SAD disrupts melatonin secretion, producing it longer in the morning

SAD uniquely affects people with attention-deficit hyperactivity disorder

Those with ADHD—chronic issues with attention and executive function—are primed for SAD. Many are disproportionately evening chronotypes (more awake in the evening), have a delayed sleep phase, and have low sensitivity to light in the morning. This podcast explores the overlap between these two groups.

One theory claims the retinae of SAD patients may fail to adjust to less light in winter

Most people’s eyes become more sensitive to light in the winter months, but some do not. This failure to adjust causes ripple effects on those individuals’ biological clocks. This Ted-ED video provides a clear, brief, narrative explanation of the condition in six minutes.

Read Norman Rosenthal’s original 1984 paper describing SAD

The study helped formalize research and diagnosis of seasonal affective disorder, catalyzing the development of therapies (like bright light) and leading to broader adoption of effective treatments. It also helped connect the influence of light and seasons on biological mechanisms in the human body, spurring exploration of circadian rhythms.

10 percent of SAD cases occur in the summer

Despite its significantly lower incidence, summer-risk SAD is as significant as its winter counterpart. Rather than being prompted by less light, the summer version is typically spurred by high temperatures, strong light, distinct summer time social pressures (appearing in a bathing suit, for example), and pollen. Common treatments include keeping cool and prioritizing sleep.

Lack of sunlight during Arctic winters can fuel a winter slump and a circadian disconnect.

Studies suggest when you sleep is as important as how much you get.

Roughly 10% of the world has SSAD—SAD’s milder, nonclinical cousin

Subsyndromal affective disorder is diagnosed when someone exhibits two of the nine major criteria for depression (but not more than five) as a result of seasonal changes. While it is milder than primary SAD, SSAD is still significant and impacts millions.

SAD 101 from the folks at NIMH—where the condition was first identified

Norman Rosenthal led the team at the National Institute of Mental Health that first identified and described seasonal affective disorder in 1984. This 101 from NIMH explores the basics of the condition, from who develops it to how it is treated.

Circadian rhythm disruption can influence various mental health disorders

This 2020 research overview surveys the relationship between disrupted circadian clocks and disorders including schizophrenia, anxiety, and bipolar disorder. It incorporates findings and therapeutic approaches drawing from human night shift studies and jet lag studies alongside animal research.

The side effects of falling back and springing forward

Daylight saving time can interfere with a person’s sleep schedule, but it also has been linked to increased rates of depression, heart attack, stroke, cancer, and car accidents. UT Southwestern’s Dr. Joseph Takahashi explains why the time change is bad for your brain and health.

Daylight Saving Time is linked to a rise in heart attacks and strokes

Losing an hour of sleep with seasonal time changes is not good for our health and it’s linked to risks for the first couple days of Daylight Saving Time, including a short-term rise in heart attacks and strokes. Scientists theorize these elevated risks are linked to the disruption to the body’s circadian rhythm.

The body's sleep-wake cycle is one of its many circadian rhythms

The body's sleep-wake cycle is one of its many circadian rhythms, which are behaviors or biological processes that exhibit 24-hour patterns. These rhythms are deeply impacted by light exposure, food availability, and much more, meaning where you live impacts your sleep.

Temperature and certain medications can also affect your circadian rhythms

Although light and dark have the largest influence on circadian rhythms, temperature, stress, and certain medications are among the factors that also play a role. Persistent trouble sleeping or staying asleep may signal it’s time to see your doctor to get a better sleep-wake schedule.

Ending daylight saving time may prevent as many as 300,000 strokes annually

Changing clocks twice a year disrupts circadian rhythms, which last an average of 24 hours and 12 minutes. Studies have shown that permanent daylight saving time provides fewer health benefits than standard time.

What happens when we sleep

Sleep is a highly specialized and complex process that begins via signals from a region of the brain called the hypothalamus. As explained in this overview video from The Economist, the hypothalamus maintains our circadian rhythm by using light cues from our environment to regulate sleep via a compound known as melatonin. Once asleep, the brain begins the "sleep cycle" and progresses through the four stages of sleep over and over again each night.

Winter-risk SAD is more likely in regions above 40 degrees latitude north

Using latitude, depression prevalence, and populations of women and those aged 18-30, this map shows the risk of experiencing seasonal affective disorder during the winter. Researchers weighted latitude most (50%) and demographics least (5% each for women and young adults). Overall risk is not a useful predictor of prognosis for an individual.

An engineer tracked his moods for decades and helped researchers identify SAD

Civil engineer Herb Kern had bipolar and would record his moods dating back to 1967. He noticed the seasons were a major factor in the increase and severity of his episodes. By reaching out to researchers at the National Institute of Mental Health, Kern became the first human to confirm increased melatonin levels during winter and to receive bright light therapy.

Circadian rhythms shift as we age—making older adults want to go to bed earlier

Throughout our lives our internal biological clocks shift. Early-to-rise toddlers become hard-to-wake teens and eventually early-to-sleep seniors. Circadian rhythm fluctuations throughout our life cycle explain some of these changes.

Artificial lighting and modern practices like working late are linked with sleep shifts

An analysis of five adults participating in a German reality program that tasked them with living in a Stone-Age-like settlement for 2.5 months, provided some insights into how modern conditions may have shifted our circadian rhythms. The participants slept about 90 minutes more under these conditions, and went to bed earlier and rose earlier, raising questions about how circadian rhythms, sleep, and sleep quality are affected by modern lifestyles.

The design of a psychiatric ward in Norway aims to integrate more circadian rhythm-friendly lights as part of its treatment protocols for conditions including psychosis, severe depression, and more.

Emulating Earth’s light-dark cycle is important for astronaut health and safety

Astronauts aboard the International Space Station experience 16 daily sunrises, but scientists have learned to try to promote circadian rhythms by phasing through several light settings aboard the ISS to improve astronauts’ sleep and productivity.

Narcolepsy occurs when the brain loses its ability to control its sleep-wake cycle.

Parasites have circadian rhythms, too

Researchers are working to unravel how circadian rhythms of parasites and their hosts affect one another. They’re investigating how to potentially target and disrupt those clocks for disease treatments.

Babies don't develop a circadian rhythm right away

Newborns don't develop circadian rhythm until they are a few months old, which helps to explain their erratic sleep schedules. When they're around three months old they begin to release melatonin, which influences sleep, and around the same time they develop more regular sleeping routines.

Animals get SAD—especially those in zoos, like pandas

Giant pandas in locations outside their evolved latitudinal range (from southeast Asia to northern regions around Beijing) exhibit more sluggish behavior, even when they were born there. Researchers have observed that similar sensitivities to "photoperiods" (or time with light) impacts many animals, including birds, insects, and our pets. (Nautilus imposes a metered paywall.)

The brain will attempt to rest itself in periods of chronic sleep deprivation

Skimping on sleep lengthens reaction times and blunts decision-making skills. At a certain point, the brain will try to sneak sleep where it can, shifting sections offline even as you remain awake. Going without sleep raises blood pressure, undermines the immune system, and increases one's risk of dementia.

There is a best way to wake up—but not a best time

Sleep and circadian rhythm researchers say that waking up at a consistent time each day—even on weekends—and viewing morning sunlight are the best ways to keep body functions running at their peak. (Some users may encounter a paywall.)

Genetics play a role in the reliability of the body's biological clocks

Growing evidence suggests genetics influence when, how long, and how well one sleeps, meaning insomnia may have a genetic component. While exact insomnia biomarkers have yet to be determined, some genes, including those related to psychiatric disorders, have been implicated.

There is a template for how to live a better, healthier day, and it includes a digital sunset

Science suggests that early-morning exercise, later-morning peak work or social time, consistent exercise, and a "digital sunset"—starting to turn down the lights in the evening and avoid screens—are important for circadian health.

Norman Rosenthal’s struggle with SAD inspired him to understand it

The South African doctor migrated to New York City in the 1970s. During his first winter there, he noticed the shorter days had a significant impact on his mood compared to those in his hometown of Johannesburg, South Africa, which is much closer to the equator. After three years of this seasonal mood shift, he decided to focus his studies. Hear him speak in this quick narration.

Sleep disorders can exacerbate neurological and other health conditions

Brain regions that control sleep sit adjacent to those that regulate the autonomic nervous system, which controls involuntary bodily functions like heart and breathing rates. These neighbors influence each other, meaning poor sleep can impair or negatively impact the ANS, further disturbing sleep.

Light pollution is giving oysters insomnia

Oysters, bivalve mollusks that have light-detecting cells along their skin, can't sleep with all this artificial light. According to a 2022 study, oysters' sleep cycles are disturbed by light dimmer than that provided by the full moon. As with humans, it's possible that these bouts of insomnia could have adverse health effects and contribute to the development of disease over time.

Sleep deprivation leads to the buildup of dangerous molecules in the gut.

Bright light therapy involves basking in 10,000 lux of light for 30 minutes each morning

Nothing is better than going outside and soaking up real sunlight. However, this is harder in winter, especially in very cold and cloudy regions. SAD lamps are designed to project 10,000 lux—a unit of illuminance, or how much light actually hits a surface (rather than how much is produced, like watts). This video discusses product options and practical considerations.

What it's like to live with insomnia

The biological process Shakespeare referred to as the chief nourisher of life's feast is necessary for the body and mind to rest and repair from the activities of daily life. As sleep evades the exhausted, sufferers also lose emotional stability, mental clarity, social connections, and more while simultaneously gaining waves of interrupted biological processes that can lead to disease and death.

High-quality sleep is effectively a superpower

Sleep is critical to maintaining healthy biological functions. From restoring energy to consolidating memories, aiding immune system functions and balancing hormone production, optimizing sleep habits are one of the most important ingredients to healthy living.

External factors, not aging itself, lead to sleep loss in older adults

Though it is often believed that people need less sleep as they age, the recommended sleep guidelines for all adult age groups are almost identical. However, factors such as medication use, lack of physical activity, and loneliness can lead to sleep problems, and thereby lead older people to believe that they actually need less sleep than they do.

Chronobiologists study the effect of time on biological cycles

Circadian rhythms were first observed in the 1700s, when French astronomer Jean-Jacques D'Ortous de Mairan put a plant in a dark room and watched it still respond to day and night cycles, setting off further studies about specific light-dark biological cycles, an area of inquiry that continues today with the human "clock proteins" at the molecular level.

Single-cell organisms have circadian clocks that direct daily biochemical routines

Cyanobacteria, a type of light-sensitive bacteria, use this clock to signal when to alternate between making organic compounds through photosynthesis and when to convert atmospheric nitrogen into usable ammonia. Upregulating photosynthetic machinery before dawn helps ensure efficient photosynthesis.

The science of spring fever

Researchers have confirmed what people have sensed for ages: Our emotions during the springtime can go a little wild. This piece breaks down the impact of the seasonal transition on our bodies and prescribes a few ways to mitigate the effects.

Bupropion is the only antidepressant approved for the preventive treatment of SAD

Clinical trials showed a 44% reduction in risk for recurrence of SAD for those who took the drug compared to a placebo group. Bupropion is a norepinephrine–dopamine reuptake inhibitor, which increases dopamine (other common antidepressants, known as selective serotonin reuptake inhibitors, sometimes can suppress dopamine, but not always).

The body produces its own opioids that act on several receptor types throughout the body, triggering the release of dopamine and suppression of noradrenaline, neurotransmitters associated with reward and alertness, respectively.

Most things you would get tested for at the doctor’s office are influenced by circadian rhythm

In this video, a Salk Institute Researcher offers daily habit tips focused on aligning with your circadian rhythms. She notes heart rate and blood pressure are highest in the afternoon, for example, and there’s a triglyceride peak in the morning. Generally, she says, it’s a good idea to schedule your doctor’s checkups at the same time of day each year so there’s consistency across your data.

Sleep deprivation may slow metabolism

This article explains that, according to research from Penn State, restricting sleep for just a few days can affect how the human body metabolizes fats and change how satisfied people feel after a meal. The study found that people who don’t get...

Women are four times as likely to be diagnosed with seasonal depression

This prevalence trend mirrors the broader incidence of depression among women and is well-documented. Researchers suggest the disparity stems from differences in hormones, social role expectations, coping mechanisms, and more. Men may also present with depression differently, and seek help less.

'Zeitgebers' like light are external cues for the circadian clock

German for "time giver" or "time cues," common external zeitgebers include sunlight, food, and physical activity. The timing of these external influences can shift circadian clocks or lead to irregularities: A 2018 study, for example, found that later light exposure and meals were linked to later timing of peak activity and bedtimes.

Astronauts follow strict schedules to mimic Earth days and stay healthy in space

Experiencing 15 sunrises and sunsets a day while aboard the International Space Station, visitors preserve their circadian rhythms and mental health with fixed timetables. Astronauts have described sleep as living in a vacuum cleaner due to ongoing air filtration.

Diabetes is a hormonal disorder that occurs when the pancreas does not produce enough of a hormone that regulates blood glucose, called insulin, or when the body cannot effectively use the insulin it produces.

The lost medieval habit of 'two sleeps'

While most people accept a single seven-to-nine-hour nightly slumber is ideal, the approach is a relatively modern idea. For centuries, interrupted sleep was the norm, with historians uncovering descriptions of two periods of sleep during the normal 24-hour cycle.

The body's master clock has 20,000 neurons

The suprachiasmatic nucleus, the master clock in mammals, has 20,000 neurons that help maintain the light-dark cycle in the body. Among its jobs: It receives light input information from the retina and then signals peripheral body clocks to act on this information, driving everything from body temperature to hunger.