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PSYCH up2date 2013; 7(03): 173-184
DOI: 10.1055/s-0033-1343181
Affektive Störungen
© Georg Thieme Verlag KG Stuttgart · New York

Chronobiologie: Licht- und Wachtherapie bei psychiatrischen Erkrankungen

Christian Cajochen
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Publikationsdatum:
17. Mai 2013 (online)

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Kernaussagen

Rhythmusstörungen der inneren Uhr und des Schlaf-Wach-Zyklus spielen bei der Pathogenese verschiedener psychiatrischer Erkrankungen eine wichtige Rolle. Oft kommt es während des Krankheitsverlaufs zu einer fehlenden oder mangelhaften Synchronisation der endogenen Uhr mit dem 24-Stunden-Tag (äußere Uhr), was zu Schlafstörungen, erhöhter Tagesmüdigkeit und Stimmungsverschlechterung führt. Chronobiologisch gestützte Therapiemaßnahmen (Licht- und Wach- bzw. Schlafentzugstherapie) helfen deshalb bei psychiatrischen Erkrankungen. Sowohl die Licht- als auch die Wachtherapie erfüllen die Anforderungen kostengünstiger und schnell wirksamer Antidepressiva. Diese nichtpharmakologischen Therapien lassen sich kombinieren und können als Adjuvanstherapien in der Psychiatrie nebenwirkungsarm eingesetzt werden.

 

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