Aj. Levitt et al., ANXIETY DISORDERS AND ANXIETY SYMPTOMS IN A CLINIC SAMPLE OF SEASONALAND NONSEASONAL DEPRESSIVES, Journal of affective disorders, 28(1), 1993, pp. 51-56
Thirty-eight patients with seasonal affective disorder (SAD) were comp
ared with 33 non-seasonal recurrent major depressives (non-SAD) who pr
esented during the winter months for differences in the prevalence of
concurrent anxiety disorders and the impact of anxiety on treatment re
sponse. SAD patients received light therapy, whereas non-SAD patients
received antidepressant medications. There was no differences in the p
revalence of any anxiety disorder, or on scores of anxiety on the Hami
lton Rating Scale for Depression between the SAD and non-SAD groups. T
he presence of any anxiety disorder was associated with a better respo
nse rate in SAD patients, and an inferior response rate in non-SAD pat
ients. The findings refute previous suggestions that anxiety is more c
ommon in SAD than in non-SAD, but suggest that the presence of anxiety
may be associated with differential treatment response rates.