Use of Light Therapy by Office-Based PhysiciansWinkler-Pjrek E. · Spies M. · Baldinger-Melich P. · Perkmann L. · Kasper S. · Winkler D.
Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria
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Background: Light therapy (LT) is a non-pharmacological biological treatment that has been used in psychiatry since the 1980s. Previous research has investigated the usage of LT in hospitals. The aim of this study was to examine the pattern of use of LT by office-based physicians. Methods: A questionnaire was sent by mail to 400 randomly selected doctors in Austria. We made sure that the sample was equally representative of general practitioners (GPs) and psychiatrists, public health service doctors and private doctors, physicians in cities and in the country as well as male and female doctors. Non-responders were asked by phone and e-mail to answer the questionnaire. We achieved a response rate of 27.7%. Results: LT was generally recommended by 67.3% of all physicians (91.6% of the psychiatrists but only 46.6% of the GPs). The recommended location of treatment was patients' homes in 90%. Physicians were asked whether they considered LT to be an appropriate treatment for various disorders. There were affirmative answers from: 94.2% for seasonal affective disorder (SAD), 93.3% for sub-syndromal SAD, 60.6% for non-seasonal recurrent major depressive disorder, 35.6% for jet lag syndrome, 35.6% for chronobiological problems with shift work, 22.1% for insomnia, 13.5% for premenstrual dysphoric disorder, and 10.6% for behavioural problems with Alzheimer's disease. Conclusions: Our results indicate that LT is regularly recommended by office-based physicians, especially psychiatrists. However, there is potential for greater application of LT in indications other than depressive disorder. The results found here are comparable to previous findings in psychiatric hospitals.
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Rollier A: Die Heliotherapie der Tuberkulose mit besonderer Berücksichtigung ihrer chirurgischen Formen. Berlin, Heidelberg, Springer, 1913.
Loebel L: Wichtige Ansichten über die Berücksichtigung der Insolation in mehreren Uebelseynsformen, vorzüglich in der Amaurose und über die Realisierung der Idee eines Sonnenbades. J der practischen Heilkunde 1815;40:56-85.
- Lewy AJ: Effects of light on human melatonin production and the human circadian system. Prog Neuropsychopharmacol Biol Psychiatry 1983;7:551-556.
- Rosenthal NE, Sack DA, Gillin JC, Lewy AJ, Goodwin FK, Davenport Y, Mueller PS, Newsome DA, Wehr TA: Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry 1984;41:72-80.
- Winkler D, Pjrek E, Iwaki R, Kasper S: Treatment of seasonal affective disorder. Expert Rev Neurother 2006;6:1039-1048.
- Danilenko KV, Levitan RD: Seasonal affective disorder. Handb Clin Neurol 2012;106:279-289.
- Lam RW, Levitt AJ, Levitan RD, Michalak EE, Cheung AH, Morehouse R, Ramasubbu R, Yatham LN, Tam EM: Efficacy of bright light treatment, fluoxetine, and the combination in patients with nonseasonal major depressive disorder: a randomized clinical trial. JAMA Psychiatry 2016;73:56-63.
- Perera S, Eisen R, Bhatt M, Bhatnagar N, de Souza R, Thabane L, Samaan Z: Light therapy for non-seasonal depression: systematic review and meta-analysis. BJPsych Open 2016;2:116-126.
- Parry BL, Mahan AM, Mostofi N, Klauber MR, Lew GS, Gillin JC: Light therapy of late luteal phase dysphoric disorder: an extended study. Am J Psychiatry 1993;150:1417-1419.
- Lam RW, Carter D, Misri S, Kuan AJ, Yatham LN, Zis AP: A controlled study of light therapy in women with late luteal phase dysphoric disorder. Psychiatry Res 1999;86:185-192.
- Wirz-Justice A, Bader A, Frisch U, Stieglitz RD, Alder J, Bitzer J, Hosli I, Jazbec S, Benedetti F, Terman M, Wisner KL, Riecher-Rossler A: A randomized, double-blind, placebo-controlled study of light therapy for antepartum depression. J Clin Psychiatry 2011;72:986-993.
- Bjorvatn B, Stangenes K, Oyane N, Forberg K, Lowden A, Holsten F, Akerstedt T: Randomized placebo-controlled field study of the effects of bright light and melatonin in adaptation to night work. Scand J Work Environ Health 2007;33:204-214.
- Huang LB, Tsai MC, Chen CY, Hsu SC: The effectiveness of light/dark exposure to treat insomnia in female nurses undertaking shift work during the evening/night shift. J Clin Sleep Med 2013;9:641-646.
- Daan S, Lewy AJ: Scheduled exposure to daylight: a potential strategy to reduce “jet lag” following transmeridian flight. Psychopharmacol Bull 1984;20:566-568.
- Boulos Z, Macchi MM, Sturchler MP, Stewart KT, Brainard GC, Suhner A, Wallace G, Steffen R: Light visor treatment for jet lag after westward travel across six time zones. Aviat Space Environ Med 2002;73:953-963.
Dietzel M, Saletu B, Veit I, Birsak L, Bach M, Gruber U, Marx B: Biologisch aktives Licht - eine wirksame Therapie im schweren Alkoholentzug; in Pflug B, Lemmer B (eds): Chronobiologie und Chronopharmakologie. Stuttgart, G. Fischer, 1989, pp 99-114.
Heim M: Bright light-therapy bei schizophrenen Erkrankungen. Psychiatr Neurol Med Psychol 1990;42:146-150.
- Aichhorn W, Stelzig-Schoeler R, Geretsegger C, Stuppaeck C, Kemmler G: Bright light therapy for negative symptoms in schizophrenia: a pilot study. J Clin Psychiatry 2007;68:1146.
- Forbes D, Blake CM, Thiessen EJ, Peacock S, Hawranik P: Light therapy for improving cognition, activities of daily living, sleep, challenging behaviour, and psychiatric disturbances in dementia. Cochrane Database Syst Rev 2014;2:CD003946.
- Rutten S, Vriend C, van den Heuvel OA, Smit JH, Berendse HW, van der Werf YD: Bright light therapy in Parkinson's disease: an overview of the background and evidence. Parkinsons Dis 2012;2012:767105.
- Videnovic A, Klerman EB, Wang W, Marconi A, Kuhta T, Zee PC: Timed light therapy for sleep and daytime sleepiness associated with Parkinson disease: a randomized clinical trial. JAMA Neurol 2017;74:411-418.
Kasper S, Ruhrmann S, Neumann S, Möller HJ. Use of light therapy in German psychiatric hospitals. Eur Psychiatry 1994;9:288-292.
- Fischer R, Kasper S, Pjrek E, Winkler D: On the application of light therapy in German-speaking countries. Eur Arch Psychiatry Clin Neurosci 2012;262:501-505.
IBM Corporation. IBM SPSS Statistics, release 19.0.0. Armonk, 1989-2010.
- Sit D, Wisner KL, Hanusa BH, Stull S, Terman M: Light therapy for bipolar disorder: a case series in women. Bipolar Disord 2007;9:918-927.
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