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Sleep disturbances in anorexia nervosa

Published online by Cambridge University Press:  23 March 2020

M.F. Vieira  and
P. Afonso
M.F. Vieira
Affiliation:
Centro Hospitalar de Lisboa Central, Child and Adolescent Psychiatry, Lisboa, Portugal
P. Afonso
Affiliation:
Centro Hospitalar de Lisboa Norte, Psychiatry, Lisboa, Portugal

Abstract

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Introduction

In 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.

Objectives

The 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.

Methods

In 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’.

Results

These 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.

Conclusions

Privation 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 interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Viewing: Eating Disorders
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S561
Copyright
Copyright © European Psychiatric Association 2017
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