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An Open Trial of Morning Bright Light Treatment Among US Military Veterans with Chronic Low Back Pain: A Pilot Study
- Source :
- Pain Medicine. 20:770-778
- Publication Year :
- 2018
- Publisher :
- Oxford University Press (OUP), 2018.
-
Abstract
- 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 13 days 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
- Subjects :
- Adult
Male
Pain Threshold
medicine.medical_specialty
Pilot Projects
Melatonin
03 medical and health sciences
0302 clinical medicine
030202 anesthesiology
Threshold of pain
medicine
Humans
Pain Management
Circadian rhythm
Veterans
Morning
business.industry
Chronic pain
Actigraphy
METHODOLOGY, MECHANISMS & TRANSLATIONAL RESEARCH SECTION
General Medicine
Middle Aged
Phototherapy
medicine.disease
United States
Circadian Rhythm
Military Personnel
Anesthesiology and Pain Medicine
Mood
Physical therapy
Female
Neurology (clinical)
Chronic Pain
Sleep
business
Low Back Pain
030217 neurology & neurosurgery
Bright light
medicine.drug
Subjects
Details
- ISSN :
- 15264637 and 15262375
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Pain Medicine
- Accession number :
- edsair.doi.dedup.....b6fb84915ebedbec80c7b6e64143e546