Cognitive Behavioral Therapy for Treatment of Insomnia in Patients With Major Depression
Treatment of Insomnia in Patients With Major Depression Disorder Using Cognitive Behavioral Therapy, Sleep Restriction and Stimulus Control Therapy. A Randomized, Controlled 8 Week Study
1 other identifier
interventional
47
1 country
1
Brief Summary
Participants (N=47) are patients with major depression. Participants are assessed with clinical interview, polysomnographic evaluation and screening with Insomnia Severity Index (ISI), Dysfunctional Beliefs About Sleep-scale (DBAS), HDRS, MINI and Sleep Diary pre and post treatment. Participants are randomly assigned to either treatment as usual or CBT-I. The latter receives individual as well as group therapy with CBT-I during 6 sessions. Post-treatment: The investigators will compare changes in sleep diary parameters, HamD17, ISI and DBAS. Data are analyzed by using Chi-square test, Wilcoxon-Mann-Whitney U-test and ANOVA. STATA is used for data-processing.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2015
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 23, 2015
CompletedFirst Posted
Study publicly available on registry
February 10, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2020
CompletedJanuary 12, 2023
November 1, 2016
4.7 years
October 23, 2015
January 11, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Patients Total sleep time (minutes).
Obtained through sleep diary
8 weeks
Secondary Outcomes (1)
Score on HamD17 (points)
8 weeks
Study Arms (2)
CBT-I
EXPERIMENTALBehavioral intervention: CBT-I
Treatment as usual
ACTIVE COMPARATORIntervention: Control group receiving treatment as usual
Interventions
Eligibility Criteria
You may qualify if:
- Unipolar depression, either as a single episode or as periodic depression.
- HAM-D17 \> 18, i.e. moderate to severe depression.
- Time spent on falling asleep: more than 30 minutes at least three nights a week or
- Interrupted sleep with wake periods lasting more than 30 minutes at least three nights a week.
- Symptoms must have lasted for at least a month.
You may not qualify if:
- Other sleep disorder (e.g. moderat to severe Sleep apnoea and Periodic Limb Movements)
- Physical disorder that affects sleep to a considerable degree.
- Schizophrenia and bipolar disorder.
- Subject to other ongoing psychological treatment besides standard treatment.
- Suicidal to the equivalent of level 3 on HAM-D 17.
- Active substance abuse problem.
- Pregnancy.
- Shift work.
- Do not speak or understand danish
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Aarhuslead
- TrygFonden, Denmarkcollaborator
Study Sites (1)
Aarhus University Hospital
Aarhus, Central Jutland, 8200, Denmark
Related Publications (1)
Dyrberg H, Bjorvatn B, Larsen ER. Cognitive Behavioral Therapy for Chronic Insomnia in Outpatients with Major Depression-A Randomised Controlled Trial. J Clin Med. 2022 Oct 1;11(19):5845. doi: 10.3390/jcm11195845.
PMID: 36233712DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Erik Roj Larsen, PhD
Psychiatry in the Region of Southern Denmark, Odense, Department of Psychiatry
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 23, 2015
First Posted
February 10, 2016
Study Start
August 1, 2015
Primary Completion
April 1, 2020
Study Completion
April 1, 2020
Last Updated
January 12, 2023
Record last verified: 2016-11