Aim: To investigate and compare the
effectivness of six weeks dawn simulation, bright
light therapy, or a placebo dawn simulation
condition (a dim red light) to act as the control
group, in patients with SAD during the winter.
Research method:
Longitudinal lab experiment
95 self-selected participant (volunteers
recruited through advertisements).
Double blind control:
Participants were unaware of the
comparison between the three treatments.
Participants were rated and evaluated
weekly by experienced, board-certified
psychiatrists who did not known which
treatments the participants were assigned.
Independent variable was the type of
treatment the participants were
exposed to.
Dependent variable in the effectiveness
of the treatment measured by remission
and response rates.
Procedure:
Recruited participants are tested to
determine whether they are
hypersomnic winter depressives.
For 7 weeks participants visit the clinic
weekly for assessment and are to sleep only
between the hours of 9pm and 6am and
keep a daily log of their sleep each week.
After the first week of the study
participants are randomized to three
treatment groups: dawn simulation,
bright light therapy and a placebo dawn
simulation (as the control group).
Participants are asked to sleep only between
9pm and 6am, to avoid sunlight and to avoid
certain foods and activities.
Researchers analyse ratings, symptoms
and responses of participants that the
psychiatrist reported.
Findings:
Participants who were assigned to the dawn
simuation treatment showed significantly more
remission and response rates than participants who
experienced the bright light therapy and the placebo
conditions.
Evaluate study:
Strengths of the study:
Well controlled. The study contains an
ample amount of dependent and
independent variables suitable for being
able to triangulate the experiment.
Replicable, can be triangulated.
Weaknesses of the study:
Low ecological validity. Many
restrictions were placed on the
participants during the study
Low cross-cultural validity; a very large
percentage, about 85% of participants were
Caucasian.
Gender bias. Only 4 males in each study
conducted, compared to 27-30 females.
Evaluative findings:
Cannot be generalised to all SAD patients;
the only type used were those suffering
from hypersomnia. Other types of SAD
were not considered in the study.
Treatment in usually rapid in results,
patients can feel effects within the first
few days of treatment.
Some side effects, Nausea was
common, as well as headaches in
patients undergoing bright light therapy.
Dawn simulation seemed to have the
lest amount of side effects and the larger
success rate of the three groups.