What question did this study set out to answer?

The aim is to explore gaps in the identification and treatment of adolescent insomnia and the barriers faced in care delivery.

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

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

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.

Maurer et al. (2026) studied this question.

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