An Open Trial of Morning Bright Light Treatment Among US Military Veterans with Chronic Low Back Pain: A Pilot Study
An Open Trial of Morning Bright Light Treatment Among US Military Veterans with Chronic Low Back Pain: A Pilot Study
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DOI：
10.1093/pm/pny174
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发表时间：
2019-04-01
期刊：
影响因子：
3.1
通讯作者：
Burns, John W.
中科院分区：
文献类型：
--
作者：
Burgess, Helen J.;Rizvydeen, Muneer;Burns, John W.
目的研究的可行性，可接受性，和影响的家庭为基础的早晨明亮的光治疗疼痛，情绪，睡眠和昼夜节律的时间在美国退伍军人慢性腰痛pain.Design一个开放的治疗试验与7天的基线，随后13天的一个小时的早晨明亮的光治疗自我管理在家里。疼痛，疼痛敏感性，情绪，睡眠和昼夜节律的时间进行了评估之前，期间，和aftertreatment.Setting参与者睡在家里，每周一次的研究访问和家庭saliphaticscollections.Participants 37美国退伍军人与医学证实的慢性腰痛。疼痛敏感性进行了评估，使用两个实验室任务：热刺激和缺血刺激，给出了阈值和耐受性的措施。通过腕关节活动记录仪对睡眠进行客观评估。结果早晨强光治疗可降低疼痛强度、疼痛行为、热痛阈敏感性、创伤后应激障碍症状，改善睡眠质量（P
Objective To examine the feasibility, acceptability, and effects of a home-based morning bright light treatment on pain, mood, sleep, and circadian timing in US veterans with chronic low back pain.Design An open treatment trial with a seven-day baseline, followed by 13days of a one-hour morning bright light treatment self-administered at home. Pain, pain sensitivity, mood, sleep, and circadian timing were assessed before, during, and after treatment.Setting Participants slept at home, with weekly study visits and home saliva collections.Participants Thirty-seven US veterans with medically verified chronic low back pain.Methods Pain, mood, and sleep quality were assessed with questionnaires. Pain sensitivity was assessed using two laboratory tasks: a heat stimulus and an ischemia stimulus that gave measures of threshold and tolerance. Sleep was objectively assessed with wrist actigraphy. Circadian timing was assessed with the dim light melatonin onset.Results Morning bright light treatment led to reduced pain intensity, pain behavior, thermal pain threshold sensitivity, post-traumatic stress disorder symptoms, and improved sleep quality (P