Do Insomnia Treatments Improve Daytime Function?

Nathaniel F. Watson*, Suzanne M. Bertisch, Charles M. Morin, Rafael Pelayo, John W. Winkelman, Phyllis C. Zee, Andrew D. Krystal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


A scientific advisory panel of seven U.S. and Canadian sleep experts performed a clinical appraisal by comparing general medical opinion, assessed via a survey of practicing clinicians, regarding insomnia treatment, with the available scientific evidence. This clinical appraisal focuses on the specific statement, “Treatments for insomnia have uniformly been shown to significantly improve the associated daytime impairment seen with insomnia.” The advisory panel reviewed and discussed the available body of evidence within the published medical literature to determine what discrepancies may exist between the currently published evidence base and general medical opinion. The advisory panels’ evaluation of this statement was also compared with the results of a national survey of primary care physicians, psychiatrists, nurse practitioners, physician assistants, and sleep specialists in the United States. Contrary to general medical opinion, the expert advisory panel concluded that the medical literature did not support the statement. This gap highlights the need to educate the general medical community regarding insomnia treatment efficacy in pursuit of improved treatment outcomes.

Original languageEnglish (US)
Article number3089
JournalJournal of Clinical Medicine
Issue number9
StatePublished - May 2023


  • clinical appraisal
  • daytime function
  • insomnia
  • medications

ASJC Scopus subject areas

  • General Medicine


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