In university students in Jordan, those with serious sleep problems are much more likely to also report high levels of anxiety, depression, and body pain, suggesting these issues often occur together.
Evidence from Studies
No evidence studies found yet.
What Would Prove This
Per GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this claim, ordered from strongest to weakest.
Whether insomnia consistently co-occurs with anxiety, depression, and musculoskeletal pain across diverse young adult populations and whether these associations are independent of confounders.
A systematic review and meta-analysis of longitudinal studies measuring insomnia (ISI ≥15), anxiety (HADS ≥11), depression (HADS ≥11), and musculoskeletal pain (≥3 painful sites) in adults aged 18–25, assessing pooled odds ratios and adjusting for BMI, smoking, academic stress, and physical activity.
Whether treating insomnia directly reduces anxiety, depression, or musculoskeletal pain in young adults.
A double-blind RCT of 200 university students with moderate-to-severe insomnia (ISI ≥15) randomized to cognitive behavioral therapy for insomnia (CBT-I) or waitlist control for 8 weeks, measuring changes in HADS-anxiety, HADS-depression, and MSP intensity as primary outcomes.
Whether insomnia predicts the future onset of anxiety, depression, or musculoskeletal pain in young adults.
A prospective cohort study following 1000 university students aged 18–22 for 2 years, assessing insomnia (ISI) at baseline and measuring incidence of new anxiety (HADS ≥11), depression (HADS ≥11), and musculoskeletal pain (≥3 sites) at 12 and 24 months, adjusting for baseline symptoms and lifestyle factors.
Whether individuals with chronic insomnia have a higher prevalence of prior anxiety, depression, or musculoskeletal pain compared to matched controls.
A case-control study comparing the 12-month history of anxiety (HADS ≥11), depression (HADS ≥11), and musculoskeletal pain (≥3 sites) in 200 university students with chronic insomnia (ISI ≥15 for ≥3 months) versus 200 matched controls (ISI ≤7), using structured interviews and validated scales.
Whether insomnia, anxiety, depression, and musculoskeletal pain co-occur in a population at a single point in time.
A cross-sectional survey of 1000 university students measuring ISI, HADS-anxiety, HADS-depression, and MSP simultaneously using validated tools, as performed in this study.