Skip to content

Exploring brain imaging mechanisms in middle-aged and elderly patients with insomnia with cognitive dysfunction based on glymphatic and cortical limbic systems

Exploring brain imaging mechanisms in middle-aged and elderly patients with insomnia with cognitive dysfunction based on glymphatic and cortical limbic systems

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500114732
Enrollment
Unknown
Registered
2025-12-17
Start date
2025-01-04
Completion date
Unknown
Last updated
2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Insomnia disorder

Interventions

Middle-aged and elderly ID without cognitive dysfunction group:None
Middle-aged and elderly ID with cognitive dysfunction group:None
Healthy control group:None

Sponsors

Guangdong Second Provincial General Hospital (Guangdong Provincial Emergency Hospital)
Lead Sponsor

Eligibility

Sex/Gender
All
Age
45 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. Inclusion criteria for ID without cognitive dysfunction: (1) All met the diagnostic criteria for "insomnia disorder" in the Fifth edition of the Diagnostic and Statistical Manual of Mental Disorders formulated by the American Psychiatric Association. (2) The chief complaint is difficulty falling asleep and maintaining sleep, with the onset of the disease lasting at least 3 months. (3) Age: 45 -65 years old, right-handed. (4) Neuropsychological assessment showed no impairment in the overall cognitive function of the subjects 2. Inclusion criteria for ID with cognitive dysfunction The inclusion criteria were the same as those in (1), (2), and (3) above, but neuropsychological assessment indicated mild impairment of overall cognitive function in the subjects (MMSE > 27). Previous studies have shown that 27 points is the optimal critical point for distinguishing whether there is cognitive impairment or not 3. Enrollment of the healthy control group: This project intends to select 53 healthy controls that are matched with ID patients in terms of gender, age, Body MassIndex (BMI), educational level, etc., with ages ranging from 45 to 65 Age: Normal MMSE, right-handed, no claustrophobia, no contraindications for magnetic resonance imaging.

Exclusion criteria

Exclusion criteria: 1.ID has no exclusion criteria for cognitive dysfunction Insomnia disorders are excluded from being caused by narcolepsy, sleep disorders related to breathing, biological rhythm sleep disorders, etc. (2) Sleep disorders are excluded from being caused by major depressive disorder, generalized anxiety disorder and other disorders. (3) Insomnia disorders are excluded from being caused by other mental illnesses, various physical diseases, or the psychological effects of alcohol or drugs. (4) The patient has diabetes, hypertension, heart disease or respiratory system disease. (5) Malnutrition and obesity. (6) Take hypnotic or psychotropic drugs two weeks before the project starts and during the project. 2. Exclusion criteria for ID with cognitive dysfunction: Insomnia disorders are excluded from being caused by narcolepsy, sleep disorders related to breathing, biological rhythm sleep disorders, etc. (2) Sleep disorders are excluded from being caused by major depressive disorder, generalized anxiety disorder and other disorders. (3) Insomnia disorders are excluded from being caused by other mental illnesses, various physical diseases, or the psychological effects of alcohol or drugs. (4) The patient has diabetes, hypertension, heart disease or respiratory system disease. (5) Malnutrition and obesity. (6) Take hypnotic or psychotropic drugs two weeks before the project starts and during the project. Exclusion criteria for the healthy control group: Those who have been dependent on alcohol or drugs in the past six months; (2) Those with a history of mental illness or congenital developmental delays (such as anxiety disorders, emotional disorders or depression, etc.); (3) Those with cognitive impairment caused by head trauma.

Design outcomes

Secondary

MeasureTime frame
Glymphatic system and corticolimbic system;

Primary

MeasureTime frame
Insomnia disorder;Cognitive dysfunction;

Countries

China

Contacts

Public ContactShumei Li

Guangdong Second Provincial General Hospital (Guangdong Provincial Emergency Hospital)

804075890@qq.com+86 20 8916 9137

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026