Circadian rhythm abnormalities have been implicated in winter seasonal
affective disorder. We examined the circadian temperature rhythm of 2
2 patients with winter depression and 10 normal controls who had parti
cipated in various high-intensity light treatment experiments. We did
not find abnormalities in the baseline phase or amplitude of the tempe
rature rhythm in patients compared to controls. Nor did we find abnorm
alities in the phase-shifting response to morning light. There was som
e evidence that the ''phase-delayed'' half of the patients responded p
oorly to phase advances produced by morning light, whereas the ''phase
-advanced'' half of the patients responded poorly when their rhythms d
elayed. However, the antidepressant responses during the best week (we
ek of lowest depression score) were unrelated to temperature rhythm ph
ase shifts. In general, there was not strong support for a relationshi
p between circadian rhythms changes and antidepressant response.