Insomnia Disorder in Women
| Key things to know | What the evidence shows |
|---|---|
| How common is it? | General insomnia prevalence higher than men; overall diagnostic-criteria meta-analysis ~22% across sexes |
| Is it more common among women? | Higher than men |
| Are women at higher risk? | #N/A |
| How much higher is the risk? | Female vs male insomnia OR 1.58 in diagnostic-criteria meta-analysis; older meta RR 1.41 |
| How often can it be missed? | High |
| Does it show up differently among women? | Somewhat |
| How might it look different? | Hormonal/reproductive transitions, caregiving and mood symptoms may contribute; insomnia may be normalized |
| What commonly occurs alongside it? | Depression; anxiety; chronic pain |
| What can it be confused with? | Sleep apnea; RLS; circadian disorders; depression/anxiety |
| Common screening tool | ISI — Insomnia Severity Index |
| Separate screening tool for women | None |
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