{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:11:04Z","timestamp":1780571464381,"version":"3.54.1"},"reference-count":60,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007859","name":"University of Kansas","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007859","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["TL1TR002368"],"award-info":[{"award-number":["TL1TR002368"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Although emerging research suggests insomnia is a significant problem among people with eating disorders, little is known about how insomnia symptoms may serve as risk factors for eating disorder symptoms, treatment outcome, and relapse. University students with non\u2010low\u2010weight eating disorders (<jats:italic>N<\/jats:italic>\u2009=\u200989) completed a mobile guided self\u2010help cognitive behavioural intervention for eating disorders. Insomnia and binge\u2010eating symptoms were assessed at pre\u2010treatment and end\u2010of\u2010treatment using the Insomnia Severity Index and Eating Pathology Symptoms Inventory. Multiply imputed datasets were used to test associations between insomnia and binge eating before, during and after treatment. Insomnia was positively associated with binge\u2010eating symptoms prior to treatment (<jats:italic>r<\/jats:italic>\u2009=\u20090.47). Baseline insomnia symptoms were associated with binge\u2010eating symptoms at end\u2010of\u2010treatment (est\u2009=\u20090.269). Eating disorder treatment modestly reduced insomnia (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.38); however, about half of people with clinically significant insomnia prior to treatment remained symptomatic. Insomnia symptoms and binge\u2010eating symptoms did not change concurrently during treatment. Overall, results support an association between insomnia and binge eating. Although eating disorder treatment may impact insomnia, many individuals remained symptomatic for sleep problems, suggesting the need for follow\u2010up treatments, such as cognitive behavioural therapy for insomnia, or the development of integrated insomnia\u2013eating disorder treatments. Future studies are needed to examine causal links between insomnia and eating disorder symptoms, and test if insomnia predicts relapse after eating disorder treatment.<\/jats:p>","DOI":"10.1111\/jsr.14378","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:40:47Z","timestamp":1730767247000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Changes in insomnia and binge\u2010eating symptom severity before and after treatment of eating disorders in individuals with non\u2010low\u2010weight binge\u2010spectrum disorders"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5099-0570","authenticated-orcid":false,"given":"Kara A.","family":"Christensen Pacella","sequence":"first","affiliation":[{"name":"Department of Psychology University of Nevada Las Vegas  Las Vegas Nevada USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6589-3028","authenticated-orcid":false,"given":"Yiyang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Kansas  Lawrence Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0687-6623","authenticated-orcid":false,"given":"Angeline R.","family":"Bottera","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Kansas  Lawrence Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5900-4204","authenticated-orcid":false,"given":"Kelsie T.","family":"Forbush","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Kansas  Lawrence Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41105-020-00254-0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.03.009"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_5_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.329"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(00)00065-4"},{"key":"e_1_2_9_8_1","volume-title":"In database of abstracts of reviews of effects (DARE): Quality\u2010assessed reviews","author":"Belleville G.","year":"2010"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.09.249"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23692"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.06.012"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23987"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.10.033"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0000000000000276"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.4088\/jcp.v68n0211"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3658"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2016.06.010"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23450"},{"key":"e_1_2_9_20_1","volume-title":"Eating disorders (pp. 1\u201321)","author":"Christensen K. 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