Evidence map›Paper›PMID 40369835›Full record

SynthesisJournal of sleep research2025

The Prevalence of Insomnia Disorder in the General Population: A Meta-Analysis.

Annemieke van Straten, Karl Juri Weinreich, Bernát Fábián, Joyce Reesen, Sarah Grigori, Annemarie I Luik, Mathias Harrer, Jaap Lancee

Registry-linked trialAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of sleep research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07595185 (Clinical and Neurophysiological Effects of Accelerated rTMS on Sleep Architecture in Chronic Insomnia Disorder), which is not on this map. Cited by 64 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 7 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.

NCT07595185 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Clinical and Neurophysiological Effects of Accelerated rTMS on Sleep Architecture in Chronic Insomnia Disorder: A Prospective Pilot Study

TypeinterventionalSponsorSan Francisco Neurology and Sleep CenterRan2026 to 2028Enrolled70ConditionsInsomnia, Chronic Insomnia, Chronic Insomnia Disorder, Sleep DisturbanceArmsTMS
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Combination treatment for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Guideline
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Heat-TreatedNutrients · 2025
    Trial
  11. Article
  12. The prevalence of insomnia disorder in inpatient psychiatric care.European archives of psychiatry and clinical neuroscience · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Insomnia disorder at 6 weeks postpartum: a prospective study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  17. Sleep and obesity-known interactions and open questions.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Review
  18. Observational
  19. Article
  20. Life (Basel, Switzerland) · 2026
    Article

4 more citing papers are in PubMed but not listed here.

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.

Annemieke van StratenDepartment of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-6875-2215
Karl Juri WeinreichDepartment of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0009-0005-7115-3631
Bernát FábiánDepartment of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0009-0003-1441-6920
Joyce ReesenDepartment Sleep & Cognition, Netherlands Institute for Neuroscience (NIN), Royal Netherlands Academy of Arts and Sciences & Department of Integrative Neurophysiology, Center for Neurogenomics and Cognitive Research (CNCR), Amsterdam Neuroscience, VU University, Amsterdam, the Netherlands.ORCID 0000-0002-4292-5349
Sarah GrigoriDepartment of Social and Behavioural Sciences, Universiteit Utrecht, Utrecht, the Netherlands.ORCID 0009-0004-6267-6468
Annemarie I LuikTrimbos Institute, The Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.ORCID 0000-0001-7517-197X
Mathias HarrerDepartment of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-7016-2687
Jaap LanceeDepartment of Clinical Psychology, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-7722-5780

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insomnia disorder is a significant public health issue, but the prevalence estimates vary widely. We performed a meta-analysis aiming to pool prevalence rates in studies (1) carried out in the general population (2) using a true random sample (3) and using a diagnostic interview, DSM based self-report questions, or a questionnaire with a cut-off established against the DSM criteria. A literature search (in PubMed, Embase, APA PsycInfo) was performed up to April 2024. Two independent reviewers assessed title and abstracts (n = 6732), full-text manuscripts (n = 621) and extracted the data of the 47 included studies. Prevalence rates were pooled using a three-level hierarchical random-effects model, stratified by diagnosis type and adjusted for gender distribution and mean sample age. The pooled prevalence of all studies using an interview to establish the DSM criteria was 12.4% (95% CI: 9.0-16.8%), and of self-report questions assessing the DSM diagnosis 16.3% (95% CI: 11.3%-23.0%). There were 27 studies using different insomnia questionnaires with different cut-offs (prevalence range 7.5%-32.3%). The prevalences differed significantly across regions and high quality studies yielded a lower prevalence rates than lower quality studies. This meta-analysis confirms that insomnia is a common disorder with a prevalence of 12.4 as the most accurate estimate. It also shows the need for standardised ways of assessing insomnia. We think the golden standard is using standardised structured clinical interviews. However, if this is not feasible, we recommend using well validated questionnaires such as the Sleep Condition Indicator or the Insomnia Severity Index. Trial Registration: PROSPERO CRD42023402745.

Indexed as

Sleep Initiation and Maintenance DisordersHumansPrevalenceSelf ReportSurveys and Questionnairesepidemiologygeneral populationinsomniainsomnia disordermeta‐analysisprevalencesleep initiation and maintenance disorders

Identifiers

PMID40369835
PMCPMC12426706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.