Examining the Influence of Seasonal Changes on Mood: An Analytical Cross-Sectional Study of Local and Foreign Medical Students at Grodno State Medical University

Main Article Content

Himashi Poddalgoda
Sevmini Wijetunge
Michelle Mendis
Lahiru Kulatunga
Akila Goonesinghe

Abstract

Background

Seasonal affective disorder (SAD) is known to cause negative effects on a person's life. This is more prevalent in the higher latitudes. Interestingly foreigners migrating to higher latitudes from lower latitudes had higher prevalence rate of SAD comparative to the indigenous population at that latitude.


Purpose of Study

There is a scarcity of research conducted on SAD among medical students. So, we aimed to examine the effect of seasonal mood variations among foreign (international) medical students relocating to regions with higher latitude and compare it to the changes of local medical students of that country.


Methods

This cross-sectional study was conducted in the Grodno State Medical University involving both local and foreign medical students. A pre-formed Google form with PIDS-SA was used for data collection. This data were then analyzed using Epi Info 7.6.2.0 Software.


Results

There were mood changes with seasons in both student populations (Foreign 70.2%, Local 64.2%). When considering the criteria to diagnose SAD, 11.3% were affected with SAD in Winter. Foreign students had 4 times more likelihood of been affected with Winter SAD relative to the local medical students. (OR=4.12, p 0.04). There were no cases of summer SAD in this sample.


Conclusion

Increased vulnerability of foreign students to SAD upon relocating to higher latitudes presents an additional challenge to a medical student’s life. Raising awareness, teaching coping mechanisms and ensuring treatment access will foster a supportive environment for both local and foreign students’ wellbeing. 


Key words

Seasonal Affective Disorder, Medical Students, Undergraduate Students, Eastern Europe, Local and International Students, Latitude

Article Details

How to Cite
Poddalgoda, H., Wijetunge, S., Mendis, M., Kulatunga, L. and Goonesinghe, A. (2024) “Examining the Influence of Seasonal Changes on Mood: An Analytical Cross-Sectional Study of Local and Foreign Medical Students at Grodno State Medical University”, Journal of Asian Medical Students’ Association. Kuala Lumpur, Malaysia, 11(1). doi: 10.52629/jamsa.v11i1.745.
Section
Original Papers

References

Rosen LN, Targum SD, Terman M, Bryant MJ, Hoffman H, Kasper SF, et al. Prevalence of seasonal affective disorder at four latitudes. Psychiatry Res [Internet]. 1990 [cited 2024 Jan 25];31(2):131–44. Available from: https://pubmed.ncbi.nlm.nih.gov/2326393/

Melrose S. Seasonal Affective Disorder: An Overview of Assessment and Treatment Approaches. Depress Res Treat [Internet]. 2015 [cited 2024 Jan 25];2015. Available from: /pmc/articles/PMC4673349/

Seasonal Affective Disorder - National Institute of Mental Health (NIMH) [Internet]. [cited 2024 Jan 25]. Available from: https://www.nimh.nih.gov/health/publications/seasonal-affective-disorder

Meesters Y, Gordijn MCM. Seasonal affective disorder, winter type: current insights and treatment options. Psychol Res Behav Manag [Internet]. 2016 Nov 30 [cited 2024 Feb 25];9:317. Available from: /pmc/articles/PMC5138072/

Mersch PPA, Middendorp HM, Bouhuys AL, Beersma DGM, Van Den Hoofdakker RH. Seasonal affective disorder and latitude: a review of the literature. J Affect Disord [Internet]. 1999 Apr 1 [cited 2024 Feb 25];53(1):35–48. Available from: https://pubmed.ncbi.nlm.nih.gov/10363665/

Suhail K, Cochrane R. Seasonal changes in affective state in samples of Asian and white women. Soc Psychiatry Psychiatr Epidemiol [Internet]. 1997 Apr [cited 2024 Feb 26];32(3):149–57. Available from: https://link.springer.com/article/10.1007/BF00794614

Saheera TB, Lien L, Hauff E, Kumar BN. Ethnic differences in seasonal affective disorder and associated factors among five immigrant groups in Norway. J Affect Disord [Internet]. 2013 [cited 2024 Jan 25];151(1):237–42. Available from: https://pubmed.ncbi.nlm.nih.gov/23820095/

Soriano JJ, Ciupagea C, Rohan KJ, Neculai DB, Yousufi SM, Guzman A, et al. Seasonal Variations in Mood and Behavior in Romanian Postgraduate Students. 2007 [cited 2024 Feb 23];7:870–9. Available from: www.thescientificworld.com

Agumadu CO, Yousufi SM, Malik IS, Nguyen MCT, Jackson MA, Soleymani K, et al. Seasonal variation in mood in African American College students in the Washington, D.C., metropolitan area. American Journal of Psychiatry [Internet]. 2004 Jun 1 [cited 2024 Feb 23];161(6):1084–9. Available from: https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.161.6.1084

Guzman A, Rohan KJ, Yousufi SM, Nguyen MC, Jackson MA, Soriano JJ, et al. Mood Sensitivity to Seasonal Changes in African College Students Living in the Greater Washington D.C. Metropolitan Area. The Scientific World Journal [Internet]. 2007 May 1 [cited 2024 Feb 26];7:584. Available from: /pmc/articles/PMC5901367/?report=abstract

Ukraintsev II, Schastnyy ED, Bokhan NA. Incidence rate and clinical characteristics of seasonal affective disorders in senior medical students. Bulletin of Siberian Medicine. 2021;20(3):112–9.

Covassin T, Bretzin AC, Japinga A, Teachnor-Hauk D, Nogle S. Exploring the Relationship Between Depression and Seasonal Affective Disorder in Incoming First Year Collegiate Student-Athletes. Athl Train Sports Health Care. 2019 May 14;11(3):124–30.

Han L, Wang K, Cheng Y, Du Z, Rosenthal NE, Primeau F. Summer and winter patterns of seasonality in Chinese college students: a replication. Compr Psychiatry [Internet]. 2000 [cited 2024 Feb 23];41(1):57–62. Available from: https://pubmed.ncbi.nlm.nih.gov/10646620/

Han L, Wang K, Du Z, Cheng Y, Simons JS, Rosenthal NE. Seasonal variations in mood and behavior among Chinese medical students. Am J Psychiatry [Internet]. 2000 [cited 2024 Feb 23];157(1):133–5. Available from: https://pubmed.ncbi.nlm.nih.gov/10618029/

Seto B, Kodama K, Griffin D, Seto J, Obana K, Taira D. Effect of Hometown Seasonality on Undergraduate Students’ Risk of Developing Seasonal Affective Disorder. Hawaii J Health Soc Welf [Internet]. 2021 Dec 1 [cited 2024 Jan 27];80(12):298. Available from: /pmc/articles/PMC8646863/

Shastun S, Chibisov S, Singh RB, Wilson DW, Nyurango P, Sheehama J, et al. Limitations of Seasonal Pattern Assessment Questionnaire and Development of Shastun’s Questionnaire for Assessment of Seasonal Affective Disorders, Among Namibian Students in Moscow. 9(3).

Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. Stress and Its Effects on Medical Students: A Cross-sectional Study at a College of Medicine in Saudi Arabia. J Health Popul Nutr [Internet]. 2011 [cited 2024 Feb 25];29(5):516. Available from: /pmc/articles/PMC3225114/

Medicine S, Kim SJ, Lee HJ, Choi HS, Jung HG, Kim BJ, et al. Seasonal Variations of Mood and Behavior in Korean Medical Students. Sleep Medicine and Psychophysiology. 2004;11(2):95–9.

Ozaki N, Ono Y, Ito A, Rosenthal NE. Prevalence of seasonal difficulties in mood and behavior among Japanese civil servants. Am J Psychiatry [Internet]. 1995 Aug 1 [cited 2024 Feb 23];152(8):1225–7. Available from: https://europepmc.org/article/med/7625479

Terman M, Williams JBW. Personal Inventory for Depression and SAD Self-Assessment Version (PIDS-SA). 1998 [cited 2024 Jan 25]; Available from: http://www.cet.org,

Terman M, Terman JS, Williams JBW. Seasonal affective disorder and its treatments. J Psychiatr Pract [Internet]. 1998 [cited 2024 Jan 30];4(5):287–303. Available from: https://www.researchgate.net/publication/232135158_Seasonal_Affective_Disorder_And_its_Treatments

(PDF) PERSONAL INVENTORY FOR DEPRESSION AND SEASONAL AFFECTIVE DISORDER (PIDS) [Internet]. [cited 2024 Jan 30]. Available from: https://www.researchgate.net/publication/284727949_PERSONAL_INVENTORY_FOR_DEPRESSION_AND_SEASONAL_AFFECTIVE_DISORDER_PIDS

Penwell-Waines L, Stepleman L. Critical Synthesis Package: Seasonal Pattern Assessment Questionnaire (SPAQ). MedEdPORTAL [Internet]. 2013 Dec 2 [cited 2024 Feb 24]; Available from: https://www.mededportal.org/doi/10.15766/mep_2374-8265.9622

Mersch PPA, Vastenburg NC, Meesters Y, Bouhuys AL, Beersma DGM, Van Den Hoofdakker RH, et al. The reliability and validity of the Seasonal Pattern Assessment Questionnaire: A comparison between patient groups. J Affect Disord [Internet]. 2004 Jun [cited 2024 Jan 29];80(2–3):209–19. Available from: https://pubmed.ncbi.nlm.nih.gov/15207934/

Fonte A, Coutinho B. Seasonal sensitivity and psychiatric morbidity: study about seasonal affective disorder. BMC Psychiatry [Internet]. 2021 Dec 1 [cited 2024 Feb 25];21(1):1–7. Available from: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-021-03313-z

countries.csv | Dataset Publishing Language | Google for Developers [Internet]. [cited 2024 Feb 23]. Available from: https://developers.google.com/public-data/docs/canonical/countries_csv

Low KG, Feissner JM. Seasonal affective disorder in college students: prevalence and latitude. J Am Coll Health [Internet]. 1998 [cited 2024 Feb 26];47(3):135–7. Available from: https://pubmed.ncbi.nlm.nih.gov/9830820/

Saheer OTB, Kumar BN, Hauff E, Lien L, Hjelde KH. Seasonal Affective Disorder and associated Factors among Sri Lankan Immigrants living in Oslo. 2012 Dec 11 [cited 2024 Feb 23]; Available from: https://www.duo.uio.no/handle/10852/35132