Chronic Insomnia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 65 years. 2. Sex: No restriction. 3. Meets the ICSD-3 diagnostic criteria for chronic insomnia disorder (symptom frequency =3 times per week for =3 months). 4. A baseline total score on the Pittsburgh Sleep Quality Index (PSQI) > 8. 5. Chinese Han ethnicity and right-handed. 6. Has completed at least a primary school education (=6 years of formal schooling). 7. Capable of understanding the study and providing written informed consent.
Exclusion criteria
Exclusion criteria: 1. Presence of a severe somatic disease, or a mental disorder attributable to other physical illnesses. 2. History of epileptic seizures. 3. Comorbid or history of other severe mental disorders, or presence of a substance use disorder. 4. Prior treatment with other forms of electrical or magnetic stimulation therapy. 5. Presence of implanted medical devices (e.g., cardiac pacemaker, cochlear implant) or other contraindicated metal within the body. 6. Conditions contraindicating MRI scanning, such as claustrophobia. 7. Other sleep disorders including moderate to severe obstructive sleep apnea (Apnea-Hypopnea Index, AHI >15), periodic limb movement disorder (Periodic Limb Movement Index, PLMI >25), or parasomnias. 8. Severe depression (Patient Health Questionnaire-9 score >20), presence of psychotic features, or individuals deemed to be at high risk of suicide.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Morningnsee-eveningness questionnaire, MEQ ;sleep diary;Cognitive function test;Insomnia Severity Index, ISI;Pittsburgh sleep quality index, PSQI; | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient Health Questionnaire-9, PHQ-9;Treatment Emergent Symptom Scale, TESS;Magnetic Resonance Imaging, MRI;Generalized Anxiety Disorder-7, GAD-7 ;Hamilton Depression Scale, HAMD ; | — |
Countries
China
Contacts
Second Xiangya Hospital of CSU