Light Treatment for Sleep Disorders: Consensus Report

@article{Dijk1995LightTF,
  title={Light Treatment for Sleep Disorders: Consensus Report},
  author={Derk-Jan Dijk and Ziad Boulos and Charmane I Eastman and Alfred J. Lewy and Scott S. Campbell and Michael Terman},
  journal={Journal of Biological Rhythms},
  year={1995},
  volume={10},
  pages={113 - 125}
}
The rationale for the treatment of sleep disorders by scheduled exposure to bright light in seasonal affective disorder, jet lag, shift work, delayed sleep phase syndrome, and the elderly is, in part, based on a conceptual framework developed by nonclinical circadian rhythm researchers working with humans and other species. Some of the behavioral and physiological data that contributed to these concepts are reviewed, and some pitfalls related to their application to bright light treatment of… 
Light Treatment for Sleep Disorders: Consensus Report
TLDR
Issues include optimal times for light exposure on the first as well as on subsequent treatment days, whether a given, fixed, light exposure time is likely to benefit a majority of travelers or whether light treatment should be scheduled instead according to some individual circadian phase marker, and if so, can such a phase marker be found that is both practical and reliable.
Management of Sleep Disorders: Light Therapy
TLDR
The benefit of light therapy is significant and warrants further clinical studies to optimize the treatment effect, and Cumulative studies support the efficacy of light Therapy for some clinical conditions which are characterized by seasonality or disrupted circadian rhythms.
Circadian Rhythm Sleep Disorders
TLDR
Melatonin, given several hours before its endogenous peak at night, effectively advances sleep time in DSPS and adjusts the sleep-wake cycle to 24 hours in blind individuals, and melatonin replacement therapy may provide a rational approach to the treatment of age-related insomnia in the elderly.
The role of circadian rhythms in Obstructive Sleep Apnea symptoms and novel targets for treatment
  • I. Soreca
  • Psychology
    Chronobiology international
  • 2021
TLDR
This manuscript reviews the current evidence in support of a circadian disturbance underlying OSA symptomatology and proposes new applications for existing chronotherapeutic interventions with the potential for improving symptoms and quality of life for those patients that do not find symptomatic relief with currently available treatments.
Circadian rhythm sleep disorders.
TLDR
Circadian rhythm sleep disorders are often underrecognized yet should be considered in the differential of patients presenting with symptoms of insomnia and/or hypersomnia and rapid advances in the understanding of the physiologic, cellular, and molecular basis of circadian rhythm and sleep regulation will likely lead to improved diagnostic tools and treatments.
Bright Light Therapy and Circadian Cycles in Institutionalized Elders
TLDR
Bright light therapy is an affordable, effective, fast-acting therapy for age-related disturbances, with many advantages over pharmacological alternatives, and significant improvements in general cognitive capabilities, sleep quality and in the main parameters of the subject’s circadian rhythms are found.
Effect of Light Treatment on Sleep and Circadian Rhythms in Demented Nursing Home Patients
TLDR
Increasing exposure to morning bright light delayed the acrophase of the activity rhythm and made the circadian rhythm more robust, which has the potential to be clinically beneficial.
Nonpharmacologic sleep promotion: bright light exposure.
TLDR
Findings on utilizing bright light to entrain the sleep-wake cycle in order to improve the perceived quality of sleep are presented.
Profile of 24-h Light Exposure and Circadian Phase of Melatonin Secretion in Night Workers
TLDR
Light exposure was measured in 30 permanent night nurses to determine if specific light/dark profiles could be associated with a better circadian adaptation, and the timing of the main sleep episode was associated with the time of light exposure.
...
...

References

SHOWING 1-10 OF 219 REFERENCES
Bright morning light advances the human circadian system without affecting NREM sleep homeostasis.
TLDR
Spectral analysis of the sleep electroencephalogram (EEG) revealed that the advance of the circadian pacemaker did not affect EEG power densities between 0.25 and 15.0 Hz during either non-REM or REM sleep.
Phase-shifting effects of bright morning light as treatment for delayed sleep phase syndrome.
TLDR
It is found that 2 h of bright light exposure in the morning together with light restriction in the evening successfully phase advanced circadian rhythms of core body temperature and multiple sleep latencies in patients with delayed sleep phase syndrome.
Bright light can delay human temperature rhythm independent of sleep.
TLDR
Compared with control dim light, bright light delayed the body temperature rhythm approximately 3 h; however, sleep latency was delayed only 9 min; this suggests that bright light shifted the phase of the human circadian temperature rhythm independent of its effects on sleep phase.
Exposure to bright light and darkness to treat physiologic maladaptation to night work.
TLDR
It is concluded that maladaptation of the human circadian system to night work, with its associated decline in alertness, performance, and quality of daytime sleep, can be treated effectively with scheduled exposure to bright light at night and darkness during the day.
Bright light resets the human circadian pacemaker independent of the timing of the sleep-wake cycle.
TLDR
Exposure to bright light can indeed reset the human circadian pacemaker, which controls daily variations in physiologic, behavioral, and cognitive function, as indicated by recordings of body temperature and cortisol secretion.
Circadian sleep regulation in the absence of light perception: chronic non-24-hour circadian rhythm sleep disorder in a blind man with a regular 24-hour sleep-wake schedule.
TLDR
The findings in this blind man suggest that both his sleep structure and the severity of his daily sleep disruption are directly related to circadian phase and his circadian pacemaker cannot be entrained by periodic daily exposure to nonphotic time cues, including a very regular 24-hour sleep-wake schedule.
Bright Light in Work-Sleep Schedules for Shift Workers: Application of Circadian Rhythm Principles
TLDR
A large number of the people in industrialized countries are engaged in shift work, and their major complaint is of sleep disturbances, especially in connection with the night shift, but also to some extent with morning work.
High-intensity light for circadian adaptation to a 12-h shift of the sleep schedule.
  • C. Eastman
  • Psychology
    The American journal of physiology
  • 1992
TLDR
In the subjects whose temperature rhythms shifted, the direction of shift depended on the timing of light exposure relative to the baseline temperature phase, consistent with a phase-response curve.
Aging young sleep: a test of the phase advance hypothesis of sleep disturbance in the elderly
TLDR
While chronophysiological changes appear to be strongly associated with the tendency to awaken in the early morning, they cannot account entirely for the severity of sleep disturbance frequently observed in older subjects.
...
...