Evidence map›Paper›PMID 40330139›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2025

Treatment of idiopathic hypersomnia with modafinil in an individual at clinical high risk for psychosis: A case report.

Yutaro Sato, Atsushi Sakuma, Hiroaki Tomita

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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

3 authors.

Yutaro SatoDepartment of Psychiatry Tohoku University Hospital Sendai Japan.ORCID https://orcid.org/0000-0002-0050-8942
Atsushi SakumaNational Hospital Organization Sendai Medical Center Sendai Japan.
Hiroaki TomitaDepartment of Psychiatry Tohoku University Hospital Sendai Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recent studies have shown that sleep disturbances are frequent at different stages of psychosis, including clinical high risk for psychosis (CHR-P). However, the comorbidity of hypersomnia with CHR-P and its treatment have rarely been reported or discussed. Case Presentation: A 16-year-old female diagnosed with major depressive disorder and CHR-P experienced worsening excessive daytime sleepiness (EDS), including falling sleep in class. Polysomnography and multiple sleep latency tests confirmed the diagnosis of idiopathic hypersomnia (IH), and treatment with modafinil (100 mg/day) was initiated. EDS improved after increasing the modafinil dose to 200 mg/day. No side effects or exacerbations of psychotic symptoms were observed. EDS recurred after she entered university and was treated with 300 mg/day of modafinil without side effects or transition to psychosis. Conclusion: This case demonstrates modafinil's efficacy and safety in treating IH in individuals with CHR-P. However, whether modafinil use increases the risk of transition to psychosis remains unclear. Further research is required on modafinil as a treatment for hypersomnia in individuals with CHR-P.

Indexed as

clinical high risk for psychosisidiopathic hypersomniamodafinilmultiple sleep latency testpolysomnography

Identifiers

PMID40330139
PMCPMC12050949

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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.