Treatment of seasonal affective disorder with high-intensity light. A phototherapy study with an Icelandic group of patients. 1991

A Magnusson, and H Kristbjarnarson
Department of Psychiatry, National University Hospital, Reykjavik, Iceland.

The standard phototherapy procedure for seasonal affective disorder (SAD) has been to expose patients to 2500 lux light intensity for 2 h. This study investigated whether high-intensity light treatment with a brief exposure time would relieve symptoms of SAD. Ten SAD patients were randomly assigned to 40-min exposure to 10,000 lux white light or to 400 lux red light which served as placebo. Each patient received treatment for 8 days, and after a wash-out period was crossed over to the other treatment condition. Depression was assessed by the 21-item HDRS and SIGH-SAD by a blind rater and the patients completed the BDI for self-assessment. Significantly greater improvement was found with 10,000 lux treatment than with the placebo (P = 0.011, P = 0.017 and P = 0.028 for SIGH-SAD, HDRS and BDI respectively). The 10,000 lux therapy improved the SIGH-SAD score by an average of 16.1 while the average improvement on placebo treatment was 5.0. The patients were rated again the following summer; most of them were the symptomless. Those patients who improved most on phototherapy also tended to improve most during the summer.

UI MeSH Term Description Entries
D007055 Iceland A country in northern Europe, an island between the Greenland Sea and the North Atlantic Ocean, northwest of the United Kingdom. The capital is Reykjavik.
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010556 Personality Tests Standardized objective tests designed to facilitate the evaluation of personality. Personality Test,Test, Personality,Tests, Personality
D010789 Phototherapy Treatment of disease by exposure to light, especially by variously concentrated light rays or specific wavelengths. Blue Light Therapy,Blue-light Therapy,Light Therapy,Photoradiation Therapy,Red Light Phototherapy,Therapy, Photoradiation,Blue Light Therapies,Blue-light Therapies,Light Phototherapies, Red,Light Phototherapy, Red,Light Therapies,Light Therapies, Blue,Light Therapy, Blue,Photoradiation Therapies,Phototherapies,Phototherapies, Red Light,Phototherapy, Red Light,Red Light Phototherapies,Therapies, Blue Light,Therapies, Blue-light,Therapies, Light,Therapies, Photoradiation,Therapy, Blue Light,Therapy, Blue-light,Therapy, Light
D002940 Circadian Rhythm The regular recurrence, in cycles of about 24 hours, of biological processes or activities, such as sensitivity to drugs or environmental and physiological stimuli. Diurnal Rhythm,Nyctohemeral Rhythm,Twenty-Four Hour Rhythm,Nycthemeral Rhythm,Circadian Rhythms,Diurnal Rhythms,Nycthemeral Rhythms,Nyctohemeral Rhythms,Rhythm, Circadian,Rhythm, Diurnal,Rhythm, Nycthemeral,Rhythm, Nyctohemeral,Rhythm, Twenty-Four Hour,Rhythms, Circadian,Rhythms, Diurnal,Rhythms, Nycthemeral,Rhythms, Nyctohemeral,Rhythms, Twenty-Four Hour,Twenty Four Hour Rhythm,Twenty-Four Hour Rhythms
D003866 Depressive Disorder An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent. Depression, Endogenous,Depression, Neurotic,Depression, Unipolar,Depressive Syndrome,Melancholia,Neurosis, Depressive,Unipolar Depression,Depressions, Endogenous,Depressions, Neurotic,Depressions, Unipolar,Depressive Disorders,Depressive Neuroses,Depressive Neurosis,Depressive Syndromes,Disorder, Depressive,Disorders, Depressive,Endogenous Depression,Endogenous Depressions,Melancholias,Neuroses, Depressive,Neurotic Depression,Neurotic Depressions,Syndrome, Depressive,Syndromes, Depressive,Unipolar Depressions
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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