ReviewJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2025
Clinical significance criteria in the ICSD and DSM sleep disorder classifications: a content overlap analysis using the Jaccard index.
Review in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Investigation of the "Not Better Explained" Diagnosis Criteria in Sleep Disorder Classifications: A Systematic Content Analysis and Critical Review.Journal of sleep research · 2026Review
- Characteristics of Sleep Paralysis and Its Association With PTSD, Stress, and Other Lifestyle Variables Among the Population of Pakistan, a Cross-Sectional Study.Public health challenges · 2026Article
- Non-invasive electrical stimulation for sleep disturbances in adults: protocol for an evidence-mapping umbrella review of systematic reviews and meta-analyses with subgroup analysis by intervention type and population.Frontiers in psychiatry · 2026Article
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8 authors.
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Abstract
STUDY
objectivesBoth the
methodsThis review conducts a theoretical and historical content analysis of CSC presence, frequency, and formulation in the diagnostic criteria of sleep disorders. Three steps were undertaken: (1) selecting main sleep disorder classifications and main disorders within them, (2) systematically extracting CSC-related content, and (3) analyzing the evolution of CSC presence through quantification (Jaccard index) and visualization (radar plots).
resultsThe fifth edition, text revision of the DSM (DSM-5-TR) includes CSC in 5 of 9 main sleep disorders, compared to 2 in the third edition, text revision of the ICSD (ICSD-3-TR) (circadian rhythm sleep-wake disorder and nightmare disorder). The overlap between DSM-5-TR and ICSD-3-TR is moderate (Jaccard index = 0.40). The overlap between DSM versions is higher (0.53). Conversely, ICSD revisions exhibit minimal similarity (0.16). Radar plots reveal a gradual increase in CSC use within ICSD versions.
conclusionsThese results highlight the variable application of CSC in sleep disorder classifications. Universal CSC inclusion may not be essential, but systematic discussion of its potential use can help refine diagnostic criteria. This refinement is important for accurately diagnosing sleep disorders and better differentiating the normal from the pathological, a major challenge in sleep medicine. CITATION: Gauld C, Martin VP, Quilès C, et al. Clinical significance criteria in the ICSD and DSM sleep disorder classifications: a content overlap analysis using the Jaccard index.
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