Sleep-related smoking syndrome

Objective We describe six patients affected by frequent episodes from sleep associated with compulsive smoking and/or eating. Patients woke up with a desire to smoke and/or eat because of an “inner” drive. Method Video-polysomnography (VPSG) was performed in three patients. Results VPSG documented a normal sleep structure with an increased arousal index. Conclusion Compulsive eating during sleep has been classified as sleep-related eating syndrome or Nocturnal eating syndrome, but its association with compulsive smoking has not been previously reported.