A controlled study of light therapy in women with late luteal phase dysphoric disorder
Abstract
Previous studies suggest that light therapy, as used to treat seasonal affective disorder, may be beneficial for pre-menstrual depressive disorders. We conducted a six-menstrual cycle randomized, double-blind, counter-balanced, crossover study of dim vs. bright light therapy in women with late luteal phase dysphoric disorder (LLPDD). Fourteen women who met DSM-III-R criteria for LLPDD completed two menstrual cycles of prospective baseline monitoring of pre-menstrual symptoms, followed by two cycles of each treatment. During the 2-week luteal phase of each treatment cycle, patients were randomized to receive 30 min of evening light therapy using: (1) 10000 lx cool-white fluorescent light (active condition); or (2) 500 lx red fluorescent light (placebo condition), administered by a light box at their homes. After two menstrual cycles of treatment, patients were immediately crossed over to the other condition for another two cycles. Outcome measures were assessed at the mid-follicular and luteal phases of each cycle. Results showed that the active bright white light condition significantly reduced depression and pre-menstrual tension scores during the symptomatic luteal phase, compared to baseline, while the placebo dim red light condition did not. These results suggest that bright light therapy is an effective treatment for LLPDD.
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Light therapy is effective in significantly reducing depressive symptoms in PMDD patients.
“Indeed, studies have found that light therapy was effective in significantly reducing depressive symptoms in PMDD patients [110–112].”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [112]
Compared to baseline values, bright white light in the evening was more effective than dim red light in the evening in improving PMDD symptoms.
“A study by Lam et al. showed that compared to baseline values, bright white light in the evening was more effective than dim red light in the evening in improving symptoms [112].”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [112]
PMDD patients have responded favorably to light therapy during their symptomatic luteal phase.
“PMDD patients, like those with MDD, have responded favorably to light therapy during their symptomatic LP.”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [112]
Nonpharmacological therapies for PMDD symptoms which target the sleep-wake cycle and circadian rhythms, such as phototherapy and sleep deprivation, are often effective in improving mood and sleep quality in these patients.
“Finally, nonpharmacological therapies for PMDD symptoms which target the sleep-wake cycle and circadian rhythms, such as phototherapy [110–112] and sleep deprivation [52, 65, 113, 114], are often effective in improving mood and sleep quality in these patients.”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [112]
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- Authors
- Lam, R. W., Carter, D., Misri, S., Kuan, A. J., Yatham, L. N., & Zis, A. P.
- Affiliations
- University of British Columbia Hospital (CA)
- University of British Columbia (CA)
- Corresponding author
- Lam, Raymond W.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 1999-06
- Volume
- 86
- Issue
- 3
- Pages
- 185-192
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2024539602
- Cited by
- 85
- References
- 48
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 3 · 2014: 3 · 2013: 5 · 2012: 5
- FWCI
- 5.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- phototherapy, late luteal phase dysphoric disorder, premenstrual dysphoric disorder, dim red light, premenstrual depression, premenstrual syndrome, luteal phase
- MeSH terms
- Adult, Circadian Rhythm, Double-Blind Method, Female, Humans, Luteal Phase, Phototherapy, Premenstrual Syndrome, Psychiatric Status Rating Scales, Treatment Outcome, Cross-Over Studies, Chronotherapy
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