RecruitingNot ApplicableNCT06968013

Effect of WBT for CI With Depression

Investigating on the Efficacy of Well-Being Therapy (WBT) for Chronic Insomnia (CI) With Depressive Symptoms

Sponsor

Xuanwu Hospital, Beijing

Enrollment

84 participants

Start Date

Nov 1, 2024

Study Type

INTERVENTIONAL

Conditions

Chronic Insomnia Depression Disorders

Summary

This randomized controlled trial aims to explore the therapeutic effects of Well-Being Therapy (WBT) on patients with Chronic Insomnia accompanied by depressive symptoms.

Eligibility

Min Age: 8 Years

Inclusion Criteria6

Diagnosed with Insomnia Disorder according to DSM-5 criteria, with a duration of at least 3 months.
Pittsburgh Sleep Quality Index (PSQI) total score \> 5.
Age 8 years or older.
Educational level of at least junior high school.
Voluntarily agree to participate and provide written informed consent.
Presence of depressive symptoms, defined as Hamilton Depression Scale (HAMD) score ≥ 16.

Exclusion Criteria4

Presence of severe physical illnesses or major psychiatric disorders, or at risk of suicide.
Diagnosed or suspected of having sleep breathing disorders, restless legs syndrome, circadian rhythm sleep disorders, or engaged in shift work.
Pregnant or breastfeeding women.
Currently undergoing any psychological therapy.

Interventions

BEHAVIORALSleep Hygiene Education

Participants will receive Sleep Hygiene Education (SHE) alone for 6 weeks. SHE involves education on maintaining consistent sleep schedules, creating a sleep-conducive environment, reducing stimulant use (e.g., caffeine, alcohol), and promoting healthy daily routines to improve sleep quality.

BEHAVIORALWell-Being Therapy

Participants will undergo Well-Being Therapy (WBT) sessions once daily for 50 minutes over a period of six weeks. The core elements of WBT include prompting participants to identify instances of well-being, contextualize these experiences using a structured diary, and recognize as well as restructure thoughts, beliefs, and behaviors that prematurely disrupt well-being. Additionally, the specific components of the six dimensions of the Psychological Well-Being (PWB) scale-autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance-are systematically integrated into different therapy sessions