ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2013
Sensitivity and specificity of polysomnographic criteria for defining insomnia.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does Elite Sport Degrade Sleep Quality? A Systematic Review.Sports medicine (Auckland, N.Z.) · 2017Pooled it
- Insomnia with objective short sleep duration in women with temporomandibular joint disorder: quantitative sensory testing, inflammation and clinical pain profiles.Sleep medicine · 2022Trial
- Evaluation of a brief treatment program of cognitive behavior therapy for insomnia in older adults.Sleep · 2014Trial
- Polysomnographically mediated cognitive improvements in individuals with insomnia symptoms following continuous theta-burst stimulation of the default mode network.Frontiers in sleep · 2024Article
- Sleep Continuity, Stability and Cyclic Organization Are Impaired in Insomniacs: A Case-Control Study.International journal of environmental research and public health · 2023Article
- New insights and potential clinical implications of the odds ratio product.Frontiers in neurology · 2023Article
- Sleep macro- and microstructure in breast cancer survivors.Scientific reports · 2022Article
- Hyperarousal Is Associated with Socioemotional Processing in Individuals with Insomnia Symptoms and Good Sleepers.Brain sciences · 2020Article
- Discovery of key whole-brain transitions and dynamics during human wakefulness and non-REM sleep.Nature communications · 2019Article
- Association Between Discrimination and Objective and Subjective Sleep Measures in the Midlife in the United States Study Adult Sample.Psychosomatic medicine · 2017Article
- Towards quantitative cutoffs for insomnia: how current diagnostic criteria mischaracterize remission.Sleep medicine · 2016Article
- Polysomnographic Study of Sleep in Survivors of Breast Cancer.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015Article
- Adjunctive electroacupuncture to facilitate discontinuation of non-benzodiazepine hypnotics in chronic insomnia: a randomized controlled trial protocol.Frontiers in neurologyArticle
- Gender differences in sleep patterns and sleep complaints of elite athletes.Sleep science (Sao Paulo, Brazil)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesIn recent years, polysomnography-based eligibility criteria have been increasingly used to identify candidates for insomnia research, and this has been particularly true of studies evaluating pharmacologic therapy for primary insomnia. However, the sensitivity and specificity of PSG for identifying individuals with insomnia is unknown, and there is no consensus on the criteria sets which should be used for participant selection. In the current study, an archival data set was used to test the sensitivity and specificity of PSG measures for identifying individuals with primary insomnia in both home and lab settings. We then evaluated the sensitivity and specificity of the eligibility criteria employed in a number of recent insomnia trials for identifying primary insomnia sufferers in our sample.
designArchival data analysis. SETTINGS: Study participants' homes and a clinical sleep laboratory.
participantsADULTS: 76 with primary insomnia and 78 non-complaining normal sleepers. MEASUREMENTS AND
resultsROC and cross-tabs analyses were used to evaluate the sensitivity and specificity of PSG-derived total sleep time, latency to persistent sleep, wake after sleep onset, and sleep efficiency for discriminating adults with primary insomnia from normal sleepers. None of the individual criteria accurately discriminated PI from normal sleepers, and none of the criteria sets used in recent trials demonstrated acceptable sensitivity and specificity for identifying primary insomnia.
conclusionsThe use of quantitative PSG-based selection criteria in insomnia research may exclude many who meet current diagnostic criteria for an insomnia disorder.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.