circadiane ritme stoornissen, vermindering van celactiviteit nivo seasonal affective disorder winterdepression
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: SAD patients and healthy sex/age matched controls
Exclusion criteria
Exclusion criteria: Healthy control group: Symptoms of possible sleep disorder, time zone transmeridian flights (or more) one month prior to taking part in the study, Shift work during the last 3 months, Colour blindness, Eye diseases, Somatic and psychiatric diseases (no indications of depressed mood), History of chronic diseases, Excessive daily amount of caffeinated drinks, Alcohol and drug problems, Regular medication during past 3 months. Large to moderate seasonal fluctuations in social behaviour, sleep and food intake, any indication of seasonal variation in mood. Patients group: Other AS-I disorders on DSM-IV than for the inclusion selection, Risk of committing suicide, Use of mood changing or photic sensitizing medication, Eye diseases, colour blindness, shift workers, recent travels across two time zones or more, large changes in daily light expose (no travelling to sunny areas, use of any artificial sun/tanning machines) other than for the treatment of winter depression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect of a 1.5 hour light pulse will be determined on the degree of melatonin suppression. The variance in individual responses in melatonin suppression (in vivo) will be compared within each individual with the variance in the degree of fibroblast cellular excitability (in vitro). Differences between healthy controls and SAD patients for this relationship will be determined. The variance in in vivo and in vitro measurements in SAD patients will be compared to light therapy success. | — |
Secondary
| Measure | Time frame |
|---|---|
| Analysis of inter-individual differences in non-visual light sensitivity measured as melatonin suppression in SAD patients and healthy controls and link individual characteristics of light sensitivity and the molecular pathways involved to light treatment efficiency in SAD patients. In addition gene variation in genes involved in light sensitivity (OPN4) and cellular excitability (adenylyl cyclase) will be related with the in vivo and in vitro measures. | — |
Countries
Netherlands