Comparison of clinical features between primary and drug-induced sleep-related eating disorder
Yoko Komada,1 Yoshikazu Takaesu,2 Kentaro Matsui,3 Masaki Nakamura,3 Shingo Nishida,3 Meri Kanno,3,† Akira Usui,3 Yuichi Inoue1,3 1Department of Somnology, 2Department of Psychiatry, Tokyo Medical University, 3Japan Somnology Center, Institute of Neuropsychiatry, Tokyo, Japan &dagge...
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Dove Medical Press
2016
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oai:doaj.org-article:99bf50f3c55740ca853efc37d70e73fc2021-12-02T06:49:37ZComparison of clinical features between primary and drug-induced sleep-related eating disorder1178-2021https://doaj.org/article/99bf50f3c55740ca853efc37d70e73fc2016-05-01T00:00:00Zhttps://www.dovepress.com/comparison-of-clinical-features-between-primary-and-drug-induced-sleep-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Yoko Komada,1 Yoshikazu Takaesu,2 Kentaro Matsui,3 Masaki Nakamura,3 Shingo Nishida,3 Meri Kanno,3,† Akira Usui,3 Yuichi Inoue1,3 1Department of Somnology, 2Department of Psychiatry, Tokyo Medical University, 3Japan Somnology Center, Institute of Neuropsychiatry, Tokyo, Japan †Meri Kanno passed away on March 1, 2016 Purpose: The aim of this study was to ascertain the clinical characteristics of drug-induced sleep-related eating disorder (SRED). Patients and methods: We retrospectively reviewed the medical records of 30 patients with primary SRED (without any comorbid sleep disorders and who were not taking any possible causative medications), and ten patients with drug-induced SRED (occurrence of SRED episodes after starting nightly medication of sedative drugs, which completely resolved after dose reduction or discontinuation of the sedatives). Results: All patients with drug-induced SRED took multiple types of sedatives, such as benzodiazepines or benzodiazepine receptor agonists. Clinical features of drug-induced SRED compared with primary SRED were as follows: higher mean age of onset (40 years old in drug-induced SRED vs 26 years old in primary SRED), significantly higher rate of patients who had total amnesia during most of their SRED episodes (75.0% vs 31.8%), significantly lower rate of comorbidity of night eating syndrome (0% vs 63.3%), and significantly lower rate of history of sleepwalking (10.0% vs 46.7%). Increased doses of benzodiazepine receptor agonists may be responsible for drug-induced SRED. Conclusion: The clinical features of drug-induced SRED were different from those of primary SRED, possibly reflecting differences in the underlying mechanisms between these two categories of SREDs. Keywords: nocturnal eating syndrome, night eating, eating disorder, hypnotics, amnesia, sleepwalking, benzodiazepineKomada YTakaesu YMatsui KNakamura MNishida SKanno MUsui AInoue YDove Medical Pressarticlesleep-related eating disorderdrug-induced eating disorderhypnoticsamnesiasleepwalkingnight eating syndromeNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1275-1280 (2016) |
institution |
DOAJ |
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DOAJ |
language |
EN |
topic |
sleep-related eating disorder drug-induced eating disorder hypnotics amnesia sleepwalking night eating syndrome Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
spellingShingle |
sleep-related eating disorder drug-induced eating disorder hypnotics amnesia sleepwalking night eating syndrome Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Komada Y Takaesu Y Matsui K Nakamura M Nishida S Kanno M Usui A Inoue Y Comparison of clinical features between primary and drug-induced sleep-related eating disorder |
description |
Yoko Komada,1 Yoshikazu Takaesu,2 Kentaro Matsui,3 Masaki Nakamura,3 Shingo Nishida,3 Meri Kanno,3,† Akira Usui,3 Yuichi Inoue1,3 1Department of Somnology, 2Department of Psychiatry, Tokyo Medical University, 3Japan Somnology Center, Institute of Neuropsychiatry, Tokyo, Japan †Meri Kanno passed away on March 1, 2016 Purpose: The aim of this study was to ascertain the clinical characteristics of drug-induced sleep-related eating disorder (SRED). Patients and methods: We retrospectively reviewed the medical records of 30 patients with primary SRED (without any comorbid sleep disorders and who were not taking any possible causative medications), and ten patients with drug-induced SRED (occurrence of SRED episodes after starting nightly medication of sedative drugs, which completely resolved after dose reduction or discontinuation of the sedatives). Results: All patients with drug-induced SRED took multiple types of sedatives, such as benzodiazepines or benzodiazepine receptor agonists. Clinical features of drug-induced SRED compared with primary SRED were as follows: higher mean age of onset (40 years old in drug-induced SRED vs 26 years old in primary SRED), significantly higher rate of patients who had total amnesia during most of their SRED episodes (75.0% vs 31.8%), significantly lower rate of comorbidity of night eating syndrome (0% vs 63.3%), and significantly lower rate of history of sleepwalking (10.0% vs 46.7%). Increased doses of benzodiazepine receptor agonists may be responsible for drug-induced SRED. Conclusion: The clinical features of drug-induced SRED were different from those of primary SRED, possibly reflecting differences in the underlying mechanisms between these two categories of SREDs. Keywords: nocturnal eating syndrome, night eating, eating disorder, hypnotics, amnesia, sleepwalking, benzodiazepine |
format |
article |
author |
Komada Y Takaesu Y Matsui K Nakamura M Nishida S Kanno M Usui A Inoue Y |
author_facet |
Komada Y Takaesu Y Matsui K Nakamura M Nishida S Kanno M Usui A Inoue Y |
author_sort |
Komada Y |
title |
Comparison of clinical features between primary and drug-induced sleep-related eating disorder |
title_short |
Comparison of clinical features between primary and drug-induced sleep-related eating disorder |
title_full |
Comparison of clinical features between primary and drug-induced sleep-related eating disorder |
title_fullStr |
Comparison of clinical features between primary and drug-induced sleep-related eating disorder |
title_full_unstemmed |
Comparison of clinical features between primary and drug-induced sleep-related eating disorder |
title_sort |
comparison of clinical features between primary and drug-induced sleep-related eating disorder |
publisher |
Dove Medical Press |
publishDate |
2016 |
url |
https://doaj.org/article/99bf50f3c55740ca853efc37d70e73fc |
work_keys_str_mv |
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1718399707433140224 |