Cited by 186Bipolar Disorder and TreatmentTreatment of Major DepressionMaternal Mental Health During Pregnancy and Postpartum

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index; 3 of the 35 sources its claims cite were checked for support.

Adjunctive Bright Light Therapy for Bipolar Depression: A Randomized Double-Blind Placebo-Controlled Trial

Open access

Abstract

Objective Patients with bipolar disorder have recurrent major depression, residual mood symptoms, and limited treatment options. Building on promising pilot data, the authors conducted a 6-week randomized double-blind placebo-controlled trial to investigate the efficacy of adjunctive bright light therapy at midday for bipolar depression. The aims were to determine remission rate, depression symptom level, and rate of mood polarity switch, as well as to explore sleep quality. Method The study enrolled depressed adults with bipolar I or II disorder who were receiving stable dosages of antimanic medication (excluding patients with hypomania or mania, mixed symptoms, or rapid cycling). Patients were randomly assigned to treatment with either 7,000-lux bright white light or 50-lux dim red placebo light (N=23 for each group). Symptoms were assessed weekly with the Structured Interview Guide for the Hamilton Depression Scale With Atypical Depression Supplement (SIGH-ADS), the Mania Rating Scale, and the Pittsburgh Sleep Quality Index. Remission was defined as having a SIGH-ADS score of 8 or less. Results At baseline, both groups had moderate depression and no hypomanic or manic symptoms. Compared with the placebo light group, the group treated with bright white light experienced a significantly higher remission rate (68.2% compared with 22.2%; adjusted odds ratio=12.6) at weeks 4-6 and significantly lower depression scores (9.2 [SD=6.6] compared with 14.9 [SD=9.2]; adjusted β=-5.91)…

Overview

Integrity signals

Registry

Crossref · 10.1176/appi.ajp.2017.16101200

Cites

33 of 33 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

42 Own result · 24 Own method · 18 No full text of the sources · 11 Own interpretation · 3 Partly supported · 3 No basis given · 2 Not checked yet · 1 Sources not found · accuracy not yet measured

Show all 51 claims

  • It may state two separate claims as one. 33
  • Probably not a substantial claim. 33
53 of 53
  • The paper relies on this without support.

    Patients with bipolar disorder are susceptible to environmental cues that alter circadian rhythms and trigger relapse.

    “Patients with bipolar disorder are susceptible to environmental cues that alter circadian rhythms and trigger relapse.”
  • The authors state this as an assumption.

    Patients who were still actively enrolled at weeks 4-6 had fully (or nearly) completed the dose-titration protocol, and those who withdrew early also provided informative outcome data.

    “We assumed that patients who were still actively enrolled at weeks 4-6 had fully (or nearly) completed the dose-titration protocol, and those who withdrew early also provided informative outcome data.”
  • The authors state this as an assumption.

    The secondary longitudinal analyses assumed fixed effects of intervention group, study week, and group-by-week interaction, and a random patient effect.

    “we assumed fixed effects of intervention group, study week, and group-by-week interaction, and a random patient effect.”
  • The paper relies on this without support.

    The mechanism of response to light therapy is unclear in bipolar disorder.

    “However, the mechanism of response is unclear in bipolar disorder.”
  • The paper relies on this without support.

    Concurrent antidepressant treatment is a potential source of heterogeneity.

    “The inclusion of patients on concurrent antidepressant treatment was a potential source of heterogeneity”
5 of 5

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?

Citations

Cites

Research works printed but not linked: 5

  1. Leibenluft E, 1995, Psychopharmacol Bull, 31, 705
  2. Mishima K, 2001, J Clin Endocrinol Metab, 86, 129
  3. First MB, 1996, Structured Clinical Interview for DSM-IV Axis I Disorders, Patient Edition
  4. Williams JBW, 2003, Structured Interview Guide for the Hamilton Depression Rating Scale With Atypical Depression Supplement (SIGH-ADS)
  5. Horne JA, 1976, Int J Chronobiol, 4, 97

Cited by

Sorted by citations

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Metadata

Authors
Sit, D. K., McGowan, J., Wiltrout, C., Diler, R. S., Dills, J. (., Luther, J., Yang, A., Ciolino, J. D., Seltman, H., Wisniewski, S. R., Terman, M., & Wisner, K. L.
Affiliations
  • Northwestern University (US)
  • From the Department of Psychiatry and Behavioral Sciences and the Department of Preventive Medicine–Biostatistics Division, Feinberg School of Medicine, Northwestern University, Chicago; the Department of Psychiatry, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh; the Epidemiological Data Center, Graduate School of Public Health, University of Pittsburgh, Pittsburgh; the Department of Statistics, Carnegie Mellon University, Pittsburgh; and the...
Venue
American Journal of Psychiatry
Published
2018-02-01
Volume
175
Issue
2
Pages
131-139
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
OpenAlex
W2762262043
Cited by
186
References
31
Citations by year
2026: 19 · 2025: 21 · 2024: 14 · 2023: 21 · 2022: 16 · 2021: 21 · 2020: 27 · 2019: 23 · 2018: 22
FWCI
15.27
Type
journal article
Language
en
Open access
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5k23mh082114-03)
  • National Institute of Mental Health (K23 MH-082114)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
bright light therapy, bipolar depression, bipolar disorder, sleep quality, antidepressant efficacy
MeSH terms
Adult, Bipolar Disorder, Combined Modality Therapy, Depression, Double-Blind Method, Female, Humans, Male, Middle Aged, Phototherapy, Sleep, Odds Ratio, Treatment Outcome, Antimanic Agents

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