Shinith Dhanya, Mathilakath Anand, Kim Da-In, Patel Biren
General Adult Psychiatry, Surrey and Borders Partnership NHS Foundation Trust, Leatherhead, Surrey, UK.
Ashford and St Peters Hospitals NHS Foundation Trust, Chertsey, UK.
BMJ Case Rep. 2018 Oct 21;2018:bcr-2018-224676. doi: 10.1136/bcr-2018-224676.
Sleep-related eating disorder (SRED) is classified within parasomnia and is characterised by recurrent episodes of abnormal, dysfunctional eating during sleep. This report describes a case of SRED in a 19-year-old woman admitted to the psychiatric ward with worsening anxiety, low mood and suicidal ideation. She was started on low-dose mirtazapine for mood stabilisation and, following an incremental increase to 30 mg, she developed nocturnal binge eating of which she retained only partial memory on waking. She developed adverse health consequences as a result of these recurrent episodes. The subject's symptoms were relieved rapidly following reduction of the dose of mirtazapine back to 15 mg.
睡眠相关进食障碍（SRED）归类于异态睡眠，其特征为睡眠期间反复出现异常的、功能失调性进食发作。本报告描述了一名19岁女性的SRED病例，该患者因焦虑加剧、情绪低落和自杀意念入住精神科病房。她开始服用低剂量米氮平以稳定情绪，在剂量逐渐增加至30毫克后，她出现夜间暴饮暴食，醒来后仅保留部分记忆。由于这些反复出现的发作，她出现了不良健康后果。将米氮平剂量降至15毫克后，该患者的症状迅速缓解。
