Morning versus evening bright light treatment of late luteal phase dysphoric disorder
Abstract
Six women with late luteal phase dysphoric disorder had a significant reduction in depression ratings after treatment with evening, but not morning, bright light. Bright light may offer an alternative to the pharmacologic treatment of premenstrual mood disorders.
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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 [110]
In an initial study, bright evening light was more effective than morning light in treating PMDD.
“While an initial study by Parry et al. [110] found that bright evening light was more effective than morning light, a follow-up study by the same group [111] achieved similar beneficial effects of symptom alleviation in PMDD patients using bright white light in the morning, bright white light in the evening, and dim red light in the evening (a putative placebo).”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [110]
In PMDD, two studies demonstrated the most mood improvement after evening bright light.
“Unlike MDD, however, in which morning bright light had the greatest antidepressant effects [109], two studies demonstrated the most mood improvement after evening bright light.”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [110]
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 [110]
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 [110]
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Self-citation
- Authors
- Parry, B. L., Berga, S. L., Mostofi, N., Sependa, P. A., Kripke, D. F., & Gillin, J. C.
- Affiliations
- University of California San Diego (US)
- Venue
- American Journal of Psychiatry
- Published
- 1989-09
- Volume
- 146
- Issue
- 9
- Pages
- 1215-1217
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2396862073
- Cited by
- 105
- References
- 0
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2019: 1 · 2018: 1 · 2016: 3 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 16.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 00117, MH30914)
- National Center for Research Resources (M-01RR00827, M01RR000827)
- 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
- bright light therapy, evening light, premenstrual dysphoric disorder, depression, non-pharmacological treatment
- MeSH terms
- Adult, Bipolar Disorder, Circadian Rhythm, Depressive Disorder, Female, Humans, Luteal Phase, Personality Inventory, Phototherapy, Premenstrual Syndrome, Psychiatric Status Rating Scales
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