Insomnia as a Transdiagnostic Process in Psychiatric Disorders
Open accessAbstract
Insomnia is a major public health concern, and is highly comorbid with a broad range of psychiatric disorders. Although insomnia has historically been considered a symptom of other disorders, this perspective has shifted. Epidemiological and experimental studies suggest that insomnia is related to the onset and course of several psychiatric disorders. Furthermore, several randomized controlled trials show that cognitive behavioral therapy for insomnia delivered to individuals who meet diagnostic criteria for insomnia and another psychiatric disorder improves the insomnia as well as the symptoms of the comorbid psychiatric disorder. Taken together, these results encompassing a range of methodologies have provided encouraging evidence and point toward insomnia as a transdiagnostic process in psychiatric disorders.
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Insomnia symptoms, including sleep-onset difficulties, are transdiagnostic phenomena maintaining psychiatric disorders through shared cognitive and physiological mechanisms.
“Emerging evidence supports insomnia symptoms, including sleep-onset difficulties, as transdiagnostic phenomena maintaining psychiatric disorders through shared cognitive and physiological mechanisms [6,7].”
From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [6]
The Introduction defines insomnia to include difficulty falling asleep, and the Conclusions describe it as a transdiagnostic process related to the onset and maintenance of five psychiatric disorders. The Introduction also discusses worry, attention, and sympathetic arousal as processes involved in insomnia, but does not establish that these cognitive and physiological mechanisms are shared across the psychiatric disorders reviewed. (LLM, conf=0.82)
Experimental — accuracy not yet measuredOur intervention data and previous literature provide further support for insomnia as a transdiagnostic process associated with the onset and maintenance of mental health difficulties (Dolsen et al., 2014).
“Overall, our intervention data and previous literature provide further support for insomnia as a transdiagnostic process associated with the onset and maintenance of mental health difficulties (Dolsen et al ., 2014).”
From ACT-i, an insomnia intervention for autistic adults: A pilot study (2023) · cites this paper as Dolsen et al., 2014
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References 85 · Cited by 163
Research works printed but not linked: 3
- [17]Edinger JD Wohlgemuth WK Radtke RA Marsh GR Quillian RE Cognitive Behavioral Therapy for Treatment of Chronic Primary Insomnia. JAMA. American Medical Association 2001 285 1856 11308399
- [27]Bootzin RR A stimulus control treatment for insomnia. 1972 Proceedings of the 80th Annual Convention of the American Psychological Association
- [43]Ford DE Kamerow DB Epidemiologic Study of Sleep Disturbances and Psychiatric Disorders. JAMA. American Medical Association 1989 262 1479 2769898
- Authors
- Dolsen, E. A., Asarnow, L. D., & Harvey, A. G.
- Affiliations
- University of California, Berkeley (US)
- Corresponding author
- Harvey, Allison G.
- Venue
- Current Psychiatry Reports
- Published
- 2014-07-17
- Volume
- 16
- Issue
- 9
- Pages
- 471-471
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- PMC
- PMC4185311
- OpenAlex
- W2095213537
- Cited by
- 163
- References
- 85
- Citations by year
- 2026: 17 · 2025: 19 · 2024: 16 · 2023: 17 · 2022: 19 · 2021: 21 · 2020: 14 · 2019: 14 · 2018: 8 · 2017: 8 · 2016: 5 · 2015: 4 · 2014: 1
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (R34MH080958)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD071065)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- insomnia, transdiagnostic mechanisms, psychiatric comorbidity, cognitive behavioral therapy for insomnia, mental illness, insomnia treatment
- MeSH terms
- Mental Disorders, Humans, Sleep Initiation and Maintenance Disorders, Comorbidity, Cognitive Behavioral Therapy
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