Evidence map›Paper›PMID 32573396›Full record

Trial reportCanadian journal of psychiatry. Revue canadienne de psychiatrie2021

Quality of Life Impacts of Bright Light Treatment, Fluoxetine, and the Combination in Patients with Nonseasonal Major Depressive Disorder: A Randomized Clinical Trial.

Emma Morton, Erin E Michalak, Anthony Levitt, Robert D Levitan, Amy Cheung, Rachel Morehouse, Rajamannar Ramasubbu, Lakshmi N Yatham, Edwin M Tam, Raymond W Lam

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Role of Sleep in Depressive Disorders and the Potential Therapeutic Role of Short-Term Sleep Deprivation and Light Therapy: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
  3. Review
  4. 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

10 authors at 5 institutions in 2 countries.

Emma MortonDepartment of Psychiatry, 8166University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-6179-1983
Erin E MichalakDepartment of Psychiatry, 8166University of British Columbia, Vancouver, British Columbia, Canada.
Anthony LevittDepartment of Psychiatry, 7938University of Toronto, Ontario, Canada.
Robert D LevitanDepartment of Psychiatry, 7938University of Toronto, Ontario, Canada.
Amy CheungDepartment of Psychiatry, 7938University of Toronto, Ontario, Canada.
Rachel MorehouseDepartment of Psychiatry, 3688Dalhousie University, Saint John, New Brunswick, Canada.
Rajamannar RamasubbuDepartment of Psychiatry/Clinical Neurosciences, Mathison Center for Mental Health Research and Education, Hotchkiss Brain Institute, 2129University of Calgary, Alberta, Canada.
Lakshmi N YathamDepartment of Psychiatry, 8166University of British Columbia, Vancouver, British Columbia, Canada.
Edwin M TamDepartment of Psychiatry, 8166University of British Columbia, Vancouver, British Columbia, Canada.
Raymond W LamDepartment of Psychiatry, 8166University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-7142-4669
University of British Columbia · CASunnybrook Health Science Centre · CACentre for Addiction and Mental Health · CADalhousie University · CAUniversity of Calgary · CA

Funding

CIHR MCT-94832
6 · The paper itself

Abstract

objectiveBright light therapy is increasingly recommended (alone or in combination with antidepressant medication) to treat symptoms of nonseasonal major depressive disorder (MDD). However, little is known about its impacts on quality of life (QoL), a holistic, patient-valued outcome.

methodsThis study utilizes secondary outcome data from an 8-week randomized, controlled, double blind trial comparing light monotherapy (

resultsQ-LES-Q-SF scores significantly improved across all treatment conditions; however, no significant differences were observed between treatment arms. QoL remained poor relative to community norms by the end of the trial period: Across conditions, 70.6% of participants had significantly impaired QoL at the 8-week assessment. Reduction in depressive scores was a significant predictor of improved QoL, with the final model accounting for 54% of variance in QoL change scores.

conclusionThe findings of this study emphasize that improvement in QoL and reduction in depressive symptoms in MDD, while related, cannot be taken to be synonymous. Adjunctive therapies may be required to address unmet QoL needs in patients with MDD receiving antidepressant or light therapies. Further research is required to explore additional predictors of QoL in order to better refine treatments for MDD.

Indexed as

Major Depressive DisorderQuality of LifeAntidepressive AgentsFluoxetineHumansTreatment OutcomeAntidepressive AgentsFluoxetineantidepressantsdepressionfluoxetinelight therapyquality of life

Identifiers

PMID32573396
PMCPMC7958199
OpenAlexW3037261086

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.