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新南威尔士州抑郁症和自杀死亡的季节性变化。

Seasonal variation in depressive disorders and suicidal deaths in New South Wales.

作者信息

Parker G, Walter S

出版信息

Br J Psychiatry. 1982 Jun;140:626-32. doi: 10.1192/bjp.140.6.626.

Abstract

Month of admission data to psychiatric facilities in New South Wales, 1971-76, were examined for some 23,000 patients with a depressive disorder to determine if seasonal variations in admissions, described in the northern hemisphere, exist there. In addition, data were examined on month of occurrence of some 3,000 deaths due to suicide and self-inflicted injury, over the same period. Seasonality was demonstrated for three 'psychotic' depressive disorders, but not found for neurotic depression, further supporting the binary view of depression. A peak incidence in spring was found for MDP-mania and reactive depressive psychosis, while the peak incidence for MDP-depression was was in late winter. It is suggested that the increase in certain affective disorders around spring may follow a rapid increase in luminance, and in stimulation of the pineal gland. Suicidal deaths of males did not show significant seasonality, while those of females showed two incidence peaks, the significant one occurring in spring.

摘要

对1971年至1976年新南威尔士州精神病院收治患者的数据进行了检查,涉及约23000名患有抑郁症的患者,以确定北半球所描述的入院季节性变化在该地区是否存在。此外,还检查了同一时期约3000例自杀和自残死亡事件发生月份的数据。三种“精神病性”抑郁症表现出季节性,但神经性抑郁症未发现季节性,这进一步支持了抑郁症的二元观点。躁狂抑郁症-躁狂发作型和反应性抑郁性精神病在春季发病率最高,而躁狂抑郁症-抑郁发作型在冬末发病率最高。有人认为,春季某些情感障碍的增加可能是由于光照迅速增加以及松果体受到刺激所致。男性自杀死亡没有明显的季节性,而女性自杀死亡有两个发病高峰,其中显著的一个出现在春季。

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