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Seasonal Affective Disorder

Also called: SAD

- Summary
- About SAD
- Risk factors and causes
- Signs and symptoms
- Diagnosis methods
- Treatment options
- Prevention methods
- Children and SAD
- Questions for your doctor

Reviewed By:
Steven A. King, M.D.
Tahir Tellioglu, M.D., APA, AAAP

Risk factors and causes of SAD

The relationship between a lack of daylight and the depression associated with seasonal affective disorder (SAD) is not fully understood. However, SAD appears to be related to the way shifts in light change the seasonal activities of animals, including humans. Humans’ internal biological clocks – known as circadian rhythm – are altered during seasonal change, and in the winter months people may find that their biological clocks no longer correspond with their daily schedules. This may trigger depression.

In addition, the body hormone melatonin may play a role in the development of SAD. This hormone is produced at higher levels when a person is in a darkened environment – such as the shorter days and longer nights of winter – and it has been linked to higher rates of depression. Some experts also theorize that lack of sunlight leads to decreased production of serotonin, a neurotransmitter (brain chemical) that is involved in the regulation of mood.

Heredity also appears to play a role in the development of SAD, as many people who have the condition also have a relative who has been diagnosed with a mental health disorder. Women are at particularly high risk for SAD, which tends to first appear in a patient’s 20s. However, men, adolescents and children can also experience SAD.

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Review Date: 06-19-2007
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