‘Natural’ light treatment of seasonal affective disorder
Patients with seasonal affective disorder (SAD) were treated for 1 week either with a daily 1-h morning walk outdoors (natural light) or low-dose artificial light (0.5 h @ 2800 lux). The latter treatment (given under double-blind conditions) can be considered mainly placebo and did not improve any o...
Gespeichert in:
| Veröffentlicht in: | Journal of affective disorders 1996-04, Vol.37 (2), p.109-120 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 120 |
|---|---|
| container_issue | 2 |
| container_start_page | 109 |
| container_title | Journal of affective disorders |
| container_volume | 37 |
| creator | Wirz-Justice, Anna Graw, Peter Kräuchi, Kurt Sarrafzadeh, Asita English, Judie Arendt, Josephine Sand, Lothar |
| description | Patients with seasonal affective disorder (SAD) were treated for 1 week either with a daily 1-h morning walk outdoors (natural light) or low-dose artificial light (0.5 h @ 2800 lux). The latter treatment (given under double-blind conditions) can be considered mainly placebo and did not improve any of the depression self-ratings, whereas natural light exposure improved all self-ratings. According to the Hamilton depression score, 25% remitted after low-dose artificial light and 50% after the walk. Sleep duration or timing were not crucial for the therapeutic response. The morning walk phase-advanced the onset and/or offset of salivary melatonin secretion, but individual clinical improvement could not be correlated with specific phase-shifts. Morning cortisol was decreased. Low-dose artificial light did not modify melatonin or cortisol patterns. This is the first study to provide evidence for the use of outdoor light exposure as a potential alternative or adjuvant to conventional artificial light therapy in SAD. |
| doi_str_mv | 10.1016/0165-0327(95)00081-X |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78163030</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>016503279500081X</els_id><sourcerecordid>78163030</sourcerecordid><originalsourceid>FETCH-LOGICAL-c557t-f59220bc8f3b5e9bbd465f2f4736b79ab3308b3cb52bf5bbffc354346f5c497b3</originalsourceid><addsrcrecordid>eNp9kM1KAzEQx4MotVbfQGEPInpYTTabzS6IIMUvKHpR6C0k2YlG9qMm24K3Poa-Xp_ELC09yjDMYX4z_PkhdEzwJcEkuwrNYkwTfl6wC4xxTuLpDhoSxmmcMMJ30XCL7KMD7z8DlBUcD9Ag55RgTofoerX8eZbd3MlqtfyNKvv-0UWdA9nV0HRRayIP0reNrCJpDOjOLiAqrW9dCe4Q7RlZeTjazBF6u797HT_Gk5eHp_HtJNaM8S42rEgSrHRuqGJQKFWmGTOJSTnNFC-kohTnimrFEmWYUsZoylKaZobptOCKjtDZ-u_MtV9z8J2orddQVbKBdu4Fz0lGcagRStegdq33DoyYOVtL9y0IFr000RsRvRFRhNlLE9NwdrL5P1c1lNujjaWwP93spdeyMk422votFtKnJEsCdrPGILhYWHDCawuNhtK6YE6Urf0_xx8G0In8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78163030</pqid></control><display><type>article</type><title>‘Natural’ light treatment of seasonal affective disorder</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Wirz-Justice, Anna ; Graw, Peter ; Kräuchi, Kurt ; Sarrafzadeh, Asita ; English, Judie ; Arendt, Josephine ; Sand, Lothar</creator><creatorcontrib>Wirz-Justice, Anna ; Graw, Peter ; Kräuchi, Kurt ; Sarrafzadeh, Asita ; English, Judie ; Arendt, Josephine ; Sand, Lothar</creatorcontrib><description>Patients with seasonal affective disorder (SAD) were treated for 1 week either with a daily 1-h morning walk outdoors (natural light) or low-dose artificial light (0.5 h @ 2800 lux). The latter treatment (given under double-blind conditions) can be considered mainly placebo and did not improve any of the depression self-ratings, whereas natural light exposure improved all self-ratings. According to the Hamilton depression score, 25% remitted after low-dose artificial light and 50% after the walk. Sleep duration or timing were not crucial for the therapeutic response. The morning walk phase-advanced the onset and/or offset of salivary melatonin secretion, but individual clinical improvement could not be correlated with specific phase-shifts. Morning cortisol was decreased. Low-dose artificial light did not modify melatonin or cortisol patterns. This is the first study to provide evidence for the use of outdoor light exposure as a potential alternative or adjuvant to conventional artificial light therapy in SAD.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/0165-0327(95)00081-X</identifier><identifier>PMID: 8731073</identifier><identifier>CODEN: JADID7</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Adult ; Biological and medical sciences ; Circadian Rhythm - physiology ; Cortisol ; Double-Blind Method ; Female ; Humans ; Hydrocortisone - metabolism ; Male ; Medical sciences ; Melatonin - metabolism ; Middle Aged ; Miscellaneous ; Natural light exposure ; Personality Inventory ; Phototherapy - methods ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Saliva - metabolism ; Salivary melatonin ; Seasonal Affective Disorder - diagnosis ; Seasonal Affective Disorder - physiopathology ; Seasonal Affective Disorder - psychology ; Seasonal Affective Disorder - therapy ; Seasonal affective disorder, Placebo light therapy ; Sleep Stages - physiology ; Sunlight ; Treatment Outcome ; Treatments ; Walking - psychology</subject><ispartof>Journal of affective disorders, 1996-04, Vol.37 (2), p.109-120</ispartof><rights>1996</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c557t-f59220bc8f3b5e9bbd465f2f4736b79ab3308b3cb52bf5bbffc354346f5c497b3</citedby><cites>FETCH-LOGICAL-c557t-f59220bc8f3b5e9bbd465f2f4736b79ab3308b3cb52bf5bbffc354346f5c497b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/016503279500081X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3084162$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8731073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wirz-Justice, Anna</creatorcontrib><creatorcontrib>Graw, Peter</creatorcontrib><creatorcontrib>Kräuchi, Kurt</creatorcontrib><creatorcontrib>Sarrafzadeh, Asita</creatorcontrib><creatorcontrib>English, Judie</creatorcontrib><creatorcontrib>Arendt, Josephine</creatorcontrib><creatorcontrib>Sand, Lothar</creatorcontrib><title>‘Natural’ light treatment of seasonal affective disorder</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Patients with seasonal affective disorder (SAD) were treated for 1 week either with a daily 1-h morning walk outdoors (natural light) or low-dose artificial light (0.5 h @ 2800 lux). The latter treatment (given under double-blind conditions) can be considered mainly placebo and did not improve any of the depression self-ratings, whereas natural light exposure improved all self-ratings. According to the Hamilton depression score, 25% remitted after low-dose artificial light and 50% after the walk. Sleep duration or timing were not crucial for the therapeutic response. The morning walk phase-advanced the onset and/or offset of salivary melatonin secretion, but individual clinical improvement could not be correlated with specific phase-shifts. Morning cortisol was decreased. Low-dose artificial light did not modify melatonin or cortisol patterns. This is the first study to provide evidence for the use of outdoor light exposure as a potential alternative or adjuvant to conventional artificial light therapy in SAD.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Circadian Rhythm - physiology</subject><subject>Cortisol</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrocortisone - metabolism</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melatonin - metabolism</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Natural light exposure</subject><subject>Personality Inventory</subject><subject>Phototherapy - methods</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Saliva - metabolism</subject><subject>Salivary melatonin</subject><subject>Seasonal Affective Disorder - diagnosis</subject><subject>Seasonal Affective Disorder - physiopathology</subject><subject>Seasonal Affective Disorder - psychology</subject><subject>Seasonal Affective Disorder - therapy</subject><subject>Seasonal affective disorder, Placebo light therapy</subject><subject>Sleep Stages - physiology</subject><subject>Sunlight</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><subject>Walking - psychology</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1KAzEQx4MotVbfQGEPInpYTTabzS6IIMUvKHpR6C0k2YlG9qMm24K3Poa-Xp_ELC09yjDMYX4z_PkhdEzwJcEkuwrNYkwTfl6wC4xxTuLpDhoSxmmcMMJ30XCL7KMD7z8DlBUcD9Ag55RgTofoerX8eZbd3MlqtfyNKvv-0UWdA9nV0HRRayIP0reNrCJpDOjOLiAqrW9dCe4Q7RlZeTjazBF6u797HT_Gk5eHp_HtJNaM8S42rEgSrHRuqGJQKFWmGTOJSTnNFC-kohTnimrFEmWYUsZoylKaZobptOCKjtDZ-u_MtV9z8J2orddQVbKBdu4Fz0lGcagRStegdq33DoyYOVtL9y0IFr000RsRvRFRhNlLE9NwdrL5P1c1lNujjaWwP93spdeyMk422votFtKnJEsCdrPGILhYWHDCawuNhtK6YE6Urf0_xx8G0In8</recordid><startdate>19960412</startdate><enddate>19960412</enddate><creator>Wirz-Justice, Anna</creator><creator>Graw, Peter</creator><creator>Kräuchi, Kurt</creator><creator>Sarrafzadeh, Asita</creator><creator>English, Judie</creator><creator>Arendt, Josephine</creator><creator>Sand, Lothar</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960412</creationdate><title>‘Natural’ light treatment of seasonal affective disorder</title><author>Wirz-Justice, Anna ; Graw, Peter ; Kräuchi, Kurt ; Sarrafzadeh, Asita ; English, Judie ; Arendt, Josephine ; Sand, Lothar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c557t-f59220bc8f3b5e9bbd465f2f4736b79ab3308b3cb52bf5bbffc354346f5c497b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Circadian Rhythm - physiology</topic><topic>Cortisol</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrocortisone - metabolism</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melatonin - metabolism</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Natural light exposure</topic><topic>Personality Inventory</topic><topic>Phototherapy - methods</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Saliva - metabolism</topic><topic>Salivary melatonin</topic><topic>Seasonal Affective Disorder - diagnosis</topic><topic>Seasonal Affective Disorder - physiopathology</topic><topic>Seasonal Affective Disorder - psychology</topic><topic>Seasonal Affective Disorder - therapy</topic><topic>Seasonal affective disorder, Placebo light therapy</topic><topic>Sleep Stages - physiology</topic><topic>Sunlight</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><topic>Walking - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wirz-Justice, Anna</creatorcontrib><creatorcontrib>Graw, Peter</creatorcontrib><creatorcontrib>Kräuchi, Kurt</creatorcontrib><creatorcontrib>Sarrafzadeh, Asita</creatorcontrib><creatorcontrib>English, Judie</creatorcontrib><creatorcontrib>Arendt, Josephine</creatorcontrib><creatorcontrib>Sand, Lothar</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wirz-Justice, Anna</au><au>Graw, Peter</au><au>Kräuchi, Kurt</au><au>Sarrafzadeh, Asita</au><au>English, Judie</au><au>Arendt, Josephine</au><au>Sand, Lothar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>‘Natural’ light treatment of seasonal affective disorder</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>1996-04-12</date><risdate>1996</risdate><volume>37</volume><issue>2</issue><spage>109</spage><epage>120</epage><pages>109-120</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><coden>JADID7</coden><abstract>Patients with seasonal affective disorder (SAD) were treated for 1 week either with a daily 1-h morning walk outdoors (natural light) or low-dose artificial light (0.5 h @ 2800 lux). The latter treatment (given under double-blind conditions) can be considered mainly placebo and did not improve any of the depression self-ratings, whereas natural light exposure improved all self-ratings. According to the Hamilton depression score, 25% remitted after low-dose artificial light and 50% after the walk. Sleep duration or timing were not crucial for the therapeutic response. The morning walk phase-advanced the onset and/or offset of salivary melatonin secretion, but individual clinical improvement could not be correlated with specific phase-shifts. Morning cortisol was decreased. Low-dose artificial light did not modify melatonin or cortisol patterns. This is the first study to provide evidence for the use of outdoor light exposure as a potential alternative or adjuvant to conventional artificial light therapy in SAD.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>8731073</pmid><doi>10.1016/0165-0327(95)00081-X</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0165-0327 |
| ispartof | Journal of affective disorders, 1996-04, Vol.37 (2), p.109-120 |
| issn | 0165-0327 1573-2517 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78163030 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Biological and medical sciences Circadian Rhythm - physiology Cortisol Double-Blind Method Female Humans Hydrocortisone - metabolism Male Medical sciences Melatonin - metabolism Middle Aged Miscellaneous Natural light exposure Personality Inventory Phototherapy - methods Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Saliva - metabolism Salivary melatonin Seasonal Affective Disorder - diagnosis Seasonal Affective Disorder - physiopathology Seasonal Affective Disorder - psychology Seasonal Affective Disorder - therapy Seasonal affective disorder, Placebo light therapy Sleep Stages - physiology Sunlight Treatment Outcome Treatments Walking - psychology |
| title | ‘Natural’ light treatment of seasonal affective disorder |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T18%3A04%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=%E2%80%98Natural%E2%80%99%20light%20treatment%20of%20seasonal%20affective%20disorder&rft.jtitle=Journal%20of%20affective%20disorders&rft.au=Wirz-Justice,%20Anna&rft.date=1996-04-12&rft.volume=37&rft.issue=2&rft.spage=109&rft.epage=120&rft.pages=109-120&rft.issn=0165-0327&rft.eissn=1573-2517&rft.coden=JADID7&rft_id=info:doi/10.1016/0165-0327(95)00081-X&rft_dat=%3Cproquest_cross%3E78163030%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=78163030&rft_id=info:pmid/8731073&rft_els_id=016503279500081X&rfr_iscdi=true |