Abstract
There is some uncertainty among clinicians that light therapy can be effective for ameliorating symptoms of applicable conditions. Postulated here is the notion that some of this uncertainty may lie with inconsistent dosing of light. Included is a guideline delineating the necessary practical steps that clinicians can take to reduce their uncertainty about prescribing therapeutic light doses.
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References
Terman M, Terman JS. Light therapy for seasonal and nonseasonal depression: efficacy, protocol, safety, and side effects. CNS Spectr. 2005;10(8):647–73.
Auger RR, Burgess HJ, Emens JS, Deriy LV, Thomas SM, Sharkey KM. Clinical practice guideline for the treatment of intrinsic circadian rhythm sleep-wake disorders: advanced sleep-wake phase disorder (ASWPD), delayed sleep-wake phase disorder (DSWPD), non-24-hour sleep-wake rhythm disorder (N24SWD), and irregular sleep-wake rhythm disorder (ISWRD). An update for 2015. J Clin Sleep Med. 2015;11(10):1199–236.
Oldham MA, Ciraulo DA. Bright light therapy for depression: a review of its effects on chronobiology and the autonomic nervous system. Chronobiol Int. 2014;31(3):305–19.
Lam RW, Levitan RD. Pathophysiology of seasonal affective disorder: a review. J Psychiatry Neurosci. 2000;25(5):469–80.
Bunney BG, Bunney WE. Mechanisms of rapid antidepressant effects of sleep deprivation therapy: clock genes and circadian rhythms. Biol Psychiatry. 2013;73(12):1164–71.
Eastman CI. What the placebo literature can tell us about light therapy for SAD. Psychopharmacol Bull. 1990;26(4):495–504.
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(10):883–9.
Golden RN, Gaynes BN, Ekstrom RD, Hamer RM, Jacobsen F, Suppes T, et al. The efficacy of light therapy in the treatment of mood disorders: a review and meta-analysis of the evidence. Am J Psychiatry. 2005;162(4):656–62.
Lam RW, Levitt AJ, Levitan RD, Enns MW, Morehouse R, Michalak EE, et al. 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. 2006;163(5):805–12.
Mårtensson B, Pettersson A, Berglund L, Ekselius L. Bright white light therapy in depression: a critical review of the evidence. J Affect Disord. 2015;182:1–7.
Glickman G, Byrne B, Pineda C, Hauck WW, Brainard GC. Light therapy for seasonal affective disorder with blue narrow-band light-emitting diodes (LEDs). Biol Psychiatry. 2006;59(6):502–7.
Commission Internationale de l'Éclairage. Light as a true visual quantity: principles of measurement. Paris: Commission Internationale de l'Éclairage; 1978.
Rea MS. The lumen seen in a new light: Making distinctions between light, lighting and neuroscience. Light Res Technol. 2015;47(3):259–80.
Rea MS. Value metrics for better lighting. Bellingham: SPIE; 2013.
Eagles JM. Light therapy and seasonal affective disorder. Psychiatry. 2009;8(4):125–9.
Costa IC, Carvalho HN, Fernandes L. Aging, circadian rhythms and depressive disorders: a review. Am J Neurodegener Dis. 2013;2(4):228–46.
Lewy AJ, Bauer VK, Cutler NL, Sack RL, Ahmed S, Thomas KH, et al. Morning vs evening light treatment of patients with winter depression. Arch Gen Psychiatry. 1998;55(10):890–6.
Menculini G, Verdolini N, Murru A, Pacchiarotti I, Volpe U, Cervino A, et al. Depressive mood and circadian rhythms disturbances as outcomes of seasonal affective disorder treatment: a systematic review. J Affect Disord. 2018;241:608–26.
Berson D, Dunn F, Takao M. Phototransduction by retinal ganglion cells that set the circadian clock. Science. 2002;295(5557):1070–3.
Germain A, Kupfer DJ. Circadian rhythm disturbances in depression. Hum Psychopharmacol. 2008;23(7):571–85.
Rea MS, Figueiro MG, Bullough JD, Bierman A. A model of phototransduction by the human circadian system. Brain Res Rev. 2005;50(2):213–28.
Rea MS, Figueiro MG, Bierman A, Hamner R. Modelling the spectral sensitivity of the human circadian system. Light Res Technol. 2012;44(4):386–96.
Brainard GC, Hanifin JP, Greeson JM, Byrne B, Glickman G, Gerner E, et al. Action spectrum for melatonin regulation in humans: evidence for a novel circadian photoreceptor. J Neurosci. 2001;21(16):6405–12.
Thapan K, Arendt J, Skene DJ. An action spectrum for melatonin suppression: evidence for a novel non-rod, non-cone photoreceptor system in humans. J Physiol. 2001;535:261–7.
Rea MS, Figueiro MG. A working threshold for acute nocturnal melatonin suppression from “white” light sources used in architectural applications. J Carcinog Mutagen. 2013;4(3):1000150.
Figueiro MG, Bierman A, Rea MS. Retinal mechanisms determine the subadditive response to polychromatic light by the human circadian system. Neurosci Lett. 2008;438(2):242–5.
Figueiro MG, Bullough JD, Parsons RH, Rea MS. Preliminary evidence for spectral opponency in the suppression of melatonin by light in humans. Neuroreport. 2004;15(2):313–6.
Figueiro MG, Bullough JD, Bierman A, Rea MS. Demonstration of additivity failure in human circadian phototransduction. Neuro Endocrinol Lett. 2005;26(5):493–8.
Figueiro MG, Steverson B, Heerwagen J, Rea MS, editors. Daylight in office buildings: impact of building design on personal light exposures, sleep and mood. 28th CIE Session; 2015 June 28 – July 4; Manchester: Commission Internationale de l'Éclairage.
Figueiro MG, Steverson B, Heerwagen J, Kampschroer K, Hunter CM, Gonzales K, et al. The impact of daytime light exposures on sleep and mood in office workers. Sleep Health. 2017;3(3):204–15.
Figueiro MG, Kalsher M, Steverson BC, Heerwagen J, Kampschroer K, Rea MS. Circadian-effective light and its impact on alertness in office workers. Light Res Technol. 2019;51(2):171–83.
Figueiro MG, Plitnick BA, Lok A, Jones GE, Higgins P, Hornick TR, et al. Tailored lighting intervention improves measures of sleep, depression, and agitation in persons with Alzheimer's disease and related dementia living in long-term care facilities. Clin Interv Aging. 2014;9:1527–37.
Figueiro MG, Hunter CM, Higgins PA, Hornick TR, Jones GE, Plitnick B, et al. Tailored lighting intervention for persons with dementia and caregivers living at home. Sleep Health. 2015;1(4):322–30.
Bullough JD, Bierman A, Rea MS. Evaluating the blue-light hazard from solid state lighting. Int J Occup Saf Ergonomics. 2017;25(2):311–20.
International WELL Building Institute. The WELL building standard, version 1. New York: International WELL Building Institute; 2014.
Commission International de l'Éclairage. Characterization of the performance of illuminance meters and luminance meters, ISO/CIE 19476:2014(E). Vienna: Commission International de l'Éclairage; 2014.
Bullough J. Spectral sensitivity for extrafoveal discomfort glare. J Mod Opt. 2009;56(13):1518–22.
Van Derlofske J, Bierman A, Rea MS, Ramanath J, Bullough JD. Design and optimization of a retinal flux density meter. Meas Sci Technol. 2002;13(6):821–8.
Pittendrigh CS. On the mechanism of the entrainment of a circadian rhythm by light cycles. In: Aschoff J, editor. Circadian clocks: proceedings of the Feldafing Summer School, 7–18 September 1964. Amsterdam: North-Holland; 1965. p. 277–97.
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Rea, M.S. (2020). A Guide for Characterizing and Prescribing Light Therapy Devices. In: Auger, R. (eds) Circadian Rhythm Sleep-Wake Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-43803-6_14
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DOI: https://doi.org/10.1007/978-3-030-43803-6_14
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