A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD)

<p>Abstract</p> <p>Background</p> <p>Recent research has emphasized that the human circadian rhythm system is differentially sensitive to short wavelength light. Light treatment devices using efficient light-emitting diodes (LEDs) whose output is relatively concentrated...

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Main Authors: Telner John, Horn Edward, Ruiter Martine J, Meesters Ybe, Tam Edwin M, Michalak Erin E, Weinstein Andrea J, Desan Paul H, Iskandar Hani, Boivin Diane B, Lam Raymond W
Format: Article
Language:English
Published: BMC 2007-08-01
Series:BMC Psychiatry
Online Access:http://www.biomedcentral.com/1471-244X/7/38
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author Telner John
Horn Edward
Ruiter Martine J
Meesters Ybe
Tam Edwin M
Michalak Erin E
Weinstein Andrea J
Desan Paul H
Iskandar Hani
Boivin Diane B
Lam Raymond W
author_facet Telner John
Horn Edward
Ruiter Martine J
Meesters Ybe
Tam Edwin M
Michalak Erin E
Weinstein Andrea J
Desan Paul H
Iskandar Hani
Boivin Diane B
Lam Raymond W
author_sort Telner John
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Recent research has emphasized that the human circadian rhythm system is differentially sensitive to short wavelength light. Light treatment devices using efficient light-emitting diodes (LEDs) whose output is relatively concentrated in short wavelengths may enable a more convenient effective therapy for Seasonal Affective Disorder (SAD).</p> <p>Methods</p> <p>The efficacy of a LED light therapy device in the treatment of SAD was tested in a randomized, double-blind, placebo-controlled, multi-center trial. Participants aged 18 to 65 with SAD (DSM-IV major depression with seasonal pattern) were seen at Baseline and Randomization visits separated by 1 week, and after 1, 2, 3 and 4 weeks of treatment. Hamilton Depression Rating Scale scores (SIGH-SAD) were obtained at each visit. Participants with SIGH-SAD of 20 or greater at Baseline and Randomization visits were randomized to active or control treatment: exposure to the Litebook LED treatment device (The Litebook Company Ltd., Alberta, Canada) which delivers 1,350 lux white light (with spectral emission peaks at 464 nm and 564 nm) at a distance of 20 inches or to an inactivated negative ion generator at a distance of 20 inches, for 30 minutes a day upon awakening and prior to 8 A.M.</p> <p>Results</p> <p>Of the 26 participants randomized, 23 completed the trial. Mean group SIGH-SAD scores did not differ significantly at randomization. At trial end, the proportions of participants in remission (SIGH-SAD less than 9) were significantly greater (Fisher's exact test), and SIGH-SAD scores, as percent individual score at randomization, were significantly lower (t-test), with active treatment than with control, both in an intent-to-treat analysis and an observed cases analysis. A longitudinal repeated measures ANOVA analysis of SIGH-SAD scores also indicated a significant interaction of time and treatment, showing superiority of the Litebook over the placebo condition.</p> <p>Conclusion</p> <p>The results of this pilot study support the hypothesis that light therapy with the Litebook is an effective treatment for SAD.</p> <p>Trial registration</p> <p>Clinicaltrials.gov: NCT00139997</p>
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spelling doaj.art-36ee91c4cab14fcaa16dbe65a3886dfe2022-12-21T23:22:49ZengBMCBMC Psychiatry1471-244X2007-08-01713810.1186/1471-244X-7-38A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD)Telner JohnHorn EdwardRuiter Martine JMeesters YbeTam Edwin MMichalak Erin EWeinstein Andrea JDesan Paul HIskandar HaniBoivin Diane BLam Raymond W<p>Abstract</p> <p>Background</p> <p>Recent research has emphasized that the human circadian rhythm system is differentially sensitive to short wavelength light. Light treatment devices using efficient light-emitting diodes (LEDs) whose output is relatively concentrated in short wavelengths may enable a more convenient effective therapy for Seasonal Affective Disorder (SAD).</p> <p>Methods</p> <p>The efficacy of a LED light therapy device in the treatment of SAD was tested in a randomized, double-blind, placebo-controlled, multi-center trial. Participants aged 18 to 65 with SAD (DSM-IV major depression with seasonal pattern) were seen at Baseline and Randomization visits separated by 1 week, and after 1, 2, 3 and 4 weeks of treatment. Hamilton Depression Rating Scale scores (SIGH-SAD) were obtained at each visit. Participants with SIGH-SAD of 20 or greater at Baseline and Randomization visits were randomized to active or control treatment: exposure to the Litebook LED treatment device (The Litebook Company Ltd., Alberta, Canada) which delivers 1,350 lux white light (with spectral emission peaks at 464 nm and 564 nm) at a distance of 20 inches or to an inactivated negative ion generator at a distance of 20 inches, for 30 minutes a day upon awakening and prior to 8 A.M.</p> <p>Results</p> <p>Of the 26 participants randomized, 23 completed the trial. Mean group SIGH-SAD scores did not differ significantly at randomization. At trial end, the proportions of participants in remission (SIGH-SAD less than 9) were significantly greater (Fisher's exact test), and SIGH-SAD scores, as percent individual score at randomization, were significantly lower (t-test), with active treatment than with control, both in an intent-to-treat analysis and an observed cases analysis. A longitudinal repeated measures ANOVA analysis of SIGH-SAD scores also indicated a significant interaction of time and treatment, showing superiority of the Litebook over the placebo condition.</p> <p>Conclusion</p> <p>The results of this pilot study support the hypothesis that light therapy with the Litebook is an effective treatment for SAD.</p> <p>Trial registration</p> <p>Clinicaltrials.gov: NCT00139997</p>http://www.biomedcentral.com/1471-244X/7/38
spellingShingle Telner John
Horn Edward
Ruiter Martine J
Meesters Ybe
Tam Edwin M
Michalak Erin E
Weinstein Andrea J
Desan Paul H
Iskandar Hani
Boivin Diane B
Lam Raymond W
A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD)
BMC Psychiatry
title A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD)
title_full A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD)
title_fullStr A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD)
title_full_unstemmed A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD)
title_short A controlled trial of the Litebook light-emitting diode (LED) light therapy device for treatment of Seasonal Affective Disorder (SAD)
title_sort controlled trial of the litebook light emitting diode led light therapy device for treatment of seasonal affective disorder sad
url http://www.biomedcentral.com/1471-244X/7/38
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