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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Bright light therapy
DeviceExposure to blue-enriched white light for 15-30 minutes a day for 8 weeks
Dim red light
DeviceExposure to dim red light for 15-30 minutes a day for 8 weeks.
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
Change of other clinical symptoms
Change in Beck Depression Inventory (BDI) score, which ranges from 0-63, higher score indicates greater depression severity.
Change of other clinical symptoms
Change in Pittsburgh Sleep Quality Index (PSQI) score, which ranges from 0-21, higher score indicates poorer sleep quality.
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.
Change of other clinical symptoms
Change in KIDCSREEN-27 score, which ranges from 30-135, higher score indicates better life quality and social support.
Sponsors and contacts
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