Light therapy for bipolar disorders: Clinical recommendations from the international society for bipolar disorders (ISBD) Chronobiology and Chronotherapy Task Force

Publikation: Beitrag in FachzeitschriftÜbersichtsartikel (Review)BeigetragenBegutachtung

Beitragende

  • Pierre A. Geoffroy - , Assistance Publique – Hôpitaux de Paris, Université Paris Cité, GHU Paris Psychiatrie & Neuro sciences, Université de Strasbourg (Autor:in)
  • Laura Palagini - , University of Pisa (Autor:in)
  • Tone E.G. Henriksen - , Helse Fonna (Autor:in)
  • Patrice Bourgin - , Université de Strasbourg, Les Hôpitaux Universitaires de Strasbourg (Autor:in)
  • Corrado Garbazza - , Universität Basel (Autor:in)
  • Claude Gronfier - , Centre de Recherche en Neurosciences de Lyon (Autor:in)
  • Yuichi Esaki - , Fujita Health University (Autor:in)
  • Diego C. Fernandez - , University of Cincinnati (Autor:in)
  • Raymond W. Lam - , University of British Columbia (Autor:in)
  • Heon Jeong Lee - , Korea University (Autor:in)
  • Michel Lejoyeux - , Assistance Publique – Hôpitaux de Paris, Université Paris Cité, GHU Paris Psychiatrie & Neuro sciences (Autor:in)
  • Julia Maruani - , Assistance Publique – Hôpitaux de Paris, Université Paris Cité, GHU Paris Psychiatrie & Neuro sciences (Autor:in)
  • Klaus Martiny - , Universität Kopenhagen (Autor:in)
  • Greg Murray - , Swinburne University of Technology (Autor:in)
  • Rixt F. Riemersma-Van Der Lek - , GGZ Drenthe Mental Health Institution (Autor:in)
  • Philipp Ritter - , Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Peter F.J. Schulte - , GGZ Noord Holland Noord (Autor:in)
  • Daniel J. Smith - , University of Edinburgh (Autor:in)
  • Michael Terman - , Center For Environmental Therapeutics, Columbia University (Autor:in)
  • Jamie M. Zeitzer - , Stanford University (Autor:in)
  • Dorothy K. Sit - , Northwestern University (Autor:in)

Abstract

The International Society for Bipolar Disorders (ISBD) Chronobiology and Chronotherapy Task Force conducted a comprehensive review to deliver concise evidence-based recommendations on the use of bright light therapy (BLT) for bipolar disorder (BD). Adjunctive BLT is likely an efficacious acute treatment for bipolar depression as implicated by higher quality evidence. The position of maintenance BLT for relapse prevention awaits further investigation. Protocols of effective BLT in BD are similar to parameters indicated for treatment of seasonal and non-seasonal major depressive disorder. Anti-manic prophylaxis (especially for BD-I) and clinical monitoring are recommended with initiation of and ongoing light treatment. Administer BLT daily, preferably in the morning or at mid-day. If mornings are prohibitive, then mid-day exposure, implemented to avoid excessively early wake times, is an acceptable alternative. Informed by the literature, target 30 min/day of BLT exposure. Patients wary of emergent hypomania or partial responders, can initiate 15 min/day and increase by 15 min each week to full response (or 30–60 min/day by the fourth week). Consider patient centred outcome assessments to evaluate mood response, safety and side effects. Clinical improvement is typically observed within 1–2 weeks, with response/remission expected by 4–6 weeks. Integration of BLT with other chronotherapeutic strategies may enhance long-term efficacy.

Details

OriginalspracheEnglisch
Seiten (von - bis)249-264
Seitenumfang16
FachzeitschriftDialogues in Clinical Neuroscience
Jahrgang27
Ausgabenummer1
PublikationsstatusVeröffentlicht - 2025
Peer-Review-StatusJa

Externe IDs

PubMed 40705857

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • Bipolar disorder, chronotherapy, depression, light therapy, phototherapy, seasonal affective disorder