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PubMed Central
Article . 2025
Data sources: PubMed Central
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Journal of Sleep Research
Article . 2025 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
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Age of Onset in Insomnia: A Latent Profile Analysis

Authors: Emily J. Ricketts; Katharina Kircanski; Daniel S. Joyce; Ariel J. Rissman; Juliet Ottenberg; Adriane M. Soehner;

Age of Onset in Insomnia: A Latent Profile Analysis

Abstract

ABSTRACT Research has sought to understand insomnia through identification of subtypes, yet age of onset has received limited focused empirical attention. This investigation aimed to detect clinically distinct age of insomnia onset subgroups utilising latent profile analysis (LPA). Participants were 618 adults, aged 18–71 years ( M = 28.94, SD = 11.06), with insomnia. Participants completed a survey assessing insomnia natural history and causal attributions; sleep disturbance and impairment; pre‐sleep arousal and threat monitoring; stress, mental and physical health; and social functioning. LPA was performed on age of insomnia onset. Binary logistic regression analyses were performed to evaluate associations between clinical measures and early versus late onset insomnia with statistical adjustment for chronological age and sex. Results showed a two‐class model (Class 1: n = 547, 88.5%, M onset = 19.21 years, range = 0–34 years; Class 2: n = 71, 11.5%, M onset = 43.49 years, range = 35–68 years) was optimal for forming insomnia age of onset subgroups. Bodily arousal and developmental (e.g., childhood experiences, traumatic events) contributors to insomnia onset, greater overall and cognitive pre‐sleep arousal, later bedtime and rise time, greater depressive symptoms, and endorsement of lifetime major depressive disorder, migraine, and arthritis were significant indicators of early onset insomnia subgroup membership. Hormonal contributors (e.g., ageing, menopause) to insomnia onset and maintenance, and more positive global mental health were significant indicators of late onset insomnia subgroup membership. Findings suggest the relevance of mindfulness‐based, acceptance‐based, and trauma‐focused adaptations of cognitive‐behavioural therapy for early onset insomnia, and management of ageing‐related hormonal changes for late onset insomnia.

Keywords

Male, Adult, Young Adult, Adolescent, Latent Class Analysis, Sleep Initiation and Maintenance Disorders, Surveys and Questionnaires, Humans, Female, Middle Aged, Age of Onset, Article, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green