Effects of a Single Dose of Bright Light Treatment on Measures of Affective Information Processing
NCT ID: NCT03688048
Last Updated: 2018-10-03
Study Results
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Basic Information
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COMPLETED
NA
50 participants
INTERVENTIONAL
2017-02-20
2018-03-16
Brief Summary
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Detailed Description
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Bright light treatment (BLT) is an efficacious treatment for depressive disorders but the causal mechanisms by which it exerts its clinical effects are largely unknown. According to the cognitive neuropsychological model of antidepressant treatment action, one way by which antidepressant treatments lead to clinical effects is by acutely inducing a relatively increased preferential processing of positive (as compared to negative) emotional stimuli. Whether BLT has the potential to induce such positive biases is not known to date.
Aim of study:
To investigate the influence of single-dose BLT on emotion-related information processing in healthy volunteers.
Methods:
Using a double-blind, parallel-group design, fifty healthy volunteers (male and female) were randomly allocated to a single session (60 minutes) of treatment with either bright light (10 000 lux) or a credible placebo-sham condition (deactivated negative ion generator). After treatment, all participants underwent testing with the Oxford Emotional Test Battery, an established battery of behavioural tasks that allow to assess emotional information processing in multiple cognitive domains. This battery consists of a facial expression recognition task, an emotional categorization task, an emotional dot probe task, an emotional recall task and an emotional recognition task. Before and after treatment, subjective state was assessed using different questionnaires.
Hypotheses:
Our working hypothesis, in line with the cognitive neuropsychological model of antidepressant treatment action, is that one-time BLT can induce biases towards positive stimuli in multiple cognitive domains and this bias will be present even in the absence of observable changes in subjective state.
Implications of the study:
This study will show whether a single dose of BLT can influence emotion-related information processing in a similar way as previously observed for antidepressant drugs. If this is the case, then the clinical effects of BLT could be explained through its acute effects on emotional processing. On a broader level, the results of this study will also add to our understanding of any potential effects that acute exposure to bright light (e.g. sunlight) could have on the healthy human mind.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
BASIC_SCIENCE
TRIPLE
Study Groups
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Bright light treatment
Single-dose bright light treatment (1 hour, 10 000 lux)
Bright light treatment lamp
Exposure to bright white light (1 hour, 10 000 lux)
Sham placebo
Deactivated negative ion generator in conjunction with a plausible cover story
Sham negative ion generator
Placebo treatment with deactivated negative ion generator (1 hour, audible hum, no ions emitted)
Interventions
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Bright light treatment lamp
Exposure to bright white light (1 hour, 10 000 lux)
Sham negative ion generator
Placebo treatment with deactivated negative ion generator (1 hour, audible hum, no ions emitted)
Eligibility Criteria
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Exclusion Criteria
2. Any first-degree relative with a diagnosis of schizophrenia-spectrum or other psychotic disorder, bipolar disorder, or depressive disorder
3. Any severe medical condition not stabilized at the time of the experiment (e.g. asthma, heart disease)
4. Any condition which precludes treatment with bright light (e.g. retinal disorder, intake of photo-sensitizing medication)
5. Any current or past physical illness that has the potential to significantly affect mental functioning (e.g. stroke, Parkinson's disease)
6. Pregnant, lactating, or sexually active women who do not use any medically accepted method of contraception
7. Any history of seizures or any condition with the potential to manifest with seizures (e.g. epilepsy)
8. Diagnosis of diabetes (because of potential risk of retinal disorder)
9. Current intake of medication that has a significant potential to affect mental functioning, or intake of such medication in the previous 3 months (e.g. antidepressants, neuroleptics, tranquilizers)
10. Any intake of recreational drugs in the last 3 months before the experiment
11. Excessive alcohol consumption up to three days before the experiment
12. Previous use of bright light treatment or negative ion treatment
13. Participant usually (more than 5 days a week) gets up later than 10.00 a.m.
14. Necessity to wear tinted glasses
15. Any kind of sun exposure in the last month that is unusually high for local conditions (e.g. beach vacation, skiing holidays)
16. The researchers decide to exclude a participant for any other reason (because participation could be harmful to a participant, or a participant can't properly interact with the researchers or could bias the study results)
18 Years
65 Years
ALL
Yes
Sponsors
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Medical Research Council
OTHER_GOV
P1vital Products Limited
INDUSTRY
University of Oxford
OTHER
Responsible Party
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Locations
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University of Oxford
Oxford, , United Kingdom
Countries
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References
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Lam RW, Levitt AJ, Levitan RD, Michalak EE, Cheung AH, Morehouse R, Ramasubbu R, Yatham LN, Tam EM. Efficacy of Bright Light Treatment, Fluoxetine, and the Combination in Patients With Nonseasonal Major Depressive Disorder: A Randomized Clinical Trial. JAMA Psychiatry. 2016 Jan;73(1):56-63. doi: 10.1001/jamapsychiatry.2015.2235.
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 Apr;162(4):656-62. doi: 10.1176/appi.ajp.162.4.656.
Harmer CJ, Goodwin GM, Cowen PJ. Why do antidepressants take so long to work? A cognitive neuropsychological model of antidepressant drug action. Br J Psychiatry. 2009 Aug;195(2):102-8. doi: 10.1192/bjp.bp.108.051193.
Roiser JP, Elliott R, Sahakian BJ. Cognitive mechanisms of treatment in depression. Neuropsychopharmacology. 2012 Jan;37(1):117-36. doi: 10.1038/npp.2011.183. Epub 2011 Oct 5.
Other Identifiers
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MS IDREC R48997
Identifier Type: -
Identifier Source: org_study_id
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