Insomnia in central Pennsylvania
Abstract
Objective Establish the association between insomnia and various physical and mental health symptoms as well as objective measures of sleep disturbance while controlling for age, gender and BMI in a large random sample of the general public.Methods A subsample (N=1741) was selected for a single-night sleep laboratory evaluation from a larger random sample (N=16,583) of the general public (20-100 years old).Results The prevalence of insomnia was 7.5% and difficulty sleeping an additional 22.4%. The complaints were more frequent in women and in non-Caucasian minorities. A multivariate logistic regression analysis indicated that depression was the single strongest factor followed by female gender associated with either insomnia or difficulty sleeping. Minority status and a history of colitis, hypertension and anemia were also associated, but to a lesser degree. The final model did not include age, BMI as well as any of the sleep laboratory findings.Conclusion These findings support the conclusion that mental health variables have the primary independent association with a complaint of insomnia. Other factors including minorities and hypertension are also independently associated, though to a lesser degree. Other primary sleep disorders, e.g., sleep apnea, do not seem to play a major role in insomnia. These findings underscore the fact that insomnia is a symptom associated with a wide variety of mental and physical health problems requiring a proper psychiatric and medical management.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The prevalence of insomnia in the general population ranges between 8-40%, depending on the definition used.
“The prevalence of insomnia in the general population ranges between 8-40%, depending on the definition used.”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [135]
Cites
Rechtschaffen, A. (1968) · Medical Entomology and Zoology · Cited by 11,772 · see citing works
Hobson, J. A. (1969) · Electroencephalography and Clinical Neurophysiology · doi:10.1016/0013-4694(69)90021-2 · Cited by 5,215 · see citing works
Epidemiologic 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 · see citing works
(1993) · Medical Entomology and Zoology · Cited by 2,324 · see citing works
Epidemiologic Study of Sleep Disturbances and Psychiatric Disorders: An Opportunity for Prevention?
Ford, D. E. (1989) · JAMA · doi:10.1001/jama.1989.03430110069030 · Cited by 2,252 · see citing works
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 · see citing works
Sleep Complaints Among Elderly Persons: An Epidemiologic Study of Three Communities
Foley, D. J., Monjan, A. A., Brown, S. L., Simonsick, E. M., Wallace, R. B., & Blazer, D. G. (1995) · Sleep · doi:10.1093/sleep/18.6.425 · Cited by 1,610 · see citing works
Prevalence of Sleep-disordered Breathing in Women
BIXLER, E. O., VGONTZAS, A. N., LIN, H.-M., TEN HAVE, T., REIN, J., VELA-BUENO, A., & KALES, A. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.3.9911064 · Cited by 1,598 · see citing works
Self-citationSampling Methods for Random Digit Dialing
Waksberg, J. (1978) · Journal of the American Statistical Association · doi:10.1080/01621459.1978.10479995 · Cited by 1,386 · see citing works
Effects of Age on Sleep Apnea in Men: I. Prevalence and Severity
Bixler, E. O., Vgontzas, A. N., Have, T. T., Tyson, K. L., & Kales, A. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.1.9706079 · Cited by 1,239 · see citing works
Self-citationInsomnia and Its Treatment: Prevalence and Correlates
Mellinger, G. D. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790260019002 · Cited by 1,071 · see citing works
Prevalence of sleep disorders in the Los Angeles metropolitan area
Bixler, E. O., Kales, A., Soldatos, C. R., Kales, J. D., & Healey, S. (1979) · American Journal of Psychiatry · doi:10.1176/ajp.136.10.1257 · Cited by 889 · see citing works
Self-citationVgontzas, A. N., Bixler, E. O., Lin, H.-M., Prolo, P., Mastorakos, G., Vela-Bueno, A., Kales, A., & Chrousos, G. P. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.8.7778 · Cited by 884 · see citing works
Self-citationAncoli‐Israel, S., & Roth, T. G. (1999) · PubMed · Cited by 776 · see citing works
Prevalence, burden, and treatment of insomnia in primary care
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.10.1417 · Cited by 694 · see citing works
Some preliminary findings on physical complaints from a prospective study of 1,064,004 men and women
Hammond, E. C. (1964) · American Journal of Public Health and the Nations Health · doi:10.2105/ajph.54.1.11 · Cited by 401 · see citing works
Klink, M. E., & Quan, S. F. (1987) · CHEST Journal · doi:10.1378/chest.91.4.540 · Cited by 386 · see citing works
Prevalence of sleep disturbance in a primarily urban Florida county
Karacan, I., Thornby, J. I., Anch, M., Holzer, C. E., Warheit, G. J., Schwab, J. J., & Williams, R. L. (1976) · Social Science & Medicine (1967) · doi:10.1016/0037-7856(76)90006-8 · Cited by 342 · see citing works
Malcolm, R. J., & Gross, J. A. (1984) · Postgraduate Medicine · doi:10.1080/00325481.1984.11698665 · Cited by 290 · see citing works
Klink, M. E. (1992) · Archives of Internal Medicine · doi:10.1001/archinte.152.8.1634 · Cited by 273 · see citing works
Insomnia in primary care patients.
Shochat, T., Umphress, J. L., Israel, A. G., & Ancoli‐Israel, S. (1999) · PubMed · Cited by 215 · see citing works
Risk Factors Associated With Complaints of Insomnia in a General Adult Population
Klink, M. E. (1992) · Archives of Internal Medicine · doi:10.1001/archinte.1992.00400200070012 · Cited by 196 · see citing works
Evaluation and Treatment of Insomnia
Kales, J. D., & Kales, A. (1987) · Psychiatric Annals · doi:10.3928/0048-5713-19870701-08 · Cited by 167 · see citing works
Self-citationSubjective measurement of insomnia and quality of life in depressed inpatients
McCall, W. V., Reboussin, B. A., & Cohen, W. (2000) · Journal of Sleep Research · doi:10.1046/j.1365-2869.2000.00186.x · Cited by 139 · see citing works
Evaluation and Treatment of Insomnia.
(1984) · Annals of Internal Medicine · doi:10.7326/0003-4819-101-6-886_1 · Cited by 124 · see citing works
The Natural History of Insomnia and Its Relationship to Respiratory Symptoms
Dodge, R. R. (1995) · Archives of Internal Medicine · doi:10.1001/archinte.1995.00430160145014 · Cited by 99 · see citing works
Nowell, P. D., Buysse, D. J., Reynolds, C. F., Hauri, P., Roth, T. G., Stepanski, E. J., Thorpy, M. J., Bixler, E. O., Kales, A., Manfredi, R. L., et al. (1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.10.1412 · Cited by 94 · see citing works
Self-citationBiopsychobehavioral correlates of insomnia, part 1: Role of sleep apnea and nocturnal myoclonus
Kales, A., Vela‐Bueno, A., Bixler, E. O., Soldatos, C. R., Caldwell, A. B., & Cadieux, R. J. (1982) · Psychosomatics · doi:10.1016/s0033-3182(82)73359-6 · Cited by 80 · see citing works
Self-citationSleep disorders on a psychiatric consultation service
Berlin, R. M., Litovitz, G. L., Díaz, M. Á., & Ahmed, S. (1984) · American Journal of Psychiatry · doi:10.1176/ajp.141.4.582 · Cited by 64 · see citing works
Flagged first, then by citations
2 of the 31 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Sex Differences in Insomnia: A Meta-Analysis
Zhang, B., & Wing, Y.-K. (2006) · Sleep · doi:10.1093/sleep/29.1.85 · Cited by 1,286 · see citing works
Insomnia with objective short sleep duration: The most biologically severe phenotype of the disorder
Vgontzas, A. N., Fernandez-Mendoza, J., Liao, D., & Bixler, E. O. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.09.005 · Cited by 776 · see citing works
Self-citationInsomnia with Objective Short Sleep Duration is Associated with a High Risk for Hypertension
Vgontzas, A. N., Liao, D., Bixler, E. O., Chrousos, G. P., & Vela-Bueno, A. (2009) · Sleep · doi:10.1093/sleep/32.4.491 · Cited by 748 · see citing works
Self-citationRacial differences in self-reports of sleep duration in a population-based study
Hale, L., & Do, D. P. (2007) · SLEEP · doi:10.1093/sleep/30.9.1096 · Cited by 523 · see citing works
Gender differences in sleep disorders
Krishnan, V., & Collop, N. A. (2006) · Current Opinion in Pulmonary Medicine · doi:10.1097/01.mcp.0000245705.69440.6a · Cited by 497 · see citing works
Insomnia With Objective Short Sleep Duration and Incident Hypertension: The Penn State Cohort
Fernandez-Mendoza, J., Vgontzas, A. N., Liao, D., Shaffer, M. L., Vela-Bueno, A., Basta, M., & Bixler, E. O. (2012) · Hypertension · doi:10.1161/hypertensionaha.112.193268 · Cited by 425 · see citing works
Self-citationSleep as a Potential Fundamental Contributor to Disparities in Cardiovascular Health
Jackson, C. L., Redline, S., & Emmons, K. M. (2015) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031914-122838 · Cited by 388 · see citing works
Insomnia: Epidemiology, characteristics, and consequences
Roth, T. G., & Roehrs, T. (2003) · Clinical cornerstone · doi:10.1016/s1098-3597(03)90031-7 · Cited by 358 · see citing works
Vitiello, M. V., Larsen, L. H., & Moe, K. E. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(04)00023-6 · Cited by 342 · see citing works
The epidemiology of insomnia: Associations with physical and mental health.
Sivertsen, B., Krokstad, S., Øverland, S. N., & Mykletun, A. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.05.001 · Cited by 341 · see citing works
Insomnia and its Impact on Physical and Mental Health
Fernández‐Mendoza, J., & Vgontzas, A. N. (2013) · Current Psychiatry Reports · doi:10.1007/s11920-013-0418-8 · Cited by 339 · see citing works
Self-citationPrevalence and impact of sleep disorders and sleep habits in the United States
Ram, S., Seirawan, H., Kumar, S., & Clark, G. T. (2009) · Sleep And Breathing · doi:10.1007/s11325-009-0281-3 · Cited by 296 · see citing works
Risk factors for incident chronic insomnia: A general population prospective study
Singareddy, R., Vgontzas, A. N., Fernandez-Mendoza, J., Liao, D., Calhoun, S., Shaffer, M. L., & Bixler, E. O. (2012) · Sleep Medicine · doi:10.1016/j.sleep.2011.10.033 · Cited by 272 · see citing works
Self-citationFernandez-Mendoza, J., Calhoun, S. L., Bixler, E. O., Karataraki, M., Liao, D., Vela-Bueno, A., Jose Ramos-Platon, M., Sauder, K. A., Basta, M., & Vgontzas, A. N. (2011) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181fe365a · Cited by 261 · see citing works
Self-citationFernández‐Mendoza, J., Calhoun, S. L., Bixler, E. O., Pejovic, S., Karataraki, M., Liao, D., Vela‐Bueno, A., Ramos-Platon, M. J., Sauder, K. A., & Vgontzas, A. N. (2010) · SLEEP · doi:10.1093/sleep/33.4.459 · Cited by 256 · see citing works
Self-citationAssociations Between Gender and Measures of Daytime Somnolence in the Sleep Heart Health Study
Baldwin, C. M., Kapur, V. K., Holberg, C. J., ROSEN, C. L., & Nieto, F. J. (2004) · SLEEP · doi:10.1093/sleep/27.2.305 · Cited by 243 · see citing works
Short sleep duration and obesity: the role of emotional stress and sleep disturbances
Vgontzas, A. N., Lin, H.-M., Papaliaga, M., Calhoun, S., Vela-Bueno, A., Chrousos, G. P., & Bixler, E. O. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.4 · Cited by 224 · see citing works
Self-citationInsomnia and hypertension: A systematic review
Jarrin, D. C., Alvaro, P. K., Bouchard, M.-A., Jarrin, S. D., Drake, C. L., & Morin, C. M. (2018) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2018.02.003 · Cited by 211 · see citing works
Epidemiology of sleep disorders
Partinen, M. (2010) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52006-7.00018-6 · Cited by 198 · see citing works
BIXLER, E. O., PAPALIAGA, M. N., VGONTZAS, A. N., LIN, H., PEJOVIC, S., KARATARAKI, M., VELA‐BUENO, A., & CHROUSOS, G. P. (2009) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2008.00713.x · Cited by 195 · see citing works
Self-citationThe 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 173 · see citing works
Tufik, S., Andersen, M. L., Bittencourt, L., & de Mello, M. T. (2009) · Anais da Academia Brasileira de Ciências · doi:10.1590/s0001-37652009000300016 · Cited by 171 · see citing works
Sleep: important considerations for the prevention of cardiovascular disease
Grandner, M. A., Alfonso-Miller, P., Fernandez-Mendoza, J., Shetty, S., Shenoy, S., & Combs, D. (2016) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000324 · Cited by 166 · see citing works
Effect of sleep apnea on cognition and mood
El-Ad, B., & Lavie, P. (2005) · International Review of Psychiatry · doi:10.1080/09540260500104508 · Cited by 166 · see citing works
Insomnia complaints in patients evaluated for obstructive sleep apnea
Krell, S. B., & Kapur, V. K. (2005) · Sleep And Breathing · doi:10.1007/s11325-005-0026-x · Cited by 163 · see citing works
The association of testosterone, sleep, and sexual function in men and women
Andersen, M. L., Alvarenga, T. A., Mazaro‐Costa, R., Hachul, H., & Tufik, S. (2011) · Brain Research · doi:10.1016/j.brainres.2011.07.060 · Cited by 156 · see citing works
Insomnia and incident depression: role of objective sleep duration and natural history
Fernandez‐Mendoza, J., Shea, S., Vgontzas, A. N., Calhoun, S. L., Liao, D., & Bixler, E. O. (2015) · Journal of Sleep Research · doi:10.1111/jsr.12285 · Cited by 148 · see citing works
Self-citationFernández‐Mendoza, J., Vgontzas, A. N., Kritikou, I., Calhoun, S. L., Liao, D., & Bixler, E. O. (2015) · SLEEP · doi:10.5665/sleep.4488 · Cited by 146 · see citing works
Self-citationInsomnia and Mental Health in College Students
Taylor, D. J., Gardner, C. E., Bramoweth, A. D., Williams, J. M., Roane, B. M., Grieser, E., & Tatum, J. (2011) · Behavioral Sleep Medicine · doi:10.1080/15402002.2011.557992 · Cited by 145 · see citing works
Insomnia with physiological hyperarousal is associated with hypertension
Li, Y., Vgontzas, A. N., Fernandez-Mendoza, J., Bixler, E. O., Sun, Y., Zhou, J., Ren, R., Li, T., & Tang, X. (2015) · Hypertension · doi:10.1161/hypertensionaha.114.04604 · Cited by 144 · see citing works
Self-citationPain as a mediator of sleep problems in arthritis and other chronic conditions
Power, J. D., Perruccio, A. V., & Badley, E. M. (2005) · Arthritis Care & Research · doi:10.1002/art.21584 · Cited by 145 · see citing works
Klosterkötter, J., Ruhrmann, S., Schultze‐Lutter, F., Salokangas, R. K. R., LINSZEN, D. H., Birchwood, M. J., Juckel, G., Morrison, A. P., Vázquez‐Barquero, J. L., Hambrecht, M., et al. (2005) · PubMed Central · Cited by 142 · see citing works
Nocturnal awakenings and comorbid disorders in the American general population
Ohayon, M. M. (2008) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2008.02.001 · Cited by 141 · see citing works
Buscemi, N., Vandermeer, B., Friesen, C., Bialy, L. M., Tubman, M., Ospina, M. B., Klassen, T. P., & Witmans, M. (2005) · PsycEXTRA Dataset · doi:10.1037/e439752005-001 · Cited by 134 · see citing works
Vgontzas, A. N., Fernandez-Mendoza, J., Miksiewicz, T., Kritikou, I., Shaffer, M. L., Liao, D., Basta, M., & Bixler, E. O. (2014) · International Journal of Obesity · doi:10.1038/ijo.2013.172 · Cited by 133 · see citing works
Self-citationSims, M., Roux, A. V. D., Gebreab, S. Y., Brenner, A. B., Dubbert, P. M., Wyatt, S. B., Bruce, M. A., Hickson, D. A., Payne, T., & Taylor, H. A. (2015) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2015-206390 · Cited by 132 · see citing works
Aho, V., Ollila, H. M., Kronholm, E., Bondia-Pons, I., Soininen, P., Kangas, A. J., Hilvo, M., Seppälä, I., Kettunen, J., Oikonen, M., et al. (2016) · Scientific Reports · doi:10.1038/srep24828 · Cited by 126 · see citing works
Blank, M. M., Zhang, J.-H., Lamers, F., Taylor, A. D., Hickie, I., & Merikangas, K. (2015) · Sleep · doi:10.5665/sleep.4396 · Cited by 126 · see citing works
Furihata, R., Uchiyama, M., Takahashi, S., Suzuki, M., Konno, C., Osaki, K., Konno, M., Kaneita, Y., Ohida, T., Akahoshi, T., et al. (2012) · Sleep Medicine · doi:10.1016/j.sleep.2012.03.011 · Cited by 119 · see citing works
Fernandez-Mendoza, J., Vgontzas, A. N., Bixler, E. O., Singareddy, R., Shaffer, M. L., Calhoun, S. L., Karataraki, M., Vela-Bueno, A., & Liao, D. (2012) · SLEEP · doi:10.5665/sleep.1832 · Cited by 115 · see citing works
Self-citationSleep and its Relationship to Racial and Ethnic Disparities in Cardiovascular Disease
Kingsbury, J. H., Buxton, O. M., Emmons, K. M., & Redline, S. S. (2013) · Current Cardiovascular Risk Reports · doi:10.1007/s12170-013-0330-0 · Cited by 114 · see citing works
Persistent Insomnia: the Role of Objective Short Sleep Duration and Mental Health
Vgontzas, A. N., Fernandez-Mendoza, J., Bixler, E. O., Singareddy, R., Shaffer, M. L., Calhoun, S. L., Liao, D., Basta, M., & Chrousos, G. P. (2012) · Sleep · doi:10.5665/sleep.1586 · Cited by 113 · see citing works
Self-citationSymptoms reported by women in midlife
Berecki‐Gisolf, J., Begum, N., & Dobson, A. J. (2009) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e3181a8c49f · Cited by 111 · see citing works
Clinical correlates of poor sleep quality in posttraumatic stress disorder
Germain, A., Buysse, D. J., Shear, M. K., Fayyad, R., & Austin, C. (2004) · Journal of Traumatic Stress · doi:10.1007/s10960-004-5796-6 · Cited by 107 · see citing works
Insomnia and Sleep-Related Breathing Disorders
Wickwire, E. M., & Collop, N. A. (2010) · CHEST Journal · doi:10.1378/chest.09-1485 · Cited by 108 · see citing works
Marcks, B. A., Weisberg, R. B., Edelen, M. O., & Keller, M. B. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2009.07.004 · Cited by 106 · see citing works
Rodenbeck, A., Cohrs, S., Jordan, W., Huether, G., R�ther, E., & Hajak, G. (2003) · Psychopharmacology · doi:10.1007/s00213-003-1565-0 · Cited by 103 · see citing works
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 98 · see citing works
Sex differences in Alzheimer’s disease: Understanding the molecular impact
Toro, C. A., Zhang, L., Cao, J., & Cai, D. (2019) · Brain Research · doi:10.1016/j.brainres.2019.05.031 · Cited by 97 · see citing works
Hamilton, N. A., Gallagher, M. W., Preacher, K. J., Stevens, N. R., Nelson, C. A., Karlson, C., & McCurdy, D. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.6.939 · Cited by 90 · see citing works
Insomnia in women: an overlooked epidemic?
Soares, C. N. (2005) · Archives of Women's Mental Health · doi:10.1007/s00737-005-0100-1 · Cited by 89 · see citing works
Suh, S. A., Kim, H., Yang, H.-C., Cho, E. R., Lee, S. K., & Shin, C. (2013) · SLEEP · doi:10.5665/sleep.2452 · Cited by 85 · see citing works
Silva, A., Andersen, M. L., de Mello, M. T., Bittencourt, L., Peruzzo, D. C., & Tufik, S. (2008) · Brazilian Journal of Medical and Biological Research · doi:10.1590/s0100-879x2008001200005 · Cited by 82 · see citing works
A Comparison of Insomnia and Depression as Predictors of Disability Pension: The HUNT Study
Øverland, S. N., Glozier, N., Sivertsen, B., Stewart, R. J., Neckelmann, D., Krokstad, S., & Mykletun, A. (2008) · SLEEP · doi:10.1093/sleep/31.6.875 · Cited by 80 · see citing works
Nighttime sleep and daytime functioning correlates of the insomnia complaint in young adults
Fernández‐Mendoza, J., Vela‐Bueno, A., Vgontzas, A. N., Olavarrieta‐Bernardino, S., Platón, M., Bixler, E. O., & de la Cruz, J. J. (2009) · Journal of Adolescence · doi:10.1016/j.adolescence.2009.03.005 · Cited by 80 · see citing works
Self-citationLagrotte, C. A., Fernández‐Mendoza, J., Calhoun, S., Liao, D., Bixler, E., & Vgontzas, A. N. (2016) · International Journal of Obesity · doi:10.1038/ijo.2016.87 · Cited by 76 · see citing works
Self-citationInsomnia With Short Sleep Duration
Vgontzas, A. N., & Fernández‐Mendoza, J. (2013) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2013.04.009 · Cited by 73 · see citing works
Self-citationThe impact of obesity and weight gain on development of sleep problems in a population-based sample
Palm, A., Janson, C., & Lindberg, E. (2015) · Sleep Medicine · doi:10.1016/j.sleep.2015.01.016 · Cited by 69 · see citing works
Fernández‐Mendoza, J., He, F., Puzino, K., Amatrudo, G., Calhoun, S. L., Liao, D., Vgontzas, A. N., & Bixler, E. O. (2020) · SLEEP · doi:10.1093/sleep/zsaa150 · Cited by 63 · see citing works
Self-citationLee, M.-H., Lee, S., Lee, G.-H., Ryu, H., Chung, S., Chung, Y., & Kim, W. S. (2013) · Sleep And Breathing · doi:10.1007/s11325-013-0856-x · Cited by 63 · see citing works
Overview of Insomnia: Definitions, Epidemiology, Differential Diagnosis, and Assessment
Edinger, J. D., & Means, M. K. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50066-5 · Cited by 62 · see citing works
Predictors and patterns of insomnia symptoms in OSA before and after PAP therapy
Glidewell, R. N., Renn, B. N., Roby, E., & Orr, W. C. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.05.001 · Cited by 61 · see citing works
Trajectories of Insomnia Symptoms From Childhood Through Young Adulthood
Fernández‐Mendoza, J., Lenker, K. P., Calhoun, S. L., Qureshi, M., Ricci, A., Bourchtein, E., He, F., Vgontzas, A. N., Liao, J., Liao, D., et al. (2022) · PEDIATRICS · doi:10.1542/peds.2021-053616 · Cited by 61 · see citing works
Self-citationIntelligence in youth and mental health at age 50
Wraw, C., Deary, I. J., Der, G., & Galé, C. R. (2016) · Intelligence · doi:10.1016/j.intell.2016.06.005 · Cited by 60 · see citing works
Insomnia symptoms and well-being: Longitudinal follow-up.
Karlson, C., Gallagher, M. W., Olson, C. A., & Hamilton, N. A. (2012) · Health Psychology · doi:10.1037/a0028186 · Cited by 58 · see citing works
Sleep disorders in psychiatric practice.
Szelenberger, W., & Soldatos, C. R. (1986) · PubMed Central · Cited by 58 · see citing works
Self-experimentation as a source of new ideas: Ten examples about sleep, mood, health, and weight
Roberts, S. (2004) · Behavioral and Brain Sciences · doi:10.1017/s0140525x04000068 · Cited by 58 · see citing works
Impact of the Metabolic Syndrome on Mortality is Modified by Objective Short Sleep Duration
Fernández‐Mendoza, J., He, F., Lagrotte, C. A., Vgontzas, A. N., Liao, D., & Bixler, E. O. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.117.005479 · Cited by 58 · see citing works
Self-citationAssociations between sleep duration and cognitive impairment in mild cognitive impairment
Basta, M., Simos, P. G., Vgontzas, A. N., Koutentaki, E., Tziraki, S., Zaganas, I. V., Panagiotakis, S. H., Kapetanaki, S., Fountoulakis, N., & Lionis, C. D. (2019) · Journal of Sleep Research · doi:10.1111/jsr.12864 · Cited by 57 · see citing works
Self-citationInfluence of Sleeping Patterns in Health and Academic Performance Among University Students
Toscano-Hermoso, M. D., Arbinaga, F., Ozcorta, E. J. F., Gómez-Salgado, J. C., & Ruíz-Frutos, C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082760 · Cited by 58 · see citing works
Impact of Sleep Disorder as a Risk Factor for Dementia in Men and Women
Jee, H. J., Shin, W., Jung, H. J., Kim, B., Lee, B. K., & Jung, Y.-S. (2019) · Biomolecules & Therapeutics · doi:10.4062/biomolther.2019.192 · Cited by 57 · see citing works
Fernández‐Mendoza, J., Shaffer, M. L., Olavarrieta‐Bernardino, S., Vgontzas, A. N., Calhoun, S. L., Bixler, E. O., & Vela‐Bueno, A. (2014) · Journal of Sleep Research · doi:10.1111/jsr.12168 · Cited by 56 · see citing works
Self-citationInsomnia Symptoms and Use of Health Care Services and Medications: The HUNT-2 Study
Sivertsen, B., Krokstad, S., Mykletun, A., & Øverland, S. N. (2009) · Behavioral Sleep Medicine · doi:10.1080/15402000903190199 · Cited by 55 · see citing works
Subjective and objective sleep and self-harm behaviors in young children: A general population study
Singareddy, R. K., Krishnamurthy, V., Vgontzas, A. N., Fernández‐Mendoza, J., Calhoun, S. L., Shaffer, M. L., & Bixler, E. O. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.03.036 · Cited by 55 · see citing works
Self-citationInsomnia in Schizophrenia Patients: Prevalence and Quality of Life
Batalla-Martín, D., Eraso, Á. G. B., Garijo, E. M., Martín, E. M., Garcia, R. R., Heras, J. S. M., López‐Ruiz, M., & Martorell‐Poveda, M. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17041350 · Cited by 57 · see citing works
Fernández‐Mendoza, J., He, F., Vgontzas, A. N., Liao, D., & Bixler, E. O. (2019) · Journal of the American Heart Association · doi:10.1161/jaha.119.013043 · Cited by 53 · see citing works
Self-citationRole of acupuncture in the treatment of insomnia: A comprehensive review
Kalavapalli, R., & Singareddy, R. K. (2007) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2007.01.001 · Cited by 53 · see citing works
Validity of Actigraphy in Young Adults With Insomnia
Williams, J. M., Taylor, D. J., Slavish, D. C., Gardner, C. E., Zimmerman, M. R., Patel, K., Reichenberger, D., Francetich, J. M., Dietch, J. R., & Estevez, R. (2018) · Behavioral Sleep Medicine · doi:10.1080/15402002.2018.1545653 · Cited by 52 · see citing works
Epidemiology of Sleep Disorders
Partinen, M., & Hublin, C. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50059-8 · Cited by 51 · see citing works
Bliwise, D. L. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50010-0 · Cited by 48 · see citing works
Hoffman, S. (2003) · Geriatric Nursing · doi:10.1016/s0197-4572(03)00213-1 · Cited by 46 · see citing works
Doos Ali Vand, H., Gharraee, B., Asgharnejad Farid, A.-A., & Ghaleh Bandi, M. (2014) · EXPLORE · doi:10.1016/j.explore.2014.04.005 · Cited by 45 · see citing works
Nocturnal awakenings and difficulty resuming sleep: Their burden in the European general population
Ohayon, M. M. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.03.010 · Cited by 45 · see citing works
Insomnia Phenotypes, Cardiovascular Risk and Their Link to Brain Health
Fernández‐Mendoza, J. (2025) · Circulation Research · doi:10.1161/circresaha.125.325686 · Cited by 47 · see citing works
Gender differences in insomnia and the role of paid work and family responsibilities
Yoshioka, E., Saijo, Y., Kita, T., Satoh, H., Kawaharada, M., FUKUI, T., & Kishi, R. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0370-z · Cited by 44 · see citing works
Puzino, K., Amatrudo, G., Sullivan, A., Vgontzas, A. N., & Fernández‐Mendoza, J. (2019) · Behavioral Sleep Medicine · doi:10.1080/15402002.2019.1669604 · Cited by 44 · see citing works
Self-citationEffects of sleep loss on sleep architecture in Wistar rats: Gender-specific rebound sleep
Andersen, M. L., Ishikura, I. A., Silva, A., Alvarenga, T. A., Baracat, E. C., & Tufik, S. (2008) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2008.01.007 · Cited by 43 · see citing works
Does mental health history explain gender disparities in insomnia symptoms among young adults?
Hale, L. E., Phuong, D., Basurto‐Dávila, R., Heron, M. P., Finch, B. K., Dubowitz, T., Lurie, N., & Bird, C. E. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2008.12.011 · Cited by 43 · see citing works
Characterization of insomnia in patients with essential hypertension
Prejbisz, A., Kabat, M., Januszewicz, A., Szelenberger, W., Piotrowska, A. J., Piotrowski, W., Piwoński, J., Makowiecka‐Cieśla, M., Widecka, K., Patera-Górnikiewicz, B., et al. (2006) · Blood Pressure · doi:10.1080/08037050600963040 · Cited by 41 · see citing works
Prevalence of Reported Insomnia and its Consequences in a Survey of 5,044 Adolescents in Kuwait
Abdel‐Khalek, A. M. (2004) · SLEEP · doi:10.1093/sleep/27.4.726 · Cited by 41 · see citing works
Chung, W., Lin, C., Chen, Y., Chiang, J. Y., Sung, F.-C., Chang, Y.-J., & Kao, C. (2013) · SLEEP · doi:10.5665/sleep.3240 · Cited by 38 · see citing works
Using difficulty resuming sleep to define nocturnal awakenings
Ohayon, M. M., Krystal, A. D., Roehrs, T., Roth, T. G., & Vitiello, M. V. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.11.004 · Cited by 38 · see citing works
Am I (hyper)aroused or anxious? Clinical significance of pre‐sleep somatic arousal in young adults
Puzino, K., Frye, S. S., Lagrotte, C. A., Vgontzas, A. N., & Fernández‐Mendoza, J. (2019) · Journal of Sleep Research · doi:10.1111/jsr.12829 · Cited by 37 · see citing works
Self-citationLandis, C. A., & Moe, K. E. (2004) · Nursing Clinics of North America · doi:10.1016/j.cnur.2003.11.006 · Cited by 32 · see citing works
Fernández‐Mendoza, J., He, F., Vgontzas, A. N., Liao, D., & Bixler, E. O. (2017) · Journal of Hypertension · doi:10.1097/hjh.0000000000001253 · Cited by 31 · see citing works
Self-citationPejovic, S., Vgontzas, A. N., Fernández‐Mendoza, J., He, F., Li, Y., Karataraki, M., & Bixler, E. O. (2024) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.11046 · Cited by 31 · see citing works
Self-citationLallukka, T. M., Haario, P., Lahelma, E. T., & Rahkonen, O. (2012) · Sleep Medicine · doi:10.1016/j.sleep.2012.06.020 · Cited by 30 · see citing works
Palmieri, P. A., Chipman, K. J., Canetti, D., Johnson, R. J., & Hobfoll, S. E. (2010) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27989 · Cited by 28 · see citing works
Hilaire, Z. D. S., Messaoudi, M., Desor, D., & Kobayashi, T. (2009) · The Open Sleep Journal · doi:10.2174/1874620900902010026 · Cited by 28 · see citing works
- Authors
- Bixler, E. O., Vgontzas, A. N., Lin, H.-M., Vela-Bueno, A., & Kales, A.
- Affiliations
- Pennsylvania State University (US)
- Corresponding author
- Bixler, E.O
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2002-07
- Volume
- 53
- Issue
- 1
- Pages
- 589-592
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2151564752
- Cited by
- 205
- References
- 31
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 10 · 2022: 6 · 2021: 8 · 2020: 8 · 2019: 13 · 2018: 7 · 2017: 7 · 2016: 9 · 2015: 8 · 2014: 5 · 2013: 11 · 2012: 11
- FWCI
- 15.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (R01HL040916, HL40916, R01HL051931, HL51931)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- insomnia, sleep disorders, prevalence, depression, sex differences, racial minorities, hypertension, colitis, anemia, primary sleep disorders, sleep apnea, central Pennsylvania
- MeSH terms
- Adult, Aged, Aged, 80 and over, Catchment Area, Health, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Pennsylvania, Prevalence, Polysomnography
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
