1991
DOI: 10.1016/0165-0327(91)90098-d
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Contrasts between symptoms of summer depression and winter depression

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Cited by 64 publications
(31 citation statements)
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“…Winter seasonal affective disorder is believed to be caused in vulnerable individuals by the shortening of the day, and it responds to light treatment (3,4). In contrast, summer-type seasonal affective disorder consists of recurrent depression in summer and remission of depressive symptoms in fall and winter; it may be caused by exposure to heat and may improve with manipulations of temperature (5,6).…”
mentioning
confidence: 98%
“…Winter seasonal affective disorder is believed to be caused in vulnerable individuals by the shortening of the day, and it responds to light treatment (3,4). In contrast, summer-type seasonal affective disorder consists of recurrent depression in summer and remission of depressive symptoms in fall and winter; it may be caused by exposure to heat and may improve with manipulations of temperature (5,6).…”
mentioning
confidence: 98%
“…This may explain the efficacy of modafinil, a narcolepsy medication which increases norepineprine levels, in some SAD patients (54). The light/norepinephrine effect may help offset the vegetative symptoms of SAD and somewhat account for the existence of Reverse SAD, seen in spring and summer months with symptoms of insomnia, anxiety, irritability, decreased appetite, and weight loss (55). Some individuals may be genetically prone to irregularities in the appropriate response to external light signals and/or downstream regulation of serotonin and melatonin.…”
Section: The Mechanismmentioning
confidence: 96%
“…46 In some respects, the behavioral symptoms of summer depression tend to be opposite to those of winter depression. For example, individuals may sleep less and lose weight when they are depressed in the summer.…”
Section: -45mentioning
confidence: 99%
“…41 Higher incidences of SAD are reported in latitudes where there are significant decreases in the hours of daylight in fall/ winter periods. For example, the incidence of SAD in latitudes of [45][46][47][48][49][50] o or higher is over 10% compared to latitudes lower than 30 o , where the prevalence is around 1%. 42 As in atypical depression of those who have SAD, 60% to 90% are women, and it occurs more frequently in younger people, often beginning when the person is at his/her twenties.…”
Section: Seasonal Affective Disorders (Sad)mentioning
confidence: 99%
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