Efficacy of light therapy for perinatal depression: a review

Journal of Physiological Anthropology

Shawn D Youngstedt²  Shannon K Crowley¹ 

[1] WJB Dorn VA Medical Center, Columbia, SC, USA;Department of Psychology, University of South Carolina, Columbia, SC, USA

关键词: Light;    Light therapy;    Antepartum depression;    Postpartum depression;    Perinatal depression;   

Others  :  861921
DOI  :  10.1186/1880-6805-31-15

 received in 2012-03-20, accepted in 2012-03-20,  发布年份 2012

【 摘 要 】

Perinatal depression is an important public health problem affecting 10% to 20% of childbearing women. Perinatal depression is associated with significant morbidity, and has enormous consequences for the wellbeing of the mother and child. During the perinatal period, treatment of depression, which could affect the mother and child during pregnancy and lactation, poses a complex problem for both mother and clinician. Bright light therapy may be an attractive treatment for perinatal depression because it is low cost, home-based, and has a much lower side effect profile than pharmacotherapy. The antidepressant effects of bright light are well established, and there are several rationales for expecting that bright light might also be efficacious for perinatal depression. This review describes these rationales, summarizes the available evidence on the efficacy of bright light therapy for perinatal depression, and discusses future directions for investigation of bright light therapy as a treatment for perinatal depression.

【 授权许可】

   
2012 Crowley and Youngstedt; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Harald B, Gordon P: Meta-review of depressive subtyping models. J Affect Disorders 2011,  . Aug 31 [Epub ahead of print]
• [2]Breedlove G, Fryzelka D: Depression screening during pregnancy. J Midwifery Womens Health 2011, 56:18-25.
• [3]Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T: Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 2005, 106:1071-1083.
• [4]Sit D, Perel JM, Wisniewski SR, Helsel JC, Luther JF, Wisner KL: Mother-infant antidepressant levels, maternal depression, and perinatal events. J Clin Psychiatry 2011, 72:994-1001.
• [5]Freeman MP: Postpartum depression treatment and breastfeeding. J Clin Psychiatry 2009, 70:e35.
• [6]Mian AI: Depression in pregnancy and the postpartum period: balancing adverse effects of untreated illness with treatment risks. J Psychiatr Pract 2005, 11:389-396.
• [7]O’Hara MW: Postpartum depression: what we know. J Clin Psychol 2009, 65:1258-1269.
• [8]Marcus SM: Depression during pregnancy: rates, risks and consequences–Motherisk Update 2008. Can J Clin Pharmacol 2009, 16:e15-e22.
• [9]Meltzer-Brody S: New insights into perinatal depression: pathogenesis and treatment during pregnancy and postpartum. Dialogues Clin Neurosci 2011, 13:89-100.
• [10]Dennis CL, Ross L: The clinical utility of maternal self-reported personal and familial psychiatric history in identifying women at risk for postpartum depression. Acta Obstet Gynecol Scand 2006, 85:1179-1185.
• [11]Alder J, Fink N, Bitzer J, Hosli I, Holzgreve W: Depression and anxiety during pregnancy: a risk factor for obstetric, fetal, and neonatal outcome? A critical review of the literature. J Matern Fetal Neonatal Med 2007, 20:189-289.
• [12]Bansil P, Kuklina EV, Meikle SF, Posner SF, Kourtis AP, Ellington SR, Jamieson DJ: Maternal and fetal outcomes among women with depression. J Womens Health 2010, 19:329-334.
• [13]Vesga-Lopez O, Blanco C, Keyes K, Olfson M, Grant BF, Hasin DS: Psychiatric disorders in pregnant and postpartum women in the United States. Arch Gen Psychiatry 2008, 65:805-815.
• [14]Hollins K: Consequences of antenatal mental health problems for child health and development. Curr Opin Obstet Gynecol 2007, 19:568-572.
• [15]Carter AS, Garity-Rokous FE, Chazan-Cohen R, Little C, Briggs-Gowan MJ: Maternal depression and comorbidity: predicting early parenting, attachment security, and toddler socialemotional problems and competencies. J Am Acad Child Adolesc Psychiatry 2001, 40:18-26.
• [16]Hay DF, Pawlby S, Angold A, Harold GT, Sharp D: Pathways to violence in the children of mothers who were depressed postpartum. Dev Psychol 2003, 39:1083-1094.
• [17]Sohr-Preston SL, Scaramella LV: Implications of timing of maternal depressive symptoms for early cognitive and language development. Clin Child Fam Psychol Rev 2006, 9:65-83.
• [18]Weissman MM, Pilowsky DJ, Wickramaratne PJ, Talati A, Wisniewski SR, Fava M, Hughes CW, Garber J, Malloy E, King CA, Cerda G, Sood AB, Alpert JE, Trivedi MH, Rush AJ: STAR*D- Child Team: Remissions in maternal depression and child psychopathology: a STAR*D- child report. JAMA 2006, 295:1389-1398.
• [19]Alwan S, Friedman J: Safety of selective serotonin reuptake inhibitors in pregnancy. CNS Drugs 2009, 23:493-509.
• [20]Gentile S: Serotonin reuptake inhibitor-induced perinatal complications. Pediatric Drugs 2007, 9:97-106.
• [21]Pearlstein T: Perinatal depression: treatment options and dilemmas. Psychiatry Neurosci 2008, 33:302-318.
• [22]Weissman AM, Levy BT, Hartz AJ, Bentler S, Donohue M, Ellingrod V, Wisner KL: Pooled analysis of antidepressant levels in lactating mothers, breast milk, and nursing infants. Am J Psychiatry 2004, 161:1066-1078.
• [23]Davanzo R, Copertino M, De Cunto A, Minen F, Ameddeo A: Antidepressant drugs and breastfeeding: A review of the literature. Breastfeed Med 2011, 6:89-98.
• [24]Epperson N, Czarkowski KA: Ward-O’Brien D, Weiss E, Gueorguieva R, Jatlow P, Anderson GM: Maternal sertraline treatment and serotonin transport in breast-feeding mother-infant pairs. Am J Psychiatry 2001, 158:1631-1637.
• [25]Wisner KL, Perel JM, Blumer J: Serum sertraline and N-desmethylsertraline levels in breast-feeding mother-infant pairs. Am J Psychiatry 1998, 155:690-692.
• [26]Field T: Breastfeeding and antidepressants. Infant Behav Dev 2008, 31:481-487.
• [27]Carter W, Grigoriadis S, Ravitz P, Ross LE: Conjoint IPT for postpartum depression: literature review and overview of a treatment manual. Am J Psychother 2010, 64:373-392.
• [28]Dimidjian S, Goodman S: Nonpharmacologic intervention and prevention strategies for depression during pregnancy and the postpartum. Clin Obstet Gynecol 2009, 52:498-515.
• [29]Ng RC, Hirata CK, Yeung W, Haller E, Finley PR: Pharmacologic treatment for postpartum depression: a systematic review. Pharmacotherapy 2010, 30:928-941.
• [30]Terman M, Terman JS: Light therapy for seasonal and non-seasonal depression: efficacy, protocol, safety, and side effects. CNS Spectr 2005, 10:647-663.
• [31]Golden RN, Gaynes BN, Ekstrom RD, Hamer RM, Jacobsen FM, Suppes T, Wisner KL, Nemeroff CB: The efficacy of light therapy in the treatment of mood disorders: a review and meta-analysis of the evidence. Am J Psychiatry 2005, 162:656-662.
• [32]Golder SA, Macy MW: Diurnal and seasonal mood vary with work, sleep, and daylength across diverse cultures. Science 2011, 333:1878-1881.
• [33]Espiritu RC, Kripke DF, Ancoli-Israel S, Mowen MA, Mason WJ, Fell RL, Klauber MR, Kaplan OJ: Low illumination experienced by San Diego adults: association with atypicaldepressive symptoms. Biol Psychiatry 1994, 35:403-407.
• [34]Kripke DF: Light treatment for nonseasonal depression: speed, efficacy, and combined treatment. J Affect Disord 1998, 49:109-117.
• [35]Tuunainen A, Kripke DF, Endo T: Light therapy for non-seasonal depression. Cochrane Database Syst Rev 2004, 2:CD004050.
• [36]Kohyama J: Sleep health and asynchronization. Brain Dev 2011, 33:252-259.
• [37]Phipps-Nelson J, Redman JR, Dijk DJ, Rajaratnam SM: Daytime exposure to bright light, as compared to dim light, decreases sleepiness and improves psychomotor vigilance performance. Sleep 2006, 26:695-700.
• [38]Ancoli-Israel S, Rissling M, Trofimenko V, Natarajan L, Parker B, Lawton S, Desan P, Liu L: Light treatment prevents fatigue in women undergoing chemotherapy for breast cancer. Support Care Cancer 2011,  . Jun 11[Epub ahead of print]
• [39]Rastad C, Ulfberg J, Lindberg P: Improvement in fatigue, sleepiness, and health-related quality of life with bright light treatment in persons with seasonal affective disorder and subsyndromal SAD. Depress Res Treat 2011, 2011:543906.
• [40]Salgado-Delgado R, Osorio A, Saderi N, Escobar C: Disruption of circadian rhythms: a crucial factor in the etiology of depression. Depress Res Treat 2011, 2011:1-9.
• [41]Kim YK, Hur JW, Kim KH, Oh KS, Shin YC: Prediction of postpartum depression by sociodemographic, obstetric and psychological factors: a prospective study. Psychiatry Clin Neurosci 2008, 62:331-340.
• [42]Sylvenm SM, Papadopoulos FC, Olovsson M, Ekselius L, Poromaa IS, Skalkidou A: Seasonality patterns in postpartum depression. Am J Obstet Gynecol 2011, 204:e1-e6.
• [43]Wang EJ, Kripke DF, Stein MT, Parry BL: Measurement of illumination exposure in postpartum women. BMC Psychiatry 2003, 3:1-7. BioMed Central Full Text
• [44]Lewy AJ: Circadian misalignment in mood disturbances. Curr Psychiatry Rep 2009, 11:459-465.
• [45]Parry BL, Meliska CJ, Sorenson DL, Lopez AM, Martinez LF, Nowakowski S, Elliott JA, Hauger RL, Kripke DF: Plasma melatonin circadian rhythm disturbances during pregnancy and postpartum in depressed women and women with personal or family histories of depression. Am J Psychiatry 2008, 165:1551-1558.
• [46]Silverman ME, Loudon H, Liu X, Mauro C, Leiter G, Goldstein MA: The neural processing of negative emotion postpartum: a preliminary study of amygdala function in postpartum depression. Arch Womens Ment Health 2011, 14:355-359.
• [47]Silverman ME, Loudon H, Safier M, Protopopescu X, Leiter G, Liu X, Goldstein M: Neural dysfunction in postpartum depression: an fMRI pilot study. CNS Spectr 2007, 12:853-862.
• [48]Leibenluft E, Yonkers KA: The ties that bind: maternal-infant interactions and the neural circuitry of postpartum depression. Am J Psychiatry 2010, 167:1373-1380.
• [49]Swain JE: Baby stimuli and the parent brain: functional neuroimaging of the neural substrates of parent-infant attachment. Psychiatry 2008, 5:28-36.
• [50]Baïlara K, Henry C, Lestage J, Launay J, Parrot F, Swendsen J, Sutter AL, Roux D, Dallay D, Demotes-Mainard J: Decreased brain tryptophan availability as a partial determinant of post-partum blues. Psychoneuroendocrinology 2006, 31:407-413.
• [51]Kammerer M, Taylor A, Glover V: The HPA axis and perinatal depression: a hypothesis. Arch Womens Ment Health 2006, 9:187-196.
• [52]Lokuge S, Frey BN, Foster JA, Soares CN, Steiner M: Depression in women: windows of vulnerability and new insights into the link between estrogen and serotonin. J Clin Psychiatry 2011, 72:e1563-e1569.
• [53]Pompili M, Serafini G, Innamorati M, Möller-Leimkühler AM, Giupponi G, Girardi P, Tatarelli R, Lester D: The hypothalamic-pituitary-adrenal axis and serotonin abnormalities: a selective overview for the implications of suicide prevention. Eur Arch Psychiatry Clin Neurosci 2010, 260:583-600.
• [54]Mitchell C, Notterman D, Brooks-Gunn J, Hobcraft J, Garfinkel I, Jaeger K, Kotenko I, McLanahan S: Role of mother’s genes and environment in postpartum depression. Proc Natl Acad Sci USA 2011, 108:8189-8193.
• [55]Moses-Kolko EL, Wisner KL, Price JC, Berga SL, Drevets WC, Hanusa BH, Loucks TL, Meltzer CC: Serotonin 1A receptor reductions in postpartum depression: a positron emission tomography study. Fertil Steril 2008, 89:685-692.
• [56]Logsdon MC, Wisner K, Sit D, Luther JF, Wisniewski SR: Depression treatment and maternal functioning. Depress Anxiety 2011, 28:1020-1026.
• [57]Misri S, Reebye P, Corral M, Mills L: The use of paroxetine and cognitive behavioral therapy in postpartum depression and anxiety:a randomized controlled trial. J Clin Psychiatry 2004, 65:1236-1241.
• [58]Neumeister A: Tryptophan depletion, serotonin, and depression: where do we stand? Psychopharmacol Bull 2003, 37:99-115.
• [59]Bell CJ, Hood SD, Nutt DJ: Acute tryptophan depletion. Part II: clinical effects and implications. Aust N Z J Psychiatry 2005, 39:565-574.
• [60]aan het Rot M, Benkelfat C, Boivin DB, Young SN: Bright light exposure during acute tryptophan depletion prevents a lowering of mood in mildly seasonal women. Eur Neuropsychopharmacol 2008, 18:14-23.
• [61]Ahokas A, Kaukoranta J, Wahlbeck K, Aito M: Estrogen deficiency in severe postpartum depression: successful treatment with sublingual physiologic 17beta-estradiol: a preliminary study. J Clin Psychiatry 2001, 62:332-336.
• [62]Grigoriadis S, Kennedy SH: Role of estrogen in the treatment of depression. Am J Ther 2002, 9:503-509.
• [63]Kripke DF, Elliott JA, Youngstedt SD, Parry BL, Hauger RL, Rex KM: Weak evidence of bright light effects on human LH and FSH. J Circadian Rhythms 2010, 8:1-9. BioMed Central Full Text
• [64]Lee KA, Gay CL: Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol 2004, 191:2041-2046.
• [65]Naghi I, Keypour F, Ahari SB, Tavalai SA, Khak M: Sleep disturbance in late pregnancy and type and duration of labour. J Obstet Gynaecol 2011, 31:489-491.
• [66]Pires GN, Andersen ML, Giovenardi M, Tufik S: Sleep impairment during pregnancy: possible implications on mother-infant relationship. Med Hypotheses 2010, 75:578-582.
• [67]Chang JJ, Pien GW, Duntley SP, Macones GA: Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship? Sleep Med Rev 2009, 14:107-114.
• [68]Fisher JR, Feekery CJ, Rowe-Murray HJ: Nature, severity, and correlates od psychological distress in women admitted to a private mother-baby unit. J Paediatr Child Health 2002, 38:140-145.
• [69]Dennis CL, Ross L: Relationships among infant sleep patterns, maternal fatigue, and development of depressive symptomology. Birth 2005, 32:187-193.
• [70]Field T, Diego M, Hernandez-Reif M, Figueiredo B, Schanberg S, Kuhn C: Sleep disturbances in depressed pregnant women and their newborns. Infant Behav Dev 2007, 30:127-133.
• [71]Goyal D, Gay CL, Lee KA: Patterns of sleep disruptions and depressive symptoms in new mothers. J Perinat Neonatal Nurs 2007, 21:123-129.
• [72]Huang SM, Carter A, Guo JL: A comparison of sleep and daytime sleepiness in depressed and non-depressed mothers during the early postpartum period. J Nursing Research 2004, 12:287-295.
• [73]Shirani A: St Louis EK: Illuminating rationale and uses for light therapy. J Clin Sleep Med 2009, 5:155-163.
• [74]Badia P, Myers B, Boecker M, Culpepper J, Harsh J: Bright light effects on body temperature, alertness, EEG, and behavior. Physiol Behav 1991, 50:583-588.
• [75]Vandewalle G, Balteau E, Phillips C, Degueldre C, Moreau V, Sterpenich V, Albouy G, Darsaud A, Desseilles M, Dang-Vu TT, Peigneux P, Luxen A, Dijk DJ, Maquet P: Daytime light exposure dynamically enhances brain responses. Curr Biol 2006, 16:1616-1621.
• [76]Oren DA, Wisner KL, Spinelli M, Epperson CN, Peindl KS, Terman JS, Terman M: An open trial of morning light therapy for treatment of antepartum depression. Am J Psychiatry 2002, 159:666-669.
• [77]Wirz-Justice A, Bader A, Frisch U, Stieglitz RD, Alder J, Bitzer J, Hösli I, Jazbec S, Benedetti F, Terman M, Wisner KL, Riecher-Rössler A: A randomized, double-blind, placebo-controlled study of light therapy for antepartum depression. J Clin Psychiatry 2011, 72:986-993.
• [78]Corral M, Kuan A, Kostaras D: Bright light therapy’s effect on postpartum depression. Am J Psychiatry 2000, 157:303-304.
• [79]Corral M, Wardrop AA, Zhang H, Grewal AK, Patton S: Morning light therapy for postpartum depression. Arch Womens Ment Health 2007, 10:221-224.
• [80]Austin M, Hadzi-Pavlovic D, Priest S, Reilly N, Wilhelm K, Saint K, Parker G: Depressive and anxiety disorders in the postpartum period: how prevalent are they and can we improve their detection? Arch Womens Ment Health 2010, 13:395-401.
• [81]Youngstedt SD, Kripke DF: Does bright light have an anxiolytic effect? An open trial. BMC Psychiatry 2007, 30:62.