Evidence map›Paper›PMID 34009054›Full record

ArticleJournal of primary care & community health

Why Treat Insomnia?

Michael L Perlis, Wilfred R Pigeon, Michael A Grandner, Todd M Bishop, Dieter Riemann, Jason G Ellis, Joseph R Teel, Donn A Posner

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. The burden of insomnia among public health sector nurses in KwaZulu-Natal, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Research progress in the prevention and treatment of insomnia with classical prescriptions.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  20. Article
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

8 authors.

Michael L PerlisUniversity of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-6806-759X
Wilfred R PigeonUniversity of Rochester, Rochester, NY, USA.
Michael A GrandnerUniversity of Rochester, Rochester, NY, USA.
Todd M BishopUniversity of Rochester, Rochester, NY, USA.
Dieter RiemannUniversity of Freiburg, Freiburg, Germany.
Jason G EllisNorthumbria University, Newcastle upon Tyne, Tyne and Wear, UK.
Joseph R TeelUniversity of Pennsylvania, Philadelphia, PA, USA.
Donn A PosnerStanford University School of Medicine, Stanford, CA, USA.

Funding

Three Approaches to Maintenance Therapy for Chronic Insomnia in Older AdultsR01AG054521 · NIA · UNIVERSITY OF PENNSYLVANIA · PI PERLIS, MICHAEL LLOYD · 2018 to 2021
$2.5M
Behavioral Sleep Medicine: Training in Sleep and AgingK24AG055602 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Michael Lloyd Perlis · 2017 to 2026
$1.6M
NIA NIH HHS K24 AG055602NIA NIH HHS R01 AG054521
6 · The paper itself

Abstract

"Why treat insomnia?" This question grows out of the perspective that insomnia is a symptom that should only receive targeted treatment when temporary relief is needed or until more comprehensive gains may be achieved with therapy for the parent or precipitating medical or psychiatric disorders. This perspective, however, is untenable given recent data regarding the prevalence, course, consequences, and costs of insomnia. Further, the emerging data that the treatment of insomnia may promote better medical and mental health (alone or in combination with other therapies) strongly suggests that the question is no longer "why treat insomnia," but rather "when isn't insomnia treatment indicated?" This perspective was recently catalyzed with the American College of Physicians' recommendation that chronic insomnia should be treated and that the first line treatment should be cognitive-behavioral therapy for insomnia (CBT-I).

Indexed as

Cognitive Behavioral TherapySleep Initiation and Maintenance DisordersHumansTreatment Outcomeinsomniatreatment

Identifiers

PMID34009054
PMCPMC8138281

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.