scholarly journals Sleep Disturbances in Anorexia Nervosa: How Can They Be Explained?

2020 ◽  
Keyword(s):  
Anorexia Nervosa ◽  
Sleep Disturbances

Contribution Of Night Eating Syndrome To The Evolution Of Anorexia Nervosa – Case Report

2016 ◽  
Vol 33 (S1) ◽  
pp. S426-S426
Author(s):  
F. Coutinho ◽  
I. Brandão
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Case Report ◽  
Sleep Disturbances ◽  
Review Of The Literature ◽  
Night Eating Syndrome ◽  
Eating Pattern ◽  
Night Eating ◽  
Competing Interest ◽  
The Relationship

IntroductionNight Eating Syndrome (NES) was described in 1955 in a subset of patients resistant to weight loss. It is characterized by morning anorexia, evening hyperfagia and sleep disturbances. It is also more prevalent among patients with another eating disorder (ED), particularly binge-eating disorder (BED) or bulimia nervosa (BN).ObjectiveReview of the literature about the relationship between NES and another EDs and to present a case report of a patient with a long-standing purgative anorexia nervosa (AN-BP) and comorbid NES.Methodsreview of the literature using the database Medline through Pubmed, with the keywords: “night eating syndrome” and “eating disorder”.ResultsNES is highly prevalent among patients with EDs, with an estimated prevalence of about 5–44%. However, most of the existent literature explores the relationship between NES and BED or BN, and it is not consensual if NES is a subtype of another ED. There is still scarce evidence about NES and AN comorbidity.ConclusionIn this case report, we present a patient with a history of AN-BP, in which the recovery of lost weight and the increase of body mass index (BMI) occurred simultaneously with a period of worsening NES symptoms, which leads the authors to question if the psychopathology of NES has contributed to the recovery of BMI at the expense of maintaining a dysfunctional eating pattern.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Sleep disturbances in anorexia nervosa

2017 ◽  
Vol 41 (S1) ◽  
pp. S561-S561 ◽  
Author(s):  
M.F. Vieira ◽  
P. Afonso
Keyword(s):  
Anorexia Nervosa ◽  
Sleep Quality ◽  
Slow Wave ◽  
Sleep Disturbances ◽  
Negative Impact ◽  
Total Sleep Time ◽  
Sleep Time ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Falling Asleep

IntroductionIn clinical practice, insomnia is a common feature in anorexia nervosa (AN). Sleep self-reports in AN suggest that these patients report poor sleep quality and reduced total sleep time. Weight loss, starvation and malnutrition can all affect sleep. Patients with eating disorders who have sleep disturbances have more severe symptomatology.ObjectivesThe authors intend to review sleep disturbances observed in AN, describe possible pathophysiological mechanisms and evaluate the clinical impact of sleep disturbances on the treatment and prognosis of the disease.MethodsIn this study, a non-systematic search of published literature from January 1970 and August 2015 was carried out, through PubMed, using the following keywords: ‘sleep’, ‘anorexia nervosa’ and ‘insomnia’.ResultsThese patients subjectively report having poor sleep quality, with difficulty falling asleep, interrupted sleep, early morning waking or reduced total sleep time. Sleep disturbances found in AN using polysomnography are: reduction in total sleep time, decrease in slow wave sleep, slow wave activity and reduced sleep efficiency.ConclusionsPrivation of adequate and restful sleep has a negative impact on the quality of life of patients, may contribute to the appearance of comorbidities, such as depression and anxiety, and to a poor prognosis for AN.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Sleep disturbances in anorexia nervosa

2016 ◽  
Vol 4 (2) ◽  
pp. 176-188 ◽  
Author(s):  
Francisca Padez-Vieira ◽  
Pedro Afonso
Keyword(s):  
Anorexia Nervosa ◽  
Sleep Disturbances

Sleep disturbances in anorexia nervosa subtypes in adolescence

2020 ◽  
Author(s):  
Flora Bat-Pitault ◽  
Catarina Da Silva ◽  
Isabelle Charvin ◽  
David Da Fonseca
Keyword(s):  
Anorexia Nervosa ◽  
Sleep Disturbances

Strep Throat Can Cause Anorexia Nervosa, OCD

2005 ◽  
Vol 38 (20) ◽  
pp. 64
Author(s):  
KATE JOHNSON
Keyword(s):  
Anorexia Nervosa ◽  
Strep Throat

Sleep Disturbances May Precede PTSD

2010 ◽  
Vol 43 (13) ◽  
pp. 4 ◽  
Author(s):  
DIANA MAHONEY
Keyword(s):  
Sleep Disturbances

Eine internationale neuropsychologische Testbatterie für Kinder, Jugendliche und Erwachsene mit Anorexia nervosa – die deutsche Adaptation des Ravello Profils

2013 ◽  
Vol 41 (6) ◽  
pp. 371-381 ◽  
Author(s):  
Betteke Maria van Noort ◽  
Ernst Pfeiffer ◽  
Ulrike Lehmkuhl ◽  
Viola Kappel
Keyword(s):  
Anorexia Nervosa

Fragestellung: Erwachsene mit Anorexia nervosa (AN) zeigen vor und nach Gewichtsrehabilitation Beeinträchtigungen kognitiver Funktionen. Im Bereich der kindlichen und früh-adoleszenten AN besteht ein großer Bedarf an strukturierten Untersuchungen der kognitiven Funktionen. Bisherige Studien weisen methodische Inkonsistenzen bezüglich der Testauswahl und der Operationalisierung kognitiver Funktionen auf, die die Interpretierbarkeit und Vergleichbarkeit der Befunde deutlich einschränken. Um diese Inkonsistenzen zu verringern, wurde eine neuropsychologische Testbatterie, das sogenannte „Ravello Profil“ entwickelt, das bisher jedoch nicht für den deutschen Sprachraum zur Verfügung steht. Die vorliegende Arbeit stellt daher eine für den deutschen Sprachraum adaptierte Version des Ravello Profils vor und überprüft dessen Anwendbarkeit im Kindes- und Jugendalter. Methodik: Das Ravello Profil wurde für den deutschen Sprachraum adaptiert. Anhand von drei Fallbeispielen wurde die Durchführbarkeit des Ravello Profils bei Kindern und Jugendlichen mit AN überprüft. Ergebnisse und Schlussfolgerungen: Die Fallbeispiele verdeutlichen die Anwendbarkeit des adaptierten Ravello Profils bei Kindern und Jugendlichen mit AN. Das Ravello Profil ermöglicht somit auch im deutschen Sprachraum methodisch konsistente Untersuchungen kognitiver Funktionen bei Kindern, Jugendlichen und Erwachsenen mit AN. Mithilfe des Ravello Profils kann die Rolle kognitiver Funktionen bei der Entstehung einer AN über eine umfassende Altersspanne systematisch untersucht werden.

Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa

2012 ◽  
Vol 40 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Julia Huemer ◽  
Maria Haidvogl ◽  
Fritz Mattejat ◽  
Gudrun Wagner ◽  
Gerald Nobis ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Risk Factor ◽  
Bulimia Nervosa ◽  
Family Environment ◽  
Significant Influence ◽  
Diagnostic Interview ◽  
Individual Autonomy ◽  
Mothers And Fathers ◽  
Image Test ◽  
Restrictive Type

Objective: This study examines retrospective correlates of nonshared family environment prior to onset of disease, by means of multiple familial informants, among anorexia and bulimia nervosa patients. Methods: A total of 332 participants was included (anorexia nervosa, restrictive type (AN-R): n = 41 plus families); bulimic patients (anorexia nervosa, binge-purging type; bulimia nervosa: n = 59 plus families). The EATAET Lifetime Diagnostic Interview was used to establish the diagnosis; the Subjective Family Image Test was used to derive emotional connectedness (EC) and individual autonomy (IA). Results: Bulimic and AN-R patients perceived significantly lower EC prior to onset of disease compared to their healthy sisters. Bulimic patients perceived significantly lower EC prior to onset of disease compared to AN-R patients and compared to their mothers and fathers. A low family sum – sister pairs sum comparison – of EC had a significant influence on the risk of developing bulimia nervosa. Contrary to expectations, AN-R patients did not perceive significantly lower levels of IA compared to their sisters, prior to onset of disease. Findings of low IA in currently ill AN-R patients may represent a disease consequence, not a risk factor. Conclusions: Developmental child psychiatrists should direct their attention to disturbances of EC, which may be present prior to the onset of the disease.

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