Skip to main content
Log in

Recurrent brief depression and its relationship to seasonal affective disorder

  • Original Articles
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Summary

Recurrent brief depression (RBD) and seasonal affective disorder (SAD) have been both recently described as subgroups of major depression (DSM-III-R). We have established a relationship between these two syndromes in a cohort of 42 outpatients who presented themselfes to a clinic for seasonal affective disorder at the Psychiatric Department of the University of Bonn, FRG. Our preliminary data indicate that 31% of the patients who were diagnosed as suffering from either SAD or its subsyndromal form (S-SAD) can also be categorized as RBD (RBD-seasonal) in a 1-year observation period. During the time span of 1 year RBD-seasonal patients had a mean number of 20 (SD 9) episodes compared with 6 (SD 5) episodes (P<0.001) in the group of seasonal patients without BRD. These episodes were accentuated in fall/winter and outnumbered those in spring/summer significantly (P<0.001). The mean duration of each episode was 4.6 (SD 2.6) days in the RBD-seasonal group and 21.8 (SD 29) in the non-RBD-seasonal group. Patients with RBD-seasonal experienced seasonal changes as more of a problem and reported a lower percentage of first-degree relatives with a history of depression than the non-RBD-seasonal group.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) (3rd edn. revised) Washington, DC, American Psychiatric Association

    Google Scholar 

  • Angst J (1990a) Recurrent brief depression: A new concept of depression. Pharmacopsychiatria 23:63–66

    Google Scholar 

  • Angst J, Dobler-Mikola A (1985) The Zürich Study: A propspective epidemiological study of depressive, neurotic and psychosomatic syndromes. IV. Recurrent and nonrecurrent brief depression. Eur Arch Psychiatr Neurol Sci 234:408–416

    Article  Google Scholar 

  • Angst J, Vollrath M, Koch R (1988) New aspects on epidemiology of depression. In: Angst J, Woggon B (eds) Lofepramine in the treatment of depressive disorders, pp 1–14, Braunschweig Vieweg

  • Angst J, Merinkangas K, Scheidegger P (1990b) Recurrent brief depression: A new subtype of affective disorder. J Affect Dis 19:87–98

    Article  PubMed  Google Scholar 

  • Buchsbaum MS, Davis GC, Goodwin FK, Murphy DL, Post RM (1980) Psychophysical pain judgements and somatosensory evoked potentials in patients with affective illness and normal adults. Adv Biol Psychiat 4:63–72

    Google Scholar 

  • Degkwitz R, Helmchen H, Kockott G, Mombour W (1980) International classification of Diseases, 9th rev. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Endicott J, Spitzer RL (1978) A diagnostic interview: the schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 35:837–844

    PubMed  Google Scholar 

  • Hamilton M (1967) Development of a rating scale for primary depressive illness. Br J Social Clin Psychol 6:278–296

    Google Scholar 

  • Kasper S (1991) Jahreszeit und Befindlichkeit in der Allgemeinbevölkerung. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Kasper S, Kamo T (1990) Seasonality in major depressed inpatients. J Affective Disord 19:243–248

    Article  Google Scholar 

  • Kasper S, Rogers SLB, Yancey A, Schulz PM, Skwerer RG, Rosenthal NE (1989a) Phototherapy in individuals with and without subsyndromal seasonal affective disorder. Arch Gen Psychiatry 46:837–844

    PubMed  Google Scholar 

  • Kasper S, Rogers SLB, Yancey A, Skwerer RG, Schulz PM, Rosenthal NE (1989b) Psychological effects of light therapy in normals. Guilford Press, New York, NY, pp 260–270

    Google Scholar 

  • Kasper S, Wehr TA, Bartko JJ, Gaist PA, Rosenthal NE (1989c) Epidemiological findings of seasonal changes in mood and behavior. Arch Gen Psychiatry 46:823–833

    PubMed  Google Scholar 

  • Lienert GA (1986) Verteilungsfreie Methoden in der Biostatistik. Bd. 1, 3. Aufl. Hain, Meisenheim am Glan

    Google Scholar 

  • Montgomery SA (1991) Recurrent brief depression. In: Feighner JP, Boyer WF: Perspectives in psychiatry volume 2. Diagnosis of depression. John Wiley & Sons, Chichester New York Brisbane Toronto Singapore, pp 119–134

    Google Scholar 

  • Montgomery SA, Roy D, Montgomery DB (1983) The prevention of recurrent suicidal acts. Br J Clin Pharmacol 15:1835–1885

    Google Scholar 

  • Montgomery SA, Montgomery D, Baldwin D, Green M (1989) Intermittent 3-day depressions and suicidal behaviour. Neuropsychobiology 22:128–134

    PubMed  Google Scholar 

  • Montgomery SA, Montgomery D, Baldwin D, Green M (1990) The duration, nature and recurrence rate of brief depressions. Neuro-psychopharmacol Biol Psychiatry 14:729–735

    Article  Google Scholar 

  • Parker G (1987) Are the lifetime prevalence estimates in the ECA study accurate. Psychol Med 17:275–282

    PubMed  Google Scholar 

  • Rosenthal NE, Sack DA, Gillin JC, Lewy AJ, Goodwin FK, Davenport Y, Mueller PS, Wehr TA (1984) Seasonal affective disorder, a description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry 41:72–80

    PubMed  Google Scholar 

  • Rosenthal NE, Genhardt M, Sack DA, Skwerer RG, Wehr TA (1987) Seasonal affective disorder: relevance for treatment and research of bulimia. In: Hudson JI, Poe HG (eds) Psychobiology of Bulimia. APA, Washington DC, pp 203–228

    Google Scholar 

  • Schrader G, Davis A, Stefanovic S, Christie P (1990) The recollection of affect. Psychol Med 20:105–109

    PubMed  Google Scholar 

  • Spitzer RL, Endicott J, Robins E (1978) Research diagnostic criteria: Rationale and reliability. Arch Gen Psychiatry 35: 773–785

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kasper, S., Ruhrmann, S., Haase, T. et al. Recurrent brief depression and its relationship to seasonal affective disorder. Eur Arch Psychiatry Clin Nuerosci 242, 20–26 (1992). https://doi.org/10.1007/BF02190338

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02190338

Key words

Navigation