Efficacy of bright light therapy for perinatal depression:A metaanalysis of a randomized controlled trial  

作　　者：Xue Yang Yuan-Yuan Gao Shu-Qi Xu Jin-Cheng Wang Yu-Jie Ma Li-Huan Jiao Lan Wang Xue-Yi Wang Shahid Bashir Cui-Xia An Ran Wang 

机构地区：[1]Mental Health Center,The First Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei Province,China [2]Neuroscience Center,King Fahad Specialist Hospital Dammam,Dammam 0096613,Saudi Arabia

出　　处：《World Journal of Meta-Analysis》2025年第1期29-37,共9页世界荟萃分析杂志(英文)

基　　金：Supported by the Hebei Province Natural Science Foundation,No.H2018206034 and No.H2022206544;Hebei Province clinical medicine outstanding personnel training project,No.ZF2024135.

摘　　要：BACKGROUND Pharmacological treatments are commonly used in individuals experiencing perinatal depression(PPD);however,a debate regarding the reproductive safety of antidepressants is ongoing.Many pregnant women opt to discontinue antidepressant out of concern about potential negative effects on the developing fetus,while slow and ineffective antidepressant medications hinder improved outcomes in women with PPD.In recent years,bright light therapy(BLT)has gained traction as a treatment option for PPD;however,clinical trials findings examining the efficacy of BLT in this population have been inconclusive.AIM To validate the feasibility and safety of BLT for the treatment of PPD.METHODS We performed a meta-analysis of randomized controlled trials of patients with PPD treated with BLT vs placebo following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis.We searched PubMed,Embase,the Cochrane Library,and Web of Science for randomized controlled studies published up to December 2023.The results were evaluated using the standardized mean difference of improvement for depression scores and odds ratios(ORs)for remission rate,response rate,incidence of adverse events,and dropout rate.RESULTS The BLT group had higher PPD response rate[50.68%vs 33.08%;OR=2.05;95% confidence interval(CI):1.25-3.35;P=0.004;I^(2)=35%]and remission rate(54.10%vs 18.52%;OR=5.00;95%CI:2.09-11.99;P=0.0003;I^(2)=0%)than the placebo group.Improvements in depression scores were higher in the BLT group than the placebo group for the overall efficacy(standardized mean difference=-0.47;95%CI:-0.80 to-0.13;P=0.007).No significant differences between the two groups in drop-outs(21.84%vs 29.63%;OR=0.63;95%CI:0.31-1.29;P=0.21;I^(2)=0%)or adverse events(17.89%vs 9.68%;OR=2.01;95%CI:0.95-4.25;P=0.07;I^(2)=0%)were observed.CONCLUSION BLT can potentially treat PPD,showing better results than the control group in this study.BLT is effective and safe and could increase the available therapeutic options for PPD.

关 键 词：Bright light therapy Randomized controlled trial Perinatal depression PREGNANCY META-ANALYSIS 

分 类 号：R73[医药卫生—肿瘤]