Evidence map›Paper›PMID 33115894›Full record

Trial reportBMJ open2020

Effects of bright light therapy for depression during pregnancy: a randomised, double-blind controlled trial.

Babette Bais, Astrid M Kamperman, Hilmar H Bijma, Witte Jg Hoogendijk, Jan L Souman, Esther Knijff, Mijke P Lambregtse-van den Berg

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
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

7 authors at 2 institutions in 1 country.

Babette BaisPsychiatry, Erasmus Medical Center, Rotterdam, Zuid-Holland, The Netherlands b.bais@erasmusmc.nl.ORCID 0000-0003-3579-6670
Astrid M KampermanPsychiatry, Erasmus Medical Center, Rotterdam, Zuid-Holland, The Netherlands.
Hilmar H BijmaObstetrics and Gynaecology, Erasmus Medical Center, Rotterdam, Zuid-Holland, The Netherlands.
Witte Jg HoogendijkPsychiatry, Erasmus Medical Center, Rotterdam, Zuid-Holland, The Netherlands.
Jan L SoumanLighting Applications, Signify NV, Eindhoven, Noord-Brabant, The Netherlands.
Esther KnijffPsychiatry, Erasmus Medical Center, Rotterdam, Zuid-Holland, The Netherlands.
Mijke P Lambregtse-van den BergPsychiatry, Erasmus Medical Center, Rotterdam, Zuid-Holland, The Netherlands.
Erasmus MC · NLSignify (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesApproximately 11%-13% of pregnant women suffer from depression. Bright light therapy (BLT) is a promising treatment, combining direct availability, sufficient efficacy, low costs and high safety for both mother and child. Here, we examined the effects of BLT on depression during pregnancy.

designRandomised, double-blind controlled trial.

settingPrimary and secondary care in The Netherlands, from November 2016 to March 2019.

participants67 pregnant women (12-32 weeks gestational age) with a DSM-5 diagnosis of depressive disorder (Diagnostic and Statistical Manual of Mental Disorders).

interventionsParticipants were randomly allocated to treatment with either BLT (9000 lux, 5000 K) or dim red light therapy (DRLT, 100 lux, 2700 K), which is considered placebo. For 6 weeks, both groups were treated daily at home for 30 min on awakening. Follow-up took place weekly during the intervention, after 6 weeks of therapy, 3 and 10 weeks after treatment and 2 months postpartum. PRIMARY AND SECONDARY OUTCOME MEASURES: Depressive symptoms were measured primarily with the Structured Interview Guide for the Hamilton Depression Scale-Seasonal Affective Disorder. Secondary measures were the Hamilton Rating Scale for Depression and the Edinburgh Postnatal Depression Scale. Changes in rating scale scores of these questionnaires over time were analysed using generalised linear mixed models.

resultsMedian depression scores decreased by 40.6%-53.1% in the BLT group and by 50.9%-66.7% in the DRLT group. We found no statistically significant difference in symptom change scores between BLT and DRLT. Sensitivity and post-hoc analyses did not change our findings.

conclusionsDepressive symptoms of pregnant women with depression improved in both treatment arms. More research is necessary to determine whether these responses represent true treatment effects, non-specific treatment responses, placebo effects or a combination hereof. TRIAL REGISTRATION NUMBER: NTR5476.

Indexed as

DepressionPhototherapyPregnancy ComplicationsAdultDouble-Blind MethodFemaleHumansNetherlandsPregnancyTreatment Outcomedepression & mood disordersobstetricspsychiatry

Identifiers

PMID33115894
PMCPMC7594358
OpenAlexW3095381367

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.