ArticleJournal of clinical medicine2023
The Associations between Insomnia Severity and Health Outcomes in the United States.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Electrical vestibular nerve stimulation as a novel therapeutic approach for insomnia: a systematic review and meta-analysis.BMC psychiatry · 2026Pooled it
- Research advances in physical activity and insomnia: a bibliometric and thematic evolution analysis.Frontiers in psychiatry · 2026Pooled it
- Article
- Comparison of workplace impairment and daily activity impairment in acute and chronic insomnia disorder: a study of Chinese adults.Journal of Zhejiang University. Science. B · 2026Article
- Cost-Effectiveness of Pharmacopuncture Versus Conventional Acupuncture for Insomnia: An RCT-Based Economic Evaluation with a Markov Model.Neurology and therapy · 2026Article
- Pharmacist-led responses to headache and insomnia symptoms: A simulated patient study.Exploratory research in clinical and social pharmacy · 2026Article
- Excessive Daytime Sleepiness Should Be Systematically Assessed in Individuals With Insomnia: A Population-Based Study Employing a Virtual Agent-Based Digital Tool.Journal of sleep research · 2026Article
- Impact of COVID-19 on new pharmacotherapy for insomnia: A matched cohort study using the national insurance claims database in Japan.PloS one · 2026Article
- Ghrelin's role in sleep and sleep deprivation: a narrative review.Frontiers in psychiatry · 2026Review
- Cost-Effectiveness Analysis of Daridorexant for the Pharmacological Treatment of Chronic Insomnia Disorder in Adults.PharmacoEconomics - open · 2025Article
- Association between insomnia and four domains of health based on an Indigenous Medicine Wheel: Findings from two Saskatchewan First Nation communities.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Bedtime banana and milk intake on sleep and biochemical parameters.Asia Pacific journal of clinical nutrition · 2024Article
- A Pilot Nurse-Administered CBT Intervention for Insomnia in Patients with Schizophrenic Disorder: A Randomized Clinical Effectiveness Trial.Journal of clinical medicine · 2023Article
- The relationship between gut microbiota and insomnia: a bi-directional two-sample Mendelian randomization research.Frontiers in cellular and infection microbiology · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Little is known about the associations between insomnia severity, insomnia symptoms, and key health outcomes. Using 2020 United States National Health and Wellness Survey (NHWS) data, we conducted a retrospective, cross-sectional analysis to determine the associations between insomnia severity and a number of health outcomes germane to patients (health-related quality of life (HRQoL), employers and government (workplace productivity), and healthcare payers (healthcare resource utilization (HCRU)). The Insomnia Severity Index (ISI) questionnaire was used to evaluate overall insomnia severity. HRQoL was assessed using the physical and mental component summary scores of the Short Form-36v2 (SF-36v2) questionnaire, and health utility status was measured using the Short Form-6D (SF-6D) and EuroQoL-5D (EQ-5D) questionnaires. Workplace productivity was measured using the Work Productivity and Activity Impairment (WPAI) questionnaire. After adjusting for confounders, greater insomnia severity was significantly associated with worsened quality of life, decreased productivity, and increased HCRU in an apparent linear fashion. These findings have important implications for future research, including the need for specific assessment of insomnia symptoms and their impact on key health outcomes.
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Registered trials
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