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Behavioral Intervention

Cognitive Behavioral Therapy for Insomnia to Treat Depression

N/A
Recruiting
Led By Andrea Goldstein-Piekarski, PhD
Research Sponsored by Stanford University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be between 18 and 65 years old
Timeline
Screening 3 days
Treatment 8 weeks
Follow Up 3 days
Awards & highlights
No Placebo-Only Group

Summary

This trial will test whether an intervention that improves sleep patterns can also reduce depressive symptoms by improving emotion regulation brain function.

Who is the study for?
This trial is for adults aged 25-60 near Stanford University who speak English and have had sleep disturbances for over 3 months, along with depression but not at immediate suicide risk. Exclusions include recent CBT-I therapy, trauma exposure, untreated severe sleep apnea, certain medical conditions or medications affecting sleep/mood, substance abuse, bipolar disorder or psychosis.
What is being tested?
The study tests if Cognitive Behavioral Therapy for Insomnia (CBT-I) can reduce depressive symptoms by improving brain function related to emotion regulation in those with poor sleep and depression. It involves weekly sessions over 8 weeks and uses fMRI scans to measure changes in the brain.
What are the potential side effects?
Since CBT-I is a non-medical treatment involving behavioral strategies like mindfulness and education about sleep hygiene, it typically does not have physical side effects. However, some may experience temporary increased stress or anxiety due to changes in their sleeping patterns.

Timeline

Screening ~ 3 days
Treatment ~ 8 weeks
Follow Up ~3 days
This trial's timeline: 3 days for screening, 8 weeks for treatment, and 3 days for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change in Beck Depression Inventory
Brain
Change in Emotion Regulation Network brain connectivity as assessed by functional magnetic resonance imaging
+1 more
Secondary study objectives
Change in Actigraph Number of Arousals as a Measure of Sleep Continuity
Change in Actigraph Sleep Efficiency (SE) as a Measure of Sleep Continuity
Change in Actigraph Sleep Onset Latency (SOL) as a Measure of Sleep Continuity
+14 more

Side effects data

From 2015 Phase 2 & 3 trial • 150 Patients • NCT00767624
1%
Hematoma R side abdomen
1%
Severe vaginal bleeding and pain
1%
Chest pain in a patient with CAD
1%
Asthma
100%
80%
60%
40%
20%
0%
Study treatment Arm
Antidepressant + Desensitization
Antidepressant + Cognitive Behavioral

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: CBT-IExperimental Treatment1 Intervention
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Cognitive Behavioral Therapy for Insomnia
2013
Completed Phase 3
~1930

Find a Location

Who is running the clinical trial?

National Institute of Mental Health (NIMH)NIH
2,918 Previous Clinical Trials
2,739,895 Total Patients Enrolled
701 Trials studying Depression
261,081 Patients Enrolled for Depression
Stanford UniversityLead Sponsor
2,472 Previous Clinical Trials
17,501,748 Total Patients Enrolled
108 Trials studying Depression
93,796 Patients Enrolled for Depression
Andrea Goldstein-Piekarski, PhDPrincipal Investigator - Stanford University
Stanford University
2 Previous Clinical Trials
199 Total Patients Enrolled

Media Library

Cognitive Behavioral Therapy for Insomnia (Behavioral Intervention) Clinical Trial Eligibility Overview. Trial Name: NCT04424407 — N/A
Depression Research Study Groups: CBT-I
Depression Clinical Trial 2023: Cognitive Behavioral Therapy for Insomnia Highlights & Side Effects. Trial Name: NCT04424407 — N/A
Cognitive Behavioral Therapy for Insomnia (Behavioral Intervention) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04424407 — N/A
Depression Patient Testimony for trial: Trial Name: NCT04424407 — N/A
~16 spots leftby Nov 2025