School of Psychology, Université Laval, Québec, Canada G1V 0A6.
Gen Hosp Psychiatry. 2013 Mar-Apr;35(2):192-4. doi: 10.1016/j.genhosppsych.2012.10.002. Epub 2012 Nov 13.
This study evaluates the impacts of seasonal and lunar cycles on anxiety and mood disorders, panic and suicidal ideation in patients consulting the emergency department (ED) with a complaint of unexplained chest pain (UCP).
Patients with UCP were recruited from two EDs. Psychiatric diagnoses were evaluated with the Anxiety Disorders Interview Schedule for DSM-IV.
Significant seasonal effects were observed on panic and anxiety disorders, with panic more frequently encountered during spring [odds ratio (OR)=1.378, 95% confidence interval (CI)=1.002-1.896] and anxiety disorders during summer (OR=1.586, 95% CI=1.037-2.425). Except for one significant finding, no significant effects of lunar cycles were observed. These findings encourage ED professionals and physicians to abandon their beliefs about the influence of lunar cycles on the mental health of their patients. Such unfounded beliefs are likely to be maintained by self-fulfilling prophecies.
本研究评估了季节和月相周期对因不明原因胸痛（UCP）就诊于急诊科的患者的焦虑和心境障碍、惊恐障碍和自杀意念的影响。
从两家急诊科招募了 UCP 患者。使用 DSM-IV 焦虑障碍访谈表评估了精神科诊断。
观察到惊恐障碍和焦虑障碍存在显著的季节性影响，春季惊恐障碍更为常见（比值比[OR]=1.378，95%置信区间[CI]=1.002-1.896），夏季焦虑障碍更为常见（OR=1.586，95% CI=1.037-2.425）。除了一个有显著意义的发现外，没有观察到月相周期的显著影响。这些发现鼓励急诊科专业人员和医生放弃他们对月相周期对患者心理健康影响的信念。这种毫无根据的信念很可能是通过自我实现的预言来维持的。
