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Research Study of Treatment for Winter Depression With Different Colors of Light
This study is currently recruiting participants.
Verified by Thomas Jefferson University, November 2006
Sponsors and Collaborators: Thomas Jefferson University
Apollo Health Systems
Information provided by: Thomas Jefferson University
ClinicalTrials.gov Identifier: NCT00269633
  Purpose

The specific aim of this study is to test the hypothesis that light stimuli concentrated around 468 nm will evoke a significantly stronger therapeutic response in SAD patients compared to light stimuli concentrated around 654 nm at an equal photon density.

The secondary objective of this study is to determine the efficacy of different colors and levels of light in order to optimize therapeutic benefit, while also minimizing side effects and maintaining safety of light exposure.


Condition Intervention Phase
Seasonal Affective Disorder
Device: Light Box
Phase II

MedlinePlus related topics: Depression Seasonal Affective Disorder
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety Study
Official Title: Optimizing Light Wavelength for Treatment of Seasonal Affective Disorder

Further study details as provided by Thomas Jefferson University:

Primary Outcome Measures:
  • Structured Interview Guide for the Hamilton Depression Scale - Seasonal Affective Disorder Version (SIGH-SAD); weekly for three weeks

Secondary Outcome Measures:
  • Quality of Life in Depression Scale (QLDS); before and after 3-week study

Estimated Enrollment: 30
Study Start Date: November 2006
Estimated Study Completion Date: November 2006
Detailed Description:

Studies report as many as 1 out of every 5 Americans is affected by mild to severe Seasonal Affective Disorder (SAD, winter depression). Although the exact cause of this condition is unknown, bright light has proven to be an effective therapeutic treatment for many people with SAD. The light sources that have been traditionally used for treatment of SAD produce white light with great variability in the balance of wavelengths that are emitted across the visible spectrum. Although several studies have attempted to test the effectiveness of different wavelengths for treatment of SAD, the devices used in those studies employed broad bandwidths of light. With the technological advancements in light emitting diodes (LEDs) the production of new light therapy equipment with much narrower bandwidths of light is possible. Side effects of exposure to traditional white light therapy for SAD have included hypomanic activation, irritability, headache, eyestrain and nausea. We hypothesize that when the wavelength of light therapy is optimized, it should be feasible to elicit strong therapeutic benefits with lower light intensities and fewer side effects. Previous studies, approved by the Jefferson IRB and successfully completed by our laboratory have shown that some colors of light are more effective in treating SAD than other colors.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical diagnosis of Seasonal Affective Disorder
  • Over 18 years old
  • Stable sleeping pattern with a bedtime no later than 1 a.m.

Exclusion Criteria:

  • Pregnant women
  • Concurrent psychiatric illness that would preclude compliance with the protocol
  • active suicidal or homicidal ideation or plan
  • variable psychiatric illness (i.e. rapid cycling disorder or severe premenstrual syndrome)
  • individuals with substance abuse or dependence who have not been in remission for at least one year
  • individuals taking photosensitizing medications
  • individuals with macular degeneration or other ocular conditions which might be adversely affected by light
  • less then six weeks after onset of psychotherapeutic treatment
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00269633

Contacts
Contact: Kathleen E West, B.S. 215-955-9409 kathleen.west@jefferson.edu
Contact: John P Hanifin, B.A. 215-955-9409 john.hanifin@jefferson.edu

Locations
United States, Pennsylvania
Thomas Jefferson University Recruiting
Philadelphia, Pennsylvania, United States, 19107
Contact: Kathleen E West, B.S.     215-955-9409     kathleen.west@jefferson.edu    
Principal Investigator: George C Brainard, Ph.D.            
Sub-Investigator: Brenda Byrne, Ph.D.            
Sponsors and Collaborators
Thomas Jefferson University
Apollo Health Systems
Investigators
Principal Investigator: George C Brainard, Ph.D. Thomas Jefferson University
  More Information

Publications:
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. 2005 Sep 13; [Epub ahead of print]
Brainard GC, Sherry D, Skwerer RG, Waxler M, Kelly K, Rosenthal NE. Effects of different wavelengths in seasonal affective disorder. J Affect Disord. 1990 Dec;20(4):209-16.
Eastman CI, Young MA, Fogg LF, Liu L, Meaden PM. Bright light treatment of winter depression: a placebo-controlled trial. Arch Gen Psychiatry. 1998 Oct;55(10):883-9.
Lee TM, Chan CC, Paterson JG, Janzen HL, Blashko CA. Spectral properties of phototherapy for seasonal affective disorder: a meta-analysis. Acta Psychiatr Scand. 1997 Aug;96(2):117-21.
Lewy AJ, Kern HA, Rosenthal NE, Wehr TA. Bright artificial light treatment of a manic-depressive patient with a seasonal mood cycle. Am J Psychiatry. 1982 Nov;139(11):1496-8. No abstract available.
Lewy AJ, Bauer VK, Cutler NL, Sack RL, Ahmed S, Thomas KH, Blood ML, Jackson JM. Morning vs evening light treatment of patients with winter depression. Arch Gen Psychiatry. 1998 Oct;55(10):890-6.
Oren DA, Brainard GC, Johnston SH, Joseph-Vanderpool JR, Sorek E, Rosenthal NE. Treatment of seasonal affective disorder with green light and red light. Am J Psychiatry. 1991 Apr;148(4):509-11.
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 Jan;41(1):72-80.
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 Jan;41(1):72-80.

Study ID Numbers: 080-19000-J11401
Study First Received: December 22, 2005
Last Updated: November 6, 2006
ClinicalTrials.gov Identifier: NCT00269633  
Health Authority: United States: Institutional Review Board

Keywords provided by Thomas Jefferson University:
Seasonal Affective Disorder

Study placed in the following topic categories:
Seasonal Affective Disorder
Depression
Mental Disorders
Mood Disorders
Depressive Disorder

Additional relevant MeSH terms:
Pathologic Processes
Disease

ClinicalTrials.gov processed this record on January 15, 2009