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CompletedNCT06685861Updated Jun 5, 2026

Effectiveness of Digital Cognitive Behavioral Therapy for the Treatment of Depression

An interventional study of a digital product based on CBT in Depression, sponsored by Peking University. Completed at 1 site in China. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-06-05.

Sponsored by Peking University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
146
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The project proposes to develop a digital product based on cognitive behavioral therapy for the assisted treatment of depression. The digital cognitive behavioral therapy in this study is conducted based on a self-developed mobile applet. The therapy is developed by psychotherapists, which is conducted for a total of 8 weeks, with weekly sessions including AI-guided course work and homework. The aim of this study is to evaluate the therapeutic effect of a digital product based on cognitive behavioral therapy for the assisted treatment of depression in patients through a randomised controlled trial, and to explore its genetic imaging mechanisms.

02

Conditions studied

  • Depression

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Keywords

  • i-CBT
03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's enrollment of 146 is above the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Peking University is the lead sponsor of 411 studies on the registry; 122 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Aged 18-45 years (including 18 and 45), no gender restriction;
  2. Meets the diagnostic criteria for depressive disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-Ⅴ);
  3. Outpatients or inpatients; Hamilton Depression Rating Scale 17-item (HAMD-17) score ≥ 17; Clinical Global Impressions-Severity (CGI-S) score = 4;
  4. Maintenance treatment with antidepressants in the class of Selective Serotonin Reuptake Inhibitors (SSRIs) for at least 4 weeks, or no previous treatment with antidepressants, and can be combined with Lorazepam 0.5mg/dose and Zolpidem Tartrate 5-10mg/n during insomnia and anxiety attacks;
  5. Written informed consent obtained from the patient.

Exclusion criteria

Exclusion Criteria:

  1. Diagnosed with other mental disorders, including schizophrenia, bipolar disorder, alcohol or substance abuse/dependence, eating disorders, etc.;
  2. Individuals with intellectual disabilities or who are unable to cooperate for other reasons, or those lacking or having incomplete civil capacity during the onset of illness;
  3. Suffering from neurological or organic brain diseases (such as stroke, cerebral hemorrhage, brain tumors, Parkinson's disease, epilepsy, etc.) and a history of severe traumatic brain injury;
  4. Currently undergoing systematic psychological therapy;
  5. Individuals who had been treated with convulsion-free electroconvulsive therapy within the last month;
  6. Pregnant women or individuals with contraindications to MRI examinations;
  7. Individuals who don't know how to use or don't have a smartphone;
  8. Individuals with severe suicidal tendencies or at risk of harming others.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
146 participants (actual)

Study arms

  • Experimental
    i-CBT group

    i-CBT combined with conventional drug treatment

    Device: a digital product based on CBT

  • No intervention
    control group

    conventional drug treatment

Interventions

  • Devicea digital product based on CBT

    The digital cognitive behavioral therapy in this study is conducted based on a self-developed mobile applet. The therapy is developed by psychotherapists, which is conducted for a total of 8 weeks, with weekly sessions including Al-guided course work and homework.

06

What researchers measure

Primary outcomes

  1. Change from baseline in Hamilton Depression Rating Scale (HAMD)

    The outcome is assessed by 17-item Hamilton Depression Rating Scale (HAMD-17) Scale. Total HAMD scores range from 0 to 52, with higher scores indicating more severe depressive symptoms. The change of HAMD from baseline to 8-week (after intervention) was used as the primary outcome.

    Time frame: Week 4 and 8 of treatment duration

Secondary outcomes

  1. Change from baseline in Montgomery-Asberg Depression Rating Scale (MADRS)

    The outcome is assessed by Montgomery-Asberg Depression Rating Scale (MADRS). Total MADRS score ranges from 0 to 60, with higher scores indicating greater severity of depression. The change of MADRS from baseline to 8-week (after intervention) was used.

    Time frame: Week 4 and 8 of treatment duration.

  2. Response to treatment

    Reduction rate of Hamilton Depression Scale (HAMD-17) or Montgomery-Asberg Depression Rating Scale (MADRS) score ≥50% was recognized as response to treatment.

    Time frame: Week 4 and 8 of treatment duration

  3. Clinical Global Impression-Severity of Illness (CGI-S)

    The outcome was assessed by the Clinical Global Impression-Severity of Illness (CGI-S) scale. It is rated on a 7-point scale. Higher scores indicate more severe symptoms.

    Time frame: Week 4 and 8 of treatment duration

  4. Change from baseline in Hamilton Anxiety Rating Scale (HAMA)

    The outcome is assessed by 14-item Hamilton Anxiety Scale (HAMA). Total score ranges from 0 to 56, with higher scores indicating greater severity of anxiety. The change of HAMA from baseline to 8-week (after intervention) was used.

    Time frame: Week 4 and 8 of treatment duration

  5. Change from baseline in Ruminative Responses Scale (RRS)

    This outcome is assessed by Ruminative Responses Scale (RRS). Total score ranges from 22 to 88, with higher scores indicating greater severity of rumination. The change of RRS from baseline to 8-week (after intervention) was used.

    Time frame: Week 4 and 8 of treatment duration

  6. Change from baseline in Pittsburgh Sleep Quality Index (PSQI)

    This outcome is assessed by Pittsburgh Sleep Quality Index (PSQI). Total score ranges from 0 to 21, with higher scores indicating greater severity of sleep problems. The change of PSQI from baseline to 8-week (after intervention) was used.

    Time frame: Week 4 and 8 of treatment duration

  7. Change from baseline in Connor-Davidson Resilience Scale (CD-RISC)

    This outcome is assessed by Connor-Davidson Resilience Scale (CD-RISC). Total score ranges from 0 to 100, with higher scores indicating greater resilience. The change of CD-RISC from baseline to 8-week (after intervention) was used.

    Time frame: Week 4 and 8 of treatment duration

  8. Change from baseline in Thinc-Integrated Tool(THINC-it)

    Cognitive function was assessed by Thinc-Integrated Tool(THINC-it) using digital device. The change of THINC-it from baseline to 8-week (after intervention) was used.

    Time frame: Week 8 of treatment duration

  9. Mood Disorder Questionnaire (MDQ)

    This outcome is assessed by Mood Disorder Questionnaire (MDQ), which is used to assess the positive symptom of bipolar. A positive screening for bipolar disorder is determined when there are ≥7 of the 13 screening symptoms present, at least one "yes" response in the second section indicating the co-occurrence of several symptoms, and a severity level of "moderate" or "serious problem" in the third section.

    Time frame: Week 4 and 8 of treatment duration

  10. Rating Scale for Side Effects(SERS)

    This outcome is assessed by Rating Scale for Side Effects (SERS), which assess 13 side-effects. Total score ranges from 13 to 52, with higher scores indicating more side-effects.

    Time frame: Week 4 and 8 of treatment duration

  11. Client Satisfaction Questionnaire-3 (CSQ-3)

    User's satisfaction was assessed by Client Satisfaction Questionnaire-3 (CSQ-3). Total score ranges from 3 to 12. with higher scores indicating greater satisfaction.

    Time frame: Week 8 of treatment duration

07

Study locations

1 site
  • Peking University Sixth Hostipal
    Beijing, Beijing Municipality Beijing 100191, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06685861
Lead sponsor
Peking University
Collaborators
Shantou University Mental Health Center, Hebei Provincial Mental Health Center
Responsible party
Weihua Yue (Professor, Peking University Sixth Hospital) — Principal investigator
First posted
Nov 13, 2024
Start date
Nov 11, 2024
Primary completion
Dec 30, 2025
Completion
Mar 1, 2026
Last update
Jun 5, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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