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[强光疗法]

[Bright light therapy].

作者信息

Kamei Yuichi

机构信息

Department of Psychiatry, Kohnodai Hospital, International Medical Center of Japan.

出版信息

Nihon Rinsho. 2009 Aug;67(8):1611-5.

Abstract

Bright light is a treatment of choice for seasonal affective disorder. Other indications for bright light therapy have also been tested. These include circadian rhythm sleep disorders, early-morning awakening or sleep-maintenance insomnia in elders and behavioral disturbance or insomnia in organic dementia. In these sleep disorders, the pattern of sleep-wake is misaligned with the patient's circadian system or the external environment, resulting in insomnia. Appropriately-timed exposure to bright light can shift the sleep-wake cycle to earlier or later times, in order to correct for misalignment between the circadian system and the desired sleep-wake schedule. Evidence of the efficacy of bright light was so limited. Further research is needed to determine guidelines for the appropriate timing and safe use of bright light therapy.

摘要

强光疗法是治疗季节性情感障碍的首选方法。强光疗法的其他适应症也已得到测试。这些适应症包括昼夜节律睡眠障碍、老年人的早醒或维持睡眠性失眠以及器质性痴呆中的行为障碍或失眠。在这些睡眠障碍中,睡眠-觉醒模式与患者的昼夜节律系统或外部环境不一致,从而导致失眠。适时暴露于强光下可将睡眠-觉醒周期提前或推迟,以纠正昼夜节律系统与期望的睡眠-觉醒时间表之间的不一致。强光疗法有效性的证据非常有限。需要进一步研究以确定强光疗法的适当时间安排和安全使用指南。

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