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. Author manuscript; available in PMC: 2015 Jun 30.
Published in final edited form as: Psychiatry Res. 2014 Mar 15;217(0):47–53. doi: 10.1016/j.psychres.2014.03.012

Table 1.

Typical and atypical symptoms of depression as assessed by the Structured Interview Guide for Hamilton Rating Scale for Depression-Seasonal Affective Disorder version (SIGH-SAD).

Typical Symptoms Atypical Symptoms
H1. Depressed mood A1. Social Withdrawal
H2. Difficulty in work and activities A2. Weight gain
H3. Genital symptoms (e.g. loss of libido, menstrual disturbances) A3. Appetite increase
A4. Increased eating
H4. Loss of appetite/gastrointestinal symptoms A5. Carbohydrate craving or eating
H5. Loss of weight
H6. Insomnia early (initial insomnia) A6. Hypersomnia
H7. Insomnia middle A7. Fatigability (i.e. low energy, feelings of being heavy or leaden)
H8. Insomnia late (terminal insomnia)
H9. Fatigue and/or aches and pains A8. Mood and/or energy slump in the afternoon or evening
H10. Feelings of guilt
H11. Suicidality
H12. Anxiety (psychic)
H13. Anxiety (somatic)
H14. Hypochondriasis
H15. Poor insight
H16. Psychomotor retardation
H17. Psychomotor agitation
H18. Diurnal variation in mood
H19. Depersonalization and derealization
H20. Paranoid symptoms
H21. Obsessional and compulsive symptoms