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Study on the central mechanism of acupuncture therapy for insomnia based on fMRI technology

Phase 1
Not yet recruiting
Conditions
insomnia
Registration Number
ITMCTR2000004142
Lead Sponsor
the Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

1. Subjects with insomnia: Meet the fulfilled criteria for insomnia in the Diagnostic and Statistical Manual and for general insomnia in International Classification of Sleep Disorders; Aged between 1865 years, dextromanuality; A ISI score > 14 points; The duration of the disease was > 3 months, or the relapse was > 6 months; Did not participate in other clinical studies during the same period; Signed informed consent form and volunteered to participate in this study;
2. Normal subject: Have no insomnia, and does not meet the diagnostic criteria for insomnia; Aged between 1865 years, dextromanuality; A ISI score < 7 points; Did not participate in other clinical studies during the same period; Signed informed consent form and volunteered to participate in this study.

Exclusion Criteria

1. Subjects with insomnia: Sleep disturbance caused by external environment interference; Sleep disorders caused by drugs or life factors such as alcohol, coffee or strong tea; Sleep disturbances caused by severe primary diseases (cardiovascular, pulmonary, liver, etc.), severe deeline (malignant tumors, etc.), and systemic diseases (pain, fever, surgery, etc.);Pregnancy or lactation; Persons diagnosed with mental illness or bipolar disorder; Psychiatric conditions requiring treatment, including GAD-7 score> 10 points, PHQ-9 score> 10 points; Severe depression recurs>2 times; Risk of suicide and self-injury; Diagnosis of other sleep disorders, including obstructive sleep apnea or circadian sleep disorders; Used hypnotic or sedative drugs to treat insomnia in the last 4 weeks; Alcohol and drug dependence in the previous 1 year; Night shift or irregular sleep pattern; Received acupuncture or Traditional Chinese medicine treatment in recent 2 months; Existing progressive diseases (such as dementia, Parkinson's disease, tumor, etc.) directly related to the onset and course of insomnia; Contraindications for MRI(pacemaker, cochlear implant, claustrophobia, etc.); History of neurological diseases (brain tumors, epilepsy, cerebrovascular accidents, etc.); History of severe head trauma (loss of consciousness >10 min);With acupoint infect or afraid of acupuncture.
2.Normal subject: Pregnancy or lactation; Previously diagnosed as depression, anxiety disorder, bipolar disorder or other mental disorders, or GAD-7 score > 5 points, or PHQ-9 score > 5 points in this study; Risk of suicide and self-injury; Used hypnotic or sedative drugs to treat insomnia in the last 4 weeks; Alcohol and drug dependence in the previous 1 year; Night shift or irregular sleep pattern; Received acupuncture or Traditional Chinese medicine treatment in recent 2 months; With severe primary diseases (cardiovascular, lung, liver, etc.), severe wasting diseases (malignant tumors, etc.), and systemic diseases (pain, fever, surgery, etc.); Contraindications for MR (pacemaker, cochlear implant, claustrophobia, etc.); History of neurological diseases (brain tumors, epilepsy, cerebrovascular accidents, etc.); History of severe head trauma (loss of consciousness >10 min.

Study & Design

Study Type
Interventional study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pittsburgh Sleep Quality Index ;Functional magnetic resonance imaging;The Montreal Cognitive Assessment;
Secondary Outcome Measures
NameTimeMethod
Consensus Sleep Diary;The Epworth Sleepiness Scale;Positive and Negative Affect Schedule;Insomnia Severity Index;
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