Narkolepsi mareridtsundersøgelse
Adfærdsmæssig behandling af narkolepsi-relaterede mareridt
Målet med dette kliniske forsøg er at teste to adfærdsmæssige behandlinger for mareridt hos voksne med narkolepsi. De vigtigste spørgsmål, den sigter mod at besvare er:
- Er billedøvelsesterapi (IRT) effektiv til narkolepsi-relaterede mareridt?
- Gør det mere effektivt at tilføje målrettet drømmekontrol (TDC) til IRT?
Deltagerne vil blive randomiseret til en af to behandlingsgrupper og vil blive bedt om at:
- Udfyld en daglig log over søvnsymptomer i op til 13 uger.
- Deltag i 5-7 behandlingssessioner.
- Udfyld spørgeskemaer før og efter behandling.
- Gå til forskningslaboratoriet i Evanston, IL for at gennemføre en søvnundersøgelse i løbet af en lur i dagtimerne.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Jennifer Mundt, PhD
- Telefonnummer: 312-503-2846
- E-mail: NightmareStudy@northwestern.edu
Studiesteder
-
-
Illinois
-
Chicago, Illinois, Forenede Stater, 60611
- Northwestern University
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Diagnose af narkolepsi
- Alder 18 eller ældre
- Tal engelsk
- Bor i USA og kan deltage i studieaftaler i Evanston, IL
- Modtager standard medicinsk behandling for narkolepsi
- Søvn og psykiatrisk medicin er stabil i mindst 3 måneder
- Mareridtsfrekvens på ≥3 gange om ugen
- Nightmare Disorder Index score indikerer sandsynlig mareridtsforstyrrelse
- Kan og er villig til ikke at tage vågenhedsfremmende medicin på dagen for laboratoriebesøget
Ekskluderingskriterier:
- Historie om en neurologisk lidelse, der kan ændre EEG
- Er i øjeblikket engageret i psykoterapi
- Tidligere adfærdsbehandling for mareridt
- Medicinsk, psykiatrisk eller kognitiv tilstand, som ville forstyrre evnen til at deltage i behandlingen
- Ubehandlet søvnapnø (AHI ≥ 5)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Imagery rehearsal therapy (IRT)
Deltagere randomiseret til denne gruppe vil modtage 7 sessioner med IRT.
|
Terapi for at reducere mareridt, leveret via videokonferencesessioner
Andre navne:
|
|
Eksperimentel: Billedøvelsesterapi og målrettet drømmekontrol (IRT+TDC)
Deltagere randomiseret til denne gruppe vil modtage 7 sessioner med IRT+TDC.
|
Terapi for at reducere mareridt, leveret via videokonferencesessioner
Andre navne:
Terapi for at reducere mareridt, leveret i videokonferencesessioner og laboratoriesessioner.
Labsession vil involvere en søvnundersøgelse under en lur i dagtimerne.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Nightmare Frequency
Tidsramme: Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
Frequency of nightmares as measured by daily diary
|
Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
|
Disturbing Dream and Nightmare Severity Scale
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures nightmare severity.
Minimum = 0, maximum = 37.
Higher scores represent a worse severity of nightmares.
|
Baseline and posttreatment (up to 13 weeks)
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patient Reported Outcomes Measurement Information System (PROMIS) Anxiety Scale
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures symptoms using Computer Adaptive Testing (CAT) with higher scores reflecting more anxiety symptoms (worse outcome).
Population mean (T-score) of 50 with a standard deviation of 10.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Patient Reported Outcomes Measurement Information System (PROMIS) Depression Scale
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures symptoms using Computer Adaptive Testing (CAT) with higher scores reflecting more depressive symptoms (worse outcome).
Population mean (T-score) of 50 with a standard deviation of 10.
|
Baseline and posttreatment (up to 13 weeks)
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Dream Enactment Frequency
Tidsramme: Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
Frequency of dream enactment as measured by daily diary
|
Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
|
Sleep Talking Frequency
Tidsramme: Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
Frequency of sleep talking as measured by daily diary
|
Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
|
Lucid Dreams Without Control Frequency
Tidsramme: Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
Frequency of lucid dreams without control as measured by daily diary
|
Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
|
Lucid Dreams With Control Frequency
Tidsramme: Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
Frequency of lucid dreams with control as measured by daily diary
|
Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
|
Sleep-related Hallucinations Frequency
Tidsramme: Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
Frequency of sleep-related hallucinations as measured by daily diary
|
Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
|
Sleep Paralysis Frequency
Tidsramme: Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
Frequency of sleep paralysis as measured by daily diary
|
Baseline (assessed daily for 2 or 4 weeks) and posttreatment (assessed daily for 2 weeks beginning in week 9 or 11)
|
|
Patient Reported Outcomes Measurement Information System (PROMIS) General Self-Efficacy
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures symptoms using Computer Adaptive Testing (CAT) with higher scores reflecting more self-efficacy (better outcome).
Population mean (T-score) of 50 with a standard deviation of 10.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Patient Reported Outcomes Measurement Information System (PROMIS) Self-Efficacy for Managing Symptoms
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures symptoms using Computer Adaptive Testing (CAT) with higher scores reflecting more self-efficacy (better outcome).
Population mean (T-score) of 50 with a standard deviation of 10.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Nightmare Disorder Index
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures nightmare severity.
Minimum = 0, maximum = 20.
Higher scores represent a worse severity of nightmares.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Epworth Sleepiness Scale
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures daytime sleepiness.
Minimum = 0, maximum = 24.
Higher scores represent worse daytime sleepiness.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Hypersomnia Severity Index
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures the severity of hypersomnia symptoms.
Minimum = 0, maximum = 36.
Higher scores represent worse symptoms.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Functional Outcomes of Sleep Questionnaire-10
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures daytime functioning related to hypersomnia.
Minimum = 5, maximum = 20.
Higher scores represent better functioning.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Paris Arousal Disorders Severity Scale
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures the severity of non-REM parasomnia symptoms.
Minimum = 0, maximum = 50.
Higher scores represent worse symptoms.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Lucid Dream Skills Questionnaire (LUSK)
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
The Lucid Dream Skills Questionnaire (LUSK) measures the frequency of lucid dreaming.
The LUSK total score ranges from 0-4 (the mean of the item scores), with higher scores representing a higher frequency of lucid dreaming.
In general, a higher frequency of lucid dreaming is not inherently "better" or "worse."
For the purpose of this trial, one of the intervention components (Targeted Dream Control) attempted to increase lucid dreaming, so a higher score for this trial would indicate an improvement.
|
Baseline and posttreatment (up to 13 weeks)
|
|
Dream Delusions Scale
Tidsramme: Baseline and posttreatment (up to 13 weeks)
|
Measures the severity of dream delusions.
Minimum = 0, maximum = 12.
Higher scores represent worse dream delusions.
|
Baseline and posttreatment (up to 13 weeks)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Jennifer Mundt, PhD, Northwestern University
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- STU00218129
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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