Cited by 99Circadian rhythm and melatoninSleep and Work-Related FatigueSleep and related disorders

Phase advancing human circadian rhythms with morning bright light, afternoon melatonin, and gradually shifted sleep: can we reduce morning bright-light duration?

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Crowley, Stephanie J., Eastman, Charmane I.·2015·Sleep Medicine

Abstract

Objective Efficient treatments to phase-advance human circadian rhythms are needed to attenuate circadian misalignment and the associated negative health outcomes that accompany early-morning shift work, early school start times, jet lag, and delayed sleep phase disorder. This study compared three morning bright-light exposure patterns from a single light box (to mimic home treatment) in combination with afternoon melatonin. Methods Fifty adults (27 males) aged 25.9 ± 5.1 years participated. Sleep/dark was advanced 1 h/day for three treatment days. Participants took 0.5 mg of melatonin 5 h before the baseline bedtime on treatment day 1, and an hour earlier each treatment day. They were exposed to one of three bright-light (~5000 lux) patterns upon waking each morning: four 30-min exposures separated by 30 min of room light (2-h group), four 15-min exposures separated by 45 min of room light (1-h group), and one 30-min exposure (0.5-h group). Dim-light melatonin onsets (DLMOs) before and after treatment determined the phase advance. Results Compared to the 2-h group (phase shift = 2.4 ± 0.8 h), smaller phase-advance shifts were seen in the 1-h (1.7 ± 0.7 h) and 0.5-h (1.8 ± 0.8 h) groups. The 2-h pattern produced the largest phase advance; however, the single 30-min bright-light exposure was as effective as 1 h of bright light spread over 3.25 h, and it produced 75% of the phase shift observed with 2 h of bright light. Conclusions A 30-min morning bright-light exposure with afternoon melatonin is an efficient treatment to phase-advance human circadian rhythms.

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Crossref · 10.1016/j.sleep.2014.12.004

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  • Preliminary studies using transcranial magnetic stimulation targeting the DMN prior to sleep onset reduce cortical hyperarousal and facilitate sleep, but clinical efficacy for insomnia has not been established.

    “Preliminary studies using transcranial magnetic stimulation targeting the DMN prior to sleep onset to reduce cortical hyperarousal and facilitate sleep, but clinical efficacy for insomnia has not been established [40].”

    From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [40]

    The Methods (Participants; Procedures) and Discussion describe a study of morning bright light, afternoon melatonin, and shifted sleep in healthy adults. Searches for transcranial magnetic stimulation, DMN targeting, cortical hyperarousal, and insomnia efficacy found no passage addressing the attributed claim. Page numbers were not available in our copy. (LLM, conf=0.78)

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Authors
Crowley, S. J., & Eastman, C. I.
Affiliations
Rush University Medical Center (US)
Corresponding author
Crowley, Stephanie J.
Venue
Sleep Medicine
Publisher
Elsevier BV
Published
2015-02
Volume
16
Issue
2
Pages
288-297
ISSN
1389-9457 (ISSN-L)
OpenAlex
W2149442311
Cited by
99
References
101
Citations by year
2026: 10 · 2025: 9 · 2024: 5 · 2023: 3 · 2022: 12 · 2021: 5 · 2020: 21 · 2019: 8 · 2018: 7 · 2017: 4 · 2016: 9 · 2015: 5 · 2013: 1
FWCI
2.93
Type
journal article
Language
en
Open access
Locations
  • Sleep Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (R01 NR007677)
Topics
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords
melatonin, dim light melatonin onset, circadian misalignment, delayed sleep phase syndrome, jet lag, shift work, school start time, light duration, chronotherapy
MeSH terms
Adult, Circadian Rhythm, Female, Humans, Light, Male, Melatonin, Sleep, Time Factors, Actigraphy

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