ArticleEuropean archives of psychiatry and clinical neuroscience2026
The prevalence of insomnia disorder in inpatient psychiatric care.
Article in European archives of psychiatry and clinical neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
22 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Sleep and mental health are intricately linked. Insomnia - defined as a dissatisfaction with sleep quantity or quality - is highly prevalent among patients with psychiatric disorders, exerting a negative impact on treatment outcome. However, the prevalence of insomnia on a symptom and diagnosis level (insomnia disorder) has not systematically been assessed in inpatient psychiatric care. The aim of this study was to systematically investigate the prevalence of insomnia symptoms and insomnia disorder according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria in inpatient psychiatric care. Comprehensive diagnostic interviews were conducted by trained clinicians in four German and two Swiss psychiatric hospitals. A total of 427 inpatients with psychiatric disorders across diagnostic groups were included (225 female, 200 male, 2 non-binary, mean age 40.8 ± 15.1 years, mean duration of psychiatric illness 8.6 ± 10.6 years). The prevalence of comorbid insomnia disorder, according to DSM-5 criteria, was 30.4% (95% CI [26.0%; 34.8%]). Additionally, 38.4% of patients (95% CI [33.8%; 43.0%]) reported regular insomnia symptoms but did not fulfill disorder criteria. Together, 68.8% of the sample (95% CI [66.4%; 73.2%]) were regularly affected by insomnia complaints. The prevalence of insomnia disorder was independent of age and diagnostic group, but significantly higher in women than in men (Fisher's exact test: p = 0.006, OR = 1.8, 95% CI [1.2; 2.8]). The current study is, to our knowledge, the first interview-based systematic investigation of the prevalence of insomnia disorder in inpatient psychiatric care. The high prevalence of around one third of patients is a call for action to implement a systematic diagnostic evaluation and state-of-the-art treatment of insomnia in routine psychiatric care. Of note, recent work demonstrates that adaptations of cognitive behavioral therapy for insomnia (CBT-I) - the first-line treatment according to guidelines-are feasible in inpatient psychiatric care. These interventions might have the potential to reduce the overprescription of hypnotic medication and to improve sleep and health.
Indexed as
Identifiers
What OpenQuestion holds
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.