Seasonal affective disorders: seasonal energy syndrome?

Seasonal affective disorders: seasonal energy syndrome?
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季节性情感障碍:季节性能量综合症?

DOI:
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发表时间:
1986
影响因子:
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通讯作者:
R. Davies
R. Davies
中科院分区:
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文献类型:
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作者:
P. Mueller;R. Davies

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致编辑。-我们在诊断和治疗季节性情绪失调方面有丰富的经验,我们将其更好地归类为季节性能量综合征,我们希望提醒临床医生注意几个主要问题。1. 这种障碍并不局限于秋冬季节,它确实包括春夏综合症,包括过度兴奋、冲动、暴力和躁动性精神病。迄今为止研究的47名患者中,有17名患者住院,共入院71次。其中51人发生在3月至8月之间,只有20人发生在9月至2月之间。夏季症状往往会因全光谱光而加速或加重。3. 这种障碍通常与非典型双相情感障碍相似,但不同之处在于,当仔细询问患者时,他们报告的是能量快感缺乏症状,而不是真正的情感抱怨。因此,秋冬期的快感缺乏症和能量水平低下,春夏期的过度兴奋、思想混乱和躁动是抑郁症的特征
To the Editor.— Having extensive experience in the diagnosis and treatment of seasonal affective disorders, 1 which we would better classify as seasonal energy syndrome , we wish to alert clinicians to several major concerns. 1. The disorder is not limited to the fall-winter period but indeed involves a spring-summer syndrome of hyperphoria, impulsivity, violence, and agitated psychosis. Of 47 patients thus far studied, 17 patients were hospitalized for a total of 71 admissions. Of these admissions, 51 occurred between March and August and just 20 between September and February. 2. Summer symptoms can often be precipitated or exacerbated by fullspectrum light. 3. The disorder often mimics an atypical bipolar disorder but differs insofar as patients, when carefully questioned, report energy-anhedonia symptoms rather than true affective complaints. Thus, anhedonia and low energy level in the fall-winter period and hyperphoria, racing thoughts, and agitation in the spring-summer period are the hallmarks of