Phototherapy improves cognitive function in dementia: A systematic review and meta‐analysis
Open Access
- 5 April 2023
- journal article
- research article
- Published by Wiley in Brain and Behavior
- Vol. 13 (5)
Abstract
This study aimed to investigate the effectiveness of phototherapy intervention on cognitive function in older adult patients with dementia. PubMed, Ovid MEDLINE, Web of Science, EMBASE, Cochrane Central Registry of Controlled Trials, PsycINFO, and Clinical Trials were searched from their inception to August 10, 2022, for randomized controlled trials involving patients with dementia who received phototherapy interventions. We used the weighted mean difference (MD) or standard weighted mean difference to generate the pooled estimates. The primary outcome was cognitive function as measured by the Mini‐Mental State Examination (MMSE) score. The secondary outcomes were the behavioral and psychological symptoms of dementia (BPSDs) and sleep. This systematic review and meta‐analysis was registered in PROSPERO (registration number: CRD42022343788). We included 12 randomized controlled trials comprising 766 patients with dementia (426 patients in the intervention group and 340 in the control group). Phototherapy interventions significantly improved MMSE scores (n = 3, MD 2.68, 95% confidence interval [CI]: 1.38–3.98, I2 = 0%). There were no significant differences in the Cornell Scale for Depression in Dementia score, Cohen‐Mansfield Agitation Inventory score (MD: −3.12, 95% CI: −8.05, 1.82, I2 = 0%), Neuropsychiatric Inventory score, sleep efficiency, total sleep time, and Sleep Disorders Inventory score between the groups. Our systematic review and meta‐analysis showed that phototherapy significantly improved cognitive function in patients with dementia.Keywords
This publication has 48 references indexed in Scilit:
- Increasing Walking and Bright Light Exposure to Improve Sleep in Community‐Dwelling Persons with Alzheimer's Disease: Results of a Randomized, Controlled TrialJournal of the American Geriatrics Society, 2011
- Light as a modulator of cognitive brain functionTrends in Cognitive Sciences, 2009
- Bright light therapy for agitation in dementia: a randomized controlled trialInternational Psychogeriatrics, 2009
- Light Treatment for Neuropsychiatric Behaviors in Alzheimer's DiseaseWestern Journal of Nursing Research, 2007
- Effect of timed bright light treatment for rest-activity disruption in institutionalized patients with Alzheimer's diseaseInternational Journal of Geriatric Psychiatry, 2005
- Effect of morning bright light treatment for rest-activity disruption in institutionalized patients with severe Alzheimer's diseaseInternational Psychogeriatrics, 2005
- Sleep-Dependent Learning and Memory ConsolidationNeuron, 2004
- Bright light treatment improves sleep in institutionalised elderly—an open trialInternational Journal of Geriatric Psychiatry, 2003
- Cornell scale for depression in dementiaBiological Psychiatry, 1988
- “Mini-mental state”Journal of Psychiatric Research, 1975