Objective: To examine the effect of sex, latitude, and behavior problems on
symptoms related to pediatric seasonal affective disorder among seventh an
d ninth graders. Method: A school survey including a modified Version of th
e Seasonal Pattern Assessment Questionnaire was carried out in 2 Finnish ci
ties located in the 60th and 67th northern latitudes. Altogether 1,458 ques
tionnaires were analyzed, representing 89% of the target population. Result
s: Seasonal changes in mood and behavior were commonly reported among seven
th and ninth graders. A high Global Seasonality score (>95th percentile) wa
s associated with female gender and emotional and hyperactivity symptoms. D
uring February and March, girls living in the 67th latitude reported more s
easonal distress than girls living at the 60th latitude. Conclusions: It is
important to recognize pediatric seasonal affective disorder and related p
roblems among adolescents. Seasonal alterations in child and adolescent beh
avior are not well understood and need to be investigated more thoroughly.