Evidence map›Paper›PMID 40398872›Full record

ArticleSleep2025

One size fits null: attentional brain responses differ depending on insomnia subtype.

Wenrui Zhao, Eus J W Van Someren, Glenn J M van der Lande, Sjors van de Ven, Frank J van Schalkwijk, Tessa F Blanken, Jennifer R Ramautar, Roy Cox

Abstract read
In one paragraph

Article in Sleep, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Wenrui ZhaoSleep Medicine Center, Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, China.ORCID 0000-0002-0712-4212
Eus J W Van SomerenDepartment of Sleep and Cognition, Netherlands Institute for Neuroscience, An Institute of the Royal Netherlands Academy of Arts and Sciences, Amsterdam, The Netherlands.ORCID 0000-0002-9970-8791
Glenn J M van der LandeComa Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.ORCID 0000-0003-0518-2571
Sjors van de VenDepartment of Sleep and Cognition, Netherlands Institute for Neuroscience, An Institute of the Royal Netherlands Academy of Arts and Sciences, Amsterdam, The Netherlands.
Frank J van SchalkwijkDepartment of Sleep and Cognition, Netherlands Institute for Neuroscience, An Institute of the Royal Netherlands Academy of Arts and Sciences, Amsterdam, The Netherlands.
Tessa F BlankenDepartment of Psychology, University of Amsterdam, The Netherlands.
Jennifer R RamautarDepartment of Sleep and Cognition, Netherlands Institute for Neuroscience, An Institute of the Royal Netherlands Academy of Arts and Sciences, Amsterdam, The Netherlands.
Roy CoxDepartment of Sleep and Cognition, Netherlands Institute for Neuroscience, An Institute of the Royal Netherlands Academy of Arts and Sciences, Amsterdam, The Netherlands.ORCID 0000-0002-3667-9049

Funding

Chongqing Postdoctoral Science Foundation CSTB2023NSCQ-BHX0213Natural Science Foundation of China 32300932
6 · The paper itself

Abstract

STUDY

objectivesEvent-related potential (ERP) studies on attentional brain processes in insomnia disorder (ID) have yielded inconsistent findings. Such inconsistencies may relate to small sample sizes, limited corrections for multiple comparisons, and the possibility of heterogeneity within the clinical population. We aimed to overcome these limitations by studying ERP responses both across and within subtypes in a larger sample of ID.

methodsERPs were recorded in 201 participants with ID and 70 normal sleeper controls (NS) with an auditory oddball task. Participants with ID were subtyped using a validated multivariate trait profile. Analyses evaluated subtype-specific and nonspecific deviations using both conventional ERP components as well as cluster-based permutation tests.

resultsAll five subtypes were well-represented in the ID sample (subtypes 1-5 respectively N = 31, 83, 28, 29 and 19). ERP component analyses with false discovery rate corrections revealed no evidence for differences between the heterogeneous ID group and NS. However, subtype-specific analyses revealed that ERPs were significantly altered, but in different ways for different subtypes. Specifically, ERP component analyses revealed stronger N100 amplitudes for standards and deviants both in subtypes 2 and 3, and a lower P300 amplitude and longer P300 latency for deviants in subtype 3. Cluster-based permutation tests on ERPs corroborated the P300 amplitude effect for deviants in subtype 3, with subtype 3 and 4 additionally showing a smaller difference between deviant and standard P300 amplitudes.

conclusionOur findings indicate that ID is a heterogeneous disorder. Ignoring subtype identity dilutes ERP alterations occurring only in specific insomnia subtypes.

Indexed as

AttentionBrainEvoked PotentialsSleep Initiation and Maintenance DisordersAcoustic StimulationAdultElectroencephalographyFemaleHumansMaleMiddle AgedYoung Adultauditory oddballevent-related potentialsinsomnia disorderinsomnia subtypes

Identifiers

PMID40398872
PMCPMC12246374

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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.