Melo-Carrillo Agustin, Rodriguez Raul, Ashina Sait, Lipinski Brittany, Hart Paul, Burstein Rami
Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Department of Anesthesia, Harvard Medical School, Boston, MA, USA.
Psychol Res Behav Manag. 2023 Jan 26;16:241-250. doi: 10.2147/PRBM.S388042. eCollection 2023.
Psychotherapy is one of the most highly recommended and practiced approaches for the treatment of Generalized anxiety disorder (GAD). Commonly defined as excessive worry that is uncontrollable, GAD is one of the most prevalent psychiatric disorders. Anxiety is also one of the most common associated symptoms of migraine. Exposing migraineurs to narrow band green light (nbGL) reduces their anxiety and anxiety-like physiological symptoms such as throat tightness, shortness of breath, and palpitations. Here, we sought to determine whether the reduced anxiety described by our patients was secondary to the reduced headache or independent of it. The goal of the current study was therefore to determine whether exposure to nbGL can reduce anxiety in GAD patients who are not migraineurs.
Included in this open-label, proof-of-concept, prospective study were 13 patients diagnosed with moderate-to-severe GAD. We used the State-Trait Anxiety Inventory Questionnaire (Y-1) to compare anxiety level before and after each 45-minutes psychotherapy session conducted in white light (WL) (intensity = 100±5 candela/m) vs nbGL (wavelength = 520±10nm (peak ± range), intensity = 10±5 candela/m).
Here, we show that psychotherapy sessions conducted under nbGL increase positive and decrease negative feelings significantly more than psychotherapy sessions conducted under regular room light (χ = 0.0001).
The findings provide initial evidence for the potential benefit of conducting psychotherapy sessions for patients suffering GAD under nbGL conditions. Given the absence of side effects or risks, we suggest that illuminating rooms used in psychotherapy with nbGL be considered an add-on to the treatment of GAD.
心理治疗是治疗广泛性焦虑症(GAD)最受推荐且应用广泛的方法之一。GAD通常被定义为无法控制的过度担忧,是最常见的精神疾病之一。焦虑也是偏头痛最常见的相关症状之一。让偏头痛患者暴露于窄带绿光(nbGL)下可减轻他们的焦虑以及焦虑样生理症状,如喉咙发紧、呼吸急促和心悸。在此,我们试图确定患者所描述的焦虑减轻是头痛减轻的继发结果还是与之无关。因此,本研究的目的是确定暴露于nbGL是否能减轻非偏头痛的GAD患者的焦虑。
本开放标签、概念验证、前瞻性研究纳入了13名被诊断为中度至重度GAD的患者。我们使用状态-特质焦虑量表问卷(Y-1)来比较在白光(WL)(强度 = 100±5坎德拉/平方米)与nbGL(波长 = 520±10纳米(峰值±范围),强度 = 10±5坎德拉/平方米)下进行的每45分钟心理治疗前后的焦虑水平。
我们发现,在nbGL下进行的心理治疗比在普通室内光线下进行的心理治疗更能显著增加积极情绪并减少消极情绪(χ = 0.0001)。
这些发现为在nbGL条件下为GAD患者进行心理治疗的潜在益处提供了初步证据。鉴于不存在副作用或风险,我们建议考虑将用于心理治疗的房间用nbGL照明作为GAD治疗的辅助手段。