Journal article
Is sleep disturbance associated with treatment outcome among individuals with binge-spectrum eating disorders? A preliminary study
Eating disorders, pp 1-15
22 Jan 2026
PMID: 41568785
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Enhanced Cognitive Behavioral Therapy (CBT-E) outcomes for binge-spectrum eating disorders (EDs) are suboptimal, thus new treatment targets should be identified. One potential target is sleep disturbance (i.e. increased sleep latency, decreased efficiency, duration, or quality) which may impact self-regulation abilities necessary for reducing binge eating. However, it is not yet known whether sleep disturbance predicts poorer outcomes from CBT-E. We examined the relation between pre-treatment sleep disturbance and treatment outcome among adults (N = 79; 84.81% White; 89.87% female) with binge-spectrum EDs receiving CBT-E. Multiple regression models examined the effect of sleep disturbance on both frequency of any loss of control (LOC) eating and objective binge episodes (OBE), and odds of remission from LOC and OBEs at post-treatment. Pre-treatment sleep efficiency was significantly negatively related to LOC frequency at post-treatment (Est = -5.807, p = .047). No other pre-treatment sleep characteristics were significantly associated with post-treatment LOC/OBE frequency or remission. ED diagnosis (bulimia- or binge eating disorder-spectrum) did not moderate associations of sleep disturbance with treatment outcome. Interventions aimed at improving sleep efficiency may merit testing in ED populations. Future research should assess whether changes in sleep efficiency during treatment are associated with increased reductions in binge eating at post-treatment.
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Details
- Title
- Is sleep disturbance associated with treatment outcome among individuals with binge-spectrum eating disorders? A preliminary study
- Creators
- Stephanie M. Manasse - Drexel University, Psychological and Brain Sciences (Psychology)Elizabeth W. Lampe - Dartmouth Coll, Ctr Technol & Behav Hlth, Geisel Sch Med, 36 Centerra Pkwy,Suite 301, Lebanon, NH 03766 USALaura D'Adamo - Drexel University, Center for Weight, Eating and Lifestyle Science (WELL) [Historical]Lucy Wetherall - Univ Wyoming, Dept Psychol, Laramie, WY USAAdrienne S. Juarascio - Drexel University, Psychological and Brain Sciences (Psychology)
- Publication Details
- Eating disorders, pp 1-15
- Publisher
- Taylor & Francis
- Number of pages
- 15
- Grant note
- K23DK124514 / National Institute of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) T32HL130357 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) R34MH118353 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:001667826600001
- Scopus ID
- 2-s2.0-105028452408
- Other Identifier
- 991022155317904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry
- Psychology
- Psychology, Clinical