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Review
. 2024 Sep;57(9):1816-1827.
doi: 10.1002/eat.24241. Epub 2024 Jun 27.

The Integration of Sleep Research Into Eating Disorders Research: Recommendations and Best Practices

Affiliations
Review

The Integration of Sleep Research Into Eating Disorders Research: Recommendations and Best Practices

Leah A Irish et al. Int J Eat Disord. 2024 Sep.

Abstract

Objective: Sleep disturbance is common among individuals with eating disorders (EDs), with approximately 50% of patients with EDs reporting sleep disturbance. Sleep problems may promote, exacerbate, or maintain ED symptoms through a variety of hypothesized mechanisms, such as impaired executive function, increased negative affect, and disruptions to appetitive rhythms. Although research investigating the role of sleep in EDs is growing, the current literature suffers from methodological limitations and inconsistencies, which reduce our ability to translate findings to improve clinical practice. The purpose of this forum is to propose a coordinated approach to more seamlessly integrate sleep research into ED research with particular emphasis on best practices in the definition and assessment of sleep characteristics.

Methods: In this article, we will describe the current status of sleep-related research and relevant gaps within ED research practices, define key sleep characteristics, and review common assessment strategies for these sleep characteristics. Throughout the forum, we also discuss study design considerations and recommendations for future research aiming to integrate sleep research into ED research.

Results/discussion: Given the potential role of sleep in ED maintenance and treatment, it is important to build upon preliminary findings using a rigorous and systematic approach. Moving forward as a field necessitates a common lens through which future research on sleep and EDs may be conducted, communicated, and evaluated.

Keywords: assessment; eating disorders; recommendations; sleep; sleep disturbance.

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Figures

Figure 1.
Figure 1.
Visual Representation of Sleep Characteristics

References

    1. Aili K, Åström-Paulsson S, Stoetzer U, Svartengren M, & Hillert L (2017). Reliability of actigraphy and subjective sleep measurements in adults: the design of sleep assessments. Journal of Clinical Sleep Medicine, 13(1), 39–47. - PMC - PubMed
    1. Allison KC, Spaeth A, & Hopkins CM (2016). Sleep and eating disorders. Current Psychiatry Reports, 18, 1–8. - PubMed
    1. Aikens JE, & Rouse ME (2005). Help-seeking for insomnia among adult patients in primary care. The Journal of the American Board of Family Practice, 18(4), 257–261. - PubMed
    1. American Academy of Sleep Medicine, (2014). International Classification of Sleep Disorders. 3rd ed. Darien, IL: American Academy of Sleep Medicine.
    1. American Academy of Sleep Medicine Task Force. (1999). Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep, 22(5), 667. - PubMed

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