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Randomized Trial Evaluating the Effect of Light Therapy Using Glasses Versus a Sham Device on the Evolution of Self-reported Depressive Disorders in Chronic Hemodialysis Patients
Randomized Trial Evaluating the Effect of Light Therapy Using Glasses Versus a Sham Device on the Evolution of Self-reported Depressive Disorders in Chronic Hemodialysis Patients

NCT07729358

Not Yet RecruitingNA

Sponsor: Centre Hospitalier Annecy Genevois

Conditions: End-stage Chronic Kidney Disease Treated With Hemodialysis, Depressive Disorders

Interventions: Light therapy using active glasses, Light therapy using inactive glasses

Countries: France

Hemodialysis is an intensive treatment, with a lifestyle dictated by the organization of the dialysis center. This treatment is associated with a decrease in quality of life, an increase in sleep disorders, and depressive disorders. Light therapy could be a non-pharmacological option for treating depressive states in chronic hemodialysis patients. Indeed, the production of melatonin is stimulated by exposure to light of a defined intensity for 30 minutes in the morning. This hormone influences our sleep-wake cycle. In the general population, light therapy has demonstrated its benefits for depression. This practice could therefore improve sleep quality and mood in chronic hemodialysis patients who experience depressive symptoms. The objective of this research is to evaluate the effect of light therapy on the reduction of depressive disorders experienced by chronic hemodialysis patients. Light therapy will be administered using glasses called "Luminette®," three times a week for five weeks, on the days of dialysis sessions in the morning at the center or at home for patients undergoing afternoon dialysis

Eligibility overview

Sex: ALL

Age: 18 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion Criteria:

* Patient informed about the nature, process, and objectives of the study and having signed a free and informed consent to participate,
* Patient treated with conventional hemodialysis for at least 3 months and currently undergoing dialysis 3 times a week,
* Patient covered by the french national social welfare

Non-Inclusion Criteria:

* Patient who has initiated or modified antidepressive treatment within the 4 weeks prior to the inclusion visit,
* Patient with initiation of antidepressive treatment within the 10 weeks following the inclusion visit (screening and intervention periods),
* Patient who has initiated or modified anxiolytic, hypnotic, or melatonin treatment within the 4 weeks prior to the inclusion visit,
* Patient presenting with binocular blindness or age-related macular degeneration (AMD),
* Patient receiving medical and/or surgical treatment for a retinal condition,
* Patient who has undergone ocular surgery within the 12 weeks prior to the inclusion visit,
* Patient scheduled for ocular surgery within the 10 weeks following the inclusion visit (screening and intervention periods),
* Patient suffering from neurocognitive disorders, schizophrenia or other primary psychotic disorders, or bipolar disorder or related conditions,
* Pregnant or breastfeeding patient,
* Patient unable to understand the French language both orally and in writing, making self-assessment impossible,
* Patient currently participating in another interventional research protocol, except for the IDE-3D protocol (RIPH2) conducted by the CH Annecy Genevois,
* Patient who has already been randomized in the present study,
* Patient under guardianship, curatorship, or placed under judicial protection.

Randomisation criteria

The patient will be considered eligible for randomization if they have a HADS-D screening score dated within a maximum of 15 days and meet one of the following two criteria:

* HADS-D screening score ≥ 8 and \< 15,
* HADS-D screening score ≥ 15, provided that a medical follow-up assessment has been conducted following this diagnosis during the screening period, and that it does not lead to the recommendation for the initiation or modification of antidepressant treatment and/or psychotherapy within the 10 weeks following the inclusion visit (screening and intervention periods).
Locations (1)
  • Annecy, France