最近审阅: 1 十一月 2020
最近更新: 29 六月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 与季节相关的情感变化时间 ≥ 2 年
  • 秋冬季抑郁
  • 春夏季症状缓解
  • 非典型抑郁症状
  • 植物性抑郁症状
  • 春夏季躁狂或轻躁狂症状
  • 春夏季抑郁
  • 躁狂/轻躁狂症状

其他诊断因素

  • 躯体症状
  • 行为性回避
  • 功能性损害
  • 饮酒过度
  • 心动过速
  • 收缩压升高
  • 多动

危险因素

  • 暴露于冬季减弱的光线和夏季增强的光线
  • 居住在北纬地区
  • SAD 家族史
  • 女性
  • 年龄为 20 岁至 30 岁
  • 心理因素(例如,高度神经质)
  • 精神性合并症(例如:焦虑、注意力缺陷多动症 [ADHD]、经前期情绪障碍)
  • 饮酒

诊断性检查

需考虑的检查

  • 血液代谢系列检查
  • 血清促甲状腺激素
  • 毒理学筛查(尿液和血液)
更多 需考虑的检查

治疗流程

撰稿人

Craig N. Sawchuk

Associate Professor

Co-Chair, Division of Integrated Behavioral Health

Department of Psychiatry and Psychology

Mayo Clinic

Rochester

MN

利益声明

CNS declares that he has no competing interests.

Jason P. Veitengruber

Assistant Professor

Department of Psychiatry and Behavioral Sciences

University of Washington School of Medicine

Seattle

WA

利益声明

JPV declares that he has no competing interests.

Clinical Instructor

Department of Psychiatry and Psychology

Mayo Clinic

Rochester

MN

利益声明

WBL declares that he has no competing interests.

同行评议者展开全部内容

Director of Assessment

Office of Curriculum and Assessment

University of Rochester School of Medicine and Dentistry

Rochester

NY

利益声明

SL declares that he has no competing interests.

Department of Psychiatry and Psychotherapy

Medical University of Vienna

Vienna

Austria

利益声明

DW is an author of a number of references cited in this topic. DW declares that he has no competing interests.

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