EFFECTIVENESS OF LIGHT THERAPY ON DEPRESSION IN HOSPITALIZED MAJOR DEPRESSIVE PATIENT
Introduction: The present study was carried out to explore the effectiveness of light therapy to reduce depression among hospitalized Depressive patient.
Methods: Single subject (N=1) experimental design was utilized. Beck's Depression Rating Scale was administered to ascertain the level of depression. Light therapy was administered for a period of 7 consecutive days. The level of depression was assessed before and after the administration of light therapy.
Results: The data was analyzed with the appropriate statistical technique. The result revealed that there was significant decrease in the level of depression after light therapy.
Conclusions: This finding indicates that the light therapy has influenced in reducing the level of depression. Hence, light therapy can be adopted as effective mechanism to treat depression.
1. Avery D, Khan A, Dager S, Cohen S, Cox G, Dunner D. Is morning light exposure superior to evening light in treating seasonal affective disorder? Psychopharmacol Bull 1990a; 26: 521-24.
2. Avery DH, Khan A, Dager SR, Cox GB, Dunner DL. Bright light treatment of winter depression: morning versus evening light. Acta Psychiatr Scand 1990b; 82: 335-38.
3. Eastman CI, Young MA, Fogg LF, Liu L, Meaden PM. Bright light treatment of winter depression: a placebo-controlled trial. Arch Gen Psychiatry 1998; 55: 883-89.
4. Lewy AJ, Sack RL, Miller LS, Hoban TM. Antidepressant and circadian phase shifting effects of light. Science 1987a; 235: 352-54.
5. Lewy AJ, Bauer VK, Cutler NL, Sack RL, Ahmed S, Thomas KH, Blood ML, Latham Jackson JM. Morning vs evening light treatment of patients with winter depression. Arch Gen Psychiatry 1998b; 55: 890-96.
6. Sack RL, Lewy AJ, White DM, Singer CM, Fireman MJ, Vandiver R. Morning vs evening light treatment for winter depression: evidence that the therapeutic effects of light are mediated by circadian phase shifts. Arch Gen Psychiatry1990; 47: 343-51.
7. Terman M, Terma, JS, Rafferty B. Experimental design and measures of success in the treatment of winter depression by bright light. Psychopharmacol Bull 1990c 26: 505-10.
8. Terman M, Terman JS, and Ross DC. A controlled trial of timed bright light and negative air ionization for treatment of winter depression. Arch Gen Psychiatry 1998; 55, 875-82.
9. Hellekson CJ, Kline JA, Rosenthal, NE. Phototherapy for seasonal affective disorder in Alaska. Am J Psychiatry 1986; 143:1035-37.
10. Jacobsen FM, Wehr TA, Skwere, RA, Sack DA, Rosenthal NE. Morning versus midday phototherapy of seasonal affective disorder. Am J Psychiatry 1987; 144: 1301-05.
11. Lafer B, Sachs GS, Labbate LA, Thibault A, Rosenbaum JF. Phototherapy for seasonal affective disorder: a blind comparison of three different schedules. Am J Psychiatry 1994; 151:1081-83.
12. Meesters Y, Jansen JH, Beersma DG, Bouhuys AL, Van Den Hoofdakker RH. Light therapy for seasonal affective disorder. The effects of timing. Br J Psychiatry 1995; 166: 607-12.
13. Wirz-Justice A, Graw P, KraÂ¨uchi K, Gisin B, Jochum A, Arendt J, et al. Light therapy in seasonal affective disorder is independent of time of day or circadian phase. Arch Gen Psychiatry1993; 50: 929-937.
14. Wirz-Justicea A, Graw P, RoÂ¨oÂ¨sli H, Glauserb G, Fleischhauer J. An open trial of light therapy in hospitalised major depression, Letter to the Editor, J Affect Disord 1999; 52: 291â€“92.
15. Murray CJ, Lopez AD. Evidence-based health policy - lessons from the global burden of disease study. Science 1996; 274:740-43.
16. Nandi DN, Banerjee G, Mukherjee SP, Ghosh A, Nandi PS, Nandi S. Psychiatric morbidity of a rural Indian community changes over a 20 year interval. Br J Psychiatry 2000; 176: 351â€“56.
17. Kishore J, Reddaiah VP, Kapoor V, Gill JS. Characteristics of mental morbidity in a rural primary health center of Haryana. Indian J Psychiatry 1996; 38:137â€“42.
18. Amin G, Shah S, Vankar GK. The prevalence and recognition of depression in primary care. Indian J Psychiatry 1998; 40, 364â€“69.
19. Pothen M, Kuruvilla A, Philip K, Joseph A, Jacob KS. Common mental disorders among primary care attenders in Vellore, South India: Nature, prevalence and risk factors. Int J Soc Psychiatry 2003; 49:119â€“25.
20. Nambi SK, Prasad J, Singh D, Abraham V, Kuruvilla A, Jacob KS. Explanatory models and common mental disorders among patients with unexplained somatic symptoms attending a primary care facility in Tamil Nadu. Natl Med J India 2002; 15, 331â€“35.
21. Teja JS, Narang, RL. Pattern of incidence of Depression in India. Indian J Psychiatry 1970; 12: 33â€“39.
22. Bagadia VN, Jeste DV, Doshi SU, Shah LP. Depression: A study of demographic factors in 233 cases. Indian J Psychiatry 1973; 15: 209â€“16.
23. Raju SS. Frequency of depressive disorders in psychiatric clinics in India: A comparative analysis. Indian J Psychiatry 1979; 21,176â€“79.
24. Ponnudurai R, Somasundaram O, Balakrishnan S, Srinivasan N. Depression-a study of 80 cases. Indian J Psychiatry 1981s; 23: 256â€“58.
25. Eby GA, Eby KL. Rapid recovery from major depression using magnesium treatment. Med Hypotheses 2006; article in Press, doi:10.1016/j.mehy.2006.01.047.
26. WHO (2010). Mental health: Depression. Available from http://www.who.int/mentalhealth/management/depression/definition/en. Accessed on 4.1.2012.
27. National academy on an Aging Society (2000). Depression a treatable disease challenges for the 21st century: chronic and disabling conditions 9: 1-6.
28. World Health Organization (2012). World suicide prevention day http://www. who.int/mediacentre/events/annual/world_suicide_prevention_day/en/ Accessed 16.6.2012.
29. World Health Organization (2008). The Global Burden of Disease 2004 update. http://www.who.int/healthinfo/global_burden_disease/GBD_ report_2004update_full.pdf Accessed 16.6.2012.
30. National Institute of Mental Health (2011). Depression. U.S. Department of Health & Human Services. National Institutes of Health nih publication no. 11-3561revised 2011.
31. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global Burden of Disease and Risk Factors 2006; Washington: The World Bank;
32. Poongothai S, Pradeepa R, Ganesan A, Mohan V. Prevalence of depression in a large urban South Indian population - The Chennai Urban Rural Epidemiology Study (CURES-70) 2009; PloS One.4:E7185.
33. Rosenthal NE, Sack DA, Gillin JC, et al. Seasonal affective disorder: a description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry 1984; 41: 72â€“80.
34. Doghramji K, Gaddy JR, Steward KT, et al. 2-versus 4-hours evening phototherapy of seasonal affective disorder. J Nerv Ment Dis 1990; 178: 257â€“60.
35. Meesters Y, Jansen JHC, Beersma DGM, et al. Early light treatment can prevent an emerging winter depression from developing into a full-blown depression. J Affect Disord 1993; 29: 41â€“47.
36. Partonen T. Effects on morning light treatment on subjective sleepiness and mood in winter depression. J Affect Disord 1994; 30: 47â€“56.
37. Bernard J. Research report that bright light therapy can be very effective for depression in older adults. 2004; Available from http://www.researchreportthatbrightlighttherapycanbeveryeffectivefordepressioninolderadults&id=5710114. Accessed on 24.3.2011.
38. Terman M, Terman JS, Quitkin, FM, McGrath, PJ, Stewart JW, Rafferty B. (1989). Light therapy for seasonal affective disorder. A review of efficacy. Neuropsychopharmacology1989; 2: 1â€“22.
39. Kripke DF, Mullaney D, Klauber M, Risch SC, Gillin JC. Controlled trial of bright light for nonseasonal major depressive disorders. Biol Psychiatry 1992; 31: 119â€“34.
40. Yamada N, Martin-Iverson MT, Daimon K, Tsujimoto T, Takahashi S. Clinical and chronobiological effects of light therapy on nonseasonal affective disorders. Biol Psychiatry 1995; 37: 866â€“73.
41. Sumaya IC, Rienzi BM, Deegan JF, Moss DE. Bright light treatment decreases depression in institutionalized older adults: a placebo-controlled crossover study. Journal of Gerontology and Biological Science Medical Sciences 2001; 56: 356â€“60.
42. Mackert A, Volz H, Stieglitz R, et al. Phototherapy in nonseasonal depression. Biol Psychiatry 1991; 30; 257â€“68.
43. Beauchemin KM, Hays P. Phototherapy is a useful adjunct in the treatment of depressed in-patients. Acta Psychiatr Scand 1997; 95: 424â€“27.
44. Yun-Fang Tsai1, Thomas KS, Wong, Yeong-Yuh Juang, Hsiu-Hsin Tsai1. The effects of light therapy on depressed elders. Int J Geriatr Psychiatry 2004; 19: 545â€“48. DOI: 10.1002/gps.1125.
45. Epperson CN, Terman M, Terman JS, et al. Randomized clinical trial of bright light therapy for antepartum depression: preliminary findings. J Clin Psychiatry 2004; 65: 421-25.
46. Prasko JM, Brunovsky K, Latalova A, Grambal, M, Raszka J, Vyskocilova L, Zavesicka. Augmentation of antidepressants with bright light therapy in patients with comorbid depression and borderline personality disorder. Biomedical papers of the Medical Faculty of the University PalackÃ½, Olomouc, Czechoslovakia 2010; 154: (suppl 4) 355â€“62.
47. Oren DA, Katherine L, Wisner, Margaret, Spinelli, Epperson N, Kathleen S, Peindl, Jiuan, Terman S, Terman M. An Open Trial of Morning Light Therapy for Treatment of Antepartum Depression. Am J Psychiatry 2002; 59: 666â€“69.
48. Tuunainen A, Kripke DF, Endo T. Light therapy for non-seasonal depression (Cochrane Review). In The Cochrane Library 2004; Issue 2, Chichester, UK: John Wiley & Sons, Ltd.
49. Golden RN, Gaynes BN, Ekstrom RD, Hamer RM, Jacobsen FM, Suppes T, Wisner KL, Nemeroff CB. The Efficacy of Light Therapy in the Treatment of Mood Disorders: A Review and Meta-Analysis of the Evidence Reviews and Overviews. Am J Psychiatry 2005; 162:4.and Overviews.
50. Even, Carmen M, SchrÃ¶der SF, Rouillon F. Efficacy of light therapy in nonseasonal depression: A systematic review. J Affect Disord 2008; 108: 11â€“23.
51. Prasko J, Horacek J, Klaschka J, Kosova J, Ondrackova I, Sipek J. Bright light therapy and or imipramine for inpatients with recurrent non seasonal depression. Neuroendocrinology letters, 2002; 23: 109-13.
52. Hamilton, M. A Rating Scale for Depression. J Neurol Neurosurg Psychiatry 1960; 23: 56â€“62. Available from doi: 2392613897. Accessed on 27.02.2011.