Evidence map›Paper›PMID 29412980›Full record

ReviewSleep medicine clinics2018

Insomnia in the Older Adult.

Glenna S Brewster, Barbara Riegel, Philip R Gehrman

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Sleep medicine clinics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04986007 (Addressing Nocturnal Sleep/Wake Effects on Risk of Suicide in Older Adults), which is not on this map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT04986007 naterminatednot on this mapstarted 2021, after this paper: background citation

Addressing Nocturnal Sleep/Wake Effects on Risk of Suicide in Older Adults (ANSWERS-OA): A Pilot, Open-Label, Randomized Controlled Trial of Digital Cognitive Behavioral Therapy for Insomnia

TypeinterventionalSponsorMICHAEL A GRANDNERRan2021 to 2025Enrolled23ConditionsSleep Initiation and Maintenance Disorders, Suicidal IdeationArmsDigital Cognitive Behavioral Therapy for Insomnia
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Short-term sleep benefitsFrontiers in pharmacology · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Article
  15. Article
  16. Survivorship Issues in Older Adults with Breast Cancer.Current breast cancer reports · 2025
    Article
  17. Article
  18. Article
  19. Observational
  20. Observational

2 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

3 authors at 2 institutions in 1 country.

Glenna S BrewsterNell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Room 344, Atlanta, GA 30322, USA; Center for Sleep and Circadian Neurobiology, Perelman School of Medicine of the University of Pennsylvania, 3624 Market Street, Suite 201, Philadelphia, PA 19104, USA. Electronic address: glenna.brewster@emory.edu.
Barbara RiegelSchool of Nursing, University of Pennsylvania, Room 418 Curie Boulevard, 335 Fagin Hall, Philadelphia, PA 19104, USA.
Philip R GehrmanCenter for Sleep and Circadian Neurobiology, Perelman School of Medicine of the University of Pennsylvania, 3624 Market Street, Suite 201, Philadelphia, PA 19104, USA; Department of Psychiatry, Perelman School of Medicine of the University of Pennsylvania, 3535 Market Street, Suite 670, Philadelphia, PA 19104, USA.
University of Pennsylvania · USEmory University · US

Funding

TRAINING PROGRAM/RESPIRATORY NEUROBIOLOGY AND SLEEPT32HL007713 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 1992 to 2022
$11.9M
NHLBI NIH HHS T32 HL007713
6 · The paper itself

Abstract

Although insomnia is not a normal part of the aging process, its prevalence increases with age. Factors such as medications and medical and psychiatric disorders can increase the risk for insomnia. To diagnose insomnia, it is important for older adults to complete comprehensive sleep and health histories. Cognitive-behavioral therapy for insomnia, which includes stimulus control, sleep restriction, sleep hygiene, and cognitive therapy, is the recommended first-line treatment of insomnia and is more effective than medications for the long-term management of insomnia. Medications, such as benzodiazepines and antidepressants, should be avoided for the treatment of insomnia in older adults.

Indexed as

AgedBenzodiazepinesCognitive Behavioral TherapyHumansSleepSleep Aids, PharmaceuticalSleep HygieneSleep Initiation and Maintenance DisordersTreatment OutcomeBenzodiazepinesSleep Aids, PharmaceuticalBenzodiazepinesCognitive-behavioral therapy for insomnia (CBTi)PharmacotherapySleep diarySleep efficiencySleep-onset latencyWake after sleep onset

Identifiers

PMID29412980
PMCPMC5847293
OpenAlexW2769258320

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.