The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
The Natural History of Insomnia: A Population-Based 3-Year Longitudinal Study
Abstract
BACKGROUND: Despite its high prevalence, little information is available about the natural history of insomnia. The extent to which episodes of insomnia will persist or remit over time is difficult to predict. We examined the natural history of insomnia and describe the most common trajectories over 3 years. METHODS: Three hundred eighty-eight adults (mean [SD] age, 44.8 [13.9] years; 61% women) were selected from a larger population-based sample on the basis of the presence of insomnia at baseline. They completed standardized sleep/insomnia questionnaires at 3 annual follow-up assessments. For each follow-up assessment, participants were classified into 1 of 3 groups (individuals with an insomnia syndrome, individuals with insomnia symptoms, and individuals with good sleep) on the basis of algorithms using standard diagnostic criteria for insomnia. Rates of persistent insomnia, remission, and relapse were computed for each group. RESULTS: Of the study sample, 74% reported insomnia for at least 1 year (2 consecutive assessments) and 46% reported insomnia persisting over the entire 3-year study. The course of insomnia was more likely to be persistent in those with more severe insomnia at baseline (ie, insomnia syndrome) and in women and older adults. Remission rate was 54%; however, 27% of those with remission of insomnia eventually experienced relapse. Individuals with subsyndromal insomnia at baseline were 3 times more likely to remit than worsen to syndrome status, although persistence was the most frequent course in that group as well. CONCLUSION: These findings indicate that insomnia is often a persistent condition, in particular when it reaches the diagnostic threshold for an insomnia disorder.
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In the citing paper
“which indicates that insomnia is a disorder while “poor sleep” is a symptom of underlying physical or mental health problems(137, 138, 140).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [138]
In the citing paper
“There is now evidence to suggest that insomnia often persists following resolution of these ‘primary’ conditions, and that it generally does not spontaneously resolve over time if left untreated [5].”
From Comparative effectiveness of cognitive behavioral therapy for insomnia: a systematic review (2012) · cites this paper as [5]
Citations
Cites
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067
An Introduction to Categorical Data Analysis
Agresti, A. (2006) · Wiley series in probability and statistics · doi:10.1002/0470114754 · Cited by 6,775
The International Classification of Sleep Disorders
Daroff, R. B. (1991) · Neurology · doi:10.1212/wnl.41.1.160 · Cited by 5,023
Epidemiology of insomnia: what we know and what we still need to learn
Ohayon, M. M. (2002) · Sleep Medicine Reviews · doi:10.1053/smrv.2002.0186 · Cited by 3,743 · cited 1×
“A PPROXIMATELY 30% OF adults report symptoms of insomnia, and 6% to 10% meet diagnostic criteria for an insomnia disorder.(1-5) Several demographic (eg, female sex and increasing age), medical (eg, pain), and psychological (eg, anxiety and depression) factors have been associated with insomnia,(1-10) and insomnia has…”
BackgroundEpidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
Ford, D. E. (1989) · JAMA · doi:10.1001/jama.262.11.1479 · Cited by 2,440
The International Classification of Sleep Disorders: Diagnostic and Coding Manual
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-115-5-413_1 · Cited by 2,416
An Introduction to Categorical Data Analysis
Musiol, G. (1997) · Computational Statistics & Data Analysis · doi:10.1016/s0167-9473(97)84760-3 · Cited by 1,981
Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young Adults
Breslau, N., Roth, T., Rosenthal, L., & Andreski, P. (1996) · Biological Psychiatry · doi:10.1016/0006-3223(95)00188-3 · Cited by 1,831
Recommendations for a standard research assessment of insomnia
Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Lichstein, K. L., & Morin, C. M. (2006) · Sleep · doi:10.1093/sleep/29.9.1155 · Cited by 1,206
MORIN, C., LEBLANC, M., DALEY, M., GREGOIRE, J., & MERETTE, C. (2006) · Sleep Medicine · doi:10.1016/j.sleep.2005.08.008 · Cited by 1,191
Insomnia and Its Treatment: Prevalence and Correlates
Mellinger, G. D. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790260019002 · Cited by 1,071
Edinger, J. D., Bonnet, M. H., Bootzin, R. R., Doghramji, K., Dorsey, C. M., Espie, C. A., Jamieson, A. O., McCall, W. V., Morin, C. M., & Stepanski, E. J. (2004) · Sleep · doi:10.1093/sleep/27.8.1567 · Cited by 1,039
Epidemiology of Insomnia, Depression, and Anxiety
Taylor, D. J., Lichstein, K. L., Durrence, H. H., Reidel, B. W., & Bush, A. J. (2005) · Sleep · doi:10.1093/sleep/28.11.1457 · Cited by 988 · cited 1×
“Several demographic (eg, female sex and increasing age), medical (eg, pain), and psychological (eg, anxiety and depression) factors have been associated with insomnia,(1-10) and insomnia has been linked with increased work absenteeism, disability, and health care costs and higher risk of hypertension and depression.(5…”
BackgroundPlace of chronic insomnia in the course of depressive and anxiety disorders
Ohayon, M. M., & Roth, T. (2003) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(02)00052-3 · Cited by 873
Prevalence, course, and comorbidity of insomnia and depression in young adults.
Buysse, D. J., Angst, J., Gamma, A., Ajdacic, V., Eich, D., & Rössler, W. (2008) · Sleep · doi:10.1093/sleep/31.4.473 · Cited by 858
Prevalence, burden, and treatment of insomnia in primary care
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.10.1417 · Cited by 694 · cited 1×
“Several demographic (eg, female sex and increasing age), medical (eg, pain), and psychological (eg, anxiety and depression) factors have been associated with insomnia,(1-10) and insomnia has been linked with increased work absenteeism, disability, and health care costs and higher risk of hypertension and depression.(5…”
BackgroundEpidemiology of Insomnia: a Longitudinal Study in a UK Population
(2007) · Sleep · doi:10.1093/sleep/30.3.274 · Cited by 583 · cited 1×
“Studies have reported persistence rates varying extensively, from 40% to 69% for periods ranging from 1 to 20 years.(5,10,19-21) Studies of community-living elderly adults have also reported variable rates of chronic insomnia, ranging from 40% to 75% for periods of 2 to 31⁄2 years,(22-24) with annualized rates of chro…”
BackgroundWiegand, H. (1968) · Biometrische Zeitschrift · doi:10.1002/bimj.19680100122 · Cited by 510
Mallon, L., Broman, J. ‐., & Hetta, J. (2002) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2002.00941.x · Cited by 495
Ernst, C., & Angst, J. (1992) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf02190257 · Cited by 450
Daley, M. M. R., Morin, C. M., LeBlanc, M., Grégoire, J., Savard, J., & Baillargeon, L. (2008) · Sleep Medicine · doi:10.1016/j.sleep.2008.04.005 · Cited by 441
The Direct and Indirect Costs of Untreated Insomnia in Adults in the United States
Ozminkowski, R. J., Wang, S. S., & Walsh, J. K. (2007) · SLEEP · doi:10.1093/sleep/30.3.263 · Cited by 403
Monjan, Simonsick, & Wallace (1999) · SLEEP · Cited by 402
Röth, T., & Ancoli‐Israel, S. (1999) · PubMed · Cited by 397
LeBlanc, M., Beaulieu‐Bonneau, S., Mérette, C., Savard, J., Ivers, H., & Morin, C. M. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.03.004 · Cited by 308
Insomnia in Men—A 10-Year Prospective Population Based Study
Janson, C., Lindberg, E., Gíslason, Þ., Elmasry, A., & Boman, G. (2001) · SLEEP · doi:10.1093/sleep/24.4.425 · Cited by 264
Persistent Insomnia is a Predictor of Hypertension in Japanese Male Workers
Suka, M., Yoshida, K., & Sugimori, H. (2003) · Journal of Occupational Health · doi:10.1539/joh.45.344 · Cited by 247
The direct economic costs of insomnia in the United States for 1995.
Walsh, J. K., & Engelhardt, C. L. (1999) · PubMed · Cited by 229
[Evaluation of insomnia: validity of 3 questionnaires].
Blais, F., Gendron, L., Mimeault, V., & Morin, C. M. (1997) · PubMed · Cited by 218
Vollrath, M. E., Wicki, W., & Angst, J. (1989) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf01759584 · Cited by 197
The Long-term Effect of Insomnia on Work Disability
Sivertsen, B., Øverland, S. N., Neckelmann, D., Glozier, N., Krokstad, S., Pallesen, S., Nordhus, I. H., Bjorvatn, B., & Mykletun, A. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj145 · Cited by 176
Prevalence and Persistence of Sleep Complaints in a Rural Older Community Sample: The MoVIES Project
Ganguli, M., Reynolds, C. F., & Gilby, J. E. (1996) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1996.tb03733.x · Cited by 163
Brabbins, C. J., Dewey, M. E., Copeland, J. R. M., Davidson, I. A., McWilliam, C., Saunders, P., Sharma, V. K., & Sullivan, C. (1993) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.930080604 · Cited by 141
Self-Help Treatment for Insomnia: a Randomized Controlled Trial
Morin, C. M., Beaulieu‐Bonneau, S., LeBlanc, M., & Savard, J. (2005) · SLEEP · doi:10.1093/sleep/28.10.1319 · Cited by 109
The course of insomnia over one year: a longitudinal study in the general population in Sweden
Jansson-Fröjmark, M., & Linton, S. J. (2008) · SLEEP · doi:10.1093/sleep/31.6.881 · Cited by 103
Incidence and remission of insomnia among elderly adults in a biracial cohort.
Foley, D. J., Monjan, A. A., Izmirlian, G., Hays, J. C., & Blazer, D. G. (1999) · PubMed · Cited by 102
Quan, S. F., Enright, P., Katz, R., Olson, J., BONEKAT, W. H., Young, T. B., & Newman, A. B. (2005) · The American Journal of the Medical Sciences · doi:10.1097/00000441-200504000-00001 · Cited by 99
Long-term Follow-up of Chronic Insomnia
Mendelson, W. B. (1995) · SLEEP · doi:10.1093/sleep/18.8.698 · Cited by 85
Jansson‐Fröjmark, M., & Linton, S. J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.04.003 · Cited by 84
Cited by
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Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011) · Sleep · doi:10.1093/sleep/34.5.601 · Cited by 4,620
European guideline for the diagnosis and treatment of insomnia
Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G., Espie, C. A., Garcia‐Borreguero, D., Gjerstad, M., Gonçalves, M., et al. (2017) · Journal of Sleep Research · doi:10.1111/jsr.12594 · Cited by 2,049
Self-citationIrwin, M. R., Olmstead, R., & Carroll, J. E. (2016) · Biological Psychiatry · doi:10.1016/j.biopsych.2015.05.014 · Cited by 2,085
Why Sleep Is Important for Health: A Psychoneuroimmunology Perspective
Irwin, M. R. (2015) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115205 · Cited by 1,325
“…about 25% of the population of the United States report insomnia complaints (LeBlanc et al. 2009), and nearly 10% fulfill diagnostic criteria for chronic insomnia (Morin et al. 2006b; Ohayon 1996, 2002), which is persistent for as long as three years in nearly 50% of patients (Morin et al. 2009).”
BackgroundMorin, C. M., & Benca, R. (2012) · The Lancet · doi:10.1016/s0140-6736(11)60750-2 · Cited by 976
Metadata
- Authors
- Morin, C. M., Bélanger, L., LeBlanc, M., Ivers, H., Savard, J., Espie, C. A., Mérette, C., Baillargeon, L., & Grégoire, J.-P.
- Affiliations
- Université Laval (CA)
- Southern General Hospital (GB)
- Corresponding author
- Morin, Charles M.
- ORCID
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2009-03-09
- Volume
- 169
- Issue
- 5
- Pages
- 447
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2163354325
- Cited by
- 498
- References
- 40
- Citations by year
- 2026: 21 · 2025: 34 · 2024: 19 · 2023: 26 · 2022: 31 · 2021: 45 · 2020: 37 · 2019: 28 · 2018: 23 · 2017: 30 · 2016: 35 · 2015: 36 · 2014: 40 · 2013: 31 · 2012: 25
- FWCI
- 26.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Corpus Université Laval (Université Laval) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- insomnia, natural history (disease), insomnia symptoms, remission, relapse, persistence, sleep disorders, sex differences, age differences
- MeSH terms
- Adult, Female, Humans, Sleep Initiation and Maintenance Disorders, Longitudinal Studies, Male, Middle Aged, Surveys and Questionnaires, Recurrence, Remission, Spontaneous, Risk Factors, Prevalence, Disease Progression
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