Dalgleish T, Rosen K, Marks M
Medical Research Council Applied Psychology Unit, Cambridge, UK.
Br J Clin Psychol. 1996 May;35(2):163-82. doi: 10.1111/j.2044-8260.1996.tb01174.x.
Seasonal affective disorder (SAD) is a depressive disorder which occurs during the winter and remits in the spring and summer. It differs from non-seasonal depression in its seasonal variation and in the presence of neurovegetative symptoms such as increased appetite and hypersomnia. This review is aimed at clinical practitioners and presents a detailed description of the syndrome before discussing the assessment of SAD and the current treatment of choice of phototherapy. Particular attention is paid to the impotant issue of differential diagnosis during assessment and the practicalities involved in the administration of light therapy during treatment.
季节性情感障碍(SAD)是一种在冬季发作、在春季和夏季缓解的抑郁症。它在季节性变化以及存在如食欲增加和嗜睡等神经植物性症状方面与非季节性抑郁症有所不同。本综述面向临床从业者,在讨论季节性情感障碍的评估和当前首选治疗方法光疗之前,对该综合征进行了详细描述。在评估过程中特别关注鉴别诊断这一重要问题,以及治疗期间光疗实施过程中的实际情况。