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Seasonal Affective Disorder (SAD): serotonergic dysfunction theory

Theorypedia on December 22, 2009
serotonin molecule
Library of Congress
Serotonin or 5-hydroxytryptamine plays an important role in the regulation of body temperature, mood, sleep, vomiting, sexuality and appetite.
The serotonergic dysfunction theory of SAD states, based on research findings, that the receptors on brain cells that are stimulated by serotonin are not functioning correctly, resulting in abnormal neuroendocrine responses and the symptoms experienced in SAD.
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Serotonin is actually converted into melatonin. This happens as light levels fall in the evening and the pineal gland signals for melatonin production to increase.

Serotonin acts a messenger, a mood 'governor' in the brain and how well it functions has a major impact on mood. Low serotonin function is thought to result in a type of depression characterized by symptoms such as feelings of sadness, worthlessness, guilt, and suicidal thoughts.

The hypothesis regarding serotonergic dysfunction is based on the findings that serotonin levels vary significantly in normal humans across seasons with lowest levels in the winter months. The same research that found high daytime levels of melatonin in SAD patients  (See our SAD circadian rhythm theory) also found the serotonin levels of everybody tested, including the control group of the healthy volunteers, were lower in winter than in summer.
 
Serotonin production is also intimately connected with the "sleep" hormone melatonin, the levels of which are abnormal in SAD sufferers. Serotonin is actually converted into melatonin. This happens as light levels fall in the evening and the pineal gland signals for melatonin production to increase.

In simple terms, the actions of serotonin and melatonin are opposing with serotonin stimulating us during the daytime and melatonin inducing sleep at night.

In SAD, we know that melatonin levels are higher than normal during the day, so sufferers experience sleepiness and other melatonin induced effects, and are also prone to serotonin deficiency symptoms such as negative emotional states.

As a result of the close relationship between serotonin and melatonin, the circadian rhythm and serotonergic dysfunction theories should probably be seen as complementary to each other rather than as totally distinct explanations for SAD.


Think you might have Seasonal Affective Disorder (SAD) ?
Common symptoms for SAD:

  • Afternoon slumps with decreased energy and concentration
  • Carbohydrate cravings
  • Decreased interest in work or other activities
  • Depression that starts in fall or winter
  • Increased appetite with weight gain
  • Increased sleep and excessive daytime sleepiness
  • Lack of energy
  • Slow, sluggish, lethargic movement
  • Social withdrawal

 
Common treatments for SAD mirror that of other types of depression; including talk therapy and anti-depressant medications.  Light therapy, at specific times, using a full-spectrum light source to mimic the sun may also help.

Get More....
National Alliance on Mental Health: Seasonal Affective Disorder

Last updated December 22 2009, 1:08 PM EST

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