Bright Light Treatment in Psychiatry

Abstract

Bright light treatment is a treatment modality that leads elevation of mood by attenuation in depressive symptoms, regulation in circadian rhythm activity, increasing the effect of antidepressants and amelioration in sleep quality. Bright light treatment is considered among the first-line treatments for seasonal affective disorder because of high response rates. Additionally, bright light treatment being extended to other conditions, including non-seasonal mood disorders, Alzheimer’s disease, circadian rhythm sleep disorders, eating disorders, attention deficit hyperactivity disorder and other behavioral syndromes is likely to have a far reached use. Side effects are often temporary and can generally be overcome by reducing exposure time. The central focus on this paper is to review mechanism of action, efficacy, usage areas, administration ways and side effects of light treatment.

Keywords

• Light treatment,depression,seasonal depression,antidepressant effect

Psikiyatride Parlak Işık Tedavisi

Abstract

Parlak ışık tedavisi duygudurumda kalkınmaya ve buna bağlı olarak depresif belirtilerde düzelmeye yol açan, sirkadiyen ritimde düzenleyici etkisi olan, antidepresan ilaçların etkisini artıran ve uyku kalitesinde düzelmeye yol açan bir tedavi şeklidir. Parlak ışık tedavisi mevsimsel özellikli depresyonda yüksek yanıt oranları nedeniyle birinci sıra tedavi seçeneği olarak kabul edilir. Ayrıca parlak ışık tedavisi mevsimsel olmayan duygudurum bozuklukları, Alzheimer hastalığı, sirkadiyen ritim uyku bozuklukları, yeme bozuklukları, dikkat eksikliği hiperaktivite bozukluğu ve diğer davranışsal durumlarda çalışılmıştır. Yan etkileri sıklıkla geçicidir ve genellikle maruziyet süresini azaltarak giderilir. Bu yazıda parlak ışık tedavisinin etki mekanizmasını, etkinliğini, kullanım alanlarını, uygulama şeklini ve yan etkilerinin gözden geçirilmesi amaçlanmıştır.

Keywords

• Işık tedavisi,depresyon,mevsimsel depresyon,antidepresan etki

References

1. gargun MY, Cilli AS, Boysan M, Selvi Y, Gulec M, Kara H (2007) Turkish version of Morningness- Eveningness Questionnaire (MEQ). Sleep Hypnosis, 9:16-23.
2. Ağargün MY, Hızlı Sayar G, Bulut H, Tan O (2013) Comparison of effects of bright light therapy alone or combined with fluoxetine on severity of depression, circadian rhythms, mood disturbance, and sleep quality in patients with non-seasonal depression. ChronoPhysiology and Therapy, 3:53-59.
3. Akıncı E, Orhan FE (2016) Sirkadiyen ritim uyku bozuklukları . Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 8:178-189.
4. Alotaibi MA, Halaki M, Chow MCA (2016) Systematic review of light therapy on mood scores in major depressive disorder: light specification, dose, timing and delivery. Int J Sci Basic Appl Res, 5:30-37.
5. American Psychiatric Association (2010) Practice Guideline for the Treatment of Patients with Major Depressive Disorder, 3rd ed. Arlington, American Psychiatric Association.
6. Ancoli-Israel S, Martin JL, Kripke DF, Marler M, Klauber MR (2002) Effect of light treatment on sleep and circadian rhythms in demented nursing home patients. J Am Geriatr Soc, 50:282–289.
7. Anderson JL, Vasile RG, Mooney JJ, Bloomingdale KL, Samson JA, Schildkraut JJ (1992) Changes in norepinephrine output following light therapy for fall/winter seasonal depression. Biol Psychiatry, 32:700-704.