Predictors of Insomnia Severity Index Profiles in United States Veterans With Obstructive Sleep Apnea
Open accessAbstract
The Insomnia Severity Index (ISI) has been used to define insomnia symptoms in individuals with obstructive sleep apnea (OSA). However, whether distinct ISI profiles exist in individuals with OSA is unclear. The aims of this study were to determine (1) empirically-based ISI profiles in veterans with OSA and (2) predictors of these ISI profiles. Participants were 630 veterans with a new diagnosis of OSA over a 12-month period. Individuals completed the ISI and other questionnaires on the polysomnography (PSG) night. Latent profile analysis was performed to detect ISI subgroups based on individual ISI items. Age, Charlson Comorbidity Index, apnea-hypopnea index (AHI), mood disorder, posttraumatic stress disorder, and chronic pain diagnoses were used to predict between ISI profiles. Latent profile analysis identified five ISI subgroups in veterans with OSA. The “asymptomatic” group (12% prevalence) had low scores across all ISI items. The “moderate insomnia” (30% prevalence) and “severe insomnia” (44% prevalence) groups had elevated scores for all ISI items but differing in severity. Last, the “moderate” (6% prevalence) and “severe daytime symptoms” groups (8% prevalence) were characterized by absence of nocturnal complaints but high scores on daytime impairment items. Age, AHI, mood disorder, posttraumatic stress disorder and chronic pain diagnoses discriminated between ISI profiles. We describe data-driven ISI profiles in veterans with OSA. Older age was associated with lower insomnia and daytime symptom complaints whereas psychological comorbidities were related to more severe insomnia. Caution should be used in interpreting the ISI score in individuals with OSA because a subset had elevated total scores without insomnia. Wallace DM, Wohlgemuth WK. Predictors of Insomnia Severity Index profiles in United States veterans with obstructive sleep apnea. J Clin Sleep Med. 2019;15(12):1827–1837.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
Comorbid insomnia and sleep apnea is associated with greater impairment of sleep quality, reduced quality of life, complex diagnostic decisions, and reduced acceptance and response rates to treatments that require adherence, such as PAP, mandibular advancement device, and hypoglossal nerve stimulation.
“Co-morbid insomnia and sleep apnea (COMISA) is associated with greater impairment of sleep quality, reduced QOL, complex diagnostic decisions, and reduced acceptance and response rates to treatments that require adherence (i.e., PAP, mandibular advancement device [MAD], and HNS therapy).955,957”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [955]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredWallace and Wohlgemuth performed a latent profile analysis which identified that 30% of their OSA sample reported moderate insomnia, and an additional 44% reported severe insomnia.
“Wallace and Wohlgemuth performed a latent profile analysis which identified that 30% of their OSA sample reported moderate insomnia, and an additional 44% reported severe insomnia.”
From Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials (2019) · cites this paper as [62]
These 'moderate' and 'severe' COMISA patients reported elevated nocturnal and daytime ISI symptoms.
“Importantly, these ‘moderate’ and ‘severe’ COMISA patients reported elevated nocturnal and daytime ISI symptoms.”
From Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials (2019) · cites this paper as [62]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
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 · see citing works
Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011) · Sleep · doi:10.1093/sleep/34.5.601 · Cited by 4,620 · see citing works
Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6506 · Cited by 3,253 · see citing works
Collop, N. A., Anderson, W. M., Boehlecke, B., Claman, D., Goldberg, R., Gottlieb, D. J., Hudgel, D., Sateia, M., Schwab, R., & Portable Monitoring Task Force of the American Academy of Sleep Medicine (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27032 · Cited by 1,550 · see citing works
Collop, N. A., Anderson, W. M., Boehlecke, B. A., Claman, D. M., Goldberg, R., Gottlieb, D. J., Hudgel, D. W., Sateia, M. J., & Schwab, R. (2007) · PubMed Central · Cited by 1,082 · see citing works
High STOP-Bang score indicates a high probability of obstructive sleep apnoea
Chung, F., Subramanyam, R., Liao, P., Sasaki, E., Shapiro, C., & Sun, Y. (2012) · British Journal of Anaesthesia · doi:10.1093/bja/aes022 · Cited by 988 · see citing works
Practical considerations on the use of the charlson comorbidity index with administrative data bases
D’Hoore, W., Bouckaert, A., & Tilquin, C. (1996) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(96)00271-5 · Cited by 893 · see citing works
Comorbidity of Chronic Insomnia With Medical Problems
Taylor, D. J., Mallory, L. J., Lichstein, K. L., Durrence, H. H., Riedel, B. W., & Bush, A. J. (2007) · Sleep · doi:10.1093/sleep/30.2.213 · Cited by 875 · see citing works
Mixture Models: Latent Profile and Latent Class Analysis
Oberski, D. L. (2016) · Human-computer interaction series · doi:10.1007/978-3-319-26633-6_12 · Cited by 596 · see citing works
The different clinical faces of obstructive sleep apnoea: a cluster analysis
Ye, L., Pien, G. W., Ratcliffe, S. J., Björnsdottir, E., Arnardottir, E. S., Pack, A. I., Benediktsdottir, B., & Gislason, T. (2014) · European Respiratory Journal · doi:10.1183/09031936.00032314 · Cited by 474 · see citing works
Comorbid insomnia and obstructive sleep apnea: Challenges for clinical practice and research
Luyster, F. S., Buysse, D. J., & Strollo, P. J. (2010) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27772 · Cited by 374 · see citing works
The comorbidity of insomnia, chronic pain, and depression: Dopamine as a putative mechanism
Finan, P. H., & Smith, M. T. (2012) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.03.003 · Cited by 367 · see citing works
Phenotypes in obstructive sleep apnea: A definition, examples and evolution of approaches
Zinchuk, A. V., Gentry, M. J., Concato, J., & Yaggi, H. K. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.10.002 · Cited by 350 · see citing works
Social and behavioral determinants of perceived insufficient sleep
Grandner, M. A., Jackson, N. J., Izci-Balserak, B., Gallagher, R. A., Murray-Bachmann, R., Williams, N. J., Patel, N. P., & Jean-Louis, G. (2015) · Frontiers in Neurology · doi:10.3389/fneur.2015.00112 · Cited by 202 · see citing works
Rodrı́guez, J. C., Dzierzewski, J. M., & Alessi, C. (2014) · Medical Clinics of North America · doi:10.1016/j.mcna.2014.11.013 · Cited by 201 · see citing works
Frequency of insomnia report in patients with obstructive sleep apnoea hypopnea syndrome (OSAHS)
Smith, S. S., Sullivan, K. A., Hopkins, W., & Douglas, J. A. (2004) · Sleep Medicine · doi:10.1016/j.sleep.2004.03.005 · Cited by 187 · see citing works
Developing a successful treatment for co-morbid insomnia and sleep apnoea
Sweetman, A. M., Lack, L. C., Catcheside, P. G., Antic, N. A., Chai-Coetzer, C. L., Smith, S. S., Douglas, J. A., & McEvoy, R. D. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.04.004 · Cited by 185 · see citing works
Obstructive Sleep Apnea: A Cluster Analysis at Time of Diagnosis
Bailly, S., Destors, M., Grillet, Y., Richard, P., Stach, B., Vivodtzev, I., Timsit, J., Levy, P. A., Tamisier, R., & Pépin, J. (2016) · PLoS ONE · doi:10.1371/journal.pone.0157318 · Cited by 185 · see citing works
Björnsdóttir, E., Janson, C., Sigurdsson, J. F., Gehrman, P., Perlis, M., Juliusson, S., Arnardottir, E. S., Kuna, S. T., Pack, A. I., Gislason, T., et al. (2013) · Sleep · doi:10.5665/sleep.3226 · Cited by 174 · see citing works
Clinical Phenotypes and Comorbidity in European Sleep Apnoea Patients
Saaresranta, T., Hedner, J., Bonsignore, M. R., Riha, R. L., McNicholas, W. T., Penzel, T., Anttalainen, U., Kvamme, J. A., Pretl, M., Sliwinski, P., et al. (2016) · PLOS ONE · doi:10.1371/journal.pone.0163439 · Cited by 154 · see citing works
Sweetman, A., Lack, L., Catcheside, P. G., Antic, N. A., Smith, S., Chai-Coetzer, C. L., Douglas, J., O’grady, A., Dunn, N., Robinson, J., et al. (2019) · Sleep · doi:10.1093/sleep/zsz178 · Cited by 149 · see citing works
Yates, W. R., Mitchell, J. R., Rush, A. J., Trivedi, M. H., Wisniewski, S. R., Warden, D., Hauger, R. B., D, M. F. M., Gaynes, B. N., Husain, M. M., et al. (2004) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2004.06.008 · Cited by 131 · see citing works
Sarsour, K., Morin, C. M., Foley, K., Kalsekar, A., & Walsh, J. K. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.02.008 · Cited by 121 · see citing works
Comorbid Insomnia With Obstructive Sleep Apnea: Clinical Characteristics and Risk Factors
Cho, Y. W., Kim, K. T., Moon, H.-J., Korostyshevskiy, V. R., Motamedi, G. K., & Yang, K. I. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6988 · Cited by 114 · see citing works
Insomnia in untreated sleep apnea patients compared to controls
Björnsdóttir, E., Janson, C., Gíslason, Þ., Sigurðsson, J. F., Pack, A. I., Gehrman, P., & Benediktsdóttir, B. (2011) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2011.00972.x · Cited by 107 · see citing works
Vavougios, G. D., Natsios, G., Pastaka, C., Zarogiannis, S. G., & Gourgoulianis, K. I. (2016) · Journal of Sleep Research · doi:10.1111/jsr.12344 · Cited by 104 · see citing works
Sweetman, A., Lack, L., Lambert, S., Gradisar, M., & Harris, J. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.09.003 · Cited by 84 · see citing works
Wallace, D. M., Shafazand, S., Ramos, A. R., Carvalho, D. Z., Gardener, H., Lorenzo, D., & Wohlgemuth, W. K. (2011) · Sleep Medicine · doi:10.1016/j.sleep.2011.06.004 · Cited by 83 · see citing works
Self-citationZinchuk, A. V., Edwards, B. A., Jeon, S., Koo, B. B., Concato, J., Sands, S. A., Wellman, A., & Yaggi, H. K. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7112 · Cited by 83 · see citing works
Wallace, D. M., Sawyer, A. M., & Shafazand, S. (2018) · Sleep And Breathing · doi:10.1007/s11325-017-1605-3 · Cited by 70 · see citing works
Self-citationNguyên, X.-L., Chaskalovic, J., Rakotonanahary, D., & Fleury, B. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2010.04.008 · Cited by 69 · see citing works
Attempters, adherers, and non-adherers: Latent profile analysis of CPAP use with correlates
Wohlgemuth, W. K., Chirinos, D. A., Domingo, S., & Wallace, D. M. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.08.013 · Cited by 68 · see citing works
Self-citationPredictors 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
Miller, R. M., & Kaiser, R. S. (2018) · Current Pain and Headache Reports · doi:10.1007/s11916-018-0663-y · Cited by 42 · see citing works
Prevalence and Symptoms of Occult Sleep Disordered Breathing among Older Veterans with Insomnia
Fung, C. H., Martin, J. L., Dzierzewski, J. M., Jouldjian, S., Josephson, K. R., Park, M., & Alessi, C. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.3162 · Cited by 32 · see citing works
Mysliwiec, V., Matsangas, P., Baxter, T., McGraw, L., Bothwell, N. E., & Roth, B. J. (2014) · Military Medicine · doi:10.7205/milmed-d-13-00396 · Cited by 30 · see citing works
Age‐Related Differences in Sleep–Wake Symptoms of Adults Undergoing Polysomnography
Fragoso, C. A. V., Ness, P. H. V., Araujo, K. L. B., Iannone, L. P., & Yaggi, H. K. (2015) · Journal of the American Geriatrics Society · doi:10.1111/jgs.13632 · Cited by 22 · see citing works
Wallace, D. M., & Wohlgemuth, W. K. (2014) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4106 · Cited by 22 · see citing works
Self-citationPrevalence and Correlates of Sleep Apnea Among US Male Veterans, 2005–2014
Jackson, M., Becerra, B. J., Marmolejo, C., Avina, R. M., Henley, N., & Becerra, M. B. (2017) · Preventing Chronic Disease · doi:10.5888/pcd14.160365 · Cited by 22 · see citing works
Chowdhuri, S., Patel, P. J., & Badr, M. S. (2017) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2017.09.003 · Cited by 19 · see citing works
Obstructive Sleep Apnea Phenotypes and Markers of Vascular Disease: A Review
Ramos, A. R., Figueredo, P., Shafazand, S., Chediak, A. D., Abreu, A. R., Dib, S. I., Torre, C. A., & Wallace, D. M. (2017) · Frontiers in Neurology · doi:10.3389/fneur.2017.00659 · Cited by 18 · see citing works
Self-citationOng, J. C., Crawford, M. R., Wyatt, J. K., Fogg, L. F., Turner, A. D., Dawson, S. C., Edinger, J. D., Kushida, C. A., Abbott, S. M., Malkani, R. G., et al. (2019) · Sleep · doi:10.1093/sleep/zsz067.378 · Cited by 6 · see citing works
Improving Adherence to PAP Therapy: an Update
Crew, E. C., Wohlgemuth, W. K., & Wallace, D. M. (2019) · Current Pulmonology Reports · doi:10.1007/s13665-019-0220-0 · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
International Consensus Statement on Obstructive Sleep Apnea
Chang, J. L., Goldberg, A. N., Alt, J. A., Mohammed, A., Ashbrook, L., Auckley, D., Ayappa, I., Bakhtiar, H., Barrera, J. E., Bartley, B. L., et al. (2023) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23079 · Cited by 350 · see citing works
Sweetman, A., Lack, L., & Bastien, C. (2019) · Brain Sciences · doi:10.3390/brainsci9120371 · Cited by 253 · see citing works
Bi-directional relationships between co-morbid insomnia and sleep apnea (COMISA)
Sweetman, A., Lack, L., McEvoy, R. D., Smith, S., Eckert, D. J., Osman, A., Carberry, J. C., Wallace, D., Nguyen, P. D., & Catcheside, P. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101519 · Cited by 203 · see citing works
Self-citationOng, J. C., Crawford, M., & Wallace, D. M. (2020) · CHEST Journal · doi:10.1016/j.chest.2020.12.002 · Cited by 94 · see citing works
Self-citationCruz, M. G. M. E., Kryger, M. H., Morin, C. M., Palombini, L., Salles, C., & Gozal, D. (2021) · Sleep Medicine · doi:10.1016/j.sleep.2021.05.043 · Cited by 56 · see citing works
Mysliwiec, V., Brock, M. S., Pruiksma, K. E., Straud, C. L., Taylor, D. J., Hansen, S. L., Foster, S. N., Mithani, S., Zwetzig, S. E., Gerwell, K. M., et al. (2022) · SLEEP · doi:10.1093/sleep/zsac203 · Cited by 46 · see citing works
Comorbid Insomnia and Sleep Apnea
Sweetman, A., Lack, L. C., Crawford, M., & Wallace, D. M. (2022) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2022.07.006 · Cited by 50 · see citing works
Self-citationChen, C., Chen, C.-L., & Yu, C.-C. (2021) · Journal of Neurology · doi:10.1007/s00415-021-10480-2 · Cited by 32 · see citing works
El-Solh, A., Lawson, Y., & Wilding, G. E. (2020) · Sleep And Breathing · doi:10.1007/s11325-020-02106-0 · Cited by 30 · see citing works
Comorbid Insomnia and Sleep Apnea: From Research to Clinical Practice
Cruz, M. G. M. E., & Sweetman, A. (2025) · Seminars in Respiratory and Critical Care Medicine · doi:10.1055/a-2591-5664 · Cited by 26 · see citing works
Beaudin, A. E., Raneri, J. K., Ahmed, S. B., Allen, A. J. H., Nocon, A., Gomes, T., Gakwaya, S., Sériès, F., Kimoff, J. R., Skomro, R., et al. (2022) · SLEEP · doi:10.1093/sleep/zsac088 · Cited by 24 · see citing works
Sleep Deficiency in Obstructive Sleep Apnea
Adekolu, O., & Zinchuk, A. V. (2022) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2022.02.013 · Cited by 24 · see citing works
Sleep Quality and Insomnia Severity among Italian University Students: A Latent Profile Analysis
Carpi, M., Marques, D. R., Milanese, A., & Vestri, A. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11144069 · Cited by 23 · see citing works
Kechribari, I., Kontogianni, M. D., Georgoulis, M., Lamprou, K., Critselis, E., Vagiakis, E., & Yiannakouris, N. (2021) · Sleep And Breathing · doi:10.1007/s11325-021-02351-x · Cited by 21 · see citing works
“, by using an extra cutoff for the items assessing nocturnal symptoms) [24].”
MethodSymptom Cluster Profiles Among Adults with Insomnia and Heart Failure
Conley, S., Jeon, S., Breazeale, S., O’Connell, M., Hollenbeak, C. S., Jacoby, D. L., Linsky, S., Yaggi, H. K., & Redeker, N. S. (2022) · Behavioral Sleep Medicine · doi:10.1080/15402002.2022.2060226 · Cited by 18 · see citing works
Ulander, M., Rångtell, F. H., & Theorell‐Haglöw, J. (2021) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2021.07.004 · Cited by 19 · see citing works
Impact of Insomnia on Hypoglossal Nerve Stimulation Outcomes in the ADHERE Registry
Patil, R. D., Ishman, S. L., Chang, J. L., Thaler, E. R., & Suurna, M. V. (2023) · The Laryngoscope · doi:10.1002/lary.30933 · Cited by 17 · see citing works
Drakou, T., Steiropoulos, P., Saroglou, M., Georgopoulou, A., Kazis, D., Papagiannopoulos, S., Porpodis, Κ., & Τryfon, S. (2021) · Sleep And Breathing · doi:10.1007/s11325-020-02266-z · Cited by 15 · see citing works
Tsai, C.-Y., Kuan, Y., Hsu, W.-H., Lin, Y.-T., Hsu, C.-R., Lo, K., Hsu, W.-H., Majumdar, A., Liu, Y.-S., Hsu, S.-M., et al. (2021) · Diagnostics · doi:10.3390/diagnostics12010050 · Cited by 14 · see citing works
“However, because patients with OSA or ID can exhibit similar daytime symptoms, utilizing the ISI with its cutoff point based on individuals with insomnia may lead to the misclassification of patients with OSA [24].”
BackgroundInsomnia affects patient‐reported outcome in sleep apnea treated with hypoglossal nerve stimulation
Steffen, A., Baptista, P., Ebner, E., Jeschke, S., König, I. R., & Bruchhage, K. (2022) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.761 · Cited by 15 · see citing works
Comorbid insomnia and sleep apnea in children: a preliminary explorative study
Cruz, M. G. M. E., Salles, C., Seixas, L. M. D. R., D’Elia, C., Rocha, I., & Gozal, D. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13705 · Cited by 15 · see citing works
Refining the Measurement of Insomnia in Patients With Obstructive Sleep Apnea
Sweetman, A., Lack, L., & McEvoy, D. (2019) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8108 · Cited by 13 · see citing works
Impact of Hypoglossal Nerve Stimulation on Consumer Sleep Technology Metrics and Patient Symptoms
Cai, Y., Zheng, Y. J., Cheng, C. M., Strohl, K. P., Mason, A. E., & Chang, J. L. (2024) · The Laryngoscope · doi:10.1002/lary.31398 · Cited by 13 · see citing works
Sweetman, A., Reynolds, C. M., Lack, L. C., Vakulin, A., Chai‐Coetzer, C. L., Wallace, D. M., Crawford, M., & Richardson, C. E. (2024) · Frontiers in Sleep · doi:10.3389/frsle.2024.1355468 · Cited by 12 · see citing works
Self-citationLiu, J., Zang, C., Yi, M., & Zhang, Y. (2024) · Behavioral Sleep Medicine · doi:10.1080/15402002.2024.2324361 · Cited by 7 · see citing works
Comorbid Insomnia and Sleep Apnea
Cruz, M. G. M. E. (2024) · Dental Clinics of North America · doi:10.1016/j.cden.2024.03.002 · Cited by 6 · see citing works
Latent profile of the insomnia severity index: A longitudinal study
Wang, S., Jülich, S. T., & Lei, X. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.02.027 · Cited by 8 · see citing works
Huang, Y., Zheng, R., Xiong, X.-X., Chen, Y., Zheng, W.-Q., & Lin, R. (2024) · Journal of Health Psychology · doi:10.1177/13591053241274472 · Cited by 6 · see citing works
“Presently, the Insomnia Severity Index (ISI) is the most widely used screening tool (Miller et al., 2019; Vargas et al., 2023) and offers subdivisions based on total or standard scores (Wallace and Wohlgemuth, 2019).”
Pain Experiences in Individuals with Reported and Suspected Sleep Disorders
Ravyts, S. G., & Dzierzewski, J. M. (2021) · Behavioral Medicine · doi:10.1080/08964289.2021.1895051 · Cited by 6 · see citing works
Wallace, D. M., & Sweetman, A. (2020) · Sleep And Breathing · doi:10.1007/s11325-020-02107-z · Cited by 5 · see citing works
Self-citationWallace, D. M., Sweetman, A., Crawford, M. R., Buenaver, L. F., & Wohlgemuth, W. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.106854 · Cited by 3 · see citing works
Self-citationSleep Deficiency in Obstructive Sleep Apnea
Adekolu, O., Ahsan, M., Anwar, A. I., & Zinchuk, A. V. (2024) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2024.08.002 · Cited by 4 · see citing works
Carpi, M., Marques, D. R., & Liguori, C. (2025) · Behavioral Sleep Medicine · doi:10.1080/15402002.2025.2539961 · Cited by 4 · see citing works
“…(i.e., minimal, moderate, or severe) in adults with various psychiatric disorders (mostly anxiety, depression, or post-traumatic stress), while Wallace and Wohlgemuth (2019) described five subtypes in a cohort of veterans with obstructive sleep apnea (OSA), including two subgroups…”
Saconi, B., Kuna, S. T., Polomano, R. C., Compton, P. A., Keenan, B. T., & Sawyer, A. M. (2023) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10516 · Cited by 4 · see citing works
Hein, M., Wacquier, B., Conenna, M., Lanquart, J., & Point, C. (2024) · Clocks & Sleep · doi:10.3390/clockssleep6030026 · Cited by 3 · see citing works
“…by Wallace which could be explained by the fact that unlike our study where the comorbid insomnia disorder was diagnosed based on the American Academy of Sleep Medicine Work Group diagnostic criteria, insomnia complaints were investigated in these two studies using self-questionnaires [18,20].”
BackgroundHanifa, H., Alzoubi, M., Khallouf, E. S., Alzoubi, L., Hamesh, F., Qashqash, M. E., Albaroudi, F. H., Al-Baroudy, M., Mahouk, M. A. M., Al-Mashaqbah, Y. M., et al. (2025) · BMC Psychology · doi:10.1186/s40359-025-03879-3 · Cited by 2 · see citing works
“…from previous studies into Arabic using back-to-back translation to ensure accuracy and verification to confirm their compatibility with the original version and to facilitate reading for the participants, given that medical education in Syria is conducted in the native language (Arabic) [13, 14].”
ОПИТУВАЛЬНИКИ ЯК ОСНОВНІ ІНСТРУМЕНТИ В ДІАГНОСТИЦІ РОЗЛАДІВ СНУ
Mazur, L., Марущак, М. І., & Батюх, О. В. (2021) · Bulletin Of Medical And Biological Research · doi:10.11603/bmbr.2706-6290.2021.3.12575 · Cited by 2 · see citing works
Gonzaga, L. H., Cruz, M. G. M. E., & Salles, C. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110567 · Cited by 2 · see citing works
Ko, H., Cho, S., Lee, D., Choi, J., Kim, M., & Kang, M. (2025) · Journal of Sleep Research · doi:10.1111/jsr.70096 · Cited by 1 · see citing works
“Additionally, participants with a combined score of 4 or more from the three nocturnal symptom items (range 0–12) are classified as having nocturnal symptoms of insomnia (Glidewell et al. 2014; Wallace and Wohlgemuth 2019).”
New definition, diagnostic criteria, and diagnostic workflows for patients with suspected COMISA
Zhang, Y., & Kushida, C. A. (2026) · Sleep Medicine · doi:10.1016/j.sleep.2026.108871 · Cited by 1 · see citing works
Do symptoms of sleepiness and insomnia in US veterans with obstructive sleep apnea vary by age?
Agudelo, C., Ramos, A. R., Williams, N. J., & Wallace, D. M. (2019) · Sleep And Breathing · doi:10.1007/s11325-019-01845-z · Cited by 1 · see citing works
Self-citationIn response to Impact of Insomnia on Hypoglossal Nerve Stimulation Outcomes in the ADHERE Registry
Patil, R. D., Ishman, S. L., Chang, J. L., Thaler, E. R., & Suurna, M. V. (2024) · The Laryngoscope · doi:10.1002/lary.31412 · Cited by 1 · see citing works
CBT-I in patients with obstructive sleep apnea
Crew, E. C. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822872-2.00001-3
Ryczkowski, A., Rudnicka-Drożak, E., & Karakuła, K. (2023) · Current Problems of Psychiatry · doi:10.12923/2353-8627/2023-0008
Cao, Y., Hu, S., Chen, C., Wang, J., Yu, Z., Li, H., & Zhong, F. (2023) · Journal of Acupuncture and Tuina Science · doi:10.1007/s11726-023-1386-0
Ich finde keinen Schlaf, das kann doch keine Schlafapnoe sein – COMISA
Frohnhofen, H. (2023) · Springer eBooks · doi:10.1007/978-3-662-60290-4_20
Diagnosis and Management of OSA Comorbid with Insomnia (COMISA)
Gupta, R. M., & Saini, L. K. (2023) · Progress in Sleep Research · doi:10.1007/978-981-99-7901-1_8
Schleef, J., Quijada-Mateluna, N., Olivera, M. P., Marilicán-Contreras, M. F., & Castellanos-Alvarenga, L. M. (2024) · Revista Latinoamericana de Psicología · doi:10.14349/rlp.2024.v56.18
Sweetman, A. (2025) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.11680
Clinical and subthreshold insomnia in U.S. veterans: increasing prevalence and mental health burden
Pietrzak, R. H., Fischer, I. C., McCarthy, E., DeViva, J. C., & Na, P. J. (2026) · Journal of Clinical Sleep Medicine · doi:10.1007/s44470-026-00143-2
“This overlap, referred to as comorbid insomnia and sleep apnea (COMISA), is associated with poorer mental health outcomes and greater cardiovascular morbidity than either condition alone [12, 13].”
Wallace, D. M., Liang, J., Razjouyan, J., Sweetman, A., Buenaver, L. F., Crew, E. C., & Sharafkhaneh, A. (2026) · Sleep Medicine · doi:10.1016/j.sleep.2026.109320
Self-citation
- Authors
- Wallace, D. M., & Wohlgemuth, W. K.
- Affiliations
- University of Miami (US)
- Bruce W. Carter VA Medical Center (US)
- Corresponding author
- Wallace, Douglas M.
- ORCID
- Wallace, Douglas M.
- Venue
- Journal of Clinical Sleep Medicine
- Published
- 2019-12-15
- Volume
- 15
- Issue
- 12
- Pages
- 1827-1837
- ISSN
- 1550-9389 (ISSN-L)
- 1550-9397
- PMC
- PMC7099195
- OpenAlex
- W2982599625
- Semantic Scholar
- 14b57edc2cca3012f95b77e299af77fee21ce629
- Cited by
- 51
- References
- 43
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 9 · 2021: 11 · 2020: 3 · 2019: 3
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Sleep Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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
- obstructive sleep apnea, insomnia, Insomnia Severity Index, veterans, latent profile analysis, daytime dysfunction, post-traumatic stress disorder, mood disorders, chronic pain, apnea-hypopnea index, age, comorbidities
- MeSH terms
- Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Surveys and Questionnaires, Severity of Illness Index, United States, Veterans, Polysomnography, Sleep Apnea, Obstructive
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
