A randomized controlled trial of cognitive-behavioral therapy, light therapy, and their combination for seasonal affective disorder.
Abstract
This first controlled psychotherapy trial for seasonal affective disorder (SAD) compared SAD-tailored cognitive-behavioral therapy (CBT), light therapy (LT), and their combination to a concurrent wait-list control. Adults (N = 61) with major depression, recurrent with seasonal pattern, were randomized to one of four 6-week conditions: CBT (1.5-hr twice-weekly group therapy), LT (10,000-lux for 90-min/day with administration time individually adjusted), combined CBT + LT, or a minimal contact/delayed LT control (MCDT; LT following 6 weeks of monitoring). CBT, LT, and CBT + LT significantly and comparably improved depression severity relative to MCDT in intent-to-treat and completer samples. CBT + LT (73%) had a significantly higher remission rate than MCDT (20%). Using prospectively measured summer mood status to estimate the "functional" population, CBT + LT also had a significantly larger proportion of participants with clinically significant change over treatment compared with MCDT. The LT condition outcomes virtually replicated results from prior trials. CBT, alone or combined with LT, holds promise as an efficacious SAD treatment and warrants further study. If replicated, CBT + LT's remission rate would represent a clinically meaningful improvement over the 53% observed across LT studies.
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Fourteen articles reported effects of various visible light interventions on SIGH-SAD of patients with SAD.
“Fourteen articles[25–36,38,39] reported the effects of various visible light interventions on SIGH-SAD of patients with SAD.”
From Effectiveness of visible light for seasonal affective disorder: A systematic review and network meta-analysis (2025) · cites this paper as [34]
Thirteen articles reported effects of different visible light interventions on HDRS of patients with SAD.
“Thirteen articles[23,28–38,40] reported the effects of different visible light interventions on HDRS of patients with SAD”
From Effectiveness of visible light for seasonal affective disorder: A systematic review and network meta-analysis (2025) · cites this paper as [34]
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- Authors
- Rohan, K. J., Roecklein, K. A., Tierney Lindsey, K., Johnson, L. G., Lippy, R. D., Lacy, T. J., & Barton, F. B.
- Affiliations
- University of Vermont (US)
- Uniformed Services University of the Health Sciences (US)
- Emmes (United States) (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2007
- Volume
- 75
- Issue
- 3
- Pages
- 489-500
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W1964802560
- Cited by
- 87
- References
- 31
- Citations by year
- 2025: 5 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 8 · 2014: 4 · 2013: 8 · 2012: 7
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R03 MH0659)
- Uniformed Services University of the Health Sciences (USUHS) (C072EJ)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- seasonal affective disorder, cognitive behavioral therapy, phototherapy, depression remission, group therapy, treatment efficacy
- MeSH terms
- Adult, Feasibility Studies, Female, Humans, Male, Middle Aged, Phototherapy, Severity of Illness Index, Cognitive Behavioral Therapy, Seasonal Affective Disorder
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