Extraocular light therapy in winter depression: A double-blind placebo-controlled study

Citation
Km. Koorengevel et al., Extraocular light therapy in winter depression: A double-blind placebo-controlled study, BIOL PSYCHI, 50(9), 2001, pp. 691-698
Citations number
43
Categorie Soggetti
Neurosciences & Behavoir
Journal title
BIOLOGICAL PSYCHIATRY
ISSN journal
00063223 → ACNP
Volume
50
Issue
9
Year of publication
2001
Pages
691 - 698
Database
ISI
SICI code
0006-3223(20011101)50:9<691:ELTIWD>2.0.ZU;2-M
Abstract
Background: It has been hypothesized that the circadian pacemaker is phase delayed in seasonal affective disorder, (SAD) winter type, and that the pha se advance resulting from morning ocular light accounts for the efficacy of light therapy. Extraocular light has been reported to produce phase-shifts of the human circadian pacemaker. This allows a double-blind, placebo-cont rolled study of light therapy in SAD. Methods: Twenty-nine SAD patients participated. Clinical state was measured on days 1, 8, and 15 of the protocol. From days 4 through 8, 15 patients ( 4 M, 11 F) received extraocular light by fiberoptic illumination, and 14 (4 M, 10 F) placebo (no light) in the popliteal fossae, from 8 AM to 11 AM. I n the evenings of days 3 and 8, the salivary dim light melatonin onset (DLM O) was assessed. Patients completed daily self-ratings on mood, alertness, and sleep. Results: Both conditions showed a progressive improvement of clinical state over time. Between conditions, no significant differences were observed in clinical scores, the self-ratings on mood and alertness, and in timing of the DLMO before and directly after treatment. Conclusions: The response to extraocular light therapy in SAD patients did not exceed its placebo effect. Extraocular light did not induce a phase shi ft of the circadian pacemaker. (C) 2001 Society of Biological Psychiatry.