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Sleep therapy may rewire brain to fight depression
NCT ID NCT04424407
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a sleep therapy called CBT-I could reduce depression and anxiety by improving how the brain controls emotions. 51 adults with poor sleep and depression symptoms took part. They met with a psychologist weekly for six weeks to learn better sleep habits. The researchers used brain scans to see if the therapy changed emotion-related brain activity.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cognitive Behavioral Therapy for Insomnia (CBT-I)
- What this could lead to
- If it works, this could point toward a drug-free way to ease depression and anxiety by fixing sleep and the brain's emotion control.
- What could go wrong
- This is a small, early study (51 people) with no control group, so results may not apply broadly. The main goal was to measure brain changes, not prove a treatment works.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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51 people
The number who actually took part.
- Started
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May 2021
- Finished
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Mar 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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25 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Ages 25-60 * Subjective complaint of sleep disturbance for ≥ 3 months (ISI≥10) * Subjective complaint of depression (BDI≥14) and not at imminent risk for suicide, as measured by CSSRS assessment * Fluent and literate in English * Written informed consent. * Reside within 60 miles of Stanford University Exclusion Criteria: * Presence of other sleep or circadian rhythm disorders * Medications that would significantly impact sleep, alertness, or mood * \>14 alcoholic drinks per week or \>4 drinks per occasion * General medical condition, disease or neurological disorder that interferes with the assessments or outpatient participation * Substance abuse or dependence * Mild traumatic brain injury * Severe impediment to vision, hearing and/or hand movement, likely to interfere with the ability to follow study protocols * Pregnant or breast feeding * Current or lifetime history of bipolar disorder or psychosis * Current or or expected cognitive behavior therapy or other evidence-based psychotherapies for another condition * Received CBT-I within the past year * Acute or unstable chronic illness * Current exposure to trauma, or exposure to trauma within the past 3 months * Working a rotating shift that overlaps with 2400h. * Presence of suicidal ideations representing imminent risk as determined by the empirically-supported, standardized suicide risk assessment" to the exclusion criteria * Individuals who are not CPAP adherent or have untreated OSA of moderate severity or worse (AHI ≥ 15)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Stanford University
Palo Alto, California, 94304, United States
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