Evidence map›Paper›PMID 26204994›Full record

Trial reportBMC psychiatry2015

Light therapy for better mood and insulin sensitivity in patients with major depression and type 2 diabetes: a randomised, double-blind, parallel-arm trial.

Annelies Brouwer, Daniël H van Raalte, Michaela Diamant, Femke Rutters, Eus J W van Someren, Frank J Snoek, Aartjan T F Beekman, Marijke A Bremmer

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.6field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Circadian rhythm amplification in diabetic retinopathy: a pilot study.Sleep advances : a journal of the Sleep Research Society · 2026
    Article
  3. Article
  4. Article
  5. Chrono-Nutrition: Circadian Rhythm and Personalized Nutrition.International journal of molecular sciences · 2023
    Review
  6. Circadian Rhythms, Disease and Chronotherapy.Journal of biological rhythms · 2021
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Annelies BrouwerDepartment of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Centre and GGZ inGeest, Amsterdam, The Netherlands. a.brouwer1@vumc.nl.
Daniël H van RaalteDiabetes Centre, VU University Medical Centre, Amsterdam, The Netherlands. d.vanraalte@vumc.nl.
Michaela DiamantDiabetes Centre, VU University Medical Centre, Amsterdam, The Netherlands.
Femke RuttersDepartment of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands. f.rutters@vumc.nl.
Eus J W van SomerenDepartments of Integrative Neurophysiology and Medical Psychology, Centre for Neurogenomics and Cognitive Research (CNCR), Neuroscience Campus Amsterdam, VU University and Medical Centre, Amsterdam, The Netherlands. e.vansomeren@nin.knaw.nl.
Frank J SnoekDepartment of Medical Psychology, VU University Medical Centre, Amsterdam, The Netherlands. fj.snoek@vumc.nl.
Aartjan T F BeekmanDepartment of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Centre and GGZ inGeest, Amsterdam, The Netherlands. a.beekman@ggzingeest.nl.
Marijke A BremmerDepartment of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Centre and GGZ inGeest, Amsterdam, The Netherlands. ma.bremmer@vumc.nl.
EMGO Institute for Health and Care Research · NLAmsterdam UMC Location VUmc · NLAmsterdam Neuroscience · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor depression and type 2 diabetes often co-occur. Novel treatment strategies for depression in type 2 diabetes patients are warranted, as depression in type 2 diabetes patients is associated with poor prognosis and treatment results. Major depression and concurrent sleep disorders have been related to disturbances of the biological clock. The biological clock is also involved in regulation of glucose metabolism by modulating peripheral insulin sensitivity. Light therapy has been shown to be an effective antidepressant that 'resets' the biological clock. We here describe the protocol of a study that evaluates the hypothesis that light therapy improves mood as well as insulin sensitivity in patients with a major depressive episode and type 2 diabetes. METHODS/

designThis study is a randomised, double-blind, parallel-arm trial in 98 participants with type 2 diabetes and a major depressive episode, according to DSM-IV criteria. We will assess whether light therapy improves depressive symptoms and insulin sensitivity, our primary outcome measures, and additionally investigate whether these effects are mediated by restoration of the circadian rhythmicity, as measured by sleep and hypothalamic-pituitary-adrenal axis activity. Participants will be randomly allocated to a bright white-yellowish light condition or dim green light condition. Participants will undergo light therapy for half an hour every morning for 4 weeks at home. At several time points, namely before the start of light therapy, during light therapy, after completion of 4 weeks of light therapy and after 4 weeks follow-up, several psychometrical, psychophysiological and glucometabolic measures will be performed. DISCUSSION: If light therapy effectively improves mood and insulin sensitivity in type 2 diabetes patients with a major depressive episode, light therapy may be a valuable patient friendly addition to the currently available treatment strategies. Additionally, if our data support the role of restoration of circadian rhythmicity, such an observation may guide further development of chronobiological treatment strategies in this patient population.

trial registrationThe Netherlands Trial Register (NTR) NTR4942 . Registered 13 January 2015.

Indexed as

AdolescentAdultAgedAged, 80 and overCircadian RhythmDiabetes Mellitus, Type 2Double-Blind MethodHumansHypothalamo-Hypophyseal SystemInsulin ResistanceMajor Depressive DisorderMiddle AgedMood DisordersNetherlandsPhototherapyPituitary-Adrenal System

Identifiers

PMID26204994
PMCPMC4513382
OpenAlexW1573742274

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.