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Night eating behavior as a full mediator in the relationship between impulsivity and sleep quality in bipolar disorder

Chronobiology International · Ocak 2025

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YÖKSİS Kayıtları
Night eating behavior as a full mediator in the relationship between impulsivity and sleep quality in bipolar disorder
Chronobiology International · 2025 SCI-Expanded
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Makale Bilgileri

DergiChronobiology International
Yayın TarihiOcak 2025
Özet The aim of this study is to investigate the associations between impulsivity, night eating symptoms (NES), and sleep quality in patients with BD in remission, while also investigating confounding effects of chronotype differences, demographic/clinical variables, and the presence of metabolic syndrome (MetS). One hundred and twelve euthymic patients with bipolar disorder (BD) type 1 were enrolled in this cross-sectional study. In addition to sociodemographic/clinical data, sleep quality, impulsivity, night eating syndrome and chronotype were evaluated using the Pittsburgh Sleep Quality Index (PSQI), Barratt Impulsiveness Scale-11 Short Form, Night Eating Questionnaire, and The Munich Chronotype Questionnaire. The MetS was examined according to the criteria of the International Diabetes Federation. Our study showed a positive correlation between poor sleep quality, impulsivity, and NES. When the sample was divided into two groups based on sleep quality, as scored according to the PSQI, 58% of the patients had poor sleep quality. Those with poor sleep quality exhibited higher levels of impulsivity and severe NES than those with good sleep quality. The mediation regression model indicated that NES fully mediates the relationship between impulsivity and sleep quality, after controlling for confounding factors, including certain sociodemographic and clinical variables, antipsychotic dose (mg/day), the presence of MetS, and chronotype differences. Evaluating night eating behaviors and impulsivity associated with poor sleep quality during remission in BD patients may be crucial for developing effective intervention strategies to prevent relapses and improve the prognosis of the disease.

Yazarlar (10)

1
Rukiye Tekdemir
ORCID: 0000-0001-7912-5727
2
Hilal Uygur
3
Ali Kandeger
ORCID: 0000-0001-6940-0940
4
Samet Kaya
ORCID: 0000-0003-0164-7511
5
Münise Seda Özaltın
ORCID: 0000-0002-7351-7188
6
Muhammet Tuğrul Ergun
ORCID: 0000-0002-1802-302X
7
Hakan Emre Babacan
ORCID: 0009-0006-5967-268X
8
Hacer Söylemez
ORCID: 0000-0001-5334-5828
9
Kürşat Altınbaş
10
Yavuz Selvi

Anahtar Kelimeler

Bipolar disorder impulsivity metabolic syndrome night eating syndrome sleep quality

Kurumlar

Ataturk University, Faculty of Medicine
Erzurum Turkey
Erzurum Training and Research Hospital
Erzurum Turkey
Selçuk Tip Fakültesi
Konya Turkey