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This study is a randomized, placebo-controlled, double-blind clinical study. 60 cases of insomnia patients with depressive symptoms are planned to be treated, and they are randomly assigned to the experimental group (Shugan Jieyu Capsule combined with zolpidem group) and the control group (placebo combined with zolpidem group) in equal proportion. Both groups are given zolpidem orally for basic treatment, with the treatment dose of 10mg per tablet per day, one tablet per time, once a day, before sleep, for 8 consecutive weeks. The test group was given Shugan Jieyu Capsule orally, with a therapeutic dose of 0.36g per capsule, 2 capsules each time, twice a day, and once after breakfast and dinner. The control group was given placebo orally, with a treatment dose of 0.36g per capsule, 2 capsules each time, twice a day, and once after breakfast and dinner. The therapeutic effect of Shugan Jieyu Capsule on insomnia patients with depressive symptoms was observed by analyzing the changes of ISI scores, subjective and objective sleep indicators (PSG, sleep diary), daytime cognitive function, autonomic nervous function and EEG after the intervention in the fourth and eighth weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group: Shugan Jieyu Capsule combined with zolpidem | Experimental | Zolpidem was given orally for basic treatment, with the treatment dose of 10mg/tablet per day, one tablet per time, once a day, before sleep, for 8 consecutive weeks. Shugan Jieyu Capsule was given orally, with a therapeutic dose of 0.36g/capsule, 2 capsules each time, twice a day, and once after breakfast and dinner. |
|
| Control group: Placebo combined with zolpidem | Placebo Comparator | Zolpidem was given orally for basic treatment, with the treatment dose of 10mg/tablet per day, one tablet per time, once a day, before sleep, for 8 consecutive weeks. Placebo was given orally, with a therapeutic dose of 0.36g/capsule, 2 capsules each time, twice a day, and once after breakfast and dinner. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental group: Shugan Jieyu Capsule combined with zolpidem | Drug | Shugan Jieyu capsule and zolpidem orally for 8 consecutive weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Insomnia severity index scale | Changes in insomnia severity index scale | Baseline and four, eight weeks after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Pittsburgh sleep quality index scale | Changes in pittsburgh sleep quality index scale | Baseline and four, eight weeks after treatment |
| Patient health questionnaire | Changes in patient health questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bin Zhang, MD & PhD | Contact | 86-20-62786731 | zhang73bin@hotmail.com | |
| Meilei Su, MD | Contact | 86-20-62786731 | sumeilei@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Bin Zhang, MD & PhD | Nanfang Hospital, Southern Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanfang Hospital, Southern Medical University | Recruiting | Guangzhou | Guangdong | 510515 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41904400 | Derived | Xin Q, Paudel D, Zhang J, Wei H, Huang H, Lv Z, He W, Xu Y, Zhang B. Neural mechanism of Shugan Jieyu combined with zolpidem in insomnia disorder with depressive symptoms: evidence from event-related potentials in Go/No-Go and psychomotor vigilance task. BMC Psychiatry. 2026 Mar 28;26(1):408. doi: 10.1186/s12888-026-08023-y. | |
| 41107798 |
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| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000077334 | Zolpidem |
| ID | Term |
|---|---|
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Control group: Placebo combined with zolpidem | Drug | Placebo and zolpidem orally for 8 consecutive weeks |
|
| Baseline and four, eight weeks after treatment |
| Facade severity scale | Changes in facade severity scale | Baseline and four, eight weeks after treatment |
| Epworth sleeping scale | Changes in epworth sleeping scale | Baseline and four, eight weeks after treatment |
| Polysomnography | Changes in the time to fall asleep, times of waking up at midnight and times of waking up early | Baseline and four, eight weeks after treatment |
| Sleep diary | Changes in the time to fall asleep, the total time to wake up in the middle of the night and the time to wake up early | Baseline and four, eight weeks after treatment |
| Generalized anxiety disorder scale | Changes in generalized anxiety disorder scale | Baseline and four, eight weeks after treatment |
| Beck scale for suicide ideation--Chinese Version scale | Changes in beck scale for suicide ideation--Chinese Version scale | Baseline and four, eight weeks after treatment |
| Concise happiness and quality of life satisfaction questionnaire | Changes in concise happiness and quality of life satisfaction questionnaire | Baseline and four, eight weeks after treatment |
| Event-related potential | Changes in P300 latency | Baseline and four, eight weeks after treatment |
| Heart rate variability analysis | Changes in low frequency, high frequency, very low frequency, low frequency/high frequency | Baseline and four, eight weeks after treatment |
| N-back paradigm task | Changes in reaction time and accuracy | Baseline and four, eight weeks after treatment |
| Suicide stroop task | Changes in reaction time and accuracy | Baseline and four, eight weeks after treatment |
| Go/no-go association task | Changes in reaction time and accuracy | Baseline and four, eight weeks after treatment |
| Psychomotor vigilance task | Changes in reaction time | Baseline and four, eight weeks after treatment |
| Xin Q, Paudel D, Zhang J, Wei H, Cheng Y, Xu Y, Fang R, Jiang J, Wang Y, Zhang B. Efficacy and safety of Shugan Jieyu capsules in combination with zolpidem for insomnia disorder with depressive symptoms: a double-blind randomized controlled trial. BMC Complement Med Ther. 2025 Oct 17;25(1):383. doi: 10.1186/s12906-025-05142-z. |
| D001523 |
| Mental Disorders |