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An examination of daily sleep characteristics and subsequent eating disorder behavior among individuals with binge-spectrum eating disorders
Journal article   Peer reviewed

An examination of daily sleep characteristics and subsequent eating disorder behavior among individuals with binge-spectrum eating disorders

Stephanie M Manasse, Elizabeth W Lampe, Lindsay Gillikin, Claire M Trainor, Sophie R Abber, Brighid Fitzpatrick, Helena Sanchez and Adrienne S Juarascio
Eating and weight disorders
30 Jul 2022
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC13112389/View
Open

Abstract

INTRODUCTIONSpecific characteristics of sleep (e.g., duration, quality, and fatigue) are positively associated with (ED) behaviors, specifically binge eating (BE) potentially through decreased self-regulation and increased appetite. However, prior work has been largely cross-sectional and has not examined temporal relationships between sleep characteristics and next-day ED behaviors. Thus, the present study examined daily relationships between sleep and ED behaviors among individuals with binge-spectrum EDs. METHODParticipants (N = 96) completed 7 daily ecological momentary assessment (EMA) surveys over 7-14 days; morning surveys assessed sleep characteristics and 6 randomly timed surveys each day captured ED behaviors. Analyses examined within-subject and between-subject effects of sleep quality, duration, and fatigue on BE, compensatory purging behaviors, and maladaptive exercise. RESULTSWithin-subject sleep quality was significantly negatively associated with engagement in maladaptive exercise later that day. Additionally, between-subject sleep duration was significantly negatively associated with engagement in compensatory purging behaviors. DISCUSSIONWithin- and between-subjects associations between sleep quality and duration and compensatory behavior engagement indicate that sleep plays an important role in ED behaviors. Future research should incorporate sensor-based measurement of sleep and examine how specific facets of sleep impact BE and treatment response. LEVEL OF EVIDENCELevel II: Evidence obtained from controlled trial without randomization.

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9 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
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