The case for investigating a bidirectional association between insomnia symptoms and eating disorder pathology.
The case for investigating a bidirectional association between insomnia symptoms and eating disorder pathology.
复制标题
DOI：
10.1002/eat.23498
复制
发表时间：
2021-05
影响因子：
5.5
通讯作者：
Short, Nicole A.
中科院分区：
文献类型：
--
作者：
Christensen, Kara A.;Short, Nicole A.
许多饮食失调 (ED) 患者报告有失眠症状（即经常入睡困难、难以入睡和/或早醒），而睡眠问题与饮食行为的改变有关；然而，这些双向关联的机制仍然知之甚少并且正在研究中。这是一个问题，因为较高的失眠症状严重程度是焦虑、情绪、创伤、药物滥用障碍以及潜在的 ED 症状发生和持续的危险因素。此外，成功的心理治疗后，失眠症状可能会阻碍康复并增加复发率。在本文中，我们描述了失眠和饮食精神病理学之间双向关联的潜在机制，这可能有助于这两种疾病的病因和维持。我们为未来的研究提出了新的方向，以描述睡眠失调与 ED 症状之间的关联，并评估失眠症状对同时发生病理的人的复发和恢复的影响。最后，我们讨论了测试现有失眠障碍循证治疗（例如失眠认知行为疗法）与急诊科护理相结合的选项。总体而言，失眠症状为 ED 治疗提供了一个有希望的干预点，虽然尚未经过系统测试，但在常规临床护理中解决该问题非常可行。
Many people with eating disorders (EDs) report symptoms of insomnia (i.e., frequent difficulty falling asleep, staying asleep, and/or early morning wakening) and sleep problems have been linked to alterations in eating behaviors; however, mechanisms of these bidirectional associations remain poorly understood and under researched. This is a problem because higher insomnia symptom severity is a risk factor for the onset and perpetuation of anxiety, mood, trauma, substance use disorders and, potentially, ED symptoms. Furthermore, insomnia symptoms may hinder recovery and increase relapse rates following successful psychotherapy. In this paper, we describe potential mechanisms underlying bidirectional associations between insomnia and eating psychopathology that may contribute to the etiology and maintenance of both disorders. We suggest novel directions for future research to characterize the association between dysregulated sleep and ED symptoms and to evaluate impacts of insomnia symptoms on relapse and recovery for people with co-occurring pathology. Finally, we discuss options for testing the incorporation of existing evidence-based treatments for insomnia disorder (e.g., Cognitive-Behavioral Therapy for Insomnia) with ED care. Overall, insomnia symptoms present a promising intervention point for ED treatment that has not been systematically tested, yet would be highly feasible to address in routine clinical care.
登录
查看更多内容
影响因子：
3.3
作者：
Latzer, Y;Tzischinsky, O;Epstein, R
通讯作者：
Epstein, R
影响因子：
1.9
作者：
Cousineau, Heloise;Marchand, Andre;Belleville, Genevieve
通讯作者：
Belleville, Genevieve
影响因子：
5.3
作者：
Kenny, Therese E.;Van Wijk, Megan;Carter, Jacqueline C.
通讯作者：
Carter, Jacqueline C.
影响因子：
4.7
作者：
LeBlanc, Melanie;Beaulieu-Bonneau, Simon;Morin, Charles M.
通讯作者：
Morin, Charles M.
建议的夜间饮食综合症诊断标准。
DOI：
10.1002/eat.20693
发表时间：
2010-04
期刊：
The International journal of eating disorders
影响因子：
--
作者：
Allison KC;Lundgren JD;O'Reardon JP;Geliebter A;Gluck ME;Vinai P;Mitchell JE;Schenck CH;Howell MJ;Crow SJ;Engel S;Latzer Y;Tzischinsky O;Mahowald MW;Stunkard AJ
通讯作者：
Stunkard AJ