Browse > Article

Seasonal Changes in Mood and Behavior and Associated Factors of Seasonality in Korean Bipolar Disorder Patients and Normal Controls  

Choi, Jungmi (Department of Psychiatry, Sungkyunkwan University School of Medicine)
Baek, Ji Hyun (Department of Psychiatry, Sungkyunkwan University School of Medicine)
Kim, Ji Sun (Department of Psychiatry, Sungkyunkwan University School of Medicine)
Choi, Ji Sun (Samsung Biomedical Research Institute, Center for Clinical Medicine)
Noh, Jihae (Samsung Biomedical Research Institute, Center for Clinical Medicine)
Nam, Hee Jung (Department of Psychiatry, Eunpyeong Hospital)
Lee, Dongsoo (Department of Psychiatry, Sungkyunkwan University School of Medicine)
Hong, Kyung Sue (Department of Psychiatry, Sungkyunkwan University School of Medicine)
Publication Information
Korean Journal of Biological Psychiatry / v.17, no.3, 2010 , pp. 153-160 More about this Journal
Abstract
Objectives : Recurrence of mood episodes associated with a specific season has been described in various mood disorders. Seasonal change in mood and behavior as a lifetime trait is also observed in healthy individuals. This study aimed at comparing the lifetime trait of seasonal variations of mood and behavior between bipolar disorder patients and controls as well as investigating associated factors of seasonality. Methods : Subjects were ninety-four clinically stable patients with bipolar disorder and 188 age- and sex-matched healthy controls. Seasonality of mood and behavior was assessed retrospectively on lifetime basis using Seasonal Pattern Assessment Questionnaire(SPAQ). Results : The patient group showed a higher median global seasonality score(GSS) of SPAQ and a higher rate of seasonal affective disorder(SAD) compared to the control group(p < 0.0001). For subjects showing prominent seasonality, the seasonal symptom profile and seasonal pattern was similar in both patient and control groups. In addition to the diagnosis, female gender was shown to be a predictor of seasonality in the multiple linear regression analysis(p = 0.045). Conclusion : This study suggests that lifetime trait of seasonality may be related to the susceptibility of bipolar disorder.
Keywords
Seasonality; Seasonal Pattern Assessment Questionnaire(SPAQ); Bipolar disorder; Associated factors;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Marangell LB, Dennehy EB, Miyahara S, Wisniewski SR, Bauer MS, Rapaport MH, et al. The functional impact of subsyndromal depressive symptoms in bipolar disorder: data from STEP-BD. J Affect Disord 2009;114: 58-67.   DOI   ScienceOn
2 Lee MS, Joung YS, Hong SD, Ko YH, Kim SH, Joe SH, et al. Seasonal Variations in Mood and Behavior in Korean High School Students. Sleep Med Psychophysiol 2005;12:111-116.
3 Baek JH, Park DY, Park HJ, Choi JM, Choi JS, Noh JH, et al. Differences in Clinical Manifestations between Bipolar I and Bipolar II Disorders in Korean Population. J Korean Neuropsychiatr Assoc 2009;48:232-239.
4 Rosenthal NE, Bradt GH, Wehr TA. Seasonal Pattern Assessment Questionnaire. National Institute of Mental Health, Washington, DC;1987.
5 Guy W. Clinical global impressions. In: W. Guy, Editor, ECDEU assessment manual for psychopharmacology (Revised). National Institute of Mental Health, Rockville (Md);1976. p.217-221.
6 Kim SJ, Lee HJ, Choi HS, Jung HG, Kim BJ, Kim JY, et al. Seasonal Variations of Mood and Behavior in Korean Medical Students. Sleep Med Psychophysiol 2004; 11:95-99.
7 Hakkarainen R, Johansson C, Kieseppa T, Partonen T, Koskenvuo M, Kaprio J, et al. Seasonal changes, sleep length and circadian preference among twins with bipolar disorder. BMC Psychiatry 2003;3:6.   DOI
8 Steinhausen HC, Gundelfinger R, Winkler Metzke C. Prevalence of self-reported seasonal affective disorders and the validity of the seasonal pattern assessment questionnaire in young adults Findings from a Swiss community study. J Affect Disord 2009;115:347-354.   DOI   ScienceOn
9 Han L, Wang K, Cheng Y, Du Z, Rosenthal NE, Primeau F. Summer and winter patterns of seasonality in Chinese college students: a replication. Compr Psychiatry 2000;41:57-62.   DOI   ScienceOn
10 Ozaki N, Ono Y, Ito A, Rosenthal NE. Prevalence of seasonal difficulties in mood and behavior among Japanese civil servants. Am J Psychiatry 1995;152:1225-1227.   DOI
11 Magnusson A, Partonen T. The diagnosis, symptomatology, and epidemiology of seasonal affective disorder. CNS Spectr 2005;10:625-634.   DOI
12 Kasper S, Wehr TA, Bartko JJ, Gaist PA, Rosenthal NE. Epidemiological findings of seasonal changes in mood and behavior. A telephone survey of Montgomery County, Maryland. Arch Gen Psychiatry 1989;46:823-833.   DOI   ScienceOn
13 Kasper S, Kamo T. Seasonality in major depressed inpatients. J Affect Disord 1990;19:243-248.   DOI   ScienceOn
14 Rosenthal NE, Sack DA, Gillin JC, Lewy AJ, Goodwin FK, Davenport Y, et al. Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry 1984;41:72-80.   DOI   ScienceOn
15 APA. Diagnostic and Statistical Manual of Mental Disorders, 4th edition American Psychiatric Association. Washington, DC;1994.
16 Wehr TA, Sack D, Rosenthal N, Duncan W, Gillin JC. Circadian rhythm disturbances in manic-depressive illness. Fed Proc 1983;42:2809-2814.
17 Hendrick V, Altshuler LL, Burt VK. Course of psychiatric disorders across the menstrual cycle. Harv Rev Psychiatry 1996;4:200-207.   DOI   ScienceOn
18 Hardin TA, Wehr TA, Brewerton T, Kasper S, Berrettini W, Rabkin J, et al. Evaluation of seasonality in six clinical populations and two normal populations. J Psychiatr Res 1991;25:75-87.   DOI   ScienceOn
19 Portella AT, Haaga DA, Rohan KJ. The association between seasonal and premenstrual symptoms is continuous and is not fully accounted for by depressive symptoms. J Nerv Ment Dis 2006;194:833-837.   DOI   ScienceOn
20 Young MA, Blodgett C, Reardon A. Measuring seasonality: psychometric properties of the Seasonal Pattern Assessment Questionnaire and the Inventory for Seasonal Variation. Psychiatry Res 2003;117:75-83.   DOI   ScienceOn
21 Bauer M, Glenn T, Grof P, Rasgon NL, Marsh W, Sagduyu K, et al. Relationship among latitude, climate, season and self-reported mood in bipolar disorder. J Affect Disord 2009;116:152-157.   DOI   ScienceOn
22 Blehar MC, Lewy AJ. Seasonal mood disorders: consensus and controversy. Psychopharmacol Bull 1990;26:465-494.
23 Murray G. The Seasonal Pattern Assessment Questionnaire as a measure of mood seasonality: a prospective validation study. Psychiatry Res 2003;120:53-59.   DOI   ScienceOn
24 Thompson C, Stinson D, Fernandez M, Fine J, Isaacs G. A comparison of normal, bipolar and seasonal affective disorder subjects using the Seasonal Pattern Assessment Questionnaire. J Affect Disord 1988;14:257-264.   DOI   ScienceOn
25 Lee HJ, Kim L, Joe SH, Suh KY. Effects of season and climate on the first manic episode of bipolar affective disorder in Korea. Psychiatry Res 2002;113:151-159.   DOI   ScienceOn
26 Jang KL, Lam RW, Livesley WJ, Vernon PA. Gender differences in the heritability of seasonal mood change. Psychiatry Res 1997;70:145-154.   DOI   ScienceOn
27 Madden PA, Heath AC, Rosenthal NE, Martin NG. Seasonal changes in mood and behavior. The role of genetic factors. Arch Gen Psychiatry 1996;53:47-55.   DOI   ScienceOn
28 Rosenthal NE, Mazzanti CM, Barnett RL, Hardin TA, Turner EH, Lam GK, et al. Role of serotonin transporter promoter repeat length polymorphism(5-HTTLPR) in seasonality and seasonal affective disorder. Mol Psychiatry 1998;3:175-177.   DOI   ScienceOn
29 Praschak-Rieder N, Willeit M, Wilson AA, Houle S, Meyer JH. Seasonal variation in human brain serotonin transporter binding. Arch Gen Psychiatry 2008;65:1072-1078.   DOI   ScienceOn
30 Thompson C, Stinson D, Smith A. Seasonal affective disorder and season-dependent abnormalities of melatonin suppression by light. Lancet 1990;336:703-706.   DOI   ScienceOn
31 Karadag F, Akdeniz F, Erten E, Pirildar S, Yucel B, Polat A, et al. Menstrually related symptom changes in women with treatment-responsive bipolar disorder. Bipolar Disord 2004;6:253-259.   DOI   ScienceOn
32 Kaplan Z, Schild K, Levine J. Violence in hospitalized psychiatric patients: diurnal and seasonal patterns. Psychiatry Res 1996;60:199-204.   DOI   ScienceOn
33 Jain S, Kaliaperumal VG, Chatterji S, Rao S, Murthy RS. Climate and admissions for mania in the tropics. J Affect Disord 1992;26:247-250.   DOI   ScienceOn
34 Sayer HK, Marshall S, Mellsop GW. Mania and seasonality in the southern hemisphere. J Affect Disord 1991; 23:151-156.   DOI   ScienceOn
35 Schaffer A, Levitt AJ, Boyle M. Influence of season and latitude in a community sample of subjects with bipolar disorder. Can J Psychiatry 2003;48:277-280.   DOI
36 Shin K, Schaffer A, Levitt AJ, Boyle MH. Seasonality in a community sample of bipolar, unipolar and control subjects. J Affect Disord 2005;86:19-25.   DOI   ScienceOn
37 Correll CU, Penzner JB, Lencz T, Auther A, Smith CW, Malhotra AK, et al. Early identification and high-risk strategies for bipolar disorder. Bipolar Disord 2007;9:324-338.   DOI   ScienceOn
38 Fava GA. Subclinical symptoms in mood disorders: pathophysiological and therapeutic implications. Psychol Med 1999;29:47-61.   DOI   ScienceOn
39 Benazzi F. Prevalence and clinical correlates of residual depressive symptoms in bipolar II disorder. Psychother Psychosom 2001;70:232-238.   DOI   ScienceOn