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Seasonal influences on admissions for affective disorder and schizophrenia in Ireland: a comparison of first and readmissions

Published online by Cambridge University Press:  16 April 2020

M. Clarke ,
P. Moran ,
F. Keogh ,
M. Morris ,
A. Kinsella ,
C. Larkin ,
D. Walsh  and
E. O'Callaghan
M. Clarke
Affiliation:
Stanley Research Unit, St John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin
P. Moran
Affiliation:
Richmond Brain Foundation, Beaumont Hospital, Beaumont Dublin 9
F. Keogh
Affiliation:
The Health Research Board, 73 Lower Baggot Street Dublin 2
M. Morris
Affiliation:
Stanley Research Unit, St John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin
A. Kinsella
Affiliation:
Department of Mathematics, Dublin Institute of Technology, Kevin Street Dublin 8, Ireland
C. Larkin
Affiliation:
Stanley Research Unit, St John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin
D. Walsh
Affiliation:
The Health Research Board, 73 Lower Baggot Street Dublin 2
E. O'Callaghan
Affiliation:
Stanley Research Unit, St John of God Adult Psychiatric Services, Newtownpark Avenue, Blackrock, Co. Dublin
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Summary

Although genetic and environmental factors operating before or around the time of birth have been demonstrated to be relevant to the aetiology of the major psychoses, a seasonal variation in the rates of admission of such patients has long been recognised. Few studies have compared first and readmissions. This study examined for seasonal variation of admission in the major psychoses, and compared diagnostic categories by admission status. Patients admitted to Irish psychiatric inpatient facilities between 1989 and 1994 with an ICD-9/10 diagnosis of schizophrenia or affective disorder were identified from the National Psychiatric Inpatient Reporting System (NPIRS). The data were analysed using a hierarchical log linear model, the chi-square test, a Kolmogorov-Smirnov (KS) type statistic, and the method of Walter and Elwood. The hierarchical log linear model demonstrated significant interactions between the month of admission and admission order (change in scaled deviance 28.77, df = 11, P < 0.003). Both first admissions with mania, and readmissions with bipolar affective disorder exhibited significant seasonality. In contrast, only first admissions with schizophrenia showed significant seasonal effects. Although first admissions with mania and readmissions with bipolar disorder both show seasonality, seasonal influences appear to be more relevant to onset of schizophrenia than subsequent relapse.

Keywords

affective disorderhospital admissionschizophreniaseasonality
Type
Original article
Information
European Psychiatry , Volume 14 , Issue 5 , September 1999 , pp. 251 - 255
Copyright
Copyright © 1999 Éditions scientifiques et médicales Elsevier SAS.

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References

Abe, K. Seasonal fluctuation of psychiatric admissions. Folia Psychiatrica Neurol Japonica 1963; 17: 101–112.Google ScholarPubMed
Abe, KSuzuki, TEgashira, K. Seasonal patterns of recurrence in schizophreniform psychosis. Schizophr Res 1992; 7: 43–47.CrossRefGoogle ScholarPubMed
Adams, SGHowe, JT. Predicting medication compliance in a psychotic population. J Nerv Ment Dis 1993; 181: 558–560.CrossRefGoogle Scholar
Blehar, MCLewy, AJ. Seasonal mood disorder: consensus and controversy. Psychopharmacol Bull 1990; 26: 465–492.Google Scholar
Brown, ASSusser, ESLin, SPNeugebauer, RGorman, JM. Increased risk of affective disorder in males after the second trimester prenatal exposure to the Dutch hunger winter of1944–45. Br J Psychiatry 1995; 166: 601–606.CrossRefGoogle Scholar
Castle, DJMurray, RM. The neurodevelopmental basis of sex differences in schizophrenia. Psychol Med 1991; 98: 565–575.CrossRefGoogle Scholar
Carney, PAFitzgerald, CTMonaghan, CE. Influence of climate on the prevalence of mania. Br J Psychiatry 1988; 152: 820–823.CrossRefGoogle ScholarPubMed
Clarke, MMoran, PKeogh, FMorris, MKinsella, AWalsh, D. Seasonal influences on admissions in schizophrenia and affective disorder in Ireland. Schizophr Res 1998; 34: 143–149.CrossRefGoogle ScholarPubMed
Done, DJJohnstone, ECFrith, CDGolding, JShepherd, PMCrow, TJ. Complications of pregnancy and delivery in relation to psychosis in adult life: data from the British perinatal mortality survey sample. Br Med J 1991; 302: 1576–1580.CrossRefGoogle ScholarPubMed
Eastwood, MRStiasny, S. Psychiatric disorder, hospital admission and season. Arch Gen Psychiatry 1978; 35: 769–771.CrossRefGoogle ScholarPubMed
Esquirol, E. Des maladies. A treatise on Insanity (translation by EK Hunt, 1845). Philadelphia: Lea and Blanchard; 1838. p. 31–32.Google Scholar
Faedda, GLTondo, LTeicher, MHBaldessarini, RJGelbard, H.AFloris, GF. Seasonal mood disorders: patterns of recurrence in mania and depression. Arch Gen Psychiatry 1993; 50: 17–23.CrossRefGoogle ScholarPubMed
Freedman, L. The use of a Kolmorov-Smirnov type statistic in testing hypotheses about seasonal variation. J Epidemiol Community Health 1979; 33: 223–228.CrossRefGoogle Scholar
Hare, EHWalter, SD. Seasonal variation in admissions of psychiatric patients and its relation to seasonal variation in their births. J Epidemiol Community Health 1978; 32: 47–52.CrossRefGoogle ScholarPubMed
Hare, EH. Handbook of Schizophrenia — Temporal factors and trends, including birth seasonality and the viral hypothesis. Vol 3. Amsterdam: Elsevier; 1988. p. 345–377.Google Scholar
Kellner, R. The seasonal prevalence of neurosis. Br J Psychiatry 1966; 112: 69CrossRefGoogle ScholarPubMed
Machon, RAMednick, SAHuttunen, MO. Adult major affective disorder after prenatal exposure to an influenza epidemic. Arch Gen Psychiatry 1997; 54: 322–328.CrossRefGoogle Scholar
Mawson, DSmith, A. Relative humidity and manic admissions in the London area. Br J Psychiatry 1981; 138: 134–138.CrossRefGoogle ScholarPubMed
Mednick, SAMachon, RAHuttunen, MOBonett, D. Adult schizophrenia following prenatal exposure to an influenza epidemic. Arch Gen Psychiatry 1988; 45: 189–192.CrossRefGoogle Scholar
Mulder, RTCosgriff, JPSmith, AMJoyce, PR. Seasonality of mania in New Zealand. Aus NZ J Psychiatry 1990; 24: 187–190.CrossRefGoogle ScholarPubMed
Murray, RMJones, PO'Callaghan, ETakei, NSham, P. Genes, viruses and neurodevelopmental schizophrenia. J Psychiatr Res 1992; 26: 225–235.CrossRefGoogle ScholarPubMed
Myers, DHDavies, P. The seasonal incidence of mania and its relationship to climatic variables. Psychol Med 1978; 8: 433–440.CrossRefGoogle ScholarPubMed
Parker, GWalter, S. Seasonal variation in depressive disorders and suicidal deaths in New South Wales. Br J Psychiatry 1982; 140: 626–632.CrossRefGoogle ScholarPubMed
Pinel, P. A treatise on insanity. New York: Haffner. 1806. p. 10CrossRefGoogle Scholar
Rosenthal, NESack, DAWehr, TALewy, AKGoodwin, FKDavenport, Y. Seasonal Affective disorder: a description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry 1984; 41: 72–80.CrossRefGoogle ScholarPubMed
Sayer, HKMarshall, SMellsop, GW. Bipolar disorder and seasonality in the southern hemisphere. J Affect Disord 1991; 23: 151–156.CrossRefGoogle ScholarPubMed
Silverstone, TRomans, SHunt, NMcpherson, H. Is there a seasonal pattern of relapse in bipolar affective disorders? A dual northern and southern hemisphere cohort study. Br J Psychiatry 1995; 167: 58–60.CrossRefGoogle Scholar
SPSS Inc. SPSS User Guide Base Statistics 6.1. Chicago: SPSS Inc; 1994.Google Scholar
Takei, NO'Callaghan, ESham, PGlover, GTamura, AMurray, R. Seasonality of admissions in the psychoses: effect of diagnosis, sex, and age at onset. Br J Psychiatry 1992; 161: 506–511.CrossRefGoogle ScholarPubMed
VanOs, JJones, PLewis, GWadsworth, MMurray, R. Developmental precursors of affective illness in a general population birth cohort. Arch Gen Psychiatry 1997; 54: 625–631.CrossRefGoogle Scholar
Verdoux, HGeddes, JRTakei, NLawrie, SMBovet, PEagles, JM. Obstetric complications and age of onset in schizophrenia — An international collaborative meta analysis of individual patient data. Am J Psychiatry 1997; 154: 1220–1227.Google ScholarPubMed
Walter, SDElwood, JM. A test for seasonality of events with a variable population at risk. Br J Prev Soc Med 1975; 29: 18–21.Google ScholarPubMed
Walter, SD. Seasonality of mania: a reappraisal. Br J Psychiatry 1977; 131: 345–350.CrossRefGoogle ScholarPubMed
Wehr, TARosenthal, NESeasonality and affective illness. Am J Psychiatry 1989; 146: 829– 839.Google ScholarPubMed
Weissman, MMBland, RCCanino, GJFaravelli, CGreenwald, SHwu, HG. Cross national epidemiology of major depression and bipolar disorder. JAMA 1996; 276 (4): 293–299.CrossRefGoogle ScholarPubMed
World Health Organisation. Mental disorders: glossary and guide to their classification in accordance with the ninth revision of the International Classification of Diseases (ICD-9). Geneva: WHO; 1978.Google Scholar
World Health Organisation. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: WHO; 1992.Google Scholar
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