Insomnia Disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnostic criteria: According to The Diagnostic and Statistical Manual of Mental Disorders V (SEM-V) the diagnostic criteria for insomnia disorders are as follows: 1) Significant dissatisfaction with the quality or quantity of sleep accompanied by at least one of the following symptoms: (1) Difficulty falling asleep; (2) difficulty maintaining sleep characterized by frequent awakenings or difficulty falling asleep after awakening; (3) inability to fall back asleep after waking early; 2) Sleep disturbance (or related daytime fatigue) causes significant distress or social occupational educational academic behavioral or other significant social impairment; 3) Sleep difficulties occur at least 3 times per week; 4) Sleep difficulties have been present for at least 3 months; 5) Sleep difficulties occur even if you have enough sleep opportunities; 6) Insomnia is not better explained by other sleep disorders and does not occur during the course of other sleep disorders (narcolepsy episodes breathing-related sleep disorders sleep-wake rhythm disorders and parasomnia); 7) Sleep is not caused by the physiological effects of substances (such as substance abuse); 8) Co-existing mental disorders and medical conditions are insufficient to explain significant sleep complaints. Inclusion criteria: 1) Meet the above diagnostic criteria; 2) The age range is 18 to 65 years old both male and female; (3) Pittsburgh Sleep Quality Index score > 7; 4) Have the ability to read and write and can cooperate with examination and treatment; 5) no acupuncture treatment for insomnia in the past 3 months; No metal implants no claustrophobia MRI and other contraindications; 6) Subjects are informed voluntarily accept tVNS treatment and sign informed consent.
Exclusion criteria
Exclusion criteria: Exclusion criteria: 1) Patients with serious life-threatening primary diseases such as cardiovascular and cerebrovascular liver kidney and hematopoietic system and other serious mental disorders; 2) Patients with severe Anxiety or Depression whose standard score is greater than or equal to 50 points by Self-Rating Anxiety Scale (SAS) or Self-rating Depression Scale (SDS); (3) Women who are pregnant or planning to become pregnant breastfeeding women; 4) insomnia caused by depression or anxiety disorder; Insomnia caused by poor sleep hygiene; Do not stop taking relevant drugs as required during treatment; 5) Patients who could not adhere to tVNS acupuncture treatment and could not understand the scale; Ear trauma (including sunburn cut infection and other lesions).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pittsburgh sleep quality index; | — |
Secondary
| Measure | Time frame |
|---|---|
| Fatigue Severity Scale;Anxiety and Depression Scale;Epworth Sleepiness Scale; | — |
Countries
China
Contacts
The Affiliated TCM Hospital of Guangzhou Medical University