Light Therapy for Chronic Insomnia in General Practice

Ki vehet részt

• 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

Ki nem vehet részt

• Non hypnotic treatment potentially inducing a level 3 sleepiness one week before
• 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
• 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
• Neurodegenerative sleep troubles
• Severe intercurrent pathology
• 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