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CHAPTER 1 OVERVIEW Night eating syndrome (NES) is conceptualized as a disorder of aberrant circadian eating behavior and includes the following symptoms: evening hyperphagia and/or nocturnal awakenings with ingestions of food, awareness of eating behavior, morning anorexia, strong urges to eat between dinner and sleep onset, insomnia, a belief that must one eat in order to initiate or return to sleep, and depressed mood (Allison et al., 2010). Biological markers, including attenuated nocturnal rises of melatonin and leptin, as well as increased diurnal levels of cortisol have been documented in persons with NES (Birketvedt, Florholmen, & Sundsfjord , 1999). Treatments for NES, based on both cognitive-behavioral principles (Allison et al., 2009) and the serotonin system (i.e., sertraline; (O’Reardon et al., 2006) have been found beneficial in a small number of studies. The biological markers of NES, specifically those associated with circadian rhythm suggest that chronobiological treatments, for example bright light therapy, should be considered as possible treatments for NES. To date, only two case studies have examined light therapy as a treatment for NES (Friedman, Even, Dardennes, & Guelfi, 2002; Friedman, Even, Dardennes, & Guelfi, 2004). This study is a first step in advancing the chronobiological treatment literature by testing the efficacy of bright light therapy to improve symptoms of night eating syndrome. 1PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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