Evidence map›Paper›PMID 40473645›Full record

ArticleScientific reports2025

Multimodal assessment of sleep-wake perception in insomnia disorder.

Carlotta L Schneider, Kristoffer D Fehér, Elisabeth Hertenstein, Fabian Hügli, Marina Wunderlin, Marc A Züst, Christian Mikutta, Antoine R Adamantidis, Thomas Berger, Dieter Riemann and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Insomnia disorder.Nature reviews. Disease primers · 2026
    Review
  4. Article
  5. Article
  6. Article
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

12 authors.

Carlotta L SchneiderDepartment of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Kristoffer D FehérDepartment of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Elisabeth HertensteinDepartment of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Fabian HügliUniversity Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Marina WunderlinUniversity Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Marc A ZüstUniversity Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Christian MikuttaPrivatklinik Meiringen, Meiringen, Switzerland.
Antoine R AdamantidisCenter for Experimental Neurology, Department of Neurology, University Hospital Bern, Sleep-Wake Epilepsy Center, Inselspital, University of Bern, NeuroTec, Bern, Switzerland.
Thomas BergerDepartment of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.
Dieter RiemannDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
Bernd FeigeDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
Christoph NissenDepartment of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland. christoph.nissen@hug.ch.

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 189058
6 · The paper itself

Abstract

Insomnia disorder is a prevalent health problem. The primary diagnostic criterion is a subjective complaint about reduced quantity or quality of sleep, which is often not observed in objective sleep measurements. Here we show that patients with insomnia disorder, characterized by substantial subjective sleep complaints, did not differ on objective measures of sleep continuity, sleep architecture, spectral power, spectral slope, and phase-amplitude coupling of slow oscillatory and spindle activity. Perception of wakefulness following serial awakenings from NREM sleep was frequent in both patients and controls, with no significant group difference. High frequency spectral power, as an index of cortical arousal prior to awakening, but not standard measures of sleep, predicted the perception of wakefulness across groups, possibly related to physiological wake-like activity during sleep. Our results support the notion that sleep-wake regulatory systems and direct sleep-wake perception are often intact in patients with insomnia disorder. These results propose empirical support for cognitive behavioral therapy for insomnia as the first-line treatment.

Indexed as

PerceptionSleepSleep Initiation and Maintenance DisordersWakefulnessAdultElectroencephalographyFemaleHumansMaleMiddle AgedPolysomnographyInsomnia disorderPolysomnographySerial awakeningSleep-wake perceptionSpectral analysis

Identifiers

PMID40473645
PMCPMC12141479

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.