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临床试验/NCT06658184
NCT06658184招募中不适用

Effects of Sleep Restriction and Stimulus Control in Chronic Insomnia Patients With Prolonged Bed Rest and Maladaptive Sleep Patterns

Xuanwu Hospital, Beijing1 个研究点 分布在 1 个国家目标入组 88 人开始时间: 2024年12月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
88
试验地点
1
主要终点
The change of Pittsburgh Sleep Quality Index (PSQI) total scores from baseline to 6 weeks

研究概览

简要总结

The study aims to validate the effect of sleep restriction and stimulus control on improving chronic insomnia patients' sleep habits and maladaptive sleep behaviors.

详细描述

The purpose of sleep restriction is to reduce the patient's time in bed, bringing it closer to their actual sleep time, thereby improving sleep efficiency and quality. Stimulus control, on the other hand, aims to associate the bed with a rapid sense of falling asleep, reducing the negative association between the bed and insomnia.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Meet the diagnostic criteria for insomnia disorder as per DSM-
  • •Pittsburgh Sleep Quality Index (PSQI) total score >
  • •Age ≥ 18 years, at least a junior high school education level.
  • •Assessment of sleep-wake behavior by sleep diary.
  • •Assessment of "maladaptive sleep behavior" by self-designed 8-item questionnaire.
  • •Voluntary participation in the study and signing an informed consent form.

排除标准

  • •Presence of severe physical or severe mental illness, and suicide risk.
  • •Clinical diagnosis or suspicion of sleep-breathing disorders, restless leg syndrome, and sleep-wake rhythm disorders, as well as individuals working in rotating shifts or with shift work.
  • •Pregnant or lactating women.
  • •Currently undergoing any form of psychological therapy.

研究组 & 干预措施

Sleep hygiene education

Active Comparator

干预措施: sleep hygiene education (Behavioral)

sleep restriction and stimulus control

Experimental

干预措施: sleep restriction and stimulus control (Behavioral)

结局指标

主要结局

The change of Pittsburgh Sleep Quality Index (PSQI) total scores from baseline to 6 weeks

时间窗: Baseline, 6 weeks

The PSQI consists of 7 factors ranging from 0 to 3 points, and the total score ranges from 0 to 21 with higher scores indicating poorer quality.

次要结局

  • The change of PSQI total scores from baseline to 3 months, 6 months, and 12 months(baseline, 3 months, 6 months, and 12 months)
  • The change of Insomnia severity index (ISI) total scores from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of sleep efficiency from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS) total scores from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of Snaith-Hamilton Pleasure Scale (SHAPS) total scores from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of Short Form 36 (SF-36) total scores from baseline to 6 weeks, 3 months, 6 months, 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months.)
  • The change of Patient Health Questionnaire-4 (PHQ-4) total scores from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of Beck Depression Inventory (BDI) total scores from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of Beck Anxiety Inventory (BAI) total scores from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of Patient Health Questionnaire-15 (PHQ-15) total scores from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of 5-item Perceived Deficits Questionnaire-Depression (PDQ-D-5) total scores from baseline to 6 weeks, 3 months, 6 months, and 12 months(Baseline, 6 weeks, 3 months, 6 months, and 12 months)
  • The change of Life Events Scale (LES) total scores from baseline to 3 months, 6 months, 12 months, 18 months, and 24 months(Baseline, 3 months, 6 months, 12 months, 18 months, and 24 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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