Adjunctive Bright Light Therapy in Adolescents With Depression and Eveningness

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-19
SponsorChinese University of Hong Kong

About this trial

This study examines the efficacy of bright light therapy as a treatment for adolescents diagnosed with unipolar non-seasonal depression who exhibit an evening chronotype.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Chinese, aged 12-19 years old;

Written informed assent/consent of participation into the study is given by the participant and his/her parent or guardian (for those aged under 18), respectively;

Having a DSM-5 diagnosis of unipolar non-seasonal depression as confirmed by the Chinese version of the Kiddie-Schedule for Affective Disorders and Schizophrenia (K-SADS) psychiatric interview, DSM-5 Seasonal specifier, AND having a score on Children's Depression Rating Scale (CDRS-R) at least 40;

Being classified as evening chronotype according to the score on the reduced Horne-Östberg Morning-Eveningness Questionnaire (rMEQ), i.e. <12.

Disqualifiers

A current diagnosis of substance abuse or dependence; a current or past history of manic or hypomanic episode, schizophrenia spectrum disorders, organic mental disorders, or intellectual disabilities;

Having a clinically significant suicidality (presence of suicidal ideation with a plan or an attempt) as assessed by K-SADS;

Having been enrolled in any other clinical trial investigational products within one month at the entry of the study;

Initiation of or change in antidepressant medication within past 4 weeks;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Bright light therapy

    Device

    Exposure to blue-enriched white light for 15-30 minutes a day for 8 weeks

  • Dim red light

    Device

    Exposure to dim red light for 15-30 minutes a day for 8 weeks.

Treatment groups

90 Participants
are divided into 2 treatment groups
Group A: Bright light therapy groupExperimental treatment 1 intervention
Group B: Dim red light groupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change of depressive symptoms

Change in the score of the Children's Depression Rating Scale (CDRS-R), which ranges from 17-113, higher score indicates higher severity of depression.

Time frame
Soon after the intervention

Secondary outcomes

1

Change of other clinical symptoms

Change in Beck Depression Inventory (BDI) score, which ranges from 0-63, higher score indicates greater depression severity.

Time frame
Soon after the intervention
2

Change of other clinical symptoms

Change in Pittsburgh Sleep Quality Index (PSQI) score, which ranges from 0-21, higher score indicates poorer sleep quality.

Time frame
Soon after the intervention
3

Change of other clinical symptoms

Change in Behavior Rating Inventory of Executive Function (BRIEF2) score, which will be transformed into T scores (range = 35 to ≥ 90) for interpretion, higher score indicates higher executive functioning.

Time frame
Soon after the intervention
4

Change of other clinical symptoms

Change in KIDCSREEN-27 score, which ranges from 30-135, higher score indicates better life quality and social support.

Time frame
Soon after the intervention

Other outcomes

Sponsors and contacts

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