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Erschienen in: European Archives of Psychiatry and Clinical Neuroscience 7/2019

18.07.2018 | Original Paper

Prevalence of seasonal depression in a prospective cohort study

verfasst von: Anna Wirz-Justice, Vladeta Ajdacic, Wulf Rössler, Hans-Christoph Steinhausen, Jules Angst

Erschienen in: European Archives of Psychiatry and Clinical Neuroscience | Ausgabe 7/2019

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Abstract

The prevalence of autumn/winter seasonality in depression has been documented in the longitudinal Zurich cohort study by five comprehensive diagnostic interviews at intervals over more than 20 years (N = 499). Repeated winter major depressive episodes (MDE—unipolar + bipolar) showed a prevalence of 3.44% (5× more women than men), whereas MDE with a single winter episode was much higher (9.96%). A total of 7.52% suffered from autumn/winter seasonality in major and minor depressive mood states. The clinical interviews revealed novel findings: high comorbidity of Social Anxiety Disorder and Agoraphobia within the repeated seasonal MDE group, high incidence of classic diurnal variation of mood (with evening improvement), as well as a high rate of oversensitivity to light, noise, or smell. Nearly twice as many of these individuals as in the other MDE groups manifested the syndrome of atypical depression (DSM-V), which supports the prior description of seasonal affective disorder (SAD) as presenting primarily atypical symptoms (which include hypersomnia and increase in appetite and weight). This long-term database of regular structured interviews provides important confirmation of SAD as a valid diagnosis, predominantly found in women, and with atypical vegetative symptoms.
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Metadaten
Titel
Prevalence of seasonal depression in a prospective cohort study
verfasst von
Anna Wirz-Justice
Vladeta Ajdacic
Wulf Rössler
Hans-Christoph Steinhausen
Jules Angst
Publikationsdatum
18.07.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Psychiatry and Clinical Neuroscience / Ausgabe 7/2019
Print ISSN: 0940-1334
Elektronische ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-018-0921-3

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