Insights into the Effect of Light Pollution on Mental Health: Focus on Affective Disorders—A Narrative Review

Author:

Menculini Giulia1ORCID,Cirimbilli Federica1,Raspa Veronica1ORCID,Scopetta Francesca1,Cinesi Gianmarco1,Chieppa Anastasia Grazia1,Cuzzucoli Lorenzo1,Moretti Patrizia1,Balducci Pierfrancesco Maria12ORCID,Attademo Luigi3ORCID,Bernardini Francesco4ORCID,Erfurth Andreas56ORCID,Sachs Gabriele5,Tortorella Alfonso1

Affiliation:

1. Section of Psychiatry, Department of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy

2. CSM Terni, Department of Mental Health, Local Health Unit USL Umbria 2, 05100 Terni, Italy

3. Department of Mental Health, North West Tuscany Local Health Authority, 57023 Cecina, Italy

4. SPDC Pordenone, Department of Mental Health, AsFO Friuli Occidentale, 33170 Pordenone, Italy

5. Department of Psychiatry and Psychotherapy, Medical University of Vienna, 1090 Vienna, Austria

6. Klinik Hietzing, 1st Department of Psychiatry and Psychotherapeutic Medicine, 1130 Vienna, Austria

Abstract

The presence of artificial light at night has emerged as an anthropogenic stressor in recent years. Various sources of light pollution have been shown to affect circadian physiology with serious consequences for metabolic pathways, possibly disrupting pineal melatonin production with multiple adverse health effects. The suppression of melatonin at night may also affect human mental health and contribute to the development or exacerbation of psychiatric disorders in vulnerable individuals. Due to the high burden of circadian disruption in affective disorders, it has been hypothesized that light pollution impacts mental health, mainly affecting mood regulation. Hence, the aim of this review was to critically summarize the evidence on the effects of light pollution on mood symptoms, with a particular focus on the role of circadian rhythms in mediating this relationship. We conducted a narrative review of the literature in the PubMed, Scopus, and Web of Science datasets. After the screening process, eighteen papers were eligible for inclusion. The results clearly indicate a link between light pollution and the development of affective symptoms, with a central role of sleep disturbances in the emergence of mood alterations. Risk perception also represents a crucial topic, possibly modulating the development of affective symptoms in response to light pollution. The results of this review should encourage a multidisciplinary approach to the design of healthier environments, including lighting conditions among the key determinants of human mental health.

Publisher

MDPI AG

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