In the News
As published in The Hartford Courant, June 15, 2005.
In Body and Soul, We are Solar Powered
Light is Good for us, Except for the Few who Suffer from a Seasonal
Disorder
By William Hathaway
Scientists are joining poets and artists in celebrating light.
Light, it turns out, is good for the body as well as the soul, they
say. Scientists being scientists, however, they also can't help but
throw in a caveat or two.
Take, for instance, people who suffer from seasonal affective
disorder. For most people, springtime and its increased amount of
daylight marks the seasonal end of the debilitating depression that
marks the illness.
However, for a few people with bipolar disorder, the increased
levels of light work a little too well.
"They can become overly activated, fully manic or what we call
hypo-manic," says Dr. Andrew Winokur, professor of psychiatry and
director of psychopharmacology at the University of Connecticut
Health Center.
These people are more likely to engage in risky and inappropriate
behavior as mania replaces depression.
"It is a dangerous condition," agrees Dr. Michael Terman, director
of the clinical chronobiology program at Columbia University Medical
Center.
Terman notes that suicide rates peak during spring in northern
latitudes. One theory is that the increased exposure to daylight
triggers changes in brain chemistry in depressed people that allow
them to act on harmful thoughts.
Seasonal affective disorder "is marked by a tremendous lethargy," he
says. "But then comes a transition period in the spring when there
is an energy boost, and people become more likely to act on suicidal
thoughts."
These harmful effects of light, however, are the exceptions to a
fundamental and often overlooked point, Terman says: "We are
designed to be in the sun."
Chronobiology is a relatively new science that tracks the effects of
circadian rhythms, or the body's internal clock, on health and
behavior.
In almost all species, it is sunlight that sets the internal clock,
which governs functions such as sleep and wakefulness. Malfunctions
of the internal clock have been implicated in several neurological,
cardiovascular and hormonal disorders.
And it is sunlight that helps time the release of melatonin, which
signals the onset of sleep and appears to regulate the release of a
wide variety of other hormones in regulating biological rhythms.
Most people experience the effects of disrupted circadian rhythms
only when they suffer jet lag, a consequence of traveling across
several time zones.
However, Winokur estimates that one in four people experience some
form of seasonal mood change in which they feel at least slightly
more vibrant in the spring and slightly more depressed in winter.
By studying people who become sick from the absence of light, Terman
has developed ideas about why light helps provide an emotional lift
for people.
When prescribing light therapy for patients with the disorder, the
intensity of the light and the duration for which patients are
exposed are important factors, he says. However, the most critical
element in effective treatment is the time of day patients are
exposed to light.
The most beneficial time for light is about 8.5 hours after
melatonin levels rise, signaling the onset of sleep, Terman says.
But he notes that optimum levels of melatonin can vary six hours
between larks, or morning people, and owls, or night people.
Winokur says that's why he often advises depressed patients to get
up and take a walk in early-morning light, which tends to have an
energizing effect.
Other researchers have noted that certain elements of light may be
more beneficial than others.
Mark Rea, director of lighting research at Rensselaer Polytechnic
Institute, has studied the optimum lighting conditions for people
working overnight. It turns out that nurses and other night-shift
workers report feeling more alert when they are exposed to the blue
spectrum of light -- the same spectrum of light we find on cloudless
days.
The lesson is that we should make sure we get enough natural light
every day, they say.
"As our modern society developed, we have tremendously restricted
the outdoor levels of light we get," Terman says. "Even in San
Diego, a healthy young male gets an average of 20 minutes of light
exposure a day. We live with a sort of self-imposed light
deprivation."
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