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Unclear Insomnia Concept in Randomized Controlled Trials and Systematic Reviews: A Meta-Epidemiological Study
Masahiro Banno1,2,3, Yasushi Tsujimoto3,4,5, Kunihiro Kohmura1
1Department of Psychiatry, Seichiryo Hospital, Tsurumai 4-16-27, Showa-ku, Nagoya 466-0064, Japan.
Many research abstracts fail to clarify if they discuss insomnia disorder or insomnia symptoms. This lack of specificity hinders clear communication in scientific literature.
Area of Science:
- Sleep Medicine
- Medical Research Methodology
Background:
- The term "insomnia" is often used ambiguously, encompassing both insomnia disorder and insomnia symptoms.
- Poor reporting of insomnia concepts in scientific literature can lead to misinterpretation.
Purpose of the Study:
- To assess the proportion of randomized controlled trials (RCTs) and systematic reviews (SRs) that do not clearly distinguish between insomnia disorder and insomnia symptoms in their abstracts.
- To identify the extent of conceptual ambiguity regarding insomnia in published research.
Main Methods:
- Searched PubMed for RCTs and SRs published after 2010, including "insomnia" in methods or results sections of structured abstracts.
- Randomly sampled 100 RCTs and 100 SRs from eligible articles identified on March 10, 2022.
- Analyzed abstracts and full texts to determine clarity on insomnia concepts.
Main Results:
- A high percentage of abstracts lacked clarity: 88% for RCTs and 94% for SRs.
- Upon full-text review, conceptual unclearness persisted in 27% of RCTs and 57% of SRs.
- The ambiguity of the insomnia concept is prevalent in research abstracts.
Conclusions:
- Researchers should explicitly state "insomnia disorder" or "insomnia symptoms" in the methods and results sections of abstracts.
- Improving clarity in reporting insomnia concepts is crucial for accurate scientific communication.
- Standardizing the reporting of insomnia in research abstracts will enhance the quality of systematic reviews and RCTs.
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