La fototerapia in Psichiatria: applicazioni, limiti e prospettive future

Pasquale Scognamiglio, Palmiero Monteleone
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Abstract

Introduction

Light therapy is a therapeutic technique based on the use of light. Its use in Psychiatry has grown over the past 30 years since the discovery of its efficacy in the treatment of seasonal affective disorder. Its mechanism of action is related to the chronobiology of circadian rhythms and to the role of melatonin in the modulation of endogenous rhythms. This article provides a critical review of the literature dealing with the use of this treatment in seasonal depression and other mood disorders (nonseasonal depression and bipolar disorder), in eating disorders, and other psychiatric syndromes.

Conclusions

This review shows that light therapy may be considered the treatment of choice for seasonal affective disorder, but its use in other psychiatric syndromes needs further investigation.

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精神病学光疗:应用、限制和未来展望
光疗法是一种基于光的治疗技术。自从发现它对季节性情感障碍的治疗效果以来,它在精神病学中的应用在过去的30年里不断增长。其作用机制与昼夜节律的时间生物学和褪黑素在调节内源性节律中的作用有关。这篇文章提供了一个重要的文献综述处理使用这种治疗季节性抑郁症和其他情绪障碍(非季节性抑郁症和双相情感障碍),饮食失调和其他精神综合征。结论光疗可作为季节性情感障碍的治疗选择,但其在其他精神综合征中的应用有待进一步研究。
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