The phase of circadian rhythms can be shifted by exposure to light. Mo
st patients with winter depression are suggested to have a phase delay
in their circadian rhythms. The efficacy of light in treatment of win
ter depression is thought to be associated with the phase shifting eff
ect of light. In addition to light, melatonin and serotonin can cause
phase shifts of the rhythms. The concerted action of these indoleamine
s may underly the finding that light has an antidepressant effect, ind
ependently of time of day or circadian phase of an individual.