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注册号: Registration number: |
ChiCTR2600124834 |
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最近更新日期: Date of Last Refreshed on: |
2026-05-18 15:19:48 |
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注册时间: Date of Registration: |
2026-05-18 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
高血压共病焦虑障碍的综合干预研究 |
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Public title: |
Comprehensive Intervention Strategies for Patients with Hypertension and Anxiety Disorders Comorbidity |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
高血压共病焦虑障碍的综合干预研究 |
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Scientific title: |
Comprehensive Intervention Strategies for Patients with Hypertension and Anxiety Disorders Comorbidity |
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研究课题代号(代码): Study subject ID: |
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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: |
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申请注册联系人: |
张宸赫 |
研究负责人: |
姜荣环 |
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Applicant: |
Chenhe Zhang |
Study leader: |
Ronghuan Jiang |
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申请注册联系人电话: Applicant telephone: |
+86 176 1217 4076 |
研究负责人电话:
Study leader's |
+86 139 0138 1149 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
921021705@qq.com |
研究负责人电子邮件: Study leader's E-mail: |
jiangrh55@126.com |
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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): |
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申请注册联系人通讯地址: |
北京市海淀区复兴路28号院 |
研究负责人通讯地址: |
北京市海淀区复兴路28号院 |
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Applicant address: |
No. 28 Fuxing Road, Haidian District, Beijing 100853, China |
Study leader's address: |
No. 28 Fuxing Road, Haidian District, Beijing 100853, China |
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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: |
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申请人所在单位: |
解放军总医院第一医学中心 |
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Applicant's institution: |
The First Medical Center, Chinese PLA General Hospital |
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研究负责人所在单位: |
解放军总医院第一医学中心 |
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Affiliation of the Leader: |
The First Medical Center, Chinese PLA General Hospital |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
伦审第S2025-833-01号 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
中国人民解放军总医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of Chinese PLA General Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-03-12 00:00:00 | ||
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伦理委员会联系人: |
曹江 |
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Contact Name of the ethic committee: |
Cao Jiang |
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伦理委员会联系地址: |
北京市海淀区复兴路28号院 |
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Contact Address of the ethic committee: |
No. 28 Fuxing Road, Haidian District, Beijing 100853, China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 10 6693 7166 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
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研究实施负责(组长)单位: |
中国人民解放军总医院第一医学中心 |
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Primary sponsor: |
The First Medical Center, Chinese PLA General Hospital |
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研究实施负责(组长)单位地址: |
北京市海淀区复兴路 28 号 |
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Primary sponsor's address: |
No. 28 Fuxing Road, Haidian District, Beijing 100853, China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
北京市财政科技经费 |
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Source(s) of funding: |
Beijing Municipal Fiscal Science and Technology Funds |
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研究疾病: |
高血压共病焦虑障碍 |
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Target disease: |
Hypertension and Anxiety Disorders Comorbidity |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
本研究聚焦高血压共病焦虑障碍(Hypertension and Anxiety Disorder Comorbidity, HAC)人群,以“机制解析—技术研发—方案验证”为主线开展系统研究,核心目标如下: (1)阐明高血压躯体症状与焦虑心理反应的双向交互机制及关键影响因素,整合多维度临床与生物学数据,筛选验证疾病特异性生物标志物与潜在调控靶点。 (2)研发融合认知行为调控与自主神经调节的智能化数字干预方案,构建精神-心血管双靶点协同干预体系,实现个性化动态调控,提升临床疗效与干预依从性。 (3)依托多中心前瞻性队列研究,构建并验证个体化阶梯式综合干预策略,完善标准化疗效评估体系,为疾病精准防控提供高水平循证诊疗新模式。 |
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Objectives of Study: |
Objectives of Study This study focuses on the population with Hypertension and Anxiety Disorder Comorbidity (HAC) and conducts systematic research following the main line of "mechanism elucidation—technology development—program validation". The core objectives are as follows: (1) To elucidate the bidirectional interaction mechanism and key influencing factors between hypertension-related somatic symptoms and anxiety psychological responses, integrate multidimensional clinical and biological data, and screen and validate disease-specific biomarkers and potential regulatory targets. (2) To develop an intelligent digital intervention program integrating cognitive behavioral regulation and autonomic nervous regulation, construct a psycho-cardiovascular dual-target synergistic intervention system, realize individualized dynamic regulation, and improve clinical efficacy and intervention adherence. (3) To construct and validate an individualized stepped comprehensive intervention strategy based on a multicenter prospective cohort study, improve the standardized efficacy evaluation system, and provide a high-level evidence-based new model for precise prevention and treatment of the disease. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
排除标准(符合以下任意一条者均予以排除): 1.患有继发性高血压、高血压急症或亚急症; 2.合并严重的重要器官功能不全(如心功能NYHA分级Ⅲ级及以上、肝功能Child-Pugh C级、肾功能衰竭透析期等)或活动性恶性肿瘤; 3.患有严重脑血管或神经系统疾病,包括但不限于有症状的脑动脉粥样硬化、脑卒中史、痴呆、帕金森病、颅内占位性病变等; 4.患有其他严重精神障碍,如重度抑郁发作、精神分裂症、双相情感障碍、强迫症等,或存在高自杀风险; 5.妊娠期或哺乳期妇女; 6.存在任何可能严重影响研究参与或随访的情况,如文盲、生活无法自理、计划迁出本地区或同时参与其他干预性临床研究。 |
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Exclusion criteria: |
Subjects who meet any of the following criteria will be excluded: 1. Patients with secondary hypertension, hypertensive emergency or hypertensive urgency. 2. Patients with severe dysfunction of vital organs (e.g., NYHA class III or higher heart failure, Child-Pugh class C liver function, end-stage renal disease on dialysis) or active malignant tumor. 3. Patients with severe cerebrovascular or neurological diseases, including but not limited to symptomatic cerebral atherosclerosis, history of stroke, dementia, Parkinson's disease, and intracranial space-occupying lesions. 4. Patients with other severe mental disorders (e.g., major depressive episode, schizophrenia, bipolar affective disorder, obsessive-compulsive disorder [OCD]) or at high suicide risk. 5. Pregnant or lactating women. 6. Any condition that may significantly interfere with study participation or follow-up, such as illiteracy, inability to perform activities of daily living independently, planned relocation out of the study area, or concurrent participation in other interventional clinical studies. |
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研究实施时间: Study execute time: |
从 From 2026-01-01 00:00:00至 To 2028-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-05-21 00:00:00 至 To 2028-12-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
采用分层区组随机化方法。由不参与受试者招募与评估的独立统计师使用SPSS统计软件产生随机数字序列,以“焦虑严重程度(轻中度 / 重度)”为分层因素,区组长度设为 4,按 1:1 比例将受试者随机分配至干预组或对照组。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
A stratified block randomization method will be adopted. An independent statistician who is not involved in subject recruitment and assessment will generate the random number sequence using SPSS statistical software. With anxiety severity (mild-moderate/severe) as the stratification factor and a block length of 4, subjects will be randomly assigned to the intervention group or control group in a 1:1 ratio. |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
公开/Public |
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盲法: |
本研究为单盲设计(评估者盲),施盲对象为结局评估者、统计分析人员;因干预措施特性(数字 CBT-H 干预 vs 常规治疗),受试者与干预实施者无法实现设盲。 |
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Blinding: |
The study adopts a single-blind design (outcome assessor-blinded). The blinded parties include outcome assessors and statistical analysts. Due to the inherent characteristics of the interventions (digital CBT-H intervention vs. usual care), blinding of participants and intervention providers is not feasible. |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
否No |
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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): |
不共享 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
No Sharing |
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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: |
本研究采用“电子化数据采集系统(EDC)”进行全流程数据管理。所有研究人员经统一培训考核合格后,通过标准化病例报告表(CRF)采集数据,系统内置逻辑校验规则自动识别异常录入信息。设立专职数据管理员负责数据全周期管理,定期开展源数据核查、缺失值追踪与异常值处理。数据采用加密存储与分级权限控制,所有受试者个人信息进行去标识化处理,严格遵循 GCP 原则,确保数据真实、准确、完整与安全。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
This study adopts an Electronic Data Capture (EDC) system for full-process data management. All researchers will collect data through standardized Case Report Forms (CRFs) after passing unified training and assessment. The system has built-in logical verification rules to automatically identify abnormal input information. A dedicated data manager is responsible for the full-cycle management of data, regularly conducting source data verification, missing value tracking and outlier processing. Data is stored encrypted with hierarchical access control, and all personal information of subjects is de-identified. Strictly following GCP principles to ensure the authenticity, accuracy, completeness and security of the data. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
暂未确定/Not yet |