Bauer M S, Dunner D L
Department of Veterans Affairs Medical Center, Providence, RI 02908-4799.
Compr Psychiatry. 1993 May-Jun;34(3):159-70. doi: 10.1016/0010-440x(93)90042-3.
Data are reviewed regarding the validity of seasonal pattern (SP), according to DSM-III-R, as a modifier for recurrent mood disorders. The relationship of the DSM-III-R formulation of SP is compared with that of seasonal affective disorder (SAD) as used by the bulk of researchers in the area. Both definitions are evaluated against the criteria for validity suggested by Robins and Guze, by Kendell, and by Spitzer and Williams. While the two definitions are similar and available data support a distinct clinical syndrome of recurrent winter decrements of mood and energy, it is not yet clear whether what is identified as SP or SAD represents a distinct affective syndrome, a subtype of recurrent affective illness, or the most severe form of a widely distributed population trait. Several options for operationalized criteria sets are discussed.
根据《精神疾病诊断与统计手册第三版修订本》（DSM-III-R），对季节性模式（SP）作为复发性心境障碍的一种修饰因素的有效性的数据进行了综述。将DSM-III-R中SP的表述与该领域大多数研究人员所使用的季节性情感障碍（SAD）的表述进行了比较。根据罗宾斯和古泽、肯德尔以及斯皮策和威廉姆斯提出的有效性标准，对这两种定义进行了评估。虽然这两种定义相似，现有数据也支持一种明显的临床综合征，即复发性冬季情绪和精力减退，但目前尚不清楚被确定为SP或SAD的情况是代表一种独特的情感综合征、复发性情感疾病的一个亚型，还是一种广泛分布的人群特征的最严重形式。文中讨论了操作化标准集的几种选择。
