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The KANOP\u00c9E application, a fully autonomous virtual agent that collects sleep\u2010related data and delivers personalised behavioural recommendations over a 17\u2010day period, offers a unique opportunity to better understand this unexpected phenotype. Our primary aim was to characterise these \u2018sleepy insomniacs\u2019, and our secondary aim was to evaluate their response to this digital sleep intervention. Among 21,590 participants, individuals with an Epworth Sleepiness Scale score\u2009\u2265\u200911 and an Insomnia Severity Index score\u2009\u2265\u200915 were classified as \u2018sleepy insomniacs\u2019. Comorbidities (i.e., obstructive sleep apnea syndrome, restless legs syndrome, depression, and sleep medication use) were first described and then excluded for further analyses. At baseline, 4843 (47.9%) of the 10,114 participants with insomnia also reported EDS and were categorised as \u2018sleepy insomniacs\u2019. Half of this subgroup reported at least one comorbidity, with depression being the most common. After excluding participants with comorbidities, 3239 individuals (44.3%) remained in the \u2018sleepy insomniacs\u2019 category. These individuals were more likely to experience middle or late insomnia symptoms compared to those with insomnia without EDS but responded similarly to the digital sleep intervention. In conclusion, EDS is highly prevalent among individuals with insomnia symptoms. While comorbidities, particularly depression, explained the co\u2010occurrence in approximately half of the sample, a substantial proportion of participants without comorbidities also exhibited this unexpected phenotype. The association with specific insomnia subtypes highlights the need for further investigation. Notably, a 17\u2010day digital sleep intervention proved effective in treating \u2018sleepy insomniacs\u2019.<\/jats:p>","DOI":"10.1111\/jsr.70178","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:24:43Z","timestamp":1756380283000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Excessive Daytime Sleepiness Should Be Systematically Assessed in Individuals With Insomnia: A Population\u2010Based Study Employing a Virtual Agent\u2010Based Digital Tool"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5451-9148","authenticated-orcid":false,"given":"Julien","family":"Coelho","sequence":"first","affiliation":[{"name":"Univ. 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Bordeaux, SANPSY, UMR 6033  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"d'Incau","sequence":"additional","affiliation":[{"name":"Univ. Bordeaux, SANPSY, UMR 6033  Bordeaux France"},{"name":"CHU Bordeaux, Service Universitaire de M\u00e9decine du Sommeil  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Sagaspe","sequence":"additional","affiliation":[{"name":"Univ. Bordeaux, SANPSY, UMR 6033  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tafsir","family":"Ka","sequence":"additional","affiliation":[{"name":"CHU Bordeaux, Service Universitaire de M\u00e9decine du Sommeil  Bordeaux France"},{"name":"CH P\u00e9rigueux  P\u00e9rigueux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herv\u00e9","family":"Alia","sequence":"additional","affiliation":[{"name":"Univ. 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