Effect of simulated dawn on quality of sleep--a community-based trial.
BACKGROUND
Morning light exposure administered as simulated dawn looks a promising method to treat Seasonal Affective Disorder, but it may moreover help with resetting the inaccurate organisation of body clock functions relative to sleep occurring in winter among people in general. Disturbances in sleep patterns are common and may compromise wellbeing even in the short term. Our hypothesis was that simulated dawn could improve the subjective quality of sleep during winter.


METHODS
A community-based trial with 100 volunteer subjects provided with dawn simulators. Study period lasted for eight weeks, and subjects used the dawn simulators for two weeks at a time, each subject acting as his own control (ABAB-design). Main outcome measure was subjective quality of sleep recorded each morning with Groningen Sleep Quality Scale.


RESULTS
77 subjects completed the trial. Quality of sleep improved while subjects were using dawn simulator-devices (p = 0.001). The treatment became beneficial after six days' use of dawn simulator, but the effect did not last after the use was ceased.


CONCLUSIONS
Dawn simulation may help to improve the subjective quality of sleep, but the benefits are modest. Further research is needed to verify these findings and to elucidate the mechanism by which dawn simulation acts on the sleep-wake pattern.
Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland. sami.leppamaki@ktl.fi
Sami
S
Leppämäki
Ybe
Y
Meesters
Jari
J
Haukka
Jouko
J
Lönnqvist
Timo
T
Partonen
D000293:Adolescent; D000328:Adult; D000368:Aged; D002940:Circadian Rhythm / Q000502:physiology*; D005260:Female; D005387:Finland; D006304:Health Status; D006801:Humans; D008029:Lighting; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D010775:Photic Stimulation / Q000295:instrumentation / Q000379:methods*; D010789:Phototherapy / Q000379:methods; D012107:Research Design; D012494:Sampling Studies; D016574:Seasonal Affective Disorder / Q000523:psychology / Q000628:therapy*; D012621:Seasons; D012890:Sleep / Q000502:physiology*; D012893:Sleep Wake Disorders / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome