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Stellenwert der Lichttherapie in der Behandlung depressiver Patienten

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Depressionen
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Zusammenfassung

Neben den verschiedenen psychotherapeutischen Methoden, der Elektrokrampftherapie und der Schlafentzugsbehandlung, gehört die Lichttherapie zur bekanntesten nichtpharmakologischen Behandlungsmethode bei Patienten mit depressiver Symptomatik. Lichttherapie wurde zum erstenmal parallel zur Beschreibung eines depressiven Syndroms vorgestellt, bei dem Exazerbationen häufig jahreszeitliche Gebundenheit aufweisen. Scit der Erstbeschreibung dieser „seasonal affective disorder“(Rosenthal et al. 1984 a), gibt es viele Untersuchungen, die einen positiven Effekt der Lichttherapie auf depressive Symptomatik belegen (Übersichten bei Rosenthal u. Blehar 1989; Thompson u. Silverstone 1989; Kasperetal. 1988; Termanu. Terman 1990; Blehar u. Lewy 1990). Scit kurzer Zeit findet eine Ausweitung der einfach durchzuführenden und nebenwirkungsarmen Behandlung statt. Vereinzelt wird sie von niedergelassenen Ärzten angeboten, zunehmend auch von psychiatrischen Polikliniken. Mit der größer werdenden Publizität in verschiedenen Medien (mehrere Fernsehsendungen, Reportagen in überregionalen Journalen) ist der Bekanntheitsgrad bei den Patienten im Vergleich mit anderen psychiatrischen Behandlungsverfahren groß.

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Literatur

  • American Psychiatric Association (APA) (1980) DSM III: Diagnostic and Statistical manual of mental disorders, 3rd edition. APA, Washington

    Google Scholar 

  • American Psychiatric Association (APA) (1987) DSM III-R: Diagnostic and Statistical manual of mental disorders 3rd edition, revised. APA Washington

    Google Scholar 

  • Blehar MC, Lewy AJ (1990) Seasonal mood disorders: consensus and controversy. Psychopharmacol Bull 26: 465–494

    PubMed  Google Scholar 

  • Brown WA (1990) Is light treatment a placebo? Psychopharmacol Bull 26: 527–530

    PubMed  Google Scholar 

  • Czeisler et al (NEJM) (190) Exposure to bright light and darkness to treat physiologic maladaptation to night work. Egl J Med 322: 1253–1308

    Google Scholar 

  • Cole RJ, Kripke DF (1989) Amelioration of jet lag by bright light treatment: effects on sleep consolidation. Sleep Res 18: 411

    Google Scholar 

  • Dilsaver SC, Jaeckle RS (1990) Winter depression responds to an open trial of tranylcypromine. J Clin Psychiatry 51: 326–329

    PubMed  Google Scholar 

  • Dograhmji K, Gaddy JR, Stewart KT, Rosenthal NE, Brainard GC (1990) 2-versus 4-hour evening phototherapy of seasonal affective disorder. J nerv ment Dis 178:257–259

    Article  Google Scholar 

  • Eastman CL (1987) Bright light in work-sleep schedules for shift workers: application of circadian rhythm principles. In: Rensing L et al. (eds) Temporal disorders in human oszillatory systems. Springer, Berlin, Heidelberg, Yew York, Tokyo 176–185

    Google Scholar 

  • Eastman CL (1990) What the placebo literatue can tell us about light therapy for SAD. Psychopharmacol Bull 26: 495–504

    PubMed  Google Scholar 

  • Joseph-Vanderpool JR, Rosenthal NE, Levendosky AA, Johnston SH, Allen R, Kelly KA, Souetrte E, Schulz PM, Starz BK (1989) Phase-shifting effects of morning light as treatment for delayed sleep phase syndrome. Sleep Res 18: 422

    Google Scholar 

  • Kasper S, Wehr TA, Rosenthal NE (1988) Saisonal abhängige Depressionsformen (SAD). Nervenarzt 59: 200–214

    PubMed  Google Scholar 

  • Kasper S, Rogers SLB, Yancey A, Schulz PM, Skwerer, RG, Rosenthal NE (1989) Phototherapy in individuals with and without subsyndromal seasonal affective disorder. Arch Gen Psychiatry 46: 837–844

    PubMed  Google Scholar 

  • Lewy AJ, Sack RL, Singer CM, White DM, Hoban TM (1987) Winter depression and the phase shoft hypothesis for bright light’s therapeutic effects; history, theory and experimental evidence. Psychopharmacol Bull 23: 349–353

    PubMed  Google Scholar 

  • Lin MC, Kripke DF, Parry BL, Berga SL (190) Night light alters menstrual cycles. Psychiatry Res 33: 135–138

    Google Scholar 

  • Miller D (1987) Clinical light damage to the eye. Springer, Berlin, Heidelberg, New York, Tokyo

    Book  Google Scholar 

  • O’Rourke D, Wurtman JJ, Wurtman RJ, Chebli R, Gleason R (1990) Treatment of seasonal depression with d-fenfluramine. J Clin Psychiatry 50: 343–347

    Google Scholar 

  • Parry BL, Berga SL, Mostofi N, Sependa PA, Kripke DF, Gillin JC (1989) Morning versus evening light treatment of late luteal phase dysphoric disorders. Am J Psychiatry 146: 1215–1217

    PubMed  Google Scholar 

  • Rosen LN, Targum SD, Terman M, Bryant MJ, Hoffman H, Kasper SF, Hamovit JR, Docherty JP, Welch B, Rosenthal NE (1990) Prevalence of seasonal affective disorder at four latitudes. Psychiatry Res 31: 131–144

    Article  PubMed  Google Scholar 

  • Rosenthal NE, Sack DA, Gillin JC, Lewy AJ, Goodwin FK, Davenport Y, Mueller PS, Newsome DA, Wehr TA (1984a) Seasonal affective disorder: a description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiat 41: 72–80

    PubMed  Google Scholar 

  • Rosenthal NE, Bradt, GH, Wehr TA (1984b) Seasonal Assessment Questionnaire. NIMH, Bethesda

    Google Scholar 

  • Rosenthal NE, Blehar M (1989) Seasonal affective disorders and phototherapy. Guilford, New York

    Google Scholar 

  • Stewart JW, Quitkin FM, Terman M, Terman JS (1990) Is seasonal affective disorder a variant of atypical depression? Differential response to light therapy. Psychiatry Res 33: 121–128

    Article  PubMed  Google Scholar 

  • Terman M, Reme, CE, Rafferty B, Gallin PF, Terman JS (1990) Bright light therapy for winter depression: potential ocular effects and theoretical implications. Photochem Photobiol 51: 781–792

    PubMed  Google Scholar 

  • Terman M, Terman JS (1990) Light therapy for winter depression. Report to the Depression Guidelines Panel. PHS Agency for Health Care Policy and Research

    Google Scholar 

  • Thomspon C, Silverstone T (1989) Seasonal affective disorder. CNS, London

    Google Scholar 

  • Volz H-P, Mackert A, Stieglitz R-D, Müller-Oerlinghausen B (1990) Effect of bright white light therapy on non-seasonal depressive disorder: preliminary results. J Affective Disord 19: 15–21

    Article  Google Scholar 

  • Wehr TA, Skewer R, Jacobson FM, Sack DA, Rosenthal NE (1986) Eye versus skin phototherapy of seasonal affective disorder. Am J Psychiatry 144: 753–757

    Google Scholar 

  • Wirz-Justice A, Anderson J (1990) Morning light exposure for the treatment of winter depression: the one true light therapy? Psychopharmacol Bull 26: 511–520

    PubMed  Google Scholar 

  • Wirz-Justice A, Haug H-J (1991) Stimmungsverlauf über sechs Jahre bei einer Patientin mit Saisonal Abhängiger Depressionsform (SAD). Fortschr Neurol Psychiatry 59: 453–455

    Article  Google Scholar 

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© 1993 Springer-Verlag Berlin Heidelberg

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Haug, HJ., Wirz-Justice, A. (1993). Stellenwert der Lichttherapie in der Behandlung depressiver Patienten. In: Pöldinger, W., Reimer, C. (eds) Depressionen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77071-5_4

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  • DOI: https://doi.org/10.1007/978-3-642-77071-5_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-54771-6

  • Online ISBN: 978-3-642-77071-5

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