Yıl: 2017 Cilt: 9 Sayı: 2 Sayfa Aralığı: 177 - 188 Metin Dili: Türkçe DOI: 10.18863/pgy.281382 İndeks Tarihi: 23-03-2019

Psikiyatride Parlak Işık Tedavisi

Öz:
Parlak ışık tedavisi duygudurumda kalkınmaya ve buna bağlı olarak depresif belirtilerde düzelmeyeyol açan, sirkadiyen ritimde düzenleyici etkisi olan, antidepresan ilaçların etkisini artıran ve uykukalitesinde düzelmeye yol açan bir tedavi şeklidir. Parlak ışık tedavisi mevsimsel özellikli depresyondayüksek yanıt oranları nedeniyle birinci sıra tedavi seçeneği olarak kabul edilir. Ayrıca parlakışık tedavisi mevsimsel olmayan duygudurum bozuklukları, Alzheimer hastalığı, sirkadiyen ritimuyku bozuklukları, yeme bozuklukları, dikkat eksikliği hiperaktivite bozukluğu ve diğer davranışsaldurumlarda çalışılmıştır. Yan etkileri sıklıkla geçicidir ve genellikle maruziyet süresini azaltarakgiderilir. Bu yazıda parlak ışık tedavisinin etki mekanizmasını, etkinliğini, kullanım alanlarını,uygulama şeklini ve yan etkilerinin gözden geçirilmesi amaçlanmıştır.
Anahtar Kelime:

Konular: Nörolojik Bilimler Psikoloji Psikiyatri

Bright Light Treatment in Psychiatry

Öz:
Bright light treatment is a treatment modality that leads elevation of mood by attenuation in depressive symptoms, regulation in circadian rhythm activity, increasing the effect of antidepressants and amelioration in sleep quality. Bright light treatment is considered among the first-line treatments for seasonal affective disorder because of high response rates. Additionally, bright light treatment being extended to other conditions, including non-seasonal mood disorders, Alzheimer’s disease, circadian rhythm sleep disorders, eating disorders, attention deficit hyperactivity disorder and other behavioral syndromes is likely to have a far reached use. Side effects are often temporary and can generally be overcome by reducing exposure time. The central focus on this paper is to review mechanism of action, efficacy, usage areas, administration ways and side effects of light treatment.
Anahtar Kelime:

Konular: Nörolojik Bilimler Psikoloji Psikiyatri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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  • Agargun MY, Cilli AS, Boysan M, Selvi Y, Gulec M, Kara H (2007) Turkish version of Morningness- Eveningness Questionnaire (MEQ). Sleep Hypnosis, 9:16-23.
  • Ağargün MY, Hızlı Sayar G, Bulut H, Tan O (2013) Comparison of effects of bright light therapy alone or combined with fluoxetine on severity of depression, circadian rhythms, mood disturbance, and sleep quality in patients with non-seasonal depression. ChronoPhysiology and Therapy, 3:53-59.
  • Akıncı E, Orhan FE (2016) Sirkadiyen ritim uyku bozuklukları . Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 8:178-189.
  • Alotaibi MA, Halaki M, Chow MCA (2016) Systematic review of light therapy on mood scores in major depressive disorder: light specification, dose, timing and delivery. Int J Sci Basic Appl Res, 5:30-37.
  • American Psychiatric Association (2010) Practice Guideline for the Treatment of Patients with Major Depressive Disorder, 3rd ed. Arlington, American Psychiatric Association.
  • Ancoli-Israel S, Martin JL, Kripke DF, Marler M, Klauber MR (2002) Effect of light treatment on sleep and circadian rhythms in demented nursing home patients. J Am Geriatr Soc, 50:282–289.
  • Anderson JL, Vasile RG, Mooney JJ, Bloomingdale KL, Samson JA, Schildkraut JJ (1992) Changes in norepinephrine output following light therapy for fall/winter seasonal depression. Biol Psychiatry, 32:700-704.
  • Avery DH, Eder DN, Bolte MA, Hellekson CJ, Dunner DL, Vitiello MV (2001) Dawn simulation and bright light in the treatment of SAD: a controlled study. Biol Psychiatry, 50:205-216.
  • Avery DH, Khan A, Dager SR, Cohen S, Cox GB, Dunner DL (1991) Morning or evening bright light treatment of winter depression? The significance of hypersomnia. Biol Psychiatry, 29:117-126.
  • Beauchemin KM, Hays P (1997) Phototherapy is a useful adjunct in the treatment of depressed in patients. Acta Psychiatr Scand, 95:424-427.
  • Botanov Y, Ilardi SS (2013) Theacute side effects of bright light therapy: a placebo-controlled investigation. PloS One, 8:75893.
  • Braun DL, Sunday SR, Fornari VM, Halmi KA (1999) Bright light therapy decreases winter binge frequency in women with bulimia nervosa: adouble-blind, placebo-controlled study. Compr Psychiatry, 40:442-448.
  • Carlsson A, Svennerholm L, Winblad B (1980) Seasonal and circadian monoamine variations in human brains examined post mortem. Acta Psychiatr Scand. Suppl, 280:75.
  • Chou TC, Scammell TE, Gooley JJ, Gaus SE, Saper CB, Lu J (2003) Critical role of dorsomedial hypothalamic nucleus in a wide range of behavioral circadian rhythms. J Neurosci, 23:10691-10702.
  • Dietzel M, Saletu M, Lesch OM, Sieghart W, Schjerwe M (1986) Light treatment in depressive illness: polysomnographic, pscyhometric and neuroendocrinological findings. Eur Neurol, 25:93-103.
  • Dowling GA, Hubbard EM, Mastick J, Luxenberg JS, Burr RL, Van Someren EJW (2005) Effect of morning bright light treatment for rest-activity disruption in institutionalized patients with severe Alzheimer’s disease. Int Psychogeriatr, 17:221-236.
  • Eastman CI, Young MA, Fogg LF, Liu L, Meaden PM (1998) Bright light treatment of winter depression: a placebo-controlled trial. Arch Gen Psychiatry, 55:883-889.
  • Epperson CN, Terman M, Terman JS, Hanusa BH, Oren DA, Peindl KS et al. (2004) Randomized clinical trial of bright light therapy for antepartum depression: preliminary findings. J Clin Psychiatry, 65:421-425.
  • Fisher PM, Madsen MK, Mc Mahon B, Holst KK, Andersen SB, Laursen HR et al. (2014) Three-week bright-light intervention has dose-related effects on threat-related corticolimbic reactivity and functional coupling. Biol Psychiatry, 76:332-339.
  • Forbes D, Blake CM, Thiessen EJ, Peacock S, Hawranik P (2014) Light therapy for improving cognition, activities of daily living, sleep, challenging behaviour, and psychiatric disturbances in dementia. Cochrane Database Syst Rev,2:CD003946.
  • Glickman G, Byrne B, Pineda C, Hauck WW, Brainard GC (2006) Light therapy for seasonal affective disorder with blue narrowband light-emitting diodes (LEDs). Biol Psychiatry, 59:502-507.
  • Goel N, Terman M, Terman JS, Macchı MM, Stewart JW (2005). Controlled trial of bright light and negative air ions for chronic depression. Psychol Med, 35:945–955.
  • Golden RN, Gaynes BN, Ekstrom RD, Hamer RM, Jacobsen FM, Suppes T et al. (2005) The efficacy of light therapy in the treatment of mood disorders: a review and meta-analysis of the evidence. Am J Psychiatry, 162:656-662.
  • Gooley JJ (2008) Treatment of circadian rhythm sleep disorders with light. Ann Acad Med Singapore, 37:669-76
  • Güdücü F, Caliyurt O, Vardar E, Tuğlu C, Abay E (2005) Majör depresyonda sertralin ile birlikte uygulanan uyku yoksunluğu ve ışık tedavisinin etkinliğinin sertralin tedavisi ile karşılaştırılması. Turk Psikiyatri Derg, 16:245-251.
  • Heninger G, Delgado P, Charney D. (1996) The revised monoamine theory of depression: a modulatory role for monoamines, based on new findings from monoamine depletion experiments in humans. Pharmacopsychiatry, 29:2-11.
  • Horne JA, Östberg O (1976) A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol, 4:97-110.
  • Kripke DF, Mullaney DJ, Savides TJ, Gillin JC (1989) Phototherapy for nonseasonal major depressive disorders. In Seasonal Affective Disorders and Phototherapy. (EdEN Rosenthal):343-356. New York, Guilford Press.
  • Lam RW, Tam EM (2009) A Clinician’s Guide to Using Light Therapy. New York, Cambridge University Press.
  • Lam RW, Levitt AJ, Levitan RD, Enns MW, Morehouse R, Michalak EE et al. (2006) The Can-SAD study: a randomized controlled trial of the effectiveness of light therapy and fluoxetine in patients with winter seasonal affective disorder. Am J Psychiatry, 163:805-812.
  • Lam RW (1998) Seasonal Affective Disorder and Beyond. Light Treatment for SAD and Non-SAD Conditions. Washington, DC, American Psychiatric Press.
  • Lam RW, Zis AP, Grewal A, Delgado PL, Charney DS, Krystal JH (1996) Effects of rapid tryptophan depletion in patients with seasonal affective disorder in remission after light therapy. Arch Gen Psychiatry, 53:41-44.
  • Levitt AJ, Joffe RT, Kennedy SH (1991) Bright light augmentation in antidepressant nonresponders. J Clin Psychiatry, 52:336–337.
  • Lewy AJ, Emens JS, Songer JB, Sims N, Laurie AL, Fiala SC et al. (2009) Winter depression: integrating mood, circadian rhythms, and the sleep/wake and light/dark cycles into a bio-psycho-social-environmental model. Sleep Med Clin, 4:285-299.
  • Mackert A, Volz HP, Stieglitz RD, Müller-Oerlinghausen B (1991) Phototherapy in nonseasonal depression. Biol Psychiatry, 30:257- 268.
  • Mao WC, Lee HC, Chen HC (2012) Management of sleep disorders: light therapy. In Introduction to Modern Sleep Technology (Eds RPY Chiang,SC Kang):137-164. Dordrecht, Springer.
  • Martensson B, Pettersson A, Berglund L, Ekselius L (2015) Bright white light therapy in depression: a critical review of the evidence. J Affect Disord, 182:1-7.
  • Martiny K, Lunde M, Unde´n M, Dam H, Bech P (2005a) Adjunctive bright light in non-seasonal major depression: results from clinician-rated depression scales. Acta Psychiatr Scand, 112:117-125.
  • Martiny K, Lunde M, Unde´n M, Dam H, Bech P (2005b) Adjunctive bright light in non-seasonal major depression: results from patient-reported symptom and well-being scales. Acta Psychiatr Scand, 111:453-459.
  • Martiny K, Lunde M, Unden M, Dam H, Bech P (2009) High cortisol awakening response is associated with an impairment of the effect of bright light therapy. Acta Psychiatr Scand, 120:196–202.
  • Mistlberger RE, Rusak B (2005) Circadian rhythms in mammals: formal properties and environmental influences. In Principles and Practice of Sleep Medicine, 4th edition (Eds MH Kryger,T Roth,WC Dement):321-333.Philadelphia, Elsevier.
  • Neumeister A, Praschak-Rieder N, Besselmann B, Rao ML, Glück J, Kasper S (1997a) Effects of tryptophan depletion on drug-free patients with seasonal affective disorder during a stable response to bright light therapy. Arch Gen Psychiatry, 54:133-138.
  • Neumeister A, Praschak-Rieder N, Hesselmann B, Vitouch O, Rauh M, Barocka A (1997b) Rapid tryptophan depletion in drug-free depressed patients with seasonal affective disorder. Am J Psychiatry, 154:1153-1155.
  • Neumeister A, Praschak-Rieder N, Hesselmann B, Vitouch O, Rauh M, Barocka A et al. (1998a) Effects of tryptophan depletion in fully remitted patients with seasonal affective disorder during summer. Psychol Med, 28:257-264.
  • Neumeister A, Turner EH, Matthews JR, Postolache TT, Barnett RL, Rauh M et al. (1998b) Effects of tryptophan depletion vs catecholamine depletion in patients with seasonal affective disorder in remission with light therapy. Arch Gen Psychiatry, 55:524-530.
  • NIMH-National Institute for Mental Health (2011) Depression. Bethesda, National Institutes of Health.
  • Oldham MA, Ciraulo DA (2014) Bright light therapy for depression: a review of its effects on chronobiology and the autonomic nervous system. Chronobiol Int, 31:305-319.
  • Oren DA, Wisner KL, Spinelli M, Epperson CN, Peindl KS, Terman JS et al. (2002) An open trial of morning light therapy for treatment of antepartum depression. Am J Psychiatry, 159:666-669.
  • Özdemir PG, Boysan M, Smolensky MH, Selvi Y, Aydin A, Yilmaz E (2015) Comparison of venlafaxine alone versus venlafaxine plus bright light therapy combination for severe major depressive disorder. J Clin Psychiatry, 76:645-54.
  • Pail G, Huf W, Pjrek E, Winkler D, Willeit M, Praschak-Rieder N et al. (2011) Bright-light therapy in the treatment of mood disorders. Neuropsychobiology, 64:152-162.
  • Prasko J, Horacek J, Klaschka J, Kosova J, Ondrackova I, Sipek J (2002) Bright light therapy and/or imipramine for inpatients with recurrent non-seasonal depression. Neuroendocrinol Lett, 23:109-113.
  • Ravindran AV, Lam RW, Filteauf MJ, Lesperance F, Kennedy SH, Parikh SV et al. (2009) Canadian Network for Moodand Anxiety Treatments (CANMAT): Clinical guidelines for the management of major depressive disorder inadults. V.Complementary and alternative medicine treatments. J Affect Disord, 117:54-64.
  • Riemersma-van der Lek RF, Swaab DF, Twiske J, Hol EM, Hoogendijk WJG, Van Someren EJW (2008) Effect of bright light and melatonin on cognitive and noncognitive function in elderly residents of group care facilities: a randomized controlled trial. JAMA, 299:2642–2655.
  • Roecklein KA, Rohan KJ, Postolache TT (2010) Is seasonal affective disorder a bipolar variant? Curr Psychiatry, 9:42-54.
  • Rosenthal NE, Sack DA, Carpenter CJ, Parry BL, Mendelson WB, Wehr TA (1985) Antidepressant effects of light in seasonal affective disorder. Am J Psychiatry, 142:163-170.
  • Rosenthal NE, Sack DA, Gillin JC, Lewy AJ, Goodwin FK, Davenport Y et al. (1984) Seasonal affective disorder: a description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry, 41:72-80.
  • Rybak YE, McNeely HE, Mackenzie BE, Jain UR, Levitan RD (2006) An open trial of light therapy in adult attentiondeficit/hyperactivity disorder. J Clin Psychiatry, 67:1527–35.
  • Sack RL, Auckley D, Auger RR, Carskadon MA, Wright KP, Vitiello MV et al. (2007) Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders.Sleep, 30:1460–1483.
  • Selvi Y, Besiroglu L, Aydin A (2011) Kronobiyoloji ve duygudurum bozuklukları. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 3:368-386.
  • Sohn CH, Lam RW (2005) Update on the biology of seasonal affective disorder. CNS Spectr, 10:635-646.
  • Strong RE, Marchant BK, Reimherr FW, Williams E, Soni P, Mestas R (2009) Narrow band blue light treatment of seasonal affective disorder in adults and the influence of additional nonseasonal symptoms. Depress Anxiety, 26:273-278.
  • Terman M, Terman JS (2005a) Light therapy. In Principles and Practice of Sleep Medicine, 4th ed (Eds M Krieger, T Roth, W Dement):1424-1442. Philadelphia,Elsevier.
  • Terman M, Terman SJ (2005b) Light therapy for seasonal and nonseasonal depression: efficacy, protocol, safety, and side effects. CNS Spectr,10:647-663.
  • Terman M, Terman JS, Quitkin FM, McGrath PJ, Stewart JW, Rafferty B (1989) Light therapy for seasonal affective disorder. a review of efficacy. Neuropsychopharmacology, 2:1-22.
  • Terman M (2007) Evolving applications of light therapy. Sleep Med Rev, 11:497-507.
  • Tseng PT, Chen YW, Tu KY, Chung W, Wang HY, Wu CK et al. (2016) Light therapy in the treatment of patients with bipolar depression: ameta-analytic study. Eur Neuropsychopharmacol, 26:1037-1047.
  • Tural Ü (2010) Ruhsal bozuklukların tedavisinde somatik sağaltım yöntemleri. In Temel Psikofarmakoloji (Ed. N Yüksel):1174. Ankara, Türkiye Psikiyatri Derneği Yayınları.
  • Volz HP, Mackert A, Stieglitz RD, Müller-Oerlinghausen B (1990) Effect of bright white light therapy on non-seasonal depressive disorder: preliminary results. J Affect Disord, 19:15-21.
  • Wehr TA (1989) Seasonal affective disorders: a historical review. In Seasonal Affective Disorders and Phototherapy (eds NE Rosenthal, MC Blehar):11-32. New York, Guilford Press.
  • Westrin A, Lam RW (2007) Seasonal affective disorder: a clinical update. Ann Clin Psychiatry, 19:239-246.
  • Wirz-Justice A, Terman M (2012) Chronotherapeutics (light and wake therapy) as a class of interventions for affective disorders. Handb Clin Neurol, 106:697-713.
  • Wirz-Justice A, Graw P, Krauchi K, Gisin B, Jochum A, Arendt J et al. (1993) Light therapy in seasonal affective disorder is independent of time of day or circadian phase. Arch Gen Psychiatry, 50:929-937.
  • Wirz-Justice A, Bader A, Frisch U, Stieglitz RD, Alder J, Bitzer J et al. (2011) A randomized, double-blind, placebo-controlled study of light therapy for antepartum depression. J Clin Psychiatry, 72:986-993.
  • Yamada N, Martin-Iverson MT, Daimon K, Tsujimoto T, Takahashi S (1995) Clinical and chronobiological effects of light therapy on nonseasonal affective disorders. Biol Psychiatry, 37:866-873.
  • Yamadera H, Ito T, Suzuki H, Asayama K, Ito R, Endo S (2000) Effects of bright light on cognitive and sleep–wake (circadian) rhythm disturbances in Alzheimer-type dementia. Psychiatry Clin Neurosci, 54:352-353.
  • Yorguner N (2015) Bipolar depresyonda parlak ışık terapisinin tedavi etkinliğinin değerlendirilmesi (Uzmanlık tezi). İstanbul, Marmara Üniversitesi.
  • Youngstedt SD, Kline CE, Elliott JA, Zielinski MR, Devlin TM, Moore TA (2016) Circadian phase-shifting effects of bright light, exercise, and bright light + exercise. J Circadian Rhythms, 14:2.
APA GÜZEL ÖZDEMİR P, YILMAZ E, Selvi Y, BOYSAN M (2017). Psikiyatride Parlak Işık Tedavisi. , 177 - 188. 10.18863/pgy.281382
Chicago GÜZEL ÖZDEMİR Pınar,YILMAZ EKREM,Selvi Yavuz,BOYSAN MURAT Psikiyatride Parlak Işık Tedavisi. (2017): 177 - 188. 10.18863/pgy.281382
MLA GÜZEL ÖZDEMİR Pınar,YILMAZ EKREM,Selvi Yavuz,BOYSAN MURAT Psikiyatride Parlak Işık Tedavisi. , 2017, ss.177 - 188. 10.18863/pgy.281382
AMA GÜZEL ÖZDEMİR P,YILMAZ E,Selvi Y,BOYSAN M Psikiyatride Parlak Işık Tedavisi. . 2017; 177 - 188. 10.18863/pgy.281382
Vancouver GÜZEL ÖZDEMİR P,YILMAZ E,Selvi Y,BOYSAN M Psikiyatride Parlak Işık Tedavisi. . 2017; 177 - 188. 10.18863/pgy.281382
IEEE GÜZEL ÖZDEMİR P,YILMAZ E,Selvi Y,BOYSAN M "Psikiyatride Parlak Işık Tedavisi." , ss.177 - 188, 2017. 10.18863/pgy.281382
ISNAD GÜZEL ÖZDEMİR, Pınar vd. "Psikiyatride Parlak Işık Tedavisi". (2017), 177-188. https://doi.org/10.18863/pgy.281382
APA GÜZEL ÖZDEMİR P, YILMAZ E, Selvi Y, BOYSAN M (2017). Psikiyatride Parlak Işık Tedavisi. Psikiyatride Güncel Yaklaşımlar, 9(2), 177 - 188. 10.18863/pgy.281382
Chicago GÜZEL ÖZDEMİR Pınar,YILMAZ EKREM,Selvi Yavuz,BOYSAN MURAT Psikiyatride Parlak Işık Tedavisi. Psikiyatride Güncel Yaklaşımlar 9, no.2 (2017): 177 - 188. 10.18863/pgy.281382
MLA GÜZEL ÖZDEMİR Pınar,YILMAZ EKREM,Selvi Yavuz,BOYSAN MURAT Psikiyatride Parlak Işık Tedavisi. Psikiyatride Güncel Yaklaşımlar, vol.9, no.2, 2017, ss.177 - 188. 10.18863/pgy.281382
AMA GÜZEL ÖZDEMİR P,YILMAZ E,Selvi Y,BOYSAN M Psikiyatride Parlak Işık Tedavisi. Psikiyatride Güncel Yaklaşımlar. 2017; 9(2): 177 - 188. 10.18863/pgy.281382
Vancouver GÜZEL ÖZDEMİR P,YILMAZ E,Selvi Y,BOYSAN M Psikiyatride Parlak Işık Tedavisi. Psikiyatride Güncel Yaklaşımlar. 2017; 9(2): 177 - 188. 10.18863/pgy.281382
IEEE GÜZEL ÖZDEMİR P,YILMAZ E,Selvi Y,BOYSAN M "Psikiyatride Parlak Işık Tedavisi." Psikiyatride Güncel Yaklaşımlar, 9, ss.177 - 188, 2017. 10.18863/pgy.281382
ISNAD GÜZEL ÖZDEMİR, Pınar vd. "Psikiyatride Parlak Işık Tedavisi". Psikiyatride Güncel Yaklaşımlar 9/2 (2017), 177-188. https://doi.org/10.18863/pgy.281382