title: Use of health care services in seasonal affective disorder.
abstract: BACKGROUND
  Little is known about the presentation and management of seasonal affective disorder (SAD) in primary care.
  
  
  OBJECTIVE
  To determine the use of health care services by people suffering from SAD.
  
  
  METHODS
  Following a screening of patients consulting in primary care, 123 were identified as suffering from SAD. Each was age- and gender-matched with two primary care consulters with minimal seasonal morbidity, yielding 246 non-seasonal controls. From primary care records, health care usage over a 5-year period was established.
  
  
  RESULTS
  Patients with SAD consulted in primary care significantly more often than controls and presented with a wider variety of symptoms. They received more prescriptions, underwent more investigations and had more referrals to secondary care.
  
  
  CONCLUSIONS
  Patients with SAD are heavy users of health care services. This may reflect the condition itself, its comorbidity or factors related to the personality or help-seeking behaviour of sufferers.
authors: Royal Cornhill Hospital, Cornhill Road, Aberdeen AB25 2ZH, Scotland, UK. john.eagles@gpct.grampian.scot.nhs.uk
authors: John M
authors: JM
authors: Eagles
authors: Fiona L
authors: FL
authors: Howie
authors: Isobel M
authors: IM
authors: Cameron
authors: Samantha M
authors: SM
authors: Wileman
authors: Jane E
authors: JE
authors: Andrew
authors: Carol
authors: C
authors: Robertson
authors: Simon A
authors: SA
authors: Naji
mesh_terms: D000328:Adult; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012606:Scotland; D016574:Seasonal Affective Disorder / Q000150:complications* / Q000523:psychology