Overview
- Sleep disorders, especially insomnia
- Attention deficits (or disorders), daytime somnolence and drug dependence
- The goal is to evaluate whether light therapy could be used as an efficient alternative treatment with direct application in general practice
Description
Insomnia affects 15 to 20% of the general French adult population and increases with age. General practitioners (GPs) are the first confronted to sleep disorders, especially insomnia.
Cognitive-behavioral therapies (CBT) have proven effective, but their implementation in everyday practice is limited, and alternative treatments are still needed.
Light not only has a great influence on the sleep-wake cycle and alertness, but also on mood and cognitive functions.
The administration time of light condition will be calculated for each individual in a modality that has no impact on the circadian phase.
Study will be conduct on an outpatient basis in general practice
Eligibility
Inclusion Criteria:
- Complaining of chronic insomnia according to ICSD-3 (International Classification of Sleep Disorders) criteria and/or taking hypnotics at least 3 nights per week for more than 3 months.
- Non-hypnotic medication: stable medication during one month preceding the inclusion and for the 8 weeks of the study.
- Compliance with the treatment: the patient is able to have light therapy during the required time and at the agreed schedule.
Exclusion Criteria:
- Severe psychiatric disorder (severe major depression, schizophrenia, bipolar disorder), obvious acute psychiatric comorbidity.
- Untreated intrinsic sleep pathology: sleep apnea syndrome based on clinical criteria: STOP-BANG questionnaire score, restless legs syndrome manifesting more than 2 times a week and/or requiring treatment.
- Mild to severe dementia.
- Neurodegenerative sleep troubles
- Severe intercurrent pathology.
- Ophthalmic troubles presenting a contraindication to light therapy: retinopathy, age-related macular degeneration, diabetic retinopathy, macular hole, epiretinal membrane); lens opacifications (cataract) justifying surgery (correction of poor visual acuity, visual discomfort); glaucomatous and non-glaucomatous optic neuropathy resulting in visual impairement.
- Toxicomania, chronic alcoholism.
- Secondary insomnia linked to somatic non-stabilized pathology.
- Elements influencing circadian rhythm
- Pregnancy, breastfeeding.
- Participation in another interventional clinical trial which includes an exclusion period
- No information could be given to the patient (subject faces emergency situation, comprehension difficulties, etc.)
- Patient under guardianship
- Non hypnotic treatment potentially inducing a level 3 sleepiness one week before