Evidence map›Paper›PMID 40075150›Full record

ArticleCommunications biology2025

A continuous approach to explain insomnia and subjective-objective sleep discrepancy.

Rubén Herzog, Flynn Crosbie, Anis Aloulou, Umaer Hanif, Mounir Chennaoui, Damien Léger, Thomas Andrillon

Abstract read
In one paragraph

Article in Communications biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

7 authors.

Rubén HerzogSorbonne Université, Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, Paris, France.ORCID http://orcid.org/0000-0002-3498-5819
Flynn CrosbieUniversité Paris Cité, VIFASOM (Vigilance Fatigue Sommeil et Santé publique), Paris, France.
Anis AloulouUniversité Paris Cité, VIFASOM (Vigilance Fatigue Sommeil et Santé publique), Paris, France.
Umaer HanifUniversité Paris Cité, VIFASOM (Vigilance Fatigue Sommeil et Santé publique), Paris, France.ORCID http://orcid.org/0000-0001-8288-5532
Mounir ChennaouiUniversité Paris Cité, VIFASOM (Vigilance Fatigue Sommeil et Santé publique), Paris, France.
Damien LégerUniversité Paris Cité, VIFASOM (Vigilance Fatigue Sommeil et Santé publique), Paris, France.
Thomas AndrillonSorbonne Université, Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, Paris, France. thomas.andrillon@icm-institute.org.ORCID http://orcid.org/0000-0003-2794-8494

Funding

Agence Nationale de la Recherche (French National Research Agency) ANR-22-CE37-0006-01
6 · The paper itself

Abstract

Understanding insomnia is crucial for improving its diagnosis and treatment. However, many subjective complaints about insomnia do not align with objective measures of sleep quality, as is the case in subjective-objective sleep discrepancy (SOSD). We address this discrepancy by measuring sleep intrusions and instability in polysomnographic recordings from a large clinical database. Using machine learning, we develop personalized models to infer hypnodensities-a continuous and probabilistic measure of sleep dynamics-, and analyze them via information theory to measure intrusions and instability in a principled way. We find that insomnia with SOSD involves sleep intrusions during intra-sleep wakefulness, while insomnia without SOSD shows wake intrusions during sleep, indicating distinct etiologies. By mapping these metrics to standard sleep features, we provide a continuous and interpretable framework for measuring sleep quality. This approach integrates and values subjective insomnia complaints with physiological data for a more accurate view of sleep quality and its disorders.

Indexed as

SleepSleep Initiation and Maintenance DisordersSleep QualityAdultFemaleHumansMachine LearningMaleMiddle AgedPolysomnographyWakefulness

Identifiers

PMID40075150
PMCPMC11903875

What OpenQuestion holds

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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.