About this trial
The purpose of this study is to evaluate the clinical and cost-effectiveness of an intelligent therapy based on digital cognitive behavioral therapy for insomnia disorders
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
(1) Clinical diagnosis of insomnia disorder; (2) Cooperate to complete the questionnaire surveys.
Disqualifiers
(1) Current use of central nervous system stimulants; (2) Use of analgesics, theophylline preparations, steroid medications; (3) Alcohol abuse or regular alcohol intake; (4) Diagnosis of other sleep disorders (e.g., obstructive sleep apnea, rapid eye movement sleep behavior disorder, restless legs syndrome) ; (5) Sleep disorders secondary to organic diseases (e.g., epilepsy, diabetes, renal failure).
Trial design
Parallel
Treatments tested in this trial
Intelligent Diagnostic and Treatment Model
Other interventionIntelligent CBTI
Traditional treatment
Drugsleep drug treatment
Treatment groups
Trial outcomes
Primary outcomes
the score of Insomnia Severity Index scale
The total score ranges from 0 to 28, and a higher score indicates higher levels of insomnia severity. A score of 8 or greater is the cut point for clinically possible insomnia
the score of 7-item Generalized Anxiety Disorder scale
The total score ranges from 0 to 21, and a higher score indicates higher levels of anxiety symptoms. A score of 10 or greater is the cut point for clinically possible anxiety
the score of Patient Health Questionnaire-9 scale
The total score ranges from 0 to 27, and a higher score indicates higher levels of depression symptoms. A score of 10 or greater is the cut point for clinically possible depression symptom
the value of European Quality of Life Five Dimension
The European Quality of Life Five Dimension is a standardized measure of health-related quality of life assessing five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Higher scores indicate better quality of life
Secondary outcomes
Change in plasma corticotropin-releasing factor (CRF) level
Plasma corticotropin-releasing factor (CRF) concentration was measured as a biomarker of hypothalamic-pituitary-adrenal (HPA) axis activity. Higher levels indicate increased neuroendocrine stress response. Unit of Measure: pg/mL
Change in plasma cortisol level
Plasma cortisol concentration was assessed as an indicator of hypothalamic-pituitary-adrenal (HPA) axis function. Higher levels reflect increased physiological stress response. Unit of Measure: μg/dL
Change in serum interleukin-6 (IL-6) level
Serum interleukin-6 (IL-6) concentration was measured as a marker of systemic inflammation. Higher levels indicate greater inflammatory activity. Unit of Measure: pg/mL
Change in serum brain-derived neurotrophic factor (BDNF) level
Serum brain-derived neurotrophic factor (BDNF) concentration was measured as a biomarker associated with neuroplasticity and neuronal function. Higher levels indicate enhanced neurotrophic activity. Unit of Measure: pg/mL
Sponsors and contacts
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Zan Wang
Lead sponsor
The First Hospital of Jilin University
Sponsor institution