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Dynamic LED-light versus static LED-light for depressed inpatients: study protocol for a randomised clinical study.

BMJ open
January 1, 1970
Carlo Volf et al. (12 authors)
Comparative StudyJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to investigate the antidepressant efficacy of a dynamic LED-lighting system compared to static LED-lighting in psychiatric inpatients with major depressive episodes.

Results Summary

The study measured outcomes using depression rating scales and quality of life assessments, but specific results are not provided in the abstract. The trial was registered and results were planned for dissemination.

Population

150 inpatients with major depressive episodes, either as part of major depressive disorder or bipolar disorder.

Effective Dosage

Not specified

Duration

3 weeks

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
intensity of daylight in patient rooms
neutral
length of stay
psychiatric inpatients
-
relation between
#1
light therapy
decrease
depression
-
-
has shown a promising antidepressant effect
#2
dynamic LED-lighting system
neutral
depression
inpatients with a major depressive episode
-
investigate the antidepressant efficacy of
#3
Abstract

INTRODUCTION: Retrospective studies conducted in psychiatric inpatient wards have shown a relation between the intensity of daylight in patient rooms and the length of stay, pointing to an antidepressant effect of ambient lighting conditions. Light therapy has shown a promising antidepressant effect when administered from a light box. The emergence of light-emitting diode (LED) technology has made it possible to build luminaires into rooms and to dynamically mimic the spectral and temporal distribution of daylight. The objective of this study is to investigate the antidepressant efficacy of a newly developed dynamic LED-lighting system installed in an inpatient ward. METHODS AND ANALYSIS: In all, 150 inpatients with a major depressive episode, as part of either a major depressive disorder or as part of a bipolar disorder, will be included. The design is a two-arm 1:1 randomised study with a dynamic LED-lighting arm and a static LED-lighting arm, both as add-on to usual treatment in an inpatient psychiatric ward. The primary outcome is the baseline adjusted score on the 6-item Hamilton Depression Rating Scale at week 3. The secondary outcomes are the mean score on the Suicidal Ideation Attributes Scale at week 3, the mean score on the 17-item Hamilton Depression Rating Scale at week 3 and the mean score on the World Health Organisation Quality of Life-BREF (WHOQOL-BREF) at week 3. The spectral distribution of daylight and LED-light, with a specific focus on light mediated through the intrinsically photosensitive retinal ganglion cells, will be measured. Use of light luminaires will be logged. Assessors of Hamilton Depression Rating Scale scores and data analysts will be blinded for treatment allocation. The study was initiated in May 2019 and will end in December 2021. ETHICS AND DISSEMINATION: No ethical issues are expected. Results will be published in peer-reviewed journals, disseminated electronically and in print and presented at symposia. TRIAL REGISTRATION NUMBER: NCT03821506; Pre-results.

Medical Subject Headings (MeSH)
AdultBipolar DisorderDepressionDepressive Disorder, MajorEnvironment DesignFemaleHospitalizationHumansLightMalePhototherapyQuality of LifeRandomized Controlled Trials as TopicResearch DesignTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations2
Citations/Year0.4
Relative Citation Ratio0.17
NIH Percentile8.4%
Research Impact Scores
APT Score0.05
Weight Score1.54
Normalized Score0.67
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