Beratis S, Gourzis P, Gabriel J
Department of Psychiatry, University of Patras Medical School, Greece.
Psychopathology. 1994;27(1-2):14-8. doi: 10.1159/000284843.
We describe the case of a patient who, after a traumatic experience at the age of 12, had a series of anniversary depressive episodes at 16, 17, 18 and 19 years of age, followed by a series of anniversary manic episodes at the ages of 21, 23, 24, 25 and 26 years. All of these episodes occurred almost always a few days before or after the date of the accident and only when the patient was residing in his home town, the place of the traumatic event. The case fulfills the DSM-III-R criteria for seasonal mood disorder, but differs from previously described cases in that: (a) both depressive and manic episodes developed at the same time of the year, and (b) the illness was precipitated by psychosocial factors rather than climatic conditions.
我们描述了一名患者的病例，该患者在12岁时有过一次创伤经历，之后在16、17、18和19岁时出现了一系列周年抑郁发作，随后在21、23、24、25和26岁时出现了一系列周年躁狂发作。所有这些发作几乎总是在事故发生日期前后几天出现，并且仅当患者居住在他的家乡，即创伤事件发生的地方时才会出现。该病例符合DSM-III-R季节性情绪障碍的标准，但与先前描述的病例不同之处在于：（a）抑郁发作和躁狂发作都在一年中的同一时间出现，（b）该疾病是由心理社会因素而非气候条件引发的。
