Adjunctive bright light in non-seasonal major depression: results from patient-reported symptom and well-being scales
Abstract
Objective: In this study, we tested the efficacy of bright light therapy as an adjunct to antidepressant treatment (sertraline) in patients with non‐seasonal major depression. Method: In a randomized double‐blind controlled trial, 102 patients were treated for 5 weeks with either white bright light (10.000 lx, 1 h/day) or red dim light (50 lx, 30 min/day). All patients received sertraline in a dosage of 50 mg daily. The self‐assessment scales used were the Major Depression Inventory (MDI), the Psychological General Well‐Being Scale (PGWB) and the Symptom Check List (SCL‐90R). Results: On all three questionnaires the score differences between baseline and endpoint were greatest in the bright light group. On the SCL‐90R, the difference reached statistical significance. Results and effect sizes are compared with results from Danish national population studies applying PGWB and SCL‐90R. Conclusion: The results advocate the use of bright light as an adjunct treatment of non‐seasonal depression.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Phototherapy is effective in treating depressive symptoms, and the sustained antidepressant effect of bright light therapy has been confirmed in clinical studies.
“Phototherapy is effective in treating depressive symptoms [39], and the sustained antidepressant effect of BLT has been confirmed in clinical studies [40,41].”
From Bright light therapy in the treatment of patients with bipolar disorder: A systematic review and meta-analysis (2020) · cites this paper as [41]
Cites
Nonparametric Statistics for the Behavioral Sciences
Guitton, H., & Siegel, S. (1958) · Revue économique · doi:10.2307/3498751 · Cited by 35,281 · see citing works
(1998) · The Journal of Clinical Psychiatry · Cited by 19,139 · see citing works
The mini international neuropsychiatric interview
Lecrubier, Y., Sheehan, D. V., Hergueta, T., & Weiller, E. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80239-9 · Cited by 5,882 · see citing works
Non-Parametric Statistics for the Behavioral Sciences.
Stuart, A., & Siegel, S. (1957) · Economica · doi:10.2307/2551606 · Cited by 3,388 · see citing works
Lingjærde, O., Ahlfors, U. G., Bech, P., Dencker, S. J., & Elgen, K. (1987) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1987.tb10566.x · Cited by 1,705 · see citing works
Self-citationApplied Mixed Models in Medicine
Brown, H., & Presco, R. (2000) · Technometrics · doi:10.1080/00401706.2000.10485742 · Cited by 1,699 · see citing works
Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R)
Spitzer, R. L., & Williams, J. (1987) · Cited by 1,621 · see citing works
Quality of Life: Assessment, Analysis, and Interpretation
Machin, P. M. F. A. D. (2000) · Medical Entomology and Zoology · Cited by 1,509 · see citing works
Bech, P., Olsen, L. R., Kjoller, M., & Rasmussen, N. K. (2003) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.145 · Cited by 1,015 · see citing works
Self-citationBech, P., Rasmussen, N.-A., Olsen, L. R., Noerholm, V., & Abildgaard, W. (2001) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00309-8 · Cited by 975 · see citing works
Self-citationFayers, P. M., & Machin, D. (2000) · Wiley eBooks · doi:10.1002/0470846283 · Cited by 769 · see citing works
Applied Mixed Models in Medicine
Ziegel, E. R., Brown, H. K., & Prescott, R. J. (2000) · Technometrics · doi:10.2307/1270978 · Cited by 451 · see citing works
Life events and affective disorders
Paykel, E. S. (2003) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.108.s418.13.x · Cited by 368 · see citing works
Bech, P. (1993) · doi:10.1007/978-3-642-77759-2 · Cited by 309 · see citing works
Self-citationThe SCL‐90 and SCL‐90R versions validated by item response models in a Danish community sample
Olsen, L. R., Mortensen, E. L., & Bech, P. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2004.00399.x · Cited by 285 · see citing works
Self-citationTime course of improvement under antidepressant treatment: A survival-analytical approach
Stassen, H. H., Delini‐Stula, A., & Angst, J. (1993) · European Neuropsychopharmacology · doi:10.1016/0924-977x(93)90264-m · Cited by 191 · see citing works
Fabre, L. F., Abuzzahab, F. S., Amin, M., Claghorn, J. L., MENDELS, J., Petrie, W. M., Dubé, S., & Small, J. G. (1995) · Biological Psychiatry · doi:10.1016/0006-3223(95)00178-8 · Cited by 184 · see citing works
Efficacy of brief, intense light exposure for treatment of winter depression.
Terman, J. S., Terman, M., Schlager, D. S., Rafferty, B. T., Rosofsky, M., Link, M. J., Gallin, P. F., & Quitkin, F. M. (1990) · PubMed · Cited by 122 · see citing works
Adjunctive Bright Light in Non‐Seasonal Major Depression
Martiny, K. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2004.00460_2.x · Cited by 105 · see citing works
Self-citationBech, P. (1993) · Cited by 98 · see citing works
Self-citationBech, P. (2005) · CNS Drugs · doi:10.2165/00023210-200519040-00004 · Cited by 80 · see citing works
Self-citationBridging the mental health research gap in low‐ and middle‐income countries
Saraceno, B., & Saxena, S. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2004.00348.x · Cited by 51 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Kennedy, S. H., Lam, R. W. M., Parikh, S. V., Patten, S. B., & Ravindran, A. V. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.06.043 · Cited by 526 · see citing works
Efficacy of light therapy in nonseasonal depression: A systematic review
EVEN, C., Schroder, C. M., Friedman, S., & Rouillon, F. (2007) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.09.008 · Cited by 249 · see citing works
Mental distress in the Danish general population
Olsen, L. R., Mortensen, E. L., & Bech, P. (2006) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00743.x · Cited by 131 · see citing works
Self-citationBright light as a personalized precision treatment of mood disorders
Maruani, J., & Geoffroy, P. A. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00085 · Cited by 112 · see citing works
Geoffroy, P. A., Schroder, C. M., Reynaud, E., & Bourgin, P. (2019) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2019.101213 · Cited by 100 · see citing works
Sartorius, N., Baghai, T. C., Baldwin, D. S., Barrett, B. M., Brand, U., Fleischhacker, W., Goodwin, G. M., Grunze, H., Knapp, M. R. J., Leonard, B. E., et al. (2007) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145707008255 · Cited by 98 · see citing works
Martiny, K., Lunde, M., Undén, M., Dam, H., & Bech, P. (2005) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00574.x · Cited by 87 · see citing works
Self-citationCircadian Disruption in Psychiatric Disorders
Jones, S. G., & Benca, R. M. (2015) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2015.07.004 · Cited by 86 · see citing works
Ravindran, A. V., Lam, R. W., Filteau, M. J., Lespérance, F., Kennedy, S. H., Parikh, S. V., & Patten, S. B. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.06.040 · Cited by 108 · see citing works
El papel del optimismo y del apoyo social en el bienestar subjetivo
Marrero, R. J., & Abella, M. C. (2010) · Redalyc (Universidad Autónoma del Estado de México) · Cited by 61 · see citing works
Psychosocial features of depression: A systematic literature review
Cabello, M., Mellor-Marsá, B., Sabariego, C., Cieza, A., Bickenbach, J. E., & Ayuso‐Mateos, J. L. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.12.009 · Cited by 60 · see citing works
Bright Light Therapy for Nonseasonal Depressive Disorders
Menegaz de Almeida, A., Aquino de Moraes, F. C., Cavalcanti Souza, M. E., Cavalcanti Orestes Cardoso, J. H., Tamashiro, F., Miranda, C., Fernandes, L., Kreuz, M., & Alves Kelly, F. (2025) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2024.2871 · Cited by 47 · see citing works
(2008) · PubMed · Cited by 38 · see citing works
Wang, S., Zhang, Z., Yao, L., Ding, N., Jiang, L., & Wu, Y. (2020) · PLOS ONE · doi:10.1371/journal.pone.0232798 · Cited by 35 · see citing works
Esaki, Y., Kitajima, T., Takeuchi, I., Tsuboi, S., Furukawa, O., Moriwaki, M., Fujita, K., & Iwata, N. (2017) · Chronobiology International · doi:10.1080/07420528.2017.1318893 · Cited by 34 · see citing works
Effectiveness of light therapy as adjunctive treatment in bipolar depression: A pilot study
Cuomo, A., Carmellini, P., Garo, M. L., Barillà, G., Libri, C., Spiti, A., Goracci, A., Bolognesi, S., & Fagiolini, A. M. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.10.009 · Cited by 32 · see citing works
Cosker, E., Schwan, R., Angioï-Duprez, K., Laprévote, V., & Schwitzer, T. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.03.006 · Cited by 21 · see citing works
Lieverse, R., Nielen, M. M. A., Veltman, D. J., Uitdehaag, B. M. J., Someren, E. J. W. V., Smit, J. H., & Hoogendijk, W. J. G. (2008) · Trials · doi:10.1186/1745-6215-9-48 · Cited by 20 · see citing works
Shelton, J. E., Yun, S., Olson, S. L., Turek, F. W., Bonaventure, P., Dvorak, C. A., Lovenberg, T. W., & Dugovic, C. (2015) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2014.00453 · Cited by 18 · see citing works
Diagnosis and therapy of depression in primary care
Torzsa, P., Szeifert, L., Dunai, K., Kalabay, L., & Novák, M. (2009) · Orvosi Hetilap · doi:10.1556/oh.2009.28675 · Cited by 17 · see citing works
Velehorschi, C., Bleau, P., Vermani, M., Furtado, M., & Klassen, L. J. (2014) · Psychiatry Research · doi:10.1016/s0165-1781(14)70004-6 · Cited by 11 · see citing works
Multimodale Diagnostik – 30 Jahre später
Baumann, U., & Stieglitz, R. (2008) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747.56.3.191 · Cited by 10 · see citing works
Bech, P., Lauritzen, L., Lunde, M., Undén, M., Hellström, L. C., Csillag, C., & Martiny, K. (2013) · Acta Neuropsychiatrica · doi:10.1017/neu.2013.51 · Cited by 9 · see citing works
Self-citationLande, R. G., Williams, L. B., Gragnani, C. T., & Tsai, A. (2011) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2011.04.003 · Cited by 9 · see citing works
Introduction to Modern Sleep Technology
Chiang, R. P., & Kang, S.-C. (2012) · International series on intelligent systems, control and automation: science and engineering · doi:10.1007/978-94-007-5470-6 · Cited by 7 · see citing works
Sayar, G. H., Agargun, Tan, �., & Bulut (2013) · ChronoPhysiology and Therapy · doi:10.2147/cpt.s46140 · Cited by 4 · see citing works
Fallatah, S. A., Gaines, K., Adams, N., & Schambureck, E. M. (2020) · SAGE Open · doi:10.1177/2158244020924031 · Cited by 2 · see citing works
Case Study: An Applied Research for Circadian Lighting Design
Rossi, M. (2019) · Research for development · doi:10.1007/978-3-030-11087-1_6 · Cited by 2 · see citing works
Wirkung von Lichttherapie auf den Nachtschlaf von Kindern mit Schlafproblemen
Wessolowski, N., Barkmann, C., Stuhrmann, L. Y., & Schulte‐Markwort, M. (2019) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a000683 · Cited by 2 · see citing works
Hospital room exposure to daylight and clinical improvement in unipolar depressed inpatients
Cheniara, A., Chappell, K., Gressier, F., Becquemont, L., Corruble, E., & Colle, R. (2023) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2023.100497 · Cited by 2 · see citing works
Management of Sleep Disorders: Light Therapy
Mao, W., Lee, H., & Chen, H. (2012) · International series on intelligent systems, control and automation: science and engineering · doi:10.1007/978-94-007-5470-6_8
Martiny, K. (2006) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2006.00845.x
Self-citationThe Effect of Light on Wellbeing: A Systematic Review and Meta-analysisPreprint
Landvreugd, A., Nivard, M. G., & Bartels, M. (2023) · doi:10.31234/osf.io/69m72
Beltrán, C. A. J., Beltran, S. C. J., Slim, L. F. F., Alcacio, F. A. S., Santiago, A. A. A., Figueroa, C. S., Flores, V. C., Poupard, I. G., Rios, L. V. G., & Lepe, L. C. M. (2026) · Cureus · doi:10.7759/cureus.117653
- Authors
- Martiny, K., Lunde, M., Undén, M., Dam, H., & Bech, P.
- Corresponding author
- Martiny, K.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2005-05-09
- Volume
- 111
- Issue
- 6
- Pages
- 453-459
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2115481634
- Cited by
- 35
- References
- 22
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 4 · 2017: 1 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 2
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Pfizer
- Topics
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- bright light therapy, sertraline, adjunctive therapy, psychological well-being, symptom severity, antidepressant treatment
- MeSH terms
- Combined Modality Therapy, Depressive Disorder, Major, Major Depressive Disorder, Double-Blind Method, Female, Humans, Light, Male, Middle Aged, Phototherapy, Quality of Life, Treatment Outcome, Patient Satisfaction, Selective Serotonin Reuptake Inhibitors, Age of Onset, Sertraline, Diagnostic and Statistical Manual of Mental Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review