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The Impact of Daylight Saving Time on Mental and Emotional Health: Shedding Light on the Dark Side

Daylight Saving Time (DST), the biannual temporal adjustment that purportedly serves energy conservation and efficiency, is a relic of socio-industrial strategies that persist in modern society. However, the physiological and psychological ramifications of this seemingly innocuous shift reveal significant complexities that extend well beyond mere inconvenience. The act of springing forward or falling back by just one hour can profoundly impact mental and emotional well-being through the disruption of our internal biological systems. By altering our natural rhythms, DST contributes to sleep disturbances, exacerbates stress, and can even serve as a catalyst for anxiety or depressive episodes. To fully grasp the breadth of DST’s effects on mental health, it is crucial to delve into the underlying chronobiological mechanisms and their implications for emotional stability and cognitive performance.

The impact of DST on mental health is not limited to subtle shifts in mood or energy levels. Rather, it entails a comprehensive disturbance to the homeostasis of our biological processes. This disruption cascades through various aspects of our lives—affecting not only personal well-being but also broader domains such as productivity, interpersonal dynamics, and long-term health outcomes. Understanding these impacts allows us to recognize the growing advocacy against DST as a well-founded movement grounded in an emerging body of scientific evidence that calls for prioritizing human health over outdated temporal conventions.

DST influences nearly every aspect of our daily functioning, from the regulation of hormones that dictate sleep quality to the stability of our emotional and cognitive faculties. Modern research reveals that these seemingly trivial changes in timekeeping have cascading effects that can be particularly harmful to those who are already vulnerable due to pre-existing conditions or lifestyle demands. This comprehensive exploration seeks to illuminate the deeper ramifications of DST, articulating the intricate links between chronobiological disruption, health, and broader societal well-being.

Table of Contents

  1. A Brief History of Daylight Saving Time

  2. The Science Behind Our Body Clocks

  3. Mental Health Impacts of “Spring Forward”

  4. Emotional Rollercoaster of “Falling Back”

  5. The Role of Sleep Disruption in Emotional Health

  6. Seasonal Affective Disorder (SAD) and DST

  7. Strategies to Minimize DST’s Impact on Mental Health

  8. Is It Time to End DST?

  9. Conclusion: Adjusting for a Better Balance

1. A Brief History of Daylight Saving Time

Daylight Saving Time was originally instituted during World War I as an ostensibly pragmatic measure aimed at conserving energy by capitalizing on evening daylight. Reintroduced during World War II, DST became a standard feature in many countries thereafter. In the United States, the Uniform Time Act of 1966 formally standardized the practice, establishing a nationwide framework for transitioning clocks. Although its start and end dates have shifted over the years, DST remains a contentious and longstanding feature of the temporal landscape.

The rationale for DST—predicated on optimizing daylight to reduce energy consumption and enhance productivity—once held considerable appeal during times of economic hardship and limited energy infrastructure. However, the subsequent modernization of energy use patterns has rendered these benefits largely obsolete. The increased prevalence of electronic devices, air conditioning, and the continuous nature of our energy demands mean that DST's effect on energy conservation is negligible. Contemporary research has demonstrated that the intended economic and ecological advantages are minimal, if not entirely illusory.

Importantly, the health implications of DST were not considered at the time of its inception. The field of chronobiology—the study of biological timing—was in its infancy, and the effects of misaligning human biological rhythms with artificial time shifts were poorly understood. Mounting evidence now suggests that DST's health costs, which include disturbances to circadian rhythms and increased risk of cardiovascular events, may far outweigh its theoretical benefits. Consequently, there has been a growing chorus of experts calling for the abolition of DST in favor of policies that align more closely with our biological and psychological well-being.

The persistence of DST in the modern era reflects a broader reluctance to reevaluate long-standing practices despite clear evidence of their detriments. The growing opposition to DST has given rise to discussions around its socio-economic impacts, ranging from the apparent futility of energy savings to the toll it takes on human health and productivity. As energy efficiency gains have outpaced the need for DST, many have questioned whether its continued implementation is justified or whether it reflects an outdated adherence to tradition rather than evidence-based policy-making.

2. The Science Behind Our Body Clocks

Human physiology operates on an intricate 24-hour circadian rhythm that regulates core processes such as sleep, hormone secretion, body temperature, and cognitive function. This internal clock, which is primarily synchronized by exposure to natural light, serves as a key mediator between the external environment and biological regulation. Daylight Saving Time disrupts this fundamental alignment, forcing the body to recalibrate, often resulting in significant physiological and psychological costs.

  • Melatonin Production: Melatonin, a hormone secreted by the pineal gland, plays a critical role in the sleep-wake cycle by promoting sleep onset in response to diminishing light. The temporal shift induced by DST interferes with the endogenous production of melatonin, which can result in difficulties falling asleep or maintaining restorative sleep. This disruption is not limited to transient fatigue; it can lead to sustained alterations in mood, diminish the body's capacity for tissue repair, and weaken immune defenses, thereby increasing susceptibility to illness. The impact on melatonin production can be particularly detrimental for individuals already suffering from sleep disorders or those with irregular work schedules, exacerbating the difficulty of maintaining a healthy sleep pattern.

  • Cortisol Levels: Cortisol, often referred to as the “stress hormone,” is integral to maintaining alertness and energy throughout the day, peaking in the early morning to support arousal from sleep. The temporal dislocation prompted by DST results in a delay in cortisol release, which exacerbates morning grogginess, irritability, and stress. Chronic misalignment of cortisol rhythms contributes to cumulative physiological stress, predisposing individuals to anxiety, hypertension, and impaired immune responses, further underscoring the systemic effects of this temporal shift. Over time, heightened cortisol levels can become chronic, contributing to a range of health problems including metabolic issues, cardiovascular disease, and a lowered threshold for stress-related disorders.

  • Impact on Mood and Cognition: The circadian rhythm also significantly modulates the secretion of serotonin, a neurotransmitter pivotal for mood stabilization and emotional regulation. Disruption of the circadian clock, such as that caused by DST, has been linked to reduced serotonin activity, culminating in mood dysregulation, heightened anxiety, and an increased risk of depressive episodes. Cognitive functions, including executive function, memory consolidation, and decision-making capabilities, are also impaired during this period of circadian dissonance, making adaptation to DST particularly challenging for individuals reliant on high levels of cognitive performance. The effects on cognitive function can extend into the workplace and educational settings, leading to decreased productivity, poor academic performance, and increased workplace errors or accidents.

  • Light and the Suprachiasmatic Nucleus: The suprachiasmatic nucleus (SCN), located in the hypothalamus, serves as the master pacemaker of the circadian system. The SCN is directly influenced by photic input from the retina, meaning that light exposure is crucial for circadian alignment. DST, by shifting exposure to natural daylight, confuses the SCN's ability to coordinate biological timing, creating a misalignment between environmental cues and physiological processes. This discord can manifest as prolonged sleep onset latency, poor sleep quality, and daytime dysfunction. Such circadian disruption is particularly problematic for individuals working in professions requiring high levels of alertness, such as healthcare providers, pilots, and emergency responders, where the stakes of cognitive impairment are considerably higher.

  • Physiological Consequences: The repercussions of DST extend beyond hormonal disruption to include measurable physiological changes such as altered blood pressure regulation and variability in heart rate. Numerous studies have reported an uptick in cardiovascular incidents, including myocardial infarctions, during the initial weeks following DST transitions. These physiological perturbations, coupled with the strain of disrupted sleep, underscore the broad health risks associated with DST that extend beyond mere inconvenience. The impact on cardiovascular health highlights the interconnected nature of biological rhythms and systemic well-being, further indicating that DST contributes to a host of risks that can compound over time, especially for populations already at risk of cardiac events.

  • Broader Systemic Effects: Beyond immediate physiological disruptions, DST can have far-reaching effects on metabolic function, immune health, and overall physical resilience. Circadian misalignment is linked to insulin resistance, weight gain, and a greater likelihood of developing chronic health conditions such as type 2 diabetes. The immune system, which relies heavily on adequate sleep to function optimally, may become compromised, leading to increased susceptibility to infections and slower recovery from illnesses. These systemic effects cumulatively impact an individual's ability to thrive, compromising quality of life and amplifying existing health disparities.

3. Mental Health Impacts of “Spring Forward”

The “spring forward” shift—which involves losing an hour of sleep—has been shown to precipitate numerous mental health challenges. Although the adjustment may appear trivial, the sudden deprivation of sleep and subsequent circadian misalignment can produce significant effects, particularly among those who are already vulnerable to mental health issues.

Common Effects:

  • Increased Anxiety: The abrupt loss of sleep associated with springing forward has a well-documented impact on anxiety levels. Physiological stress responses, such as increased cortisol secretion, are heightened, exacerbating pre-existing anxiety disorders or precipitating anxiety in susceptible individuals. Research has demonstrated a marked spike in anxiety-related symptoms in the days following the DST transition, characterized by rumination, restlessness, and physical manifestations such as tachycardia and sweating. For those with anxiety disorders, these disruptions pose a significant barrier to emotional regulation and recovery. The rise in anxiety is not only an individual burden but also a societal concern, affecting workforce stability and healthcare systems already strained by mental health demands.

  • Decreased Mood and Motivation: The disruption to circadian rhythms leads to altered serotonin metabolism, directly influencing mood stability and motivation. Serotonin, often dubbed the “happiness hormone,” is crucial for maintaining positive affect and motivation. The reduction in serotonin activity post-DST often results in irritability, diminished interest in daily activities, and pervasive anhedonia. As a consequence, tasks that were once fulfilling may become insurmountable, and overall productivity may suffer significantly. This is particularly troubling for individuals in high-pressure environments, where a dip in motivation can lead to cascading consequences for job performance and interpersonal relationships.

  • Higher Risk of Depression: Epidemiological studies have linked DST transitions with increased incidence of depressive episodes. Individuals with a prior history of depression are especially susceptible to relapses during the DST transition, as the misalignment between circadian timing and the sleep-wake cycle undermines emotional equilibrium. The decrease in restorative sleep also weakens an individual's ability to regulate emotions, heightening the risk of both major depressive disorder and subclinical depressive symptoms that can persist for weeks. Prolonged periods of low mood and impaired emotional regulation can lead to a decrease in overall quality of life, affecting social engagements, work responsibilities, and even personal relationships.

  • Increased Workplace Stress: Workplace stress is a frequent consequence of the DST-induced shift, as employees grapple with the cumulative effects of sleep loss, impaired focus, and diminished alertness. Empirical studies, such as those published in the Journal of Applied Psychology, have reported increased rates of workplace accidents and injuries during the weeks following the spring transition. The challenges of reduced attentiveness, increased irritability, and the cognitive deficits associated with sleep deprivation compound workplace stress, resulting in decreased morale and productivity. These outcomes not only burden the individual but also contribute to broader economic costs for employers, who must contend with decreased efficiency and heightened employee burnout.

  • Physical Health Implications: Beyond mental health, the physical ramifications of “spring forward” are significant. A substantial body of literature has linked the DST transition to a spike in the occurrence of cardiovascular events, including myocardial infarctions and cerebrovascular incidents. The combination of sleep deprivation, heightened cortisol, and sudden disruptions to cardiovascular homeostasis contributes to increased risk, emphasizing the interconnected nature of physical and mental health challenges during DST. The physical manifestations of stress, such as elevated blood pressure and increased heart rate, can also exacerbate existing health conditions, making DST a particularly risky period for individuals with known vulnerabilities.

  • Impact on Sleep Architecture: Sleep architecture—the structured alternation between various sleep stages—becomes disrupted during the transition. This means that even when individuals do get some sleep, it is often less restorative. Key stages such as REM sleep, crucial for emotional processing and cognitive function, may be shortened or fragmented, contributing to feelings of unrest and emotional instability the following day. The impact on sleep architecture is critical, as disrupted sleep quality often necessitates longer recovery times and may compound the adverse effects on emotional and cognitive performance.

4. Emotional Rollercoaster of “Falling Back”

The “fall back” adjustment—in which clocks are set back an hour—is often perceived as less detrimental due to the supposed benefit of extra sleep. However, the consequences of this shift on emotional stability and social interactions are far from straightforward. The subsequent readjustment of circadian rhythms still results in emotional turbulence for many individuals.

Effects of Falling Back:

  • Emotional Imbalance: Emotional lability is a frequent experience during the post-fall transition period. Despite gaining an additional hour of sleep, many individuals report increased irritability and a sense of unease. The temporal mismatch between endogenous rhythms and the environmental clock creates a dissonance that hampers mood regulation. Emotional instability manifests in excessive impatience, heightened reactivity to minor inconveniences, and, in some cases, transient feelings of hopelessness. These emotional disturbances can complicate relationships, leading to misunderstandings and conflicts that are often exacerbated by concurrent stressors such as work or family responsibilities.

  • Heightened Sensitivity: During the adjustment to standard time, heightened sensitivity to both negative and positive stimuli is commonly observed. This increased emotional reactivity often extends to interpersonal relationships, leading to misunderstandings and conflict. Coworkers, family members, and friends may bear the brunt of this heightened emotional sensitivity, straining social cohesion and contributing to an overall decline in social well-being. The amplification of emotional responses can make it challenging to maintain a sense of normalcy in social settings, affecting both personal and professional interactions.

  • Cognitive Fog: Cognitive impairments, often colloquially referred to as “brain fog,” are particularly common during the post-fall transition. Individuals frequently report diminished focus, forgetfulness, and difficulty engaging in complex cognitive tasks. The alteration in sleep patterns compromises the brain’s ability to efficiently process information and execute high-level cognitive functions, leading to impaired decision-making and increased susceptibility to errors. Cognitive fog may also contribute to riskier behavior or lapses in judgment, particularly in high-stakes situations such as driving or handling machinery, thereby increasing the likelihood of accidents.

  • Altered Social Dynamics: The transition impacts not only individual mood and cognition but also broader social dynamics. The cumulative effect of fatigue, irritability, and cognitive fog can make social interactions more challenging, leading to withdrawal, conflict, and interpersonal misunderstandings. The earlier arrival of evening darkness exacerbates social withdrawal, as people may be less inclined to engage in outdoor or social activities, thereby impacting mental health and social connectedness. This withdrawal can lead to feelings of isolation and loneliness, particularly for individuals who rely on social interaction as a primary source of emotional support.

  • Sleep Quality Changes: Although the clock provides an additional hour for sleep, the quality of this sleep is not necessarily improved. Many individuals experience fragmented sleep or early awakenings, indicative of a disruption in the natural sleep architecture. The inconsistency in sleep quality contributes to persistent fatigue and undermines the restorative aspects of sleep, thereby exacerbating the emotional and cognitive impacts of the time shift. The interruption of deep sleep cycles, which are critical for bodily repair and mental rejuvenation, leaves individuals more prone to feeling tired and emotionally vulnerable even after what appears to be a longer rest.

  • Impact on Biological Rhythms: The falling back adjustment also influences other biological rhythms beyond sleep, including those related to hunger, digestion, and hormone release. Changes in meal timing can lead to gastrointestinal discomfort, while fluctuations in hormone release, such as insulin and ghrelin, can disturb appetite and metabolism. Such disruptions can foster metabolic inefficiencies, increased hunger, or poor dietary choices, further complicating overall health management during this period.

  • Reduced Sunlight Exposure: With the fall transition, daylight hours become shorter, leading to diminished exposure to natural light, which is a key factor in regulating circadian rhythms and supporting mood through serotonin production. Reduced sunlight exposure contributes to the production of melatonin during inappropriate times of the day, which can exacerbate feelings of drowsiness and lethargy. The seasonal reduction in light further compounds the risk of developing mood disorders like Seasonal Affective Disorder (SAD), characterized by symptoms such as low energy, depressive episodes, and social withdrawal.

5. The Role of Sleep Disruption in Emotional Health

The link between sleep and mental health is undeniable. Sleep deprivation—even if it is only an hour—can have profound consequences for emotional health, setting off a cascade of psychological and physiological responses that destabilize well-being. The impact of DST on sleep quality is one of the most significant drivers of its negative influence on mental health.

  • Sleep and Mood Regulation: During sleep, the brain processes and consolidates emotional experiences, aiding in mood regulation and reducing the impact of negative stimuli. When sleep is disrupted, this regulatory function is impaired, resulting in increased emotional reactivity and a decreased ability to manage stressors. Chronic sleep disruption, as seen with DST, diminishes the brain’s ability to properly regulate emotions, leading to increased irritability, heightened stress sensitivity, and difficulties in coping with everyday challenges.

  • Chronic Stress and Burnout: Insufficient sleep also contributes to chronic stress and burnout. When sleep deprivation becomes the norm, the body’s stress response—regulated by the hypothalamic-pituitary-adrenal (HPA) axis—remains activated, resulting in sustained cortisol secretion. High levels of cortisol over time lead to exhaustion, emotional blunting, and a reduced ability to respond to further stressors. Burnout, which affects both personal life and work performance, is more likely to develop when individuals experience prolonged periods of inadequate sleep coupled with persistent stress.

  • Impaired Cognitive Function: Cognitive functions such as attention, memory consolidation, and executive functioning are profoundly affected by sleep deprivation. Without adequate sleep, the prefrontal cortex—the part of the brain responsible for complex thought processes and impulse control—functions less efficiently. The resultant cognitive impairments manifest as difficulty concentrating, forgetfulness, poor decision-making, and increased susceptibility to accidents. In situations requiring rapid response or sustained attention, such as driving or operating machinery, these impairments pose significant risks to personal safety and the safety of others.

  • Diminished Emotional Resilience: Emotional resilience—the ability to adapt to and recover from stress or adversity—is heavily reliant on sufficient, high-quality sleep. Sleep disturbances undermine this resilience, leaving individuals more prone to negative affect and less capable of effective problem-solving. Poor sleep heightens emotional responses, making it challenging for individuals to maintain balanced relationships or perform well under pressure. This lack of emotional resilience not only impacts individual well-being but also influences social and professional spheres, where the ability to cope with challenges is critical for success.

6. Seasonal Affective Disorder (SAD) and DST

Daylight Saving Time coincides with the reduction in natural daylight during the autumn and winter months, a period already marked by an increased incidence of Seasonal Affective Disorder (SAD). SAD is a type of depression that is highly responsive to changes in daylight exposure, and DST exacerbates these conditions.

  • Reduced Sunlight and Serotonin: Exposure to sunlight is a critical determinant of serotonin production, which is vital for maintaining a stable mood. The reduction in daylight hours following the transition back to standard time reduces serotonin synthesis, thereby contributing to symptoms of depression. DST exacerbates this issue by artificially altering our exposure to light, leading to reduced daytime serotonin levels and an increased prevalence of lethargy, anhedonia, and emotional withdrawal.

  • Impact on Those Prone to SAD: Individuals predisposed to SAD are particularly vulnerable during the fall-back transition, as reduced light exposure exacerbates key symptoms such as hypersomnia, lethargy, and social withdrawal. Disruption to circadian rhythms complicates the efficacy of therapeutic interventions such as light therapy, which relies on consistent exposure to morning light. The shifting of sunrise times reduces the predictability of light exposure, thereby diminishing the benefits of treatment protocols designed to mitigate SAD symptoms.

  • Circadian Rhythm and SAD: The misalignment between endogenous circadian rhythms and the externally imposed clock changes can significantly worsen symptoms of SAD. The abrupt alteration in the time of sunrise and sunset disrupts the entrainment of the circadian clock, leading to extended periods of dysphoria and reduced functionality. Individuals with SAD may require extended adjustment periods, during which their productivity and social functioning are significantly impaired.

  • Broader Psychological Effects: The reduction in sunlight not only impacts individuals diagnosed with SAD but also contributes to a general decline in psychological well-being across broader populations. The earlier onset of darkness often precipitates increased feelings of isolation and a reluctance to engage in social or outdoor activities, contributing to a decline in mental health. The confluence of reduced light exposure and DST-induced circadian disruption represents a significant public health challenge, impacting both individual and collective mental resilience.

7. Strategies to Minimize DST’s Impact on Mental Health

Mitigating the mental and emotional impact of DST requires a multifaceted approach that addresses both the physiological disruptions and the psychological stressors associated with the temporal shift. Here are several strategies that may alleviate the negative consequences of DST.

Establish a Gradual Transition

  • Gradual Bedtime Shift: Initiating incremental changes to sleep schedules in the days preceding DST can help mitigate its impact. Adjusting bedtime by 10 to 15 minutes each night allows the body’s internal clock to gradually accommodate the time shift, thereby reducing the physiological shock of an abrupt one-hour change.

  • Daylight Exposure: Maximizing exposure to natural light, particularly in the morning, is instrumental in re-aligning the circadian rhythm. Spending time outdoors shortly after waking can provide a potent cue for the biological clock, thereby facilitating adaptation to the new schedule.

Implementing Routine

  • Morning Exercise: Engaging in physical activity early in the day is an effective way to counteract the lethargy associated with DST. Morning exercise elevates endorphins and serotonin, thereby enhancing mood and promoting alertness. Aerobic exercises such as jogging, brisk walking, or yoga can help synchronize circadian rhythms and improve overall emotional resilience.

  • Mindful Eating: Dietary considerations play an important role in mitigating the impact of DST on sleep. Avoiding caffeine, alcohol, and heavy meals in the evening promotes better sleep quality. Consuming foods rich in melatonin or tryptophan, such as cherries, bananas, and nuts, can support the sleep-wake cycle and facilitate a smoother transition.

Utilize Light Therapy

  • Light Therapy Boxes: For those particularly sensitive to reduced light exposure, light therapy boxes are an effective intervention. These devices simulate natural daylight and can be especially beneficial during the morning hours to stimulate serotonin production and align the circadian rhythm with the external environment. Consistency is essential for maximizing the efficacy of light therapy, particularly during periods of circadian misalignment such as DST transitions.

  • Sunlight and Vitamin D: Natural sunlight is an important source of Vitamin D, which plays a significant role in mood regulation and immune function. Incorporating outdoor activities, such as walking or gardening, into the daily routine can boost Vitamin D levels, enhance serotonin synthesis, and counteract some of the negative effects of DST.

Practice Stress Management Techniques

  • Mindfulness and Meditation: Mindfulness practices, including guided meditation, diaphragmatic breathing, and progressive muscle relaxation, can help manage anxiety associated with DST. Mindfulness facilitates a non-reactive approach to stressors, thereby reducing the physiological and psychological burden imposed by the time change. Guided meditation apps, such as Calm and Insight Timer, offer tools for cultivating emotional resilience during challenging periods.

  • Journaling: Journaling is a valuable tool for processing emotions and monitoring changes in mood or behavior that arise during the DST adjustment period. Reflective writing helps in identifying triggers and provides insights into coping strategies that can ameliorate the impact of DST. By understanding personal patterns, individuals can take proactive steps to stabilize mood and enhance well-being.

  • Sleep Hygiene: Maintaining an optimal sleep environment is crucial during the adjustment period. Measures such as reducing screen exposure before bedtime, keeping the bedroom cool and dark, and adhering to a consistent sleep-wake schedule can improve sleep quality. Blackout curtains and blue-light blocking glasses may also help mitigate the impact of environmental and artificial light on circadian rhythms.

8. Is It Time to End DST?

The movement advocating for the abolition of DST is gaining momentum, supported by compelling evidence regarding its adverse effects on public health, safety, and productivity. Below, we explore some of the primary arguments against the continuation of DST.

Health Risks

  • Increased Heart Attacks and Strokes: The transition into and out of DST has been correlated with an elevated incidence of myocardial infarctions and cerebrovascular accidents. The physiological stress induced by abrupt shifts in sleep and circadian rhythms places a considerable burden on the cardiovascular system, particularly among those with pre-existing vulnerabilities. Cardiologists and public health experts have underscored the importance of maintaining a consistent sleep schedule to mitigate these acute health risks.

  • Higher Risk of Accidents: Disrupted sleep schedules have been shown to correlate with an increase in car accidents and workplace injuries following the onset of DST. Fatigue impairs reaction times, reduces attention, and compromises decision-making, thereby increasing the likelihood of accidents. Studies have noted significant spikes in vehicular incidents during the initial days of DST, reflecting the hazardous nature of this temporal dislocation.

Limited Economic Benefits

  • Modern Energy Use: The original justification for DST—energy conservation—has become largely outdated. The impact of DST on energy use in the context of modern technology is marginal at best. Heating, cooling, and electronic appliances are in widespread use throughout the day, and the purported energy savings from extending daylight are largely eclipsed by the demands of a 24-hour lifestyle. Advances in energy-efficient technology further undermine the rationale for continuing DST as an energy-saving measure.

Growing Support for Permanent Standard Time

  • Public Health Benefits: Advocates for abolishing DST in favor of permanent standard time cite numerous health benefits, including better sleep quality, improved mental health, and a reduction in sleep-related disorders. Aligning external time with natural circadian rhythms is a fundamental aspect of supporting optimal health. By eliminating the biannual disruptions caused by DST, individuals can establish consistent routines, which is essential for maintaining physical and mental well-being.