The effects of light therapy on sleep problems: A systematic review and meta-analysis.
AI Summary
This systematic review and meta-analysis examined the effectiveness of light therapy for various sleep problems, analyzing 53 studies with 1,154 participants total. The research found that light therapy demonstrates moderate effectiveness for treating sleep problems generally, with small to medium effect sizes. The study suggests light therapy is particularly beneficial for circadian rhythm sleep disorders, insomnia, and sleep problems related to Alzheimer's disease and dementia. For insomnia specifically, researchers found that higher light intensity treatments showed larger effects. The analysis revealed that effects were smaller when examining only randomized controlled trials for circadian rhythm disorders, and studies with more female participants showed larger effects for dementia-related sleep problems. While the findings support light therapy as an effective intervention, the researchers noted indication of publication bias and emphasized that most effect sizes were in the small to medium range. This research is relevant to morning sunlight exposure as it demonstrates the broader therapeutic potential of light-based interventions for sleep regulation.
Key Findings
- Light therapy showed overall effectiveness for sleep problems with a moderate effect size (g = 0.39)
- Circadian rhythm sleep disorders responded to light therapy with an effect size of 0.41
- Insomnia showed the strongest response to light therapy (g = 0.47), particularly with higher light intensity treatments
- Sleep problems related to Alzheimer's disease and dementia improved with light therapy (g = 0.30)
- Most effect sizes were classified as small to medium, and publication bias was detected
Abstract
Although bright light therapy seems a promising treatment for sleep problems, research shows inconclusive results. This meta-analysis is the first to systematically review the effect of light therapy on sleep problems in general and on specific types of sleep problems in particular (circadian rhythm sleep disorders, insomnia, sleep problems related to Alzheimer's disease and dementia). Fifty-three studies with a total of 1154 participants were included. Overall effects and effects on separate circadian and sleep outcomes were examined. We calculated Hedges' g effect sizes and we investigated the effects of twelve moderators (design-related, treatment-related, participant-related). Light therapy was found effective in the treatment of sleep problems in general (g = 0.39), and for circadian rhythm sleep disorders (g = 0.41), insomnia (g = 0.47), and sleep problems related to Alzheimer's disease/dementia (g = 0.30) specifically. For circadian rhythm sleep disorders, effects were smaller for randomised controlled trials. For insomnia, we found larger effects for studies using a higher light intensity, and for sleep problems related to Alzheimer's disease/dementia larger effects were found for studies with more female participants. There was indication of publication bias. To conclude, light therapy is effective for sleep problems in general, particularly for circadian outcomes and insomnia symptoms. However, most effect sizes are small to medium.
Authors
Annette van Maanen, Anne Marie Meijer, Kristiaan B van der Heijden, Frans J Oort
