{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:48:25Z","timestamp":1791809305961,"version":"4.3.4"},"reference-count":50,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T00:00:00Z","timestamp":1781913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T00:00:00Z","timestamp":1781913600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Research on sleep in bulimia nervosa (BN) is methodologically varied and yields inconsistent findings. This review synthesised BN\u2010sleep studies and examined whether comorbid mood disorders contribute to sleep disturbance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>PsycINFO, 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\u2010of\u2010bias tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 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 (|\n                      <jats:italic>d<\/jats:italic>\n                      |\u00a0=\u00a00.60\u20131.43). 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: |\n                      <jats:italic>d<\/jats:italic>\n                      |\u00a0=\u00a00.72\u20131.69). 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\u2010sectional, and dated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Some 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>The systematic review was registered with the International Prospective Register of Systematic Reviews (CRD42022354504)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.70136","type":"journal-article","created":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T08:35:27Z","timestamp":1781944527000},"page":"1528-1546","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sleep Health in Bulimia Nervosa: A Systematic Review"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1327-0961","authenticated-orcid":false,"given":"Samantha","family":"Kenny","sequence":"first","affiliation":[{"name":"Department of Educational and Counselling Psychology McGill University  Montreal Quebec Canada"},{"name":"H\u00f4pital en sant\u00e9 mentale Rivi\u00e8re\u2010des\u2010Prairies (CIUSSS\u2010NIM)  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0333-8566","authenticated-orcid":false,"given":"Malka","family":"Hershon","sequence":"additional","affiliation":[{"name":"Department of Educational and Counselling Psychology McGill University  Montreal Quebec Canada"},{"name":"H\u00f4pital en sant\u00e9 mentale Rivi\u00e8re\u2010des\u2010Prairies (CIUSSS\u2010NIM)  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0863-8098","authenticated-orcid":false,"given":"Linda","family":"Booij","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"Department of Psychiatry McGill University  Montreal 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