Cognitive and behavioral predictors of light therapy use

PLoS One. 2012;7(6):e39275. doi: 10.1371/journal.pone.0039275. Epub 2012 Jun 13.

Abstract

Objective: Although light therapy is effective in the treatment of seasonal affective disorder (SAD) and other mood disorders, only 53-79% of individuals with SAD meet remission criteria after light therapy. Perhaps more importantly, only 12-41% of individuals with SAD continue to use the treatment even after a previous winter of successful treatment.

Method: Participants completed surveys regarding (1) social, cognitive, and behavioral variables used to evaluate treatment adherence for other health-related issues, expectations and credibility of light therapy, (2) a depression symptoms scale, and (3) self-reported light therapy use.

Results: Individuals age 18 or older responded (n = 40), all reporting having been diagnosed with a mood disorder for which light therapy is indicated. Social support and self-efficacy scores were predictive of light therapy use (p's<.05).

Conclusion: The findings suggest that testing social support and self-efficacy in a diagnosed patient population may identify factors related to the decision to use light therapy. Treatments that impact social support and self-efficacy may improve treatment response to light therapy in SAD.

MeSH terms

  • Adult
  • Behavior*
  • Cognition*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Phototherapy*
  • Seasonal Affective Disorder / therapy*
  • Social Support