Treating winter depressive episodes in bipolar disorder: an open trial of light therapy

Abstract Background Light therapy has been used to treat winter depression in bipolar disorder, although the dose, duration, and timing of treatment have differed. The present study is an open trial of light therapy for depressive episodes in autumn/winter using a Dutch protocol specific for patient...

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Main Authors: Lotte J. E. van Hout, Lisette E. P. Rops, Claudia J. P. Simons
Format: Article
Language:English
Published: SpringerOpen 2020-06-01
Series:International Journal of Bipolar Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40345-020-00182-5
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author Lotte J. E. van Hout
Lisette E. P. Rops
Claudia J. P. Simons
author_facet Lotte J. E. van Hout
Lisette E. P. Rops
Claudia J. P. Simons
author_sort Lotte J. E. van Hout
collection DOAJ
description Abstract Background Light therapy has been used to treat winter depression in bipolar disorder, although the dose, duration, and timing of treatment have differed. The present study is an open trial of light therapy for depressive episodes in autumn/winter using a Dutch protocol specific for patients with a bipolar disorder. Methods Data were collected for the seasons September–April 2017–2018 and September–April 2018–2019. In total, 58 patients received light therapy for a minimum of 7 days and a maximum of 21 days; there was a follow-up measurement after two weeks. Outcomes were quick inventory of depressive symptomatology (QIDS) scores and side effects. Results QIDS scores were significantly lower at the last day of therapy (B = − 6.00, p < 0.001) and 2 weeks after the end of treatment (B = − 6.55, p < 0.001) compared with pre-intervention. Remission (QIDS ≤ 5) was reached in 55% of the treatments and response (50% symptom reduction) in 57% of the treatments. Side effects were mild; two hypomanic periods occurred. Conclusions The Dutch light therapy protocol for patients with a bipolar disorder may be effective in treating a seasonal depression and side effects are mild. Light therapy deserves a prominent place in the treatment because effects may be large and quick.
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spelling doaj.art-a9875c1c75454dd2a717143e0700ac852022-12-21T18:10:06ZengSpringerOpenInternational Journal of Bipolar Disorders2194-75112020-06-01811710.1186/s40345-020-00182-5Treating winter depressive episodes in bipolar disorder: an open trial of light therapyLotte J. E. van Hout0Lisette E. P. Rops1Claudia J. P. Simons2GGzE, Institute for Mental Health Care EindhovenGGzE, Institute for Mental Health Care EindhovenGGzE, Institute for Mental Health Care EindhovenAbstract Background Light therapy has been used to treat winter depression in bipolar disorder, although the dose, duration, and timing of treatment have differed. The present study is an open trial of light therapy for depressive episodes in autumn/winter using a Dutch protocol specific for patients with a bipolar disorder. Methods Data were collected for the seasons September–April 2017–2018 and September–April 2018–2019. In total, 58 patients received light therapy for a minimum of 7 days and a maximum of 21 days; there was a follow-up measurement after two weeks. Outcomes were quick inventory of depressive symptomatology (QIDS) scores and side effects. Results QIDS scores were significantly lower at the last day of therapy (B = − 6.00, p < 0.001) and 2 weeks after the end of treatment (B = − 6.55, p < 0.001) compared with pre-intervention. Remission (QIDS ≤ 5) was reached in 55% of the treatments and response (50% symptom reduction) in 57% of the treatments. Side effects were mild; two hypomanic periods occurred. Conclusions The Dutch light therapy protocol for patients with a bipolar disorder may be effective in treating a seasonal depression and side effects are mild. Light therapy deserves a prominent place in the treatment because effects may be large and quick.http://link.springer.com/article/10.1186/s40345-020-00182-5Light therapyBipolar disorderSeasonal affective disorderWinter depression
spellingShingle Lotte J. E. van Hout
Lisette E. P. Rops
Claudia J. P. Simons
Treating winter depressive episodes in bipolar disorder: an open trial of light therapy
International Journal of Bipolar Disorders
Light therapy
Bipolar disorder
Seasonal affective disorder
Winter depression
title Treating winter depressive episodes in bipolar disorder: an open trial of light therapy
title_full Treating winter depressive episodes in bipolar disorder: an open trial of light therapy
title_fullStr Treating winter depressive episodes in bipolar disorder: an open trial of light therapy
title_full_unstemmed Treating winter depressive episodes in bipolar disorder: an open trial of light therapy
title_short Treating winter depressive episodes in bipolar disorder: an open trial of light therapy
title_sort treating winter depressive episodes in bipolar disorder an open trial of light therapy
topic Light therapy
Bipolar disorder
Seasonal affective disorder
Winter depression
url http://link.springer.com/article/10.1186/s40345-020-00182-5
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AT claudiajpsimons treatingwinterdepressiveepisodesinbipolardisorderanopentrialoflighttherapy