Examining the Impact of Light Exposure on Emotions, Psychic Health and Behaviours
Documentation files
Documentation files
Citation and access
Citation and access
Data access level:
Creator/Principal investigator(s):
- Jesper Alvarsson-Hjort - Karolinska Institutet - Department of Learning, Informatics, Management and Ethics [C7]
Research principal:
Principal's reference number:
- 4-652/2026
Data contains personal data:
No
Citation:
Language:
Method and outcome
Method and outcome
Unit of analysis:
Population:
The selection of participants for the study will be limited to healthy adults (18+) without serious visual impairments. A total of 500 participants are planned to be recruited.
Time method:
Study design:
- Experimental study
- Randomised controlled trial (RCT)
Description of study design:
This study will employ an experimental design, a randomised controlled trial (RCT) where participants will be allocated to either the intervention or control group using simple randomisation techniques. Informed consent will be obtained from all participants before participating in the study. Participants will be unaware of the research hypothesis and any details about the light exposures, including those in their own group, until after exposure. Participants will be randomly assigned to either the intervention group (blue light exposure) or the control group (white light exposure) using a simple randomisation procedure, the randomization will also include experiment control conditions such as AB, BA order for the association task. A list of exposures will be ordered in a Latin-square and randomly allocated to participants in blocks giving each participant equal chance of being placed in either group, while ensuring equal group sizes. This method reduces selection bias and ensures that group allocation is unpredictable. By applying simple randomization, the study aims to achieve balanced groups, allowing for a fair comparison between the intervention and control conditions. Light exposure will be provided by two Pracht Luminaire TUBIS LED INDUSTRY fixtures. In the intervention group, a fixture with narrow-band blue light (λ: 469-480nm) will be used, while in the control group, another fixture with broad-spectrum white light (λ: 380-700nm) will be used. Both groups will be in a noise- and temperature-controlled room, isolated from outside interference and natural light sources.
Sampling procedure:
Description of sampling:
We aim to recruit a diverse sample to represent the general population in Stockholm, including a variety of age ranges and backgrounds, using a self-selection recruitment technique. While achieving this level of diversity is ideal, it may not be attainable due to the nature of volunteer sampling. Recruitment will take place through advertisements on Karolinska Institute’s website and bulletin boards around Stockholm. Participant booking will be done via phone and email, primarily during daytime hours, but evening slots may also be available if it is more convenient for the participants. All collected data are anonymous, and there is no possibility of linking personal data to the collected dataset. The signed informed consent forms are stored without any internal order, which prevents information about the timing of data collection from being used to link personal data to the dataset.
Time period(s) investigated:
Variables:
272
Number of individuals/objects:
500
Description of the response rate/participation rate:
A complete dataset has not yet been collected. The uploaded data material is simulated based on the data collected thus far.
Data collection
Data collection
Description of the mode of collection:
The study will take place at the Department of Psychology, in the Sleep Laboratories at Stockholm University (Albano Campus). The entire duration required for each participant will be a single 60-minute session with no follow-up appointments necessary. First, written informed consent will be obtained from all individuals who volunteer to participate in the study by researchers trained in this process. This includes providing an information sheet containing details about the study’s purpose, what participation involves, potential risks, the type of data to be collected and how it will be stored, compensation, their rights as a participant, as well as contact information for the principal investigator (huvudansvarig forskare). During this time participants will also be given an opportunity to ask questions before proceeding. Those that consent to partake will first undergo baseline assessments. This begins with measuring the resting heart rate of participants using an electrocardiogram (ECG). Participants will place the electrodes on themselves under the guidance of the study coordinator. The electrodes will remain in place throughout most of the data collection process to provide continuous monitoring. Baseline questionnaires will then collect demographic information, as well as measure participants’ current emotional state and stress level (see appendix). Next, maximum hand grip strength will be measured using the participant's non-dominant hand to determine the endurance setting (30% of their maximum grip strength) for the behavioural perseverance task. This ensures that the endurance task is equally challenging for all participants. Lastly, a baseline test will be conducted to assess participants’ initial proficiency in the N-back task before proceeding with the main experimental phase. During the next phase, participants will be allocated to either the intervention or control group using block randomisation. Three tasks will be completed to measure behavioural perseverance (BP) with the order of tasks varying for each participant through Latin square randomisation. The hand grip endurance task will be carried out as follows: Using their pre-determined endurance setting, participants will be instructed to clench the hand grip device and hold that strength for as long as possible. If the participant sustains their grip for five minutes, the study coordinator will end the task. Perseverance is measured by how long the participant maintains the grip. The N-back task will be carried out as follows: The initial baseline assessment will have determined the appropriate starting level of difficulty to ensure that each participant faces an equal challenge. Participants will be instructed to complete the task on a computer and continue until they either choose to quit or reach a predetermined duration (to be established during pilot tasks). Perseverance is measured by how long the participant persists through the task. The thread and needle task will be carried out as follows: Participants will be instructed to simply thread a needle. They will not be informed beforehand that the task is intentionally designed to be frustrating. The width of the thread will make it impossible to complete, especially within the given time limit and under the rules, which state that participants cannot use their mouth or the other hand and must only hold the thread beyond a knot located approximately 5 cm from the tip. Participants will be asked to press a button on the keyboard when they either complete the task or decide to stop. The time taken before pressing the button will be recorded. If the task is not completed within five minutes, an automatic instruction to end will appear on the computer screen. The level of performance will be assessed by how long participants persist in trying to thread the needle. After each task, participants will complete a single-item stress scale and a single-item effort scale. Participants will continue under either the intervention or control lighting condition and then fill out a brief questionnaire assessing their current emotional state, depression, anxiety, stress, suicidal ideation, as well as a hope scale (see appendix). Once these components have been completed, participants will be able to remove the electrodes from themselves as this marks the end of the experimental phase. The post-experimental phase comprises two final components. First, all participants, no longer exposed to experimental lighting conditions but instead normal room lighting, will complete the single-item stress scale one last time and another questionnaire measuring psychological symptoms and transportation habits (see appendix). Lastly, associations to both lighting conditions will be assessed for all participants through free recall of up to five words associated with each condition, along with an estimation of the perceived strength of the association in relation to the light. The order of exposure to the lighting conditions will be randomised using block randomisation, alternating between blue-first and white-first for each participant.
Time period(s) for data collection:
2025 - 2025
Data collector:
- Karolinska Institutet
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Instrument
Instrument
Name:
European Social Survey
Type:
Technical instrument(s)
Description of the instrument:
Demographic information will be collected using questions based on the European Social Survey (ESS), which will provide categorical data and, in some cases, ordinal data. The survey includes standardized questions about important demographic variables such as gender, age, education level, and income.
Name:
Circumplex Model of Affect
Type:
Technical instrument(s)
Description of the instrument:
The Circumplex Model of Affect will be used to collect information about emotional states, measured as continuous data. Participants will assess their feelings of how positive or negative they feel and how energetic or calm they are, allowing for a nuanced analysis. We will specifically use a Swedish Core Affect Scale, which consists of unipolar adjectives.
Name:
BORG-10 scale
Type:
Technical instrument(s)
Description of the instrument:
The BORG-10 scale will be used to assess self-reported stress and effort, providing ordinal data. Participants will rate their stress or effort from 0 (no stress or effort) to 10 (maximum stress or effort), which helps us understand their subjective experience.
Name:
Electrocardiogram (ECG)
Type:
Technical instrument(s)
Description of the instrument:
Heart rate, an indicator of physiological stress, will be collected using medical electrocardiogram monitors (Zenicor FLEX-ECG). The data will be used in its raw form, but also to calculate heart rate variability in relation to the phases of the experiment and between experimental groups.
Name:
N-Back
Type:
Participant tasks
Description of the instrument:
The N-back test, developed to assess working memory and widely used, will serve as a measure of behavioural endurance by evaluating how well individuals maintain focus and performance over time as the task difficulty increases.
Name:
Thread and Needle Test
Type:
Participant tasks
Description of the instrument:
The Thread and Needle test is a measure of both cognitive and physical behavioural endurance, providing continuous data measured through performance time. The task was designed and tested as an experimental behavioural measure to study endurance in uncomfortable, difficult or conflicting situations.
Name:
Handgrip Test
Type:
Participant tasks
Description of the instrument:
The handgrip test has been designed and tested as an experimental behavioral measure to study endurance in uncomfortable, difficult, or conflicting situations and is considered physically demanding. Jamar hand dynamometer devices will be used, which are considered the gold standard.
Name:
Depression, Anxiety and Stress Scale-21 (DASS-21)
Type:
Technical instrument(s)
Description of the instrument:
A Swedish translation of the Depression, Anxiety, and Stress Scale-21 (DASS-21) will also be used to measure psychological symptoms and stress, providing both categorical and continuous data. Several studies have assessed the psychometric properties of the 21-item scale and have provided consistent and satisfactory results.
Name:
Adult Hope Scale
Type:
Technical instrument(s)
Description of the instrument:
The Adult Hope Scale will be used to measure the concept of hope by assessing two key components: agency (belief in one's own ability to achieve goals) and pathways (the perceived ability to identify ways to reach those goals), providing ordinal data. The scale consists of 12 items rated on a Likert scale, allowing for the calculation of separate scores for agency and pathways, as well as a total score for hope.
Name:
Suicidal Ideation Attributes Scale
Type:
Technical instrument(s)
Description of the instrument:
The Suicidal Ideation Attributes Scale (SIDAS) will be used to assess the severity of suicidal thoughts across five dimensions, providing continuous data reflecting frequency, control, proximity to attempt, stress, and impact on daily activities.
Name:
Symptom Checklist-90 (SCL-90)
Type:
Structured questionnaire
Description of the instrument:
The SCL-90 (Symptom Checklist-90) questionnaire will be used to measure psychological symptoms among participants, providing categorical data. This instrument assesses a range of psychological symptoms across nine areas, including anxiety, depression, and interpersonal sensitivity. Participants will answer questions reflecting their experiences over the past week, enabling a comprehensive evaluation of their psychological well-being. A Swedish-translated version that has been standardized and validated will be used in this study.
Name:
Transport Habits
Type:
Structured questionnaire
Description of the instrument:
Questions related to participants' transportation habits (type and frequency) will be based on those used by the Swedish Transport Analysis Agency (Trafikanalys), providing ordinal data.
Name:
Light Associations
Type:
Semi-structured questionnaire
Description of the instrument:
Associations to the light conditions will be assessed through a questionnaire created specifically for this study. Associations with the two different light conditions (B-LED and White) will be measured by having participants freely provide up to five words that they associate with each light condition, and then rate the strength of the association they perceive.
Geographic coverage
Geographic coverage
Geographic location:
Geographic description:
Sample from Stockholm County in Sweden; the home address of participants is not known
Lowest geographic unit:
County (NUTS 3)
Highest geographic unit:
County (NUTS 3)
Administrative information
Administrative information
Responsible department/unit:
Department of Learning, Informatics, Management and Ethics [C7]
Ethics Review:
Swedish Ethical Review Authority - 2025-00418-01
Funding
Funding
Funding agency:
- Region Stockholm
Award number:
SLSO 2025-0854
Award title:
Blue Light Intervention for Railway Suicide Prevention
Funding agency:
- Swedish Transport Administration
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Award number:
TRV 2024/29082, ID 2023-47
Award title:
Blue light on railways for suicide‑preventive purposes
