Department of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
J Affect Disord. 2022 Aug 15;311:84-87. doi: 10.1016/j.jad.2022.05.091. Epub 2022 May 18.
Earlier evidence suggests that the seasonal changes in mood and behavior are associated with mental disorders, especially with mood disorders. However, the extent of these associations has not been analyzed by using large samples of the general population.
A random sample of adults, aged 29 to 97 years and representative of the general population living in Finland, attended a nationwide health examination survey. Mental disorders were assessed with the Munich version of the Composite International Diagnostic Interview (M-CIDI, n = 4554). Of them, the seasonal variations in mood and behavior (seasonality) were assessed with the six items of the Global Seasonality Score (GSS, n = 4004) as well as with the experienced problem due to these variations.
After adjusting for age, gender, level of education, and region of residence, the GSS was associated with depressive, anxiety and alcohol use disorders (all p < 0.001). Of the GSS items, mood was associated with depressive disorders (p < 0.001), anxiety disorders (p = 0.003) and alcohol use disorders (p = 0.008), whereas appetite was associated only with depressive disorders (p = 0.012), and energy level only with anxiety disorders (p = 0.025).
This cross-sectional study was based on self-reported data on the seasonal pattern.
Seasonality had significant associations with depressive, anxiety and alcohol use disorders among the general adult population. This needs attention in clinical practice.
早期的证据表明，情绪和行为的季节性变化与精神障碍有关，尤其是与情绪障碍有关。然而，这些关联的程度尚未通过使用一般人群的大样本进行分析。
随机抽取了年龄在 29 至 97 岁之间、代表芬兰居住的一般人群的成年人参加了一项全国性的健康检查调查。使用慕尼黑版综合国际诊断访谈（M-CIDI，n=4554）评估了精神障碍。其中，4004 人用全球季节性评分（GSS）的六个项目评估了情绪和行为的季节性变化（季节性），以及这些变化导致的问题。
在调整年龄、性别、教育水平和居住地区域后，GSS 与抑郁、焦虑和酒精使用障碍相关（均 p<0.001）。在 GSS 项目中，情绪与抑郁障碍相关（p<0.001）、焦虑障碍（p=0.003）和酒精使用障碍（p=0.008），而食欲仅与抑郁障碍相关（p=0.012），精力水平仅与焦虑障碍相关（p=0.025）。
这项横断面研究基于对季节性模式的自我报告数据。
季节性与一般成年人群中的抑郁、焦虑和酒精使用障碍有显著关联。这在临床实践中需要引起重视。
