in
DSM–IV–TR, a sleep disorder characterized by difficulty in initiating or maintaining a restorative sleep to a degree in which the severity and persistence of the sleep disturbance causes clinically significant distress, impairment in a significant area of functioning, or both. The disorder is not caused by a general medical condition or the effects of a substance and is not exclusively an aspect of another sleep disorder or mental disorder. It is termed
insomnia disorder in
DSM–5 and
DSM-5-TR. See
dyssomnia. Compare
primary hypersomnia.