Seasonal Variations in Sleep Quality and Stability Among Patients with Chronic Insomnia: Real-World Evidence Across the 24 Solar Terms

Sleep quality and stability vary across the 24 Solar Terms, with notable gender and age differences. SARIMA models are able to reflect these patterns to a certain extent, with the majority of predictions lying within the confidence intervals, which may contribute to personalized insomnia management. Cultural context of the 24 Solar Terms adds interpretive value. Limitations of this study include reliance on self-reported PSQI scores, lack of direct meteorological data, and other factors.