Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Feasibility and Efficacy of Morning Light Therapy for Adults with Sleep Disorders: A Pilot Randomized Open Label Two-Arm Study

Version 1 : Received: 13 April 2023 / Approved: 14 April 2023 / Online: 14 April 2023 (03:14:34 CEST)

A peer-reviewed article of this Preprint also exists.

Yoon, J.; Heo, S.; Lee, H.; Sul, E.; Han, T.; Kwon, Y.-J. Feasibility and Efficacy of Morning Light Therapy for Adults with Insomnia: A Pilot, Randomized, Open-Label, Two-Arm Study. Medicina 2023, 59, 1066. Yoon, J.; Heo, S.; Lee, H.; Sul, E.; Han, T.; Kwon, Y.-J. Feasibility and Efficacy of Morning Light Therapy for Adults with Insomnia: A Pilot, Randomized, Open-Label, Two-Arm Study. Medicina 2023, 59, 1066.

Abstract

Background and Objectives: Light therapy (LT) is used as an adjunctive treatment for sleep problems. This study evaluates the impact of LT on sleep quality and sleep-related parameters in patients with sleep disorders. Materials and Methods: We performed a pilot randomized, open-label clinical trial. Fourteen patients aged 20–60 years with sleep disorders for more than three months were randomized into the control and LT groups (1:1 ratio). The LT group was instructed to use a device that provides bright LT (6000 K, 380 lux, wavelength 480 nm) for at least 25 minutes before 09:00 am for two weeks. A self-reported questionnaire was used to evaluate circadian preference, mood, and sleep-related parameters. We analyzed serum cortisol levels and clock genes expression. Results: The Epworth Sleepiness Scale (ESS), insomnia severity index, and Pittsburgh Sleep Quality index were significantly improved within the LT group only after the two-week period. When comparing the two groups, only the change in ESS significant was significant (mean difference; control: -0.14 vs LT: -1.43, p=0.021) after adjusting for baseline characteristics. There were no significant differences in serum cortisol or clock genes expression. Conclusions: LT can improve daytime sleepiness in patients with sleep disorders; however, further well-designed studies are warranted to confirm its efficacy.

Keywords

light therapy; sleep disorder; daytime sleepiness; circadian rhythm; clock gene

Subject

Biology and Life Sciences, Life Sciences

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