Which of the following is NOT one of the DSM-5 criteria for insomnia disorder?

• A. Difficulty initiating or maintaining sleep, or early-morning awakening with inability to return to sleep
• B. The individual must experience vivid dreams every night
• C. Sleep disturbance causes significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning
• D. The sleep difficulty occurs at least three nights per week and is present for at least three months

Answer: (B)

Verified step by step guidance

1. Step 1: Understand that the DSM-5 criteria for insomnia disorder focus on specific symptoms related to sleep difficulties, their frequency, duration, and the impact on daily functioning.
2. Step 2: Identify the key symptoms listed in the DSM-5, which include difficulty initiating sleep, difficulty maintaining sleep, or early-morning awakening with inability to return to sleep.
3. Step 3: Recognize that the sleep disturbance must cause significant distress or impairment in important areas of functioning such as social, occupational, or educational domains.
4. Step 4: Note that the sleep difficulties must occur at least three nights per week and persist for at least three months to meet the chronicity criterion.
5. Step 5: Compare each option to these criteria and determine that the requirement for vivid dreams every night is not part of the DSM-5 criteria for insomnia disorder.