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An examination of daily sleep characteristics and subsequent eating disorder behavior among individuals with binge-spectrum eating disorders

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Abstract

Introduction

Specific characteristics of sleep (e.g., duration, quality, and fatigue) are positively associated with (ED) behaviors, specifically binge eating (BE) potentially through decreased self-regulation and increased appetite. However, prior work has been largely cross-sectional and has not examined temporal relationships between sleep characteristics and next-day ED behaviors. Thus, the present study examined daily relationships between sleep and ED behaviors among individuals with binge-spectrum EDs.

Method

Participants (N = 96) completed 7 daily ecological momentary assessment (EMA) surveys over 7–14 days; morning surveys assessed sleep characteristics and 6 randomly timed surveys each day captured ED behaviors. Analyses examined within-subject and between-subject effects of sleep quality, duration, and fatigue on BE, compensatory purging behaviors, and maladaptive exercise.

Results

Within-subject sleep quality was significantly negatively associated with engagement in maladaptive exercise later that day. Additionally, between-subject sleep duration was significantly negatively associated with engagement in compensatory purging behaviors.

Discussion

Within- and between-subjects associations between sleep quality and duration and compensatory behavior engagement indicate that sleep plays an important role in ED behaviors. Future research should incorporate sensor-based measurement of sleep and examine how specific facets of sleep impact BE and treatment response.

Level of evidence

Level II: Evidence obtained from controlled trial without randomization.

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Data may be available on reasonable request to corresponding author.

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Funding

Dr. Manasse is supported by an award from the National Institute of Health (K23DK124514).

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Authors and Affiliations

  1. Center for Weight Eating and Lifestyle Science (WELL Center), Drexel University, Philadelphia, PA, USA

    Stephanie M. Manasse, Elizabeth W. Lampe, Lindsay Gillikin, Claire M. Trainor, Brighid Fitzpatrick, Helena Sanchez & Adrienne S. Juarascio

  2. Department of Psychology, Drexel University, Philadelphia, PA, USA

    Elizabeth W. Lampe & Claire M. Trainor

  3. Department of Psychology, Florida State University, Tallahassee, FL, USA

    Sophie R. Abber

Authors
  1. Stephanie M. Manasse
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  2. Elizabeth W. Lampe
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  3. Lindsay Gillikin
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  8. Adrienne S. Juarascio
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Correspondence to Elizabeth W. Lampe.

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The authors have no conflicts of interest to declare.

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This research was approved by the Drexel University Institutional Review Board.

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All participants provided informed consent for participation.

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Manasse, S.M., Lampe, E.W., Gillikin, L. et al. An examination of daily sleep characteristics and subsequent eating disorder behavior among individuals with binge-spectrum eating disorders. Eat Weight Disord 27, 3743–3749 (2022). https://doi.org/10.1007/s40519-022-01445-z

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  • DOI: https://doi.org/10.1007/s40519-022-01445-z

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