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Results: Morning bright light therapy was associated with a significant decrease in both subjective and objective measures of core ADHD pathology, improved mood symptoms, and a significant phase advance in circadian preference. The study was conducted from November 2003 through February 2004. Regression analyses determined which variables at baseline best predicted improvement on a given outcome measure and which variables changed in parallel with one another. Secondary measures were decrease in depression scores according to the Structured Interview Guide for the Hamilton Depression Rating Scale, Seasonal Affective Disorder version improvements on various neuropsychological tests and shift toward an earlier circadian preference as measured by the Horne-Ostberg Morningness-Eveningness questionnaire. Primary outcome measures included percentage reduction on the Brown Adult ADD Scale and the Conners’ Adult ADHD Scale.
BROWN ATTENTION DEFICIT DISORDER SCALES—ADULT VERSION TRIAL
Method: Twenty-nine adults with DSM-IV ADHD were administered a standard 3-week open trial of LT during the fall or winter months. This study examined whether a chronobiologically based treatment, i.e., morning bright light therapy (LT), might have utility as an adjunctive treatment for adult ADHD in the fall/winter period.
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Objective: In adults with attention-deficit/hyperactivity disorder (ADHD), a delayed sleep/activity rhythm and/or seasonal mood symptoms may contribute significantly to core pathology and disability.