Читать книгу Chronotherapeutics for Affective Disorders - M. Terman - Страница 6
Contents
Оглавление1.1 Unmet Needs in the Treatment of Depression
1.2 Role of Biological Rhythms in Psychiatry
1.3 Principles of Circadian Timing
1.4 Principles of Sleep Regulation
1.5 Mood Level Varies with Time of Day and Duration of Wakefulness
1.7 How It All Began: Light Therapy for Seasonal Affective Disorder
1.8 Light Therapy – Beyond SAD
1.9 What Is Chronotherapeutics?
1.10 How Does Chronotherapeutics Work?
2 Individual Chronotherapeutic Elements: Light, Wake Therapy and Sleep Phase Advance
2.1 Efficacy of Bright Light Therapy for SAD
2.2 Timing of Bright Light Therapy
2.3 Dawn (and Dusk) Simulation Therapy
2.4 Efficacy of Bright Light Therapy for Non-Seasonal Depression
2.7 Phase Advance of the Sleep-Wake Cycle
3 Integrative Chronotherapeutics: Combinations of Light, Wake Therapy and Sleep Phase Advance
3.1 A Note on Diagnostic Differences
3.2 Bright Light Augmentation of Antidepressant Drug Treatment
3.3 Wake Therapy Added to Medication
3.4 Wake and Light Therapy Added to Antidepressant Drugs or Mood Stabilisers
3.5 Wake, Light, and Sleep Phase Advance Therapy
Methods
4.1 Response Assessment and Monitoring
4.2 Light Therapy Timing and Duration
4.3 Exceptions to the Early Morning Light Rule for Bipolar 1 Disorder
4.4 Beginning with Light Therapy (+ Medication)
4.5 Wake Therapy + Light Therapy
4.6 Wake Therapy + Light Therapy + Sleep Phase Advance
4.7 Three Alternate Nights of Wake Therapy + Light Therapy + Freely Chosen Sleep Phase Advance
4.10 Drug Tapering to Discontinuation
5 Practical Details for Wake Therapy
5.1 Which Patients Are Suitable?
5.3 Medication Allowances and Contraindications
5.5 Setting and Structure for the Night Awake
5.8 Nurses on the Day Shift after Wake Therapy
5.9 Structure of the Day After
5.10 Phase Advance of Sleep following Wake Therapy
5.12 Is One-Time Wake Therapy Enough?
5.16 At the End of One Week of Chronotherapeutics
6 Practical Details for Light Therapy
6.1 Criteria for Light Box Selection
6.3 Side Effects of Light Therapy
6.4 Cautionary Notes about Bright Light Exposure
6.5 Before Beginning Light Therapy
7 Outpatient Treatment Strategies
Indications
8 Range of Chronotherapeutic Indications
8.2 Premenstrual Dysphoric Disorder
8.4 Attention Deficit/Hyperactivity Disorder
8.7 Shift Work and Jet Lag Disturbance
8.8 Other Psychiatric Disorders
9 Light Therapy for Children and Adolescents
10 Light and Wake Therapy for Older Patients
11 The Visually Impaired: More Sleep Disturbances, More Depression
Pharmacology
12 Endogenous and Exogenous Melatonin
12.1 The Physiological Effects of Melatonin
12.2 Melatonin in Circadian Sleep-Wake Cycle Disturbances
12.3 Melatonin for Depression?
13 Drugs That Affect Rhythms (Chronobiotics)
13.2 Chronobiology of Lithium and Antidepressants
13.3 Clock Genes in Depression
Future Prospects
15 Chronobiology in Everyday Life
15.2 Timing of School and Work Schedules versus Sleep
15.3 Light and the Built Environment: Implications for Architecture
Appendix
2 Personal Inventory for Depression and SAD (diagnostic status), with scoring and interpretation
4 6-item Hamilton Depression Scale, core symptoms (for monitoring short-term changes)
5 Daily sleep and medication logs, and mood and energy ratings
6 Chronotherapeutics information to outpatients and clinicians following hospital discharge
7 Center for Environmental Therapeutics clinical assessment tools
