Near-Infrared Stimulation in Psychiatry Disorders: A Systematic Review of Efficacy and Biological Mechanisms.

IF 2 Q3 CLINICAL NEUROLOGY NeuroSci Pub Date : 2025-03-17 DOI:10.3390/neurosci6010026
Joanna Woźniak, Michał Pazdrak, Ada Domanasiewicz, Jakub Kaźmierski
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Abstract

Background: Photobiomodulation (PBM), also referred to as low-level light therapy (LLLT), is an emerging non-pharmacological approach. This treatment is considered low-risk, cost-effective, and non-invasive, utilizing near-infrared light (NIR). The purpose of this paper is to explore the underlying mechanism of action and conduct a systematic review of pre-clinical and clinical research on the use of PBM for psychiatric disorders.

Methods: A search on the PubMed, Cochrane Library, and EMBASE databases was performed on 18 and 26 January 2024. Publications focused on PBM treatment in psychiatric disorders such as major depressive disorder, general anxiety disorder, dementia, Parkinson's disease, traumatic brain injury, schizophrenia, and sexual disfunctions were included (n = 23).

Results: Near-infrared stimulation is presented as an effective method, comparable to psychopharmacological treatment. The primary suggested mechanism for PBM is the stimulation of mitochondrial metabolism following the absorption of NIR energy by cytochrome C oxidase. Because of the method of implementation, which omits the liver metabolism of cytochrome P450, PMB is recognized as safe as it does not interact with other drugs.

Limitations: Clinical studies vary in terms of population and treatment parameters, and most do not include a suitable control group.

Conclusions: Preliminary results support the potential of NIR stimulation as a novel and innovative treatment for psychiatry. Further studies are needed to estimate the proper protocols of parameters singly for any disease.

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近红外刺激治疗精神疾病:疗效和生物学机制的系统综述。
背景:光生物调节(PBM),也被称为低强度光疗法(LLLT),是一种新兴的非药物治疗方法。这种治疗被认为是低风险、低成本和无创的,利用近红外光(NIR)。本文旨在探讨PBM治疗精神疾病的潜在作用机制,并对PBM治疗精神疾病的临床前和临床研究进行系统综述。方法:于2024年1月18日和26日对PubMed、Cochrane Library和EMBASE数据库进行检索。研究人员纳入了关于PBM治疗精神疾病(如重度抑郁症、一般焦虑症、痴呆、帕金森病、创伤性脑损伤、精神分裂症和性功能障碍)的出版物(n = 23)。结果:近红外刺激是一种有效的治疗方法,可与精神药物治疗相媲美。PBM的主要机制是细胞色素C氧化酶吸收近红外能量后刺激线粒体代谢。由于这种实施方法忽略了细胞色素P450的肝脏代谢,PMB被认为是安全的,因为它不会与其他药物相互作用。局限性:临床研究在人群和治疗参数方面各不相同,大多数没有包括合适的对照组。结论:初步结果支持近红外刺激作为一种新颖的精神病学治疗方法的潜力。需要进一步的研究来估计任何疾病单独参数的适当方案。
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