The authors examined the rates of atypical depression and prevalence o
f specific atypical symptoms in patients with seasonal versus non-seas
onal depression. Fifty-three patients with seasonal affective disorder
(SAD) were compared to 54 patients with non-seasonal major depressive
disorder (MDD) using the atypical depression diagnostic scale (ADDS).
SAD patients scored significantly higher than non-seasonal MDD patien
ts in hyperphagia and hypersomnia, and significantly lower in interper
sonal sensitivity and other rejection avoidance. There was no differen
ce in the rate of ADDS diagnosis of atypical depression. Differences b
etween atypical depression and SAD suggest that they are separate subt
ypes of depression with an overlapping symptom picture. (C) 1997 Elsev
ier Science B.V.