ArticleThe International journal of eating disorders2021
The case for investigating a bidirectional association between insomnia symptoms and eating disorder pathology.
Article in The International journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- The Association Between Disordered Eating and Sleep in Non-Clinical Populations-A Systematic Review and Meta-Analysis.Journal of sleep research · 2026Pooled it
- Impact of sleep disruption on BDD symptoms and treatment response.Journal of affective disorders · 2024Trial
- Preliminary study: cognitive behavioural therapy for insomnia in adolescents with anorexia nervosa.Eating and weight disorders : EWD · 2024Trial
- Association of Night Eating Syndrome Risk with Sleep Disturbance in Medical Students: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Investigating the Prospective Relationship Between Weight Loss Behaviours and Sleep in Adolescents From the Growing Up in Ireland Cohort.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Recent Advances in Sleep and Circadian Characteristics in Eating Disorders: A Systematic Review of the Last Five Years (2020-2025).Nature and science of sleep · 2026Review
- Feasibility and Acceptability of Brief Behavioral Treatment for Insomnia After Eating Disorder Treatment: The TIRED Study.The International journal of eating disorders · 2025Article
- Article
- Investigating the longitudinal bi-directional relationship between self-reported restrictive eating behaviours and sleep in UK adolescents within the Millennium Cohort Study.European child & adolescent psychiatry · 2025Article
- Disordered Eating Behaviors, Perceived Stress and Insomnia During Academic Exams: A Study Among University Students.Medicina (Kaunas, Lithuania) · 2025Article
- Changes in insomnia and binge-eating symptom severity before and after treatment of eating disorders in individuals with non-low-weight binge-spectrum disorders.Journal of sleep research · 2025Article
- Associations between intraindividual variability in weekday-weekend sleep timing and duration and eating disorder pathology.Eating behaviors · 2025Article
- Are Sleep Parameters and Chronotype Associated with Eating Disorder Risk? A Cross-Sectional Study of University Students in Spain.Journal of clinical medicine · 2024Article
- The Integration of Sleep Research Into Eating Disorders Research: Recommendations and Best Practices.The International journal of eating disorders · 2024Review
- Using item response theory to identify key symptoms of insomnia in a sample of university students with probable eating disorders.Eating and weight disorders : EWD · 2024Article
- Engagement in binge eating and fasting associated with poorer sleep quality in an online sample of adults.Journal of eating disorders · 2024Article
- Weight bias internalization is positively associated with insomnia symptom severity in young women with disordered eating.Sleep health · 2024Article
- The Role of Circadian Rhythms and Sleep in Anorexia Nervosa.JAMA network open · 2024Article
- Sleep is the best medicine: assessing sleep, disordered eating, and weight-related functioning.Eating and weight disorders : EWD · 2023Article
- Sleep Profiles in Eating Disorders: A Scientometric Study on 50 Years of Clinical Research.Healthcare (Basel, Switzerland) · 2023Review
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
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, and substance use disorders and, potentially, ED symptoms. Furthermore, insomnia symptoms may hinder recovery and increase relapse rates following successful psychotherapy. In this article, 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.