Auger R Robert
Sleep Disorders Center and Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Psychiatry (Edgmont). 2006 Nov;3(11):64-70.
Although they share similar features, there are important differences between nocturnal eating syndrome and sleep-related eating disorder, which can be elucidated with a careful history and evaluation. While the former is best characterized as an eating disorder with associated insomnia, the latter is classified as a parasomnia, and is frequently affiliated with other primary sleep disorders. Nonsomatic therapies in isolation do not appear to be helpful for either condition, but effective pharmacotherapies have been described for both entities. Beyond the obvious discouragement and social embarrassment conferred by both conditions, there are also significant potential medical comorbidities, predominantly in the form of refractory obesity and related complications.
尽管夜间进食综合征和睡眠相关进食障碍有相似特征，但两者之间存在重要差异，通过详细的病史询问和评估可予以阐明。前者最典型的特征是一种伴有失眠的进食障碍，而后者被归类为异态睡眠，且常与其他原发性睡眠障碍相关。单独使用非躯体治疗方法对这两种情况似乎都没有帮助，但针对这两种病症都有有效的药物治疗方法。除了这两种情况所带来的明显沮丧感和社交尴尬外，还存在显著的潜在医学合并症，主要表现为难治性肥胖及相关并发症。
