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BackgroundNight eating syndrome (NES) is included in the Diagnostic and Statistical Manual for Mental Disorders, 5th edition, as an example of “Other Specified Feeding or Eating Disorders” with minimal guidance about how to define and operationalize NES. The literature suggests that research practices vary widely, making it difficult to draw conclusions about the public health burden of, effective interventions for, or policy implications relevant to NES. This Forum article seeks to illustrate the lack of definitional agreement to underscore the need for a consensus about NES diagnostic criteria, and to propose steps toward closing knowledge gaps and achieving consensus.MethodWe searched PubMed and PsycINFO titles and abstracts, using “NES” as the search term, for research articles published in English between January 1, 2013 to August 12, 2024 with sample sizes of NES > 10 and ages 18 or older. Eligible articles were coded for NES definitions and assessment method used to diagnose participants with NES and for information about comorbidity of NES and any other eating disorder (ED).ResultsSeventy‐three articles met inclusion criteria. Most commonly, NES was diagnosed using a diagnostic criteria set (35/73) or a symptom score threshold (34/73); among the former, only eight studies employed DSM‐5 NES criteria. Thirteen studies, varying widely in methodology, examined comorbidity with other EDs, most commonly binge‐eating disorder where comorbidity was high.ConclusionHeterogeneity of definitions and assessment impede progress in the study of NES. We propose strategies for developing a consensus definition and addressing research gaps.
BackgroundNight eating syndrome (NES) is included in the Diagnostic and Statistical Manual for Mental Disorders, 5th edition, as an example of “Other Specified Feeding or Eating Disorders” with minimal guidance about how to define and operationalize NES. The literature suggests that research practices vary widely, making it difficult to draw conclusions about the public health burden of, effective interventions for, or policy implications relevant to NES. This Forum article seeks to illustrate the lack of definitional agreement to underscore the need for a consensus about NES diagnostic criteria, and to propose steps toward closing knowledge gaps and achieving consensus.MethodWe searched PubMed and PsycINFO titles and abstracts, using “NES” as the search term, for research articles published in English between January 1, 2013 to August 12, 2024 with sample sizes of NES > 10 and ages 18 or older. Eligible articles were coded for NES definitions and assessment method used to diagnose participants with NES and for information about comorbidity of NES and any other eating disorder (ED).ResultsSeventy‐three articles met inclusion criteria. Most commonly, NES was diagnosed using a diagnostic criteria set (35/73) or a symptom score threshold (34/73); among the former, only eight studies employed DSM‐5 NES criteria. Thirteen studies, varying widely in methodology, examined comorbidity with other EDs, most commonly binge‐eating disorder where comorbidity was high.ConclusionHeterogeneity of definitions and assessment impede progress in the study of NES. We propose strategies for developing a consensus definition and addressing research gaps.
Yeme bozuklukları fiziksel ve psikolojik morbidite ile mortaliteye yol açmaktadır. Dolayısıyla yeme bozuklukları ile ilişkili risk faktörlerinin belirlenmesi büyük önem taşımaktadır. Bu çalışma Ankara’da yaşayan yetişkin bireylerde yeme bozuklukları ile uyku kalitesi, depresyon, anksiyete ve stres arasındaki ilişkinin değerlendirilmesi amacıyla yapılmıştır. Bu kesitsel çalışma Ankara’da yaşayan 220 sağlıklı bireyin katılımı ile online olarak yürütülmüştür. Araştırma verileri Kasım 2023-Mart 2024 tarihleri arasında toplanmıştır. Katılımcılara google forms ile oluşturulmuş anket formu sosyal medya aracılığı ile ulaştırılmıştır. Anket formu sosyodemografik özellikler ile depresyon-anksiyete-stres 21 ölçeği, uykusuzluk şikayetleri ve uyku kalitesi temel ölçeği ve yeme bozukluğu değerlendirme ölçeğinden oluşmaktadır. Katılımcıların yaş ortalaması 27.65±10.83 yıl (18-63 yaş) olup, büyük kısmı (%85.9) kadınlardan oluşmaktadır. Araştırma sonucunda yeme bozuklukları ile uyku kalitesi, beden kütle indeksi, depresyon, anksiyete ve stres arasında pozitif korelasyon olduğu bulunmuştur. Çoklu doğrusal regresyon analizine göre uyanma sorunları, beden kütle indeksi ve anksiyete ile yeme bozuklukları arasında pozitif ilişki olduğu gösterilmiştir. Bu çalışma uyku kalitesindeki bozulma ile beden kültle indeksindeki artışın ve anksiyete durumunun yeme bozuklukları riskini arttırabileceğine dikkat çekmektedir. Dolayısıyla, yeme bozuklukları riskinin azaltılmasına yönelik öneri ve strateji geliştirmede bireylerin uyku kalitesi, beden kütle indeksi ve anksiyete durumları da göz önünde bulundurulmalıdır.
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