In the alternating seasons of winter and spring, not only will you be prone to get sick due to the large temperature difference, but you may also catch a "cold" in your mood - this is the peak period for the recurrence of various mental disorders, accounting for about 65%-70% of the annual recurrence rate .

The question is, why do our emotions fluctuate like this?

How do you take control of your mental health?

Doctors from the Department of Psychological and Behavioral Medicine are here to give you the answer.

　　From winter to spring, it is easy to disturb the secretion of these substances

　　Depressive disorder is a common and high-incidence mental illness with continuous and long-term depression as its main clinical feature.

Reports of various types of suicide and self-harm caused by depression are not uncommon.

　　The latest epidemiological survey shows that the lifetime prevalence of depressive disorder among adults in my country is 6.8%, of which depression is 3.4%, dysthymia is 1.4%, and unspecified depressive disorder is 3.2%. % to 15% may eventually die by suicide.

Depression patients account for 50%-70% of suicides and suicide attempts in my country.

It is particularly important to pay attention to depressive disorder, care for patients with depressive disorder, scientifically prevent and reduce the fluctuation and recurrence of the disease.

　　The reason for the recurrence peak of various mental disorders in early spring is not only related to the basis of the patient's own biological and psychological state, but also to the large temperature fluctuations and unstable air pressure fluctuations when the seasons change.

This season is likely to cause disturbances in the secretion of neurotransmitters in the brain, such as unbalanced secretion of serotonin, norepinephrine, and dopamine, which leads to the recurrence of the disease.

　　You might be depressed again

　　The symptoms of depressive relapse vary, some are poor sleep, difficulty falling asleep, early awakening, and more dreams; some are decreased energy, fatigue, dizziness, palpitations; some are gastrointestinal disorders, decreased appetite, etc.

If you have a history of depressive disorder in the past, and the above situation occurs, you must be highly alert to the possibility of recurrence, and you need to seek medical treatment in time to seek scientific diagnosis and treatment.

　　Depression is not scary, what is scary is that it is taboo to avoid doctors.

Due to the influence of traditional culture, many people are reluctant to go to diagnosis and treatment when encountering mental and psychological problems, and even choose to avoid it, which leads to delay in treatment and missed the best treatment period.

People suffering from depressive disorders mainly include working people with high work pressure and high mental stress, the elderly, and perinatal or perimenopausal women. In recent years, children and adolescents have increasingly serious mental and mental health problems. More and more social and medical attention.

　　Improving the public's understanding of depressive disorders, increasing care for patients with depressive disorders, effective psychological support and intervention, and adequate and adequate course of drug treatment will effectively reduce the recurrence of depressive disorders.

　　Come and answer the question, how are you feeling?

　　Clinically, we often use PHQ-9 as a rapid screening for depressive disorders. PHQ-9 is also one of the international general depression detection scales. The scale has 9 items. the frequency of occurrence in the answer.

It can also be used as an assessment scale for self-emotion detection in daily life.

Without further ado, let's move on to the answering session:

　　1. Feeling tired or uninterested when doing things;

　　2. Feeling down, depressed or hopeless;

　　3. Difficulty falling asleep, restless sleep or sleeping too much;

　　4. Feeling tired or lacking energy;

　　5. Loss of appetite or eating too much;

　　6. Feeling bad about yourself or feeling like a failure, or letting yourself and your family down;

　　7. Difficulty concentrating on things, such as reading a newspaper or watching TV;

　　8. Moves or speaks so slowly that others have noticed it or just the opposite-becomes more fidgety or restless than usual, moving around;

　　9. Thinking of dying or hurting yourself in some way.

　　Option Description

　　None (0 points): None or very little time (no more than one day in the past week);

　　A few days (1 point): a small amount of time (1-3 days in the past week);

　　More than half of the time (2 points): quite a lot of time (in the past week, this happened about 4 days);

　　Almost every day (3 points): Most or all of the time (5-7 days in the past week)

　　Grading

　　0-4 points: normal

　　5-9 points: There may be mild depression (recommended to consult a psychiatrist or a psychiatrist)

　　10-14 points: moderate depression possible (preferably consult a psychiatrist or psychiatrist)

　　15-19 points: There may be moderate to severe depression (recommended to consult a psychiatrist or psychiatrist)

　　20-27 points: possible severe depression (must see a psychiatrist or psychiatrist)

　　Text/Li Xiaojun (Beijing Jishuitan Hospital)