Bright Light Treatment in Psychiatry

Yıl 2017, Cilt: 9 Sayı: 2, 177 - 188, 30.06.2017

Pınar Güzel Özdemir , Ekrem Yılmaz Yavuz Selvi Murat Boysan

https://doi.org/10.18863/pgy.281382

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 Kelimeler

Light treatment, depression, seasonal depression, antidepressant effect

Psikiyatride Parlak Işık Tedavisi

Öz

Parlak ışık tedavisi duygudurumda kalkınmaya ve buna bağlı olarak depresif belirtilerde düzelmeye yol açan, sirkadiyen ritimde düzenleyici etkisi olan, antidepresan ilaçların etkisini artıran ve uyku kalitesinde düzelmeye yol açan bir tedavi şeklidir. Parlak ışık tedavisi mevsimsel özellikli depresyonda yüksek yanıt oranları nedeniyle birinci sıra tedavi seçeneği olarak kabul edilir. Ayrıca parlak ışık tedavisi mevsimsel olmayan duygudurum bozuklukları, Alzheimer hastalığı, sirkadiyen ritim uyku bozuklukları, yeme bozuklukları, dikkat eksikliği hiperaktivite bozukluğu ve diğer davranışsal durumlarda çalışılmıştır. Yan etkileri sıklıkla geçicidir ve genellikle maruziyet süresini azaltarak giderilir. Bu yazıda parlak ışık tedavisinin etki mekanizmasını, etkinliğini, kullanım alanlarını, uygulama şeklini ve yan etkilerinin gözden geçirilmesi amaçlanmıştır.

Anahtar Kelimeler

Işık tedavisi, depresyon, mevsimsel depresyon, antidepresan etki

Kaynakça

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