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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Format: | Article |
Language: | English |
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SpringerOpen
2020-06-01
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Series: | International Journal of Bipolar Disorders |
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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. |
first_indexed | 2024-12-22T22:46:02Z |
format | Article |
id | doaj.art-a9875c1c75454dd2a717143e0700ac85 |
institution | Directory Open Access Journal |
issn | 2194-7511 |
language | English |
last_indexed | 2024-12-22T22:46:02Z |
publishDate | 2020-06-01 |
publisher | SpringerOpen |
record_format | Article |
series | International Journal of Bipolar Disorders |
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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