Krzystanek Marek, Krupka-Matuszczyk Irena
Katedra i Klinika Psychiatrii i Psychoterapii, Slaskiej AM w Katowicach.
Psychiatr Pol. 2006 Mar-Apr;40(2):261-7.
Bright light therapy (BLT) is a new method of biological treatment in psychiatry. Good tolerance makes it an attractive method used not only in seasonal affective disorder. An episode of depression during pregnancy may be a new indication. The study aimed to describe effects of treatment of depression in 3 pregnant women.
The women were out-patients in their 6-th, 7-th and 8-th months of pregnancy and diagnosed with depression according to ICD-10 criteria. The treatment was a morning exposure to 1 hour 5 000 LUX bright light from Monday to Friday. The antidepressant effect was assessed after the 2nd and 4th week of BLT. Side effects of BLT were monitored over the whole BLT treatment period.
The mean improvement of depressive symptoms after 2 and 4 weeks of BLT was 33% and 55%, respectively. Side effects were not observed in any of the patients.
Morning BLT seems to be an effective and a very well tolerated mode of treatment of pregnant women suffering from non-seasonal depression. The manner and length of BLT maintenance treatment requires further studies.
强光疗法（BLT）是精神病学中一种新的生物治疗方法。良好的耐受性使其成为一种不仅用于季节性情感障碍的有吸引力的方法。孕期抑郁发作可能是一个新的适应症。本研究旨在描述3名孕妇抑郁症治疗的效果。
这些女性为妊娠6、7、8个月的门诊患者，根据ICD - 10标准诊断为抑郁症。治疗方法是从周一至周五每天早晨暴露于5000勒克斯的强光下1小时。在强光疗法的第2周和第4周后评估抗抑郁效果。在整个强光疗法治疗期间监测其副作用。
强光疗法2周和4周后抑郁症状的平均改善率分别为33%和55%。所有患者均未观察到副作用。
早晨进行强光疗法似乎是治疗非季节性抑郁症孕妇的一种有效且耐受性良好的治疗方式。强光疗法维持治疗的方式和时长需要进一步研究。
