数字化行为激活疗法对青少年抑郁快感缺失症状的疗效研究

注册号:

Registration number:

ChiCTR2500106290 

最近更新日期:

Date of Last Refreshed on:

2025-07-22 08:51:01 

注册时间:

Date of Registration:

2025-07-22 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

数字化行为激活疗法对青少年抑郁快感缺失症状的疗效研究

Public title:

A study of the efficacy of digital behavioral activation therapy on anhedonia symptoms of adolescent depression

注册题目简写:

English Acronym:

研究课题的正式科学名称:

数字化行为激活疗法对青少年抑郁快感缺失症状的疗效研究

Scientific title:

A study of the efficacy of digital behavioral activation therapy on anhedonia symptoms of adolescent depression

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

苏允爱 

研究负责人:

苏允爱 

Applicant:

Su Yunai 

Study leader:

Su Yunai 

申请注册联系人电话:

Applicant telephone:

+86 10 62723767

研究负责人电话:

Study leader's
telephone:

+86 10 62723767

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

suyunai@bjmu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

suyunai@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

北京市海淀区花园北路51号

研究负责人通讯地址:

北京市海淀区花园北路51号

Applicant address:

No. 51, Huayuan North Road, Haidian District, Beijing

Study leader's address:

No. 51, Huayuan North Road, Haidian District, Beijing

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

北京大学第六医院

Applicant's institution:

Peking University Sixth Hospital

研究负责人所在单位:

北京大学第六医院(精神卫生研究所)

Affiliation of the Leader:

Peking University Sixth Hospital ( Institute of Mental Health )

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

(2025)伦审第(49)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

北京大学第六医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Peking University Sixth Hospital (Institute of Mental Health)

伦理委员会批准日期:

Date of approved by ethic committee:

2025-04-07 00:00:00

伦理委员会联系人:

徐文静

Contact Name of the ethic committee:

Xu Wenjing

伦理委员会联系地址:

北京市海淀区花园北路51号

Contact Address of the ethic committee:

No. 51, Huayuan North Road, Haidian District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 62723769

伦理委员会联系人邮箱:

Contact email of the ethic committee:

ethics_pku6@163.com

研究实施负责(组长)单位:

北京大学第六医院(精神卫生研究所)

Primary sponsor:

Peking University Sixth Hospital ( Institute of Mental Health )

研究实施负责(组长)单位地址:

北京市海淀区花园北路51号

Primary sponsor's address:

No. 51, Huayuan North Road, Haidian District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京市

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学第六医院(精神卫生研究所)

具体地址:

北京市海淀区花园北路51号

Institution
hospital:

Peking University Sixth Hospital ( Institute of Mental Health )

Address:

No. 51, Huayuan North Road, Haidian District, Beijing

经费或物资来源:

研究型病房卓越临床研究计划

Source(s) of funding:

Beijing Research Ward Excellence Program,BRWEP

研究疾病:

青少年抑郁症  

Target disease:

Adolescent depression

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

快感缺失是抑郁障碍的核心症状,超过50%的青少年抑郁障碍患者存在这一症状,且已被证明是多种不良结局的预测因子。目前一线的治疗对快感缺失症状的疗效有限。证据表明行为激活疗法(Behavioral Activation, BA)能有效改善青少年的快感缺失症状。随着互联网技术的发展,数字化BA已经首次在瑞典青少年抑郁障碍患者中开发使用。本项目聚焦目前的青少年抑郁临床治疗困境,拟研发出一套适合中国国情、符合患者与家属需求的数字化行为激活疗法,形成标准化的操作手册。随后评价数字化行为激活疗法对中国青少年抑郁障碍患者快感缺失症状的近期与远期疗效,并初步探索数字化行为激活疗法发挥作用的神经心理机制。本项目的实施期望推进青少年抑郁快感缺失个体化临床治疗水平,改善青少年抑郁症患者生活质量并促进社会功能恢复。  

Objectives of Study:

Anhedonia is a core symptom of depressive disorder, present in more than 50% of adolescents with depressive disorder, and has been shown to be a predictor of multiple adverse outcomes. Current first-line treatments have limited efficacy for symptoms of anhedonia. Evidence suggests that Behavioral Activation (BA) therapy is effective in improving anhedonia symptoms in adolescents. With the development of internet technology, digital BA has been developed for the first time for use in Swedish adolescents with depressive disorders. This project focuses on the current dilemma of clinical treatment of adolescent depression, and intends to develop a set of digital behavioural activation therapies suitable for China's national conditions and in line with the needs of patients and their families, and form a standardized operation manual. Subsequently, we will evaluate the immediate and long-term efficacy of the digital behavioural activation therapy on the symptoms of anhedonia in Chinese adolescents with depressive disorders, and explore the neuropsychological mechanisms underlying the effects of the digital behavioural activation therapy. The implementation of this project is expected to advance the level of individualised clinical treatment for adolescent depression and anhedonia, improve the quality of life of adolescent depression patients and promote the recovery of social function.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.无法独立完成问卷调查和心理评估; 2.通过系统精神检查判断有明显认知障碍,没有能力签署知情同意书; 3.患有重大躯体疾病,如心脑血管疾病、呼吸系统疾病、肝肾疾病、恶性肿瘤等; 4.正在接受其他心理治疗 5.正在参加其它研究。 6.父母的任何一方均不愿意参加整个干预治疗过程。

Exclusion criteria:

1. Inability to complete questionnaires and psychological assessments independently; 2. Obvious cognitive impairment judged by systematic psychiatric examination, unable to sign the informed consent form; 3. Suffering from major physical diseases, such as cardiovascular and cerebrovascular diseases, respiratory diseases, liver and kidney diseases, malignant tumors, etc.; 4. Receiving other psychotherapy 5. Participating in other studies. 6. Neither parent is willing to participate in the entire intervention treatment process.

研究实施时间:

Study execute time:

From 2024-11-04 00:00:00 To 2027-10-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-09-01 00:00:00 To 2027-08-02 00:00:00

干预措施:

Interventions:

组别:

数字化行为激活疗法治疗组

样本量:

39

Group:

Digital Behavioural Activation Therapy Treatment Group

Sample size:

干预措施:

数字化行为激活疗法

干预措施代码:

Intervention:

Digital Behavioural Activation Therapy

Intervention code:

组别:

数字化行为激活疗法等待组

样本量:

39

Group:

Digital Behavioural Activation Therapy Waiting Group

Sample size:

干预措施:

干预措施代码:

Intervention:

Nothing

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京市 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学第六医院(精神卫生研究所) 

单位级别:

三级甲等 

Institution
hospital:

Peking University Sixth Hospital ( Institute of Mental Health )

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

抑郁症状

指标类型:

次要指标

Outcome:

Depressive symptoms

Type:

Secondary indicator

测量时间点:

基线、治疗2周末、治疗6周末

测量方法:

汉密尔顿抑郁量表评估

Measure time point of outcome:

Baseline, 2 weekends of treatment, 6 weekends of treatment

Measure method:

HAMD scale assessment

指标中文名:

快感缺失症状

指标类型:

主要指标

Outcome:

Anhedonia symptoms

Type:

Primary indicator

测量时间点:

基线、治疗2周末、治疗6周末

测量方法:

SHAPS量表评估

Measure time point of outcome:

Baseline, 2 weekends of treatment, 6 weekends of treatment

Measure method:

SHAPS scale assessment

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 12 years
最大 Max age 19 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

由研究人员采用随机数字表法产生随机数列

Randomization Procedure (please state who generates the random number sequence and by what method):

Researchers use random number table to get random sequence.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

开放标签,对评估者隐藏分组

Blinding:

Open-label study with blinded-evaluators

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

应用在线电子数据库(六元空间)采集和管理数据。 采用集中式数据库管理研究数据,在研究进行的每个环节通过网络登录数据管理服务器实时输入数据,数据管理的内容包括所有受试者的各项研究资料。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

An online electronic database was applied to capture and manage the data. A centralised database is used to manage the study data, with real-time data entry via web access to the data management server at each stage of the study, which includes all study information on all subjects.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2025-07-22 08:50:54