{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:59:19Z","timestamp":1790621959347,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100016198","name":"Idorsia Pharmaceuticals","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016198","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Insomnia is the most prevalent sleep disorder in adults, representing a major public health problem. Healthcare management in a specific area first requires analysing its current practices and issues. We conducted a retrospective observational study of over 100,000 patients from two large primary care databases in the public healthcare Department of Sagunto (Valencia, Spain), from 2009 to 2017. Cases of insomnia were defined by ICD\u201010 codes, and prescriptions of hypnotics were collected. The data analysis was performed on epidemiological aspects, comorbidity, diagnosis and treatment of insomnia. A significant increase in the incidence of insomnia occurred, rising from 58.9 per 1000 inhabitants (95% CI: 57.7\u201360.0) in 2009 to 91.4 per 1000 inhabitants (95% CI: 90.0\u201392.9) in 2017. A total of 12,404 prescriptions for hypnotics and sedatives were issued, including 39.8% for indications other than insomnia. Lorazepam was the most frequently prescribed hypnotic\u2010sedative (36%), followed by zolpidem (21.1%); 54% of insomnia cases revealed more prescription units than medical consultations, suggesting automatic renewals. Excessive prescription of hypnotic drugs for insomnia, along with a lack of follow\u2010up, were identified as significant issues.<\/jats:p>","DOI":"10.1111\/jsr.70334","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T02:45:01Z","timestamp":1777257901000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prescription of Psychotropic Drugs for Chronic Insomnia in Primary Care"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4197-3293","authenticated-orcid":false,"given":"Jes\u00fas","family":"Escrib\u00e1\u2010Alepuz","sequence":"first","affiliation":[{"name":"Sleep Medicine Institute  Valencia Spain"},{"name":"Clinical Neurophysiology Unit Sagunto Health Department  Sagunto (Valencia) Spain"},{"name":"Health Psychology Department Miguel Hernandez University  Elche (Alicante) Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7368-666X","authenticated-orcid":false,"given":"Lidia","family":"Herrero\u2010Huertas","sequence":"additional","affiliation":[{"name":"National Epidemiology Centre Carlos III Health Institute  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6213-0888","authenticated-orcid":false,"given":"Mar\u00eda","family":"Garc\u00eda\u2010Gil","sequence":"additional","affiliation":[{"name":"Pharmacy Service\u2010Primary Care, Sagunto Health Department  Sagunto (Valencia) Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2662-2735","authenticated-orcid":false,"given":"Estefan\u00eda","family":"Est\u00e9vez\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Health Psychology Department Miguel Hernandez University  Elche (Alicante) Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9341-8160","authenticated-orcid":false,"given":"Francisco Javier","family":"Puertas","sequence":"additional","affiliation":[{"name":"Ribera University Hospital\u2014FISABIO  Alzira (Valencia) Spain"},{"name":"Faculty of Medicine Catholic University of Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9531-2792","authenticated-orcid":false,"given":"Manuel","family":"de Entrambasaguas","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednic Universitari de Val\u00e8ncia, INCLIVA Biomedical Research Institute  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,26]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Agencia Espa\u00f1ola del Medicamento.2025.\u201cUtilizaci\u00f3n de medicamentos ansiol\u00edticos e hipn\u00f3ticos en Espa\u00f1a.\u201dhttps:\/\/app.powerbi.com\/view?r=eyJrIjoiMTcyODZlYWItNWE2ZS00YmYzLWE1MDktZDY2OWM2NmMyOTc3IiwidCI6IjJkM2I1MGUwLTZlZjQtNGViYy05MjQ2LTdkMWNiYjc3MDg5YyIsImMiOjh9."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0309984"},{"key":"e_1_2_10_4_1","unstructured":"ConSalud.es.2025.\u201cUna PNL del PSOE llama a abordar los trastornos del sue\u00f1o y reducir el consumo de benzociacepinas.\u201dhttps:\/\/www.consalud.es\/politica\/pnl\u2010psoe\u2010llama\u2010abordar\u2010trastornos\u2010sueno\u2010reducir\u2010consumo\u2010benzodiacepinas_153500_102.html."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsac278"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleepe.2022.100053"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13311-019-00827-z"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11050716"},{"issue":"5","key":"e_1_2_10_9_1","first-page":"345","article-title":"Differential Diagnosis of Insomnia From Other Comorbid Primary Sleep Disorders","volume":"52","author":"Ferre\u2010Maso A.","year":"2020","journal-title":"Atencion Primaria"},{"key":"e_1_2_10_10_1","unstructured":"Fundaci\u00f3 Fisabio\u2014Generalitat Valenciana. n.d.\u201cPROSIGA (SIA\u2010GAIA)\u201d."},{"key":"e_1_2_10_11_1","unstructured":"Generalitat Valenciana.2025.\u201cConselleria de Sanidad Departamento de salud de Sagunto.\u201dhttps:\/\/sagunto.san.gva.es\/es\/departamento\u2010de\u2010salud\u2010de\u2010sagunto."},{"key":"e_1_2_10_12_1","volume-title":"The Societal and Economic Burden of Insomnia in Adults: An International Study","author":"Hafner M.","year":"2023"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.14084"},{"key":"e_1_2_10_14_1","unstructured":"Instituto Nacional de Estad\u00edstica (INE).2024.\u201cPoblaci\u00f3n por sexo municios y edad (grupos quinquenales).\u201dhttps:\/\/www.ine.es\/jaxiT3\/Tabla.htm?t=33570&L=0."},{"key":"e_1_2_10_15_1","unstructured":"Jim\u00e9nez Cantos A.2005.\u201cmonogr\u00e1fico eHealth Sanidad en la Comunidad Valenciana.\u201dBOLETIC.https:\/\/www.astic.es\/wp\u2010content\/uploads\/2017\/03\/mono4_4.pdf."},{"issue":"2","key":"e_1_2_10_16_1","first-page":"65","article-title":"Overdiagnosis in Health Sciences: A Scope Review for Mental Health 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