Evidence map›Paper›PMID 27634805›Full record

ArticleSleep2016

DSM-5 Insomnia and Short Sleep: Comorbidity Landscape and Racial Disparities.

David A Kalmbach, Vivek Pillai, J Todd Arnedt, Christopher L Drake

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Sleep, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 3 pooled it
10.3field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
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  3. Sleep Duration and Sleep Patterns in Chinese University Students: A Comprehensive Meta-Analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017
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  19. Insomnia with objective but not subjective short sleep duration is associated with incident cardiovascular and/or cerebrovascular disease.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

David A KalmbachDepartments of Psychiatry and Neurology, University of Michigan Medical School, Ann Arbor, MI.
Vivek PillaiSleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI.
J Todd ArnedtDepartments of Psychiatry and Neurology, University of Michigan Medical School, Ann Arbor, MI.
Christopher L DrakeSleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI.
Henry Ford Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

Multi-Institutional Training in Genetic/Genomic Approaches to Sleep DisordersT32HL110952 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHERVIN, RONALD D, MIGNOT, EMMANUEL J · 2013 to 2022
$5.0M
Longitudinal Study of Predisoposition and Life Events in Triggering InsomniaR01MH082785 · NIMH · HENRY FORD HEALTH SYSTEM · PI DRAKE, CHRISTOPHER L · 2009 to 2013
$1.6M
NHLBI NIH HHS T32 HL110952NIMH NIH HHS R01 MH082785
6 · The paper itself

Abstract

STUDY

objectivesWe estimated rates of cardiometabolic disease, pain conditions, and psychiatric illness associated with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) insomnia disorder (current and in remission) and habitual short sleep (fewer than 6 h), and examined the roles of insomnia and short sleep in racial disparities in disease burden between black and non-Hispanic white Americans.

methodsThis epidemiological survey study was cross-sectional. The community-based sample consisted of 3,911 subjects (46.0 y ± 13.3; 65.4% female; 25.0% black) across six sleep groups based on DSM-5 insomnia classification (

resultsShort sleeping insomniacs were at elevated risk for myocardial infarction, stroke, treated hypertension, diabetes, chronic pain, back pain, depression, and anxiety, independent of sex, age, and obesity. Morbidity profiles for insomniacs with normal sleep duration and former insomniacs, irrespective of sleep duration, were similar with elevations in treated hypertension, chronic pain, depression, and anxiety. Regarding racial disparities, cardiometabolic and psychiatric illness burden was greater for blacks, who were more likely to have short sleep and the short sleep insomnia phenotype. Evidence suggested that health disparities may be attributable in part to race-related differences in sleep.

conclusionsInsomnia disorder with short sleep is the most severe phenotype of insomnia and comorbid with many cardiometabolic and psychiatric illnesses, whereas morbidity profiles are highly similar between insomniacs with normal sleep duration and former insomniacs. Short sleep endemic to black Americans increases risk for the short sleep insomnia phenotype and likely contributes to racial disparities in cardiometabolic disease and psychiatric illness.

Indexed as

Black or African AmericanDiagnostic and Statistical Manual of Mental DisordersWhite PeopleAdultAgedCardiovascular DiseasesChronic PainComorbidityCross-Cultural ComparisonCross-Sectional StudiesDiabetes MellitusFemaleHumansMaleMental DisordersMiddle Agedanxietycardiometabolic diseasedepressionDSM-5insomniapainshort sleep

Identifiers

PMID27634805
PMCPMC5103798
OpenAlexW2527790276

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.