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光照疗法治疗青少年抑郁症:范围综述。

Light Therapy for Adolescent Depression: A Scoping Review.

机构信息

Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave, Box 10, 60611, Chicago, IL, USA.

Biological Rhythms Research Laboratory, Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, 1645 W. Jackson Blvd., Suite 425, 60612, Chicago, IL, USA.

出版信息

Curr Psychiatry Rep. 2023 Sep;25(9):373-386. doi: 10.1007/s11920-023-01437-5. Epub 2023 Jul 25.

DOI:10.1007/s11920-023-01437-5
PMID:37490215
Abstract

PURPOSE

Depressive disorders in adolescents are a major health concern associated with developmental, social, and educational impairment. Bright Light Therapy (BLT) is a feasible and effective treatment for depressive disorders in adults, but few controlled trials have been conducted with children or adolescents. This scoping review focuses on the current state of knowledge for BLT in the treatment of adolescent depression. We reviewed the literature for novel data and methodologic approaches using BLT and pediatric and young adult populations.

RECENT FINDINGS

BLT is a tolerable treatment with few side effects. However, there is a marked lack of well-powered studies to support BLT as a treatment for depressive disorders in adolescent populations. Given evidence of tolerability and positive treatment effect on depression in the adult literature, research is needed to establish the efficacy, feasibility, and acceptability of BLT in adolescents.

摘要

目的

青少年抑郁障碍是一个主要的健康问题,与发育、社会和教育障碍有关。亮光疗法(BLT)是成人抑郁障碍的一种可行且有效的治疗方法,但针对儿童或青少年的对照试验较少。本范围综述重点介绍 BLT 治疗青少年抑郁障碍的现有知识状况。我们综述了使用 BLT 和儿科及青年人群的新数据和方法的文献。

最近的发现

BLT 是一种耐受性良好、副作用少的治疗方法。然而,缺乏足够有力的研究来支持 BLT 作为治疗青少年人群抑郁障碍的方法。鉴于成人文献中 BLT 对抑郁的耐受性和积极治疗效果的证据,需要开展研究以确定 BLT 在青少年中的疗效、可行性和可接受性。

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Sustained remission from perinatal depression after bright light therapy: A pilot randomised, placebo-controlled trial.产后抑郁症经强光疗法治疗后持续缓解:一项随机、安慰剂对照的初步试验。
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Light Therapy for QoL/Depression in AYA With Cancer: A Randomized Trial.青少年癌症患者生活质量/抑郁症的光疗法:一项随机试验。
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Comparative efficacy and acceptability of antidepressants, psychotherapies, and their combination for acute treatment of children and adolescents with depressive disorder: a systematic review and network meta-analysis.抗抑郁药、心理治疗及其联合应用对儿童和青少年抑郁症急性治疗的比较疗效和可接受性:一项系统评价和网状荟萃分析。
Lancet Psychiatry. 2020 Jul;7(7):581-601. doi: 10.1016/S2215-0366(20)30137-1.
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