Effects of phototherapy on non-seasonal unipolar and bipolar depressive spectrum disorders
Abstract
In a group of 17 patients with non-SAD depressive disorders we compared the response of bipolar spectrum versus unipolar patients to treatment with light therapy. The main hypothesis was that bipolar spectrum depressed patients would preferentially respond to bright light therapy as compared to unipolar depressed patients. All patients were treated with either 400 or 2500 lux phototherapy for 2 h on seven consecutive days. All outcome measures, which included the SIGH-SAD, CGI, and the Anxiety and Depressive Factors of the SCL-90, showed significant improvement in the bipolar vs. the unipolar spectrum patients. Unexpected this occurred regardless of the intensity of the light. These changes were judged to be quite clinically significant. All patients showing response were noted to have maintained their response at a 3-month follow-up.
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An open-label study found that 400 lux (low intensity light) for 2 hr could be effective for treating bipolar depression.
“an open‐label study found 400 lux (low intensity light) for 2 hr could be effective for treating bipolar depression (Deltito et al., 1991).”
From Adjunctive bright light therapy for treating bipolar depression: A systematic review and meta‐analysis of randomized controlled trials (2020) · cites this paper as Deltito et al., 1991
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- Authors
- Deltito, J. A., Moline, M., Pollak, C., Martin, L. Y., & Maremmani, I.
- Affiliations
- University of Pisa (IT)
- Corresponding author
- Deltito, Joseph A.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 1991-12
- Volume
- 23
- Issue
- 4
- Pages
- 231-237
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2122094422
- Cited by
- 72
- References
- 1
- Citations by year
- 2026: 1 · 2024: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 5 · 2014: 2 · 2013: 6 · 2012: 5
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- phototherapy, bright light therapy, bipolar depression, major depressive disorder, non-seasonal depression, light intensity, treatment response, bipolar spectrum disorders, depressive symptoms
- MeSH terms
- Bipolar Disorder, Depressive Disorder, Humans, Personality Inventory, Phototherapy, Psychometrics, Seasonal Affective Disorder
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