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July 12, 2026Journal of Sleep ResearchOpen Access

Lost in the System: Identifying Gaps in Adolescent Insomnia Care Using Nationwide Claims Data and a Healthcare Professional Survey

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Authors

LMLeonie MaurerJSJohanna SchulzeAWAlfred Wiater

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Overview

Randomized trial identifies treatment barriers and care pathways for adolescents with insomnia, suggesting areas for improvement.

Key Points

  • The aim is to explore gaps in the identification and treatment of adolescent insomnia and the barriers faced in care delivery.
  • Combined nationwide outpatient billing data for adolescents 15-17 with an online survey of healthcare professionals in Germany.
  • Analyzed incident sleep-disorder diagnoses and co-occurring psychiatric conditions from 2018-2024.
  • Examined healthcare professionals' diagnostic practices and treatment approaches.
  • Incident sleep-disorder diagnoses increased after 2022, more common in girls.
  • Comorbid depression and ADHD were frequently recorded at first diagnosis, primarily occurring in general practice.
  • Pharmacological treatments were commonly used contrary to guidelines; CBT-I was rarely delivered.

Cite This Study

Maurer et al. (2026) studied this question.

synapsesocial.com/papers/6a5333754f7abc118adee073https://doi.org/10.1111/jsr.70409
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Understanding the insomnia patient journey in Germany: survey findings from patients and healthcare professionals2026
  2. 2Practical tips for paediatricians: implementing cognitive behavioural therapy for adolescent insomnia2026
  3. 30912 Adolescent Perspectives on Insomnia Treatment: A Qualitative Analysis2026
  4. 4“Why don’t They Seek Help?” A Qualitative Study of Barriers and Motivators to Insomnia Treatment Among Youth2026
  5. 5Developing a Cognitive Behavioural Therapy for Insomnia Intervention for Adolescents With Co‐Morbid Mental Health Using an Iterative Expert Consultation Process2025