnal and seasonal variation of the brain serotonin system in healthy male subjects. Neuroimage. 2015;112:225–231. doi: 10.1016/j.neuroimage.2015.03.007. [DOI] [PubMed] [Google Scholar]
- 45.Praschak-Rieder N, Willeit M, Wilson AA, Houle S, Meyer JH. Seasonal variation in human brain serotonin transporter binding. Arch Gen Psychiatry. 2008;65(9):1072–1078. doi: 10.1001/archpsyc.65.9.1072. [DOI] [PubMed] [Google Scholar]
- 46.Kalbitzer J, et al. Seasonal changes in brain serotonin transporter binding in short serotonin transporter linked polymorphic region-allele carriers but not in long-allele homozygotes. Biol Psychiatry. 2010;67(11):1033–1039. doi: 10.1016/j.biopsych.2009.11.027. [DOI] [PubMed] [Google Scholar]
- 47.Eisenberg DP, et al. Seasonal effects on human striatal presynaptic dopamine synthesis. J Neurosci. 2010;30(44):14691–14694. doi: 10.1523/JNEUROSCI.1953-10.2010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Karson CN, Berman KF, Kleinman J, Karoum F. Seasonal variation in human central dopamine activity. Psychiatry Res. 1984;11(2):111–117. doi: 10.1016/0165-1781(84)90094-5. [DOI] [PubMed] [Google Scholar]
- 49.Molendijk ML, et al. Serum BDNF concentrations show strong seasonal variation and correlations with the amount of ambient sunlight. PLoS One. 2012;7(11):e48046. doi: 10.1371/journal.pone.0048046. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Monecke S, Wollnik F. Seasonal variations in circadian rhythms coincide with a phase of sensitivity to short photoperiods in the European hamster. J Comp Physiol B. 2005;175(3):167–183. doi: 10.1007/s00360-005-0472-6. [DOI] [PubMed] [Google Scholar]
- 51.Goldman BD, Song CK, Bartness TJ. Seasonal hormonal changes and behavior. Encycl Neurosci. 2009;8:501–508. [Google Scholar]
- 52.Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97–110. [PubMed] [Google Scholar]
- 53.Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213. doi: 10.1016/0165-1781(89)90047-4. [DOI] [PubMed] [Google Scholar]
- 54.Johns MW. A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep. 1991;14(6):540–545. doi: 10.1093/sleep/14.6.540. [DOI] [PubMed] [Google Scholar]
- 55.Duffy JF, Dijk D-J. Getting through to circadian oscillators: Why use constant routines? J Biol Rhythms. 2002;17(1):4–13. doi: 10.1177/074873002129002294. [DOI] [PubMed] [Google Scholar]
- 56.Akerstedt T, Gillberg M. Subjective and objective sleepiness in the active individual. Int J Neurosci. 1990;52(1-2):29–37. doi: 10.3109/00207459008994241. [DOI] [PubMed] [Google Scholar]
- 57.Deichmann R, Schwarzbauer C, Turner R. Optimisation of the 3D MDEFT sequence for anatomical brain imaging: Technical implications at 1.5 and 3 T. Neuroimage. 2004;21(2):757–767. doi: 10.1016/j.neuroimage.2003.09.062. [DOI] [PubMed] [Google Scholar]
- 58.Collette F, et al. Exploring the unity and diversity of the neural substrates of executive functioning. Hum Brain Mapp. 2005;25(4):409–423. doi: 10.1002/hbm.20118. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Vandewalle G, et al. Brain responses to violet, blue, and green monochromatic light exposures in humans: Prominent role of blue light and the brainstem. PLoS One. 2007;2(11):e1247. doi: 10.1371/journal.pone.0001247. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Vandewalle G, et al. Functional magnetic resonance imaging-assessed brain responses during an executive task depend on interaction of sleep homeostasis, circadian phase, and PER3 genotype. J Neurosci. 2009;29(25):7948–7956. doi: 10.1523/JNEUROSCI.0229-09.2009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Vandewalle G, et al. Daytime light exposure dynamically enhances brain responses. Curr Biol. 2006;16(16):1616–1621. doi: 10.1016/j.cub.2006.06.031. [DOI] [PubMed] [Google Scholar]
- 62.Daneault V, et al. Aging reduces the stimulating effect of blue light on cognitive brain functions. Sleep. 2014;37(1):85–96. doi: 10.5665/sleep.3314. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 63.Green D, Swets JA. Signal Detection Theory and Psychophysics. Wiley; New York: 1966. [Google Scholar]
- 64.Rechtschaffen K. A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects. US Dept. of Health, Education and Welfare, Public Health Service; Bethesda, MD: 1968. [Google Scholar]
- 65.English J, Middleton BA, Arendt J, Wirz-Justice A. Rapid direct measurement of melatonin in saliva using an iodinated tracer and solid phase second antibody. Ann Clin Biochem. 1993;30(Pt 4):415–416. doi: 10.1177/000456329303000414. [DOI] [PubMed] [Google Scholar]
- 66.Raven JC. 1936. Mental tests used in genetic studies: The performance of related individuals on tests mainly educative and mainly reproductive. MSc thesis (Univ of London, London)