Comparing CBT-I and CBT-I with ACT for Youth Insomnia and Anxiety

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to compare the effectiveness of cognitive-behavioral therapy for insomnia (CBT-I) alone versus CBT-I combined with acceptance and commitment therapy (ACT) in improving anxiety symptoms among youth aged 15-24. Given the high prevalence of insomnia and its comorbidity with anxiety in adolescents, the study will recruit participants who meet specific criteria related to insomnia severity and anxiety levels. The interventions will be delivered to assess their impact on both sleep and anxiety, with the hypothesis that the combined approach will yield better outcomes. The study is conducted at the Chinese University of Hong Kong, focusing on a population that speaks Chinese and Cantonese.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Youth who meet the following criteria would be eligible for taking part in this trial:

i. Chinese youth aged 15-24 years old, ii. Presence of insomnia problems as defined by insomnia severity index (ISI) using cut-off of 9, which has been locally validated cut off for detecting clinical insomnia), iii. Presence of anxiety features as defined by General Anxiety Disorder-7 (GAD-7) using cut-off of 10 for detecting clinical anxiety, iv. Ability to listen, speak, and read Chinese and Cantonese, and v. Written informed consent of participation into the study is given by youth and his/her parent's if under 18 years old; In addition, individual assent will also be obtained for subjects under age 18 years old vi. Possession of smartphone

Exclusion Criteria:

A youth would be excluded from the study if meeting one or more of the following criteria:

i. A clinical diagnosis of psychosis, schizophrenia, bipolar disorders, or intellectual disability ii. Having a diagnosed sleep disorder (e.g. delayed sleep phase and narcolepsy) that may potentially contribute to the disruption of sleep quantity and quality as determined by validated Diagnostic Interview for Sleep Patterns and Disorders (DISP) iii. Having a clinically significant suicidality (presence of suicidal ideation with a plan or an attempt) as assessed by The Structured Clinical Interview (SCID) iv. Currently receiving psychological treatment and/or pharmacological treatment for insomnia or anxiety disorder.

Where it's running

• Department of Psychiatry, the Chinese University of Hong Kong
  Shatin, New Territories, Hong Kong Recruiting

Study contacts

• Principal investigator: Rachel Ngan Yin Chan, PhD — Department of Psychiatry, the Chinese University of Hong Kong
• Study coordinator: Rachel Ngan Yin Chan, PhD
• Email: rachel.chan@cuhk.edu.hk
• Phone: 39710550

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.