In seasonal affective disorder, there is evidence of both increased an
d decreased dopaminergic transmission in the central nervous system. B
right light treatment appears to normalize these abnormalities among t
he patients. Dopamine is suggested to have a direct effect on heat los
s via the vascular system, in addition to its capability of resetting
the circadian system by changes in both heat production and heat loss.
Therefore, impaired dopamine availability may result in a decreased h
eat loss response to an endogenous thermal challenge as well as abnorm
alities in the generation of circadian rhythms in some patients with s
easonal affective disorder.