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Some people suffer from symptoms of depression during the winter
months, with symptoms subsiding during the spring and summer months. This may be a sign of Seasonal Affective Disorder (SAD).
SAD is a mood disorder associated with depression episodes and related to seasonal variations of light.
As sunlight has affected the seasonal activities of, SAD
may be an effect of this seasonal light variation in humans. As seasons change, there is a shift in our “biological
internal clocks” or circadian rhythm, due partly to these changes in sunlight patterns. This can cause our biological
clocks to be out of “step” with our daily schedules. The most difficult months for SAD sufferers are January and
February, and younger persons and women are at higher risk.
Symptoms Include:
- regularly occurring symptoms of depression (excessive eating and sleeping,
weight gain) during the fall or winter months.
- full remission from depression occur in the spring and summer months.
- symptoms have occurred in the past two years, with no nonseasonal depression
episodes.
- seasonal episodes substantially outnumber nonseasonal depression episodes.
- a craving for sugary and/or starchy foods.
Possible Cause of this Disorder Melatonin, a sleep-related hormone secreted
by the pineal gland in the brain, has been linked to SAD. This hormone, which may cause symptoms of depression, is produced
at increased levels in the dark. Therefore, when the days are shorter and darker the production of this hormone increases.
Treatments Phototherapy or bright light therapy has been shown to suppress
the brain’s secretion of melatonin. Although, there have been no research findings to definitely link this therapy with
an antidepressant effect, many people respond to this treatment. The device most often used today is a bank of white fluorescent
lights on a metal reflector and shield with a plastic screen. For mild symptoms, spending time outdoors during the day or
arranging homes and workplaces to receive more sunlight may be helpful. One study found that an hour’s walk in winter
sunlight was as effective as two and a half hours under bright artificial light.
If phototherapy doesn’t work, an antidepressant
drug may prove effective in reducing or eliminating SAD symptoms, but there may be unwanted side effects to consider. Discuss
your symptoms thoroughly with your family doctor and/or mental health professiona |