Publication Name	World Journal of Psychiatry
Manuscript ID	110880
Country	China

Category	Psychology, Clinical
Manuscript Type	Clinical Trials Study
Article Title	Cognitive intervention based on Positive Emotion-Engagement Relationship-Meaning-Achievement theory in patients with depression and insomnia: Application value
Manuscript Source	Unsolicited Manuscript
All Author List	Shu-Ying Li and Ping Rao
Funding Agency and Grant Number
Corresponding Author	Ping Rao, Department of Psychiatry, Ganzhou People’s Hospital, No. 17 Hongqi Avenue, Zhanggong District, Ganzhou 341000, Jiangxi Province, China. 15083737752@163.com
Key Words	Positive emotion-engagement-relationship-meaning-achievement theory; Cognitive intervention; Depression; Insomnia; Sleep quality
Core Tip	This randomized controlled trial demonstrates that cognitive intervention based on the Positive Emotion, Engagement, Relationships, Meaning, Achievement (PERMA) theory significantly improves outcomes in patients with comorbid depression and insomnia. Compared to conventional therapy, the PERMA-based approach reduced depressive symptoms (17-item Hamilton Depression Scale/Self-rating Depression Scale), enhanced sleep quality (Pittsburgh Sleep Quality Index), and improved cognitive function (Repeatable Battery for the Assessment of Neuropsychological Status), social performance (Chinese version of the Personal and Social Performance Scale), and quality of life (World Health Organization Abbreviated Quality of Life Scale). The findings highlight PERMA’s dual-action benefits - addressing both psychological distress and sleep dysfunction - through positive psychology principles, offering a novel, non-pharmacological strategy for this high-comorbidity population. Clinical adoption could optimize holistic patient recovery.
Citation	Li SY, Rao P. Cognitive intervention based on Positive Emotion-Engagement Relationship-Meaning-Achievement theory in patients with depression and insomnia: Application value. World J Psychiatry 2025; In press

Received	2025-07-29 08:58
Peer-Review Started	2025-07-29 08:58
To Make the First Decision
Return for Revision	2025-08-19 06:45
Revised	2025-08-26 07:39
Second Decision	2025-11-12 02:42
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-12 08:49
Articles in Press	2025-11-12 08:49
Publication Fee Transferred	2025-08-30 05:18
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
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