SynthesisEuropean eating disorders review : the journal of the Eating Disorders Association2026
Sleep Health in Bulimia Nervosa: A Systematic Review.
Synthesis in European eating disorders review : the journal of the Eating Disorders Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Sleep Health in Bulimia Nervosa: A Systematic Review.European eating disorders review : the journal of the Eating Disorders Association · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveResearch on sleep in bulimia nervosa (BN) is methodologically varied and yields inconsistent findings. This review synthesised BN-sleep studies and examined whether comorbid mood disorders contribute to sleep disturbance.
methodPsycINFO, Medline (Ovid), and Scopus were searched for English or French quantitative studies comparing sleep health variables between individuals with diagnosed BN and healthy controls. Extracted data included study design, sample characteristics, sleep and BN measures, and key findings. Methodological quality was evaluated using a validated risk-of-bias tool.
resultsOf 1233 titles/abstracts and 39 full texts screened, 11 studies met inclusion criteria. Some studies using subjective measures reported greater sleep disturbance in individuals with BN, including poorer sleep quality, difficulty initiating or maintaining sleep, and increased daytime sleepiness, with moderate to large effect sizes (|d| = 0.60-1.43). Objective findings were mixed: one actigraphy study reported later sleep onset and wake times in BN, while findings for sleep efficiency and rapid eye movement (REM) sleep parameters were inconsistent, and most polysomnography (PSG) variables showed no reliable group differences despite some large effect sizes (range: |d| = 0.72-1.69). Sleep disturbances were reported in some BN samples with and without comorbid mood disorders, although the specific contribution of mood pathology remains unclear. Studies were generally small, cross-sectional, and dated.
conclusionsSome studies suggest elevated subjective sleep disturbances in individuals with BN, but findings remain heterogeneous and are limited by methodological variability and small sample sizes. Future studies are needed to better characterise sleep health in individuals with BN.
trial registrationThe systematic review was registered with the International Prospective Register of Systematic Reviews (CRD42022354504).
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What OpenQuestion holds
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.