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Illuminating the way: the role of bright light therapy in the treatment of depression.

Expert review of neurotherapeutics
January 1, 2023
Biljana Kosanovic Rajacic et al. (4 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness and potential benefits of bright light therapy (BLT) across various depressive disorders, including major depressive disorder, non-seasonal depression, bipolar depression, and seasonal affective disorder, as well as its role in treatment-resistant depression (TRD).

Results Summary

The study found that BLT is effective in treating various depressive disorders, including TRD, and can be used both as monotherapy and in combination with pharmacological treatments. The authors highlight BLT's good tolerability and suggest future research should focus on clinical and biological predictors of response.

Population

Patients with major depressive disorder, non-seasonal depression, bipolar depression, seasonal affective disorder, and treatment-resistant depression.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
bright light therapy (BLT)
increase
intrinsically photosensitive retinal ganglion cells
-
-
stimulates
#1
bright light therapy (BLT)
increase
a complex cascade of events, including alterations in melatonergic, neurotrophic, GABAergic, glutamatergic, noradrenergic, serotonergic systems, and HPA axis
-
-
induces
#2
bright light therapy (BLT)
increase
the circadian pacemaker
-
-
effects expand beyond
#3
bright light therapy (BLT)
neutral
major depressive disorder, non-seasonal depression, bipolar depression or depressive phase of bipolar disorder, and seasonal affective disorder
-
-
effects in
#4
bright light therapy (BLT)
neutral
treatment-resistant depression (TRD)
-
-
effects in
#5
bright light therapy (BLT)
increase
TRD
-
-
response to
#6
bright light therapy (BLT)
neutral
a monotherapy
-
-
can be used as
#7
bright light therapy (BLT)
neutral
other pharmacological treatments
-
-
can be used in combination with
#8
Abstract

INTRODUCTION: Despite the growing number of different therapeutic options, treatment of depression is still a challenge. A broader perspective reveals the benefits of bright light therapy (BLT). It stimulates intrinsically photosensitive retinal ganglion cells, which induces a complex cascade of events, including alterations in melatonergic, neurotrophic, GABAergic, glutamatergic, noradrenergic, serotonergic systems, and HPA axis, suggesting that BLT effects expand beyond the circadian pacemaker. AREAS COVERED: In this review, the authors present and discuss recent data of BLT in major depressive disorder, non-seasonal depression, bipolar depression or depressive phase of bipolar disorder, and seasonal affective disorder, as well as in treatment-resistant depression (TRD). The authors further highlight BLT effects in various depressive disorders compared to placebo and report data from several studies suggesting a response to BLT in TRD. Also, the authors report data showing that BLT can be used both as a monotherapy or in combination with other pharmacological treatments. EXPERT OPINION: BLT is an easy-to-use and low-budget therapy with good tolerability. Future studies should focus on clinical and biological predictors of response to BLT, on defining specific populations which may benefit from BLT and establishing treatment protocols regarding timing, frequency, and duration of BLT.

Medical Subject Headings (MeSH)
HumansDepressive Disorder, MajorDepressionHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemPhototherapyTreatment Outcome
Study Links
Quality Scores
Safety85
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations3
Citations/Year1.5
Relative Citation Ratio0.91
NIH Percentile46.5%
Research Impact Scores
APT Score0.25
Weight Score2.59
Normalized Score0.80
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