Seasonality and affective disorders: a report from North India

J Affect Disord. 2001 May;64(2-3):145-54. doi: 10.1016/s0165-0327(00)00239-1.

Abstract

Case records of the patients with major affective disorders (ICD-10 criteria), seen over a 5 year period in a busy clinic in North India were examined for Seasonal Affective Disorder (SAD) as per DSM-III-R criteria. In addition, seasonality of episodes of all affective disorders was also studied. Around 5.67% of the cases (n=44) retrospectively met the DSM-III-R criteria of SAD and predominant pattern was that of summer depression (n=18). There was also a consistent pattern of seasonal mania either in conjunction with seasonal depression (n=18) or in form of seasonal recurrent mania (n=11). None of the cases of depression showed any atypical vegetative features. In cases not meeting criteria for SAD (n=731), there was a trend for peaks for depressive episodes in winter followed by a smaller peak in summer months while manic episodes had peaks towards rainy and winter months. As compared to seasonal patterns of affective disorders in temperate zones, there was a general trend for opposite patterns of seasonality in SAD as well as in non-SAD. The findings are discussed in context of the climatic conditions of North India.

MeSH terms

  • Adult
  • Catchment Area, Health
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / epidemiology
  • Depressive Disorder, Major / psychology
  • Female
  • Humans
  • Incidence
  • India / epidemiology
  • Male
  • Prevalence
  • Psychiatric Status Rating Scales
  • Retrospective Studies
  • Seasonal Affective Disorder / diagnosis
  • Seasonal Affective Disorder / epidemiology*
  • Seasonal Affective Disorder / psychology
  • Severity of Illness Index