Depression Clinical Trial
Official title:
Guided Internet-treatment for Insomnia. Treatment Effects, Health Economics and Interaction With Depression
This study includes two sub-trials.
In trial 1 patients suffering from insomnia but not meeting the criteria for depression are
randomised to either therapist guided Internet-based CBT for insomnia or to a control group
with a non-guided, brief self-help program that acts as a placebo control. The primary
purpose is to evaluate reduction in Insomnia severity (compared to placebo) after treatment
and at follow-ups at 6-month, 1 year and 3 years. Secondary purpose is to evaluate the
costeffectiveness of the treatment and to evaluate if the insomnia treatment has a
preventive effect on future depressive episodes. Recruitment is done through mass media and
includes all regions of Sweden. Initial assessment based on questionnaires and telephone
interviews.
Trial 2 includes patients suffering from both Insomnia and depression. Randomization is done
between either CBT for insomnia or CBT for depression (both Internet-based) to evaluate each
respective treatment's effect on both insomnia and depression. The patients need for further
treatment after the initial one will be measured and used as a secondary outcome.
Recruitment is done through mass media but only citizens in the Stockholm area are included
since the initial assessment are based on both questionnaires and telephone interviews as
well as a visit at a psychiatrist located at the Internet psychiatry clinic in Stockholm.
Both trials will include health economic data and analysis. For the longer follow-up periods
(1 and 3 years), registers will be used to analyse consumption of sleep medication and
antidepressants as well as general health care utilization.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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