Effects of Cognitive Correction and Stimulus Control in Chronic Insomnia Patients
Effects of Cognitive Correction and Stimulus Control in Chronic Insomnia Patients With Sleep Cognitive Distortions and Maladaptive Sleep Patterns
Xuanwu Hospital, Beijing
88 participants
Dec 1, 2024
INTERVENTIONAL
Conditions
Summary
This study aims to validate the effect of cognitive correction and stimulus control on correcting sleep cognitive distortions and improving maladaptive sleep behaviors.
Eligibility
Inclusion Criteria6
- Meets the diagnostic criteria for insomnia disorder according to DSM-5;
- PSQI total score > 5;
- Age ≥ 18 years, with at least a junior high school education;
- Sleep cognitive distortions assessed using the DBAS-16;
- "Maladaptive Sleep Behavior Questionnaire - 8 items" used to assess "maladaptive sleep behaviors";
- Willing to participate in the study and sign an informed consent form.
Exclusion Criteria4
- Presence of severe physical illness or serious mental disorders, or at risk for suicide;
- Clinically diagnosed or suspected sleep-related breathing disorders, restless legs syndrome, and circadian rhythm sleep-wake disorders; shift workers;
- Pregnant or lactating women;
- Currently undergoing any form of psychological therapy.
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Interventions
Cognitive correction: a) correcting unrealistic sleep expectations; b) maintaining a natural sleep onset; c) avoiding worry about losing control oversleep; d) not associating nocturnal dreaming with adverse daytime consequences; e) avoiding feelings of frustration due to one night of poor sleep; f) developing tolerance to the impact of insomnia and avoiding compensatory behaviors. Stimulus control: 1. Minimize wakefulness during time in bed and establish a positive association between sleepiness and the bed. 2. Use the bed only for sleep and sexual activities. 3. Go to bed only when feeling sleepy at night or at the designated sleep time. 4. If unable to fall asleep within approximately 20 minutes of being in bed, leave the bedroom, engage in relaxing activities, and return to bed when feeling sleepy. Repeat this process if unable to fall asleep within approximately 20 minutes. 5. Wake up at the same time every morning, including weekends.
1. Sleep until feeling refreshed the next day. 2. Maintain regular exercise and eating habits, avoiding going to bed on an empty stomach. 3. Ensure a comfortable bedroom environment with suitable nighttime temperature, free from light and noise disturbances. 4. Avoid excessive consumption of beverages, alcohol, and smoking at night, and reduce caffeine intake. 5. Avoid bringing problems to bed and refrain from attempting to sleep. 6. Place the alarm clock under the bed or move it away from sight. 7. Avoid daytime napping.
Locations(1)
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NCT06658158