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3 EATING DISORDERS + LIGHT Current Danish treatment guidelines for AN by October 2016 include learn- ing how to relate to the reality around you, common sense, including the close family and therapeutic conversations. The strategy in AN is personal- ised and BN treatment include cognitive behavioural therapy and BN and BED use psychoanalysis and psychotherapy. (Interview E, 00:22:09-00:22:58) There are no current statistics or treatment for patients with Ortoreksi and Megareksi in Denmark. (Sundhedsstyrelsen, 2016) (Ingen målbar forbedring i behandling af anoreksi og bulimi - ViOSS - Videnscenter om spiseforstyrrel- ser og selvskade, no date) ED is connected to high sensitivity and high risk of anxiety attacks and as a relief, acupuncture and relaxation therapy has a potential. BN patients could potentially benefit from BLT for depression and massage. (Fogarty, Smith and Hay, 2016) Patients with BN and BED show improved symptoms with biological antidepressants. Studies with AN patients show disappointing re- sults, and though pharmacological treatment of ED shows improvements with binge frequency in BN and BED it is still an undeveloped field. Light therapy in the morning showed improvement in seasonal binging in BN. (Mitchell, Roerig and Steffen, 2013) Studies of the effect of light therapy on BN shows superior benefits of using bright light over dim red light (Braun et al., 1999) while Blouin et al, 1996 found that the effect of bright white light showed similar effects as dim light on the affective symptoms and food in- take in a double-blind study. (Blouin et al., 1996) Lam et al, investigated seasonality in ED patients with BN, after Berman et al, 1993 established evidence of clinical overlap between SAD and BN. BN and BED symptoms has been related to SAD and light therapy with positive result on seasonality symptoms. (Berman, Lam and Goldner, 1993; Lam et al., 1994, 2001; Lam, Goldner and Grewal, 1996) As AN symptoms are limitedly connected to seasonality, other areas has been explored. Krysta et al, 2012 found that BLT could improve depressive states in patients with AN-R. (Krys- ta et al., 2012) In a study on circadian rhythmicity and body temperature in ED patients, synchronisation of hunger rhythms, body temperature rhythms and antidepressant effect, BLT showed positive effects. Body temperature was improved and normalised for AN patients, BN patients showed normal body temperature levels before the study. (Yamamotov, Papezov and Veve- ra, 2008) Findings from Beauchamp et al, 2016 suggest BLT for ED patients with night-eating syndrome. In connection to AN, BLT is suggested for pos- itive improvements of mood and eating, though timing and response is not yet established. (Beauchamp and Lundgren, 2016) 3.1.2 Anorexia Nervosa vs. Bulimia Nervosa Investigations in the effects of light therapy on anorectics are limited. This can be connected to the fact that there is no current evidence of sea- sonal change in AN and in particular in AN restricted type (AN-r). Patients suffering from BN and BED have shown higher rates of seasonality and SAD Master thesis · MSc Lighting Design · Pernille Bech-Larsen · Fall 2017 39PDF Image | Healing with light
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