ReviewSleep medicine reviews2018
Insomnia disorder in adolescence: Diagnosis, impact, and treatment.
Review in Sleep medicine reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 181 papers, 10 of them syntheses 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
181 citing papers in PubMed, 10 syntheses or guidelines pooled it, 383 citations in OpenAlex.
- A Systematic Review and Meta-Analysis of Biological Sex Differences in Sleep Spindles and Slow Wave Activity in Adults With and Without Insomnia.Journal of sleep research · 2026Pooled it
- Comparative Effects of Various Modalities of Cognitive Behavioral Therapy for Insomnia in Adolescents: A Systematic Review and Network Meta-Analysis.Worldviews on evidence-based nursing · 2026Pooled it
- Digital media exposure and pediatric health: the recommendations from the Italian Society of Pediatrics Digital Dependency Commission.Italian journal of pediatrics · 2026Guideline
- Efficacy of psychological interventions on sleep in children and adolescents with chronic pain: a systematic review with meta-analysis of randomized controlled trials.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Pooled it
- Measures of Sleep-Related Fears in Children: A Systematic Review of Psychometric Properties Using COSMIN.Clinical child and family psychology review · 2025Pooled it
- Impact of probiotics on sleep quality and mood states in patients with insomnia: a systematic review and meta-analysis.Frontiers in microbiology · 2025Pooled it
- The efficacy of cognitive behavioral therapy for insomnia in adolescents: a systematic review and meta-analysis of randomized controlled trials.Frontiers in public health · 2024Pooled it
- Prevalence of Sleep Problems Among Chinese Medical Students: A Systematic Review and Meta-Analysis.Frontiers in psychiatry · 2022Pooled it
- Exploring the Effects of Problematic Internet Use on Adolescent Sleep: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The risk factors for insomnia and sleep-disordered breathing in military communities: A meta-analysis.PloS one · 2021Pooled it
- A New Ashwagandha Formulation (Zenroot™) Alleviates Stress and Anxiety Symptoms While Improving Mood and Sleep Quality: A Randomized, Double-Blind, Placebo-Controlled Clinical Study.Advances in therapy · 2025Trial
- Trial
- The altered hypothalamic network functional connectivity in chronic insomnia disorder and regulation effect of acupuncture: a randomized controlled neuroimaging study.BMC complementary medicine and therapies · 2024Trial
- Preliminary study: cognitive behavioural therapy for insomnia in adolescents with anorexia nervosa.Eating and weight disorders : EWD · 2024Trial
- A pilot randomised control study to investigate the effect of the South African Adolescence Group Sleep Intervention (SAASI) on adolescent sleep and PTSD.European journal of psychotraumatology · 2024Trial
- Effect of Auricular Acupoint Bloodletting plus Auricular Acupressure on Sleep Quality and Neuroendocrine Level in College Students with Primary Insomnia: A Randomized Controlled Trial.Chinese journal of integrative medicine · 2022Trial
- Physical Activity May Protect Against Insomnia in Adolescents.Indian journal of pediatrics · 2026Article
- Negative interpretation bias and repetitive negative thinking as mechanisms in the association between insomnia and depression in young adults.The British journal of clinical psychology · 2026Article
- Association Between Sleep Debt and Mental Well-Being in School-Aged Children and Adolescents in China: A Multi-Province, Cross-Sectional, Observational Study.Healthcare (Basel, Switzerland) · 2026Article
- Sleep cognition among adolescents: adaptation of the dysfunctional beliefs and attitudes about sleep-16 (DBAS-16) scale in Indonesian.BMC psychology · 2026Article
121 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
Abstract
Insomnia disorder is very common in adolescents; it is particularly manifest in older adolescents and girls, with a prevalence comparable to that of other major psychiatric disorders (e.g., depressive disorders). However, insomnia disorder in adolescence is poorly characterized, under-recognized, under-diagnosed, and under-treated, and the reason for the female preponderance for insomnia that emerges after puberty is largely unknown. Insomnia disorder goes beyond an individual complaint of poor sleep or a sleep state misperception, and there is emerging evidence supporting the association of insomnia symptoms in adolescents with alterations in several bio-systems including functional cortical alterations and systemic inflammation. Insomnia disorder is associated with depression and other psychiatric disorders, and is an independent risk factor for suicidality and substance use in adolescents, raising the possibility that treating insomnia symptoms in early adolescence may reduce risk for these adverse outcomes. Cognitive behavioral treatments have proven efficacy for adolescent insomnia and online methods seem to offer promising cost-effective options. Current evidence indicates that insomnia in adolescence is an independent entity that warrants attention as a public health concern in its own right.
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.