Department of Psychiatry and Mental Health / Local Health Unit of the Alto Minho (ULSAM, EPE), Hospital de Santa Luzia, Estrada de Santa Luzia, 4901-858, Viana do Castelo, Portugal.
Department of Clinical Neuroscience and Mental Health, Faculty of Medicine, University Porto, Porto, Portugal.
BMC Psychiatry. 2021 Jun 29;21(1):317. doi: 10.1186/s12888-021-03313-z.
Seasonal Affective Disorder is a recurrent depressive disorder which usually begins in the fall/winter and enters into remission in the spring/summer, although in some cases may occur in the summer with remission in the autumn-winter. In this study the authors evaluated the association between seasonal changes in mood and behavior with psychiatric disturbance.
Descriptive, cross-sectional study. Participants, students attending higher education and vocational courses (N = 324), were evaluated with the Seasonal Pattern Assessment Questionnaire (SPAQ) and the Screening Scale for Mental Health (ER80).
Among the respondents, 12.7% showed seasonal affective disorder (SAD), 29.0% showed subsyndromal seasonal affective disorder (s-SAD) and 58.3% did not show significant seasonal affective symptomatology. As for psychiatric morbidity, 36.6% of subjects with SAD and 13.8% of those with s-SAD were considered "psychiatric cases" whereas for subjects without SAD this value was only 3.2%.
There is a statistically significant association between psychiatric morbidity and seasonal affective disorder. This association corroborates the importance of the Seasonal Pattern Assessment Questionnaire in screening for seasonal fluctuations in mood and behavior related disorders, and the clinical need for recognition of these conditions, particularly associated suffering and disabilities.
季节性情感障碍是一种复发性抑郁障碍,通常在秋季/冬季开始,并在春季/夏季缓解,但在某些情况下,也可能在夏季缓解,在秋季/冬季复发。在这项研究中,作者评估了情绪和行为的季节性变化与精神障碍之间的关联。
描述性、横断面研究。评估了参加高等教育和职业课程的 324 名学生,使用季节性模式评估问卷(SPAQ)和心理健康筛查量表(ER80)。
在应答者中,12.7%表现出季节性情感障碍(SAD),29.0%表现出亚综合征季节性情感障碍(s-SAD),58.3%没有明显的季节性情感症状。至于精神疾病发病率,36.6%的 SAD 患者和 13.8%的 s-SAD 患者被认为是“精神病例”,而无 SAD 的患者这一数值仅为 3.2%。
精神疾病发病率与季节性情感障碍之间存在统计学显著关联。这种关联证实了季节性模式评估问卷在筛查与情绪和行为相关障碍的季节性波动方面的重要性,以及识别这些情况的临床必要性,特别是与痛苦和残疾相关的情况。