Evaluation of seasonal variations for the seasonal pattern assessment in mood disorder patients and healthy controls
BMC Psychiatry
volume 25, Article number: 458 (2025)
Background
Seasonal disturbances were common in mood disorders patients. The global seasonality score (GSS), derived from the Seasonal Pattern Assessment Questionnaire (SPAQ), was widely used to assess seasonality and related symptoms. This study aimed to establish the structure of the Chinese version of SPAQ. We examined the stability of seasonal pattern assessment across four seasons when administering SPAQ. The prevalence of seasonal affective disorder was estimated using SPAQ criteria.
Methods
We recruited 596 mood disorder patients and 138 healthy controls (HC), with 121 patients and 37 HC followed up over four seasons. An exploratory factor analysis examined the GSS factor structure. We evaluated correlations between GSS symptom dimensions and “the degree of problems due to seasonal changes” and used intraclass correlation coefficient reliability (ICCR) to assess the consistency of symptom dimensions across seasons.
Results
Approximately a quarter of mood disorder patients met the criteria for seasonal affective disorder. The Chinese SPAQ revealed a two-factor structure: psychological and food-related symptoms among patients. The GSS showed a significant correlation (r = 0.64) with the degree of problems due to seasonal changes in mood disorder patients, while energy level and sleep significantly correlated with GSS (r > 0.75) in HC. Reporting reliability (ICCR > 0.4) was acceptable for GSS and mood/energy levels in patients across seasons.
Conclusions
Seasonal variations were observed in reporting the symptom dimensions of the seasonal pattern assessment, while the GSS remained relatively stable in both mood disorder patients and HC. SPAQ is a useful tool for measuring seasonality, irrespective of the season of administration.
Chang, CE., Chen, HC., Chen, IM. et al. Evaluation of seasonal variations for the seasonal pattern assessment in mood disorder patients and healthy controls.
BMC Psychiatry 25, 458 (2025). https://doi.org/10.1186/s12888-025-06916-y
https://doi.org/10.1186/s12888-025-06916-y bu içeriği en az 2000 kelime olacak şekilde ve alt başlıklar ve madde içermiyecek şekilde ünlü bir science magazine için İngilizce olarak yeniden yaz. Teknik açıklamalar içersin ve viral olacak şekilde İngilizce yaz. Haber dışında başka bir şey içermesin. Haber içerisinde en az 12 paragraf ve her bir paragrafta da en az 50 kelime olsun. Cevapta sadece haber olsun. Ayrıca haberi yazdıktan sonra içerikten yararlanarak aşağıdaki başlıkların bilgisi var ise haberin altında doldur. Eğer bilgi yoksa ilgili kısmı yazma.:
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Chang, CE., Chen, HC., Chen, IM. et al. Evaluation of seasonal variations for the seasonal pattern assessment in mood disorder patients and healthy controls.
BMC Psychiatry 25, 458 (2025). https://doi.org/10.1186/s12888-025-06916-y
Image Credits: AI Generated
DOI: https://doi.org/10.1186/s12888-025-06916-y
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