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Awareness of Eating Behavior A person must have awareness of their eating behavior and be able to recall the behavior the following day to receive a diagnosis of NES (Allison et al., 2010). This becomes very important when trying to determine whether a person is suffering from NES or the parasomnia, sleep-related eating disorder (SRED). With SRED, patients are often unaware of their eating behavior and may be sleepwalking. They can ingest strange foods or even nonfood items in this state and usually do not have recollection of their eating behavior (Vinai et al., 2012). With NES, desired food items or food that was intentionally restricted through the day is often consumed (Allison et al., 2004). The criterion “awareness of the eating behavior” has caused some to question the difference between NES and SRED, as recent definitions of SRED do not require amnesia (Howell, Schenck, & Crow, 2009). Moreover, some people with NES do not always report full awareness of the event or total recollection thereafter. Further research is needed to help differentiate these disorders. Morning Anorexia Morning anorexia describes a lack of hunger upon waking and has been included in the diagnostic criteria for NES since its introduction in the literature (Stunkard et al., 1955). An individual meeting this criterion will exhibit morning anorexia and/or omit breakfast at least 4 days a week (Allison et al., 2010). Often a person will not be hungry until the second half of the day and avoid consumption of food in the first half of the day (Allison et al., 2009). Boston and colleagues (2008) corroborated these findings in their examination of caloric intake of persons with NES compared to healthy controls. They found persons with NES had significantly lower 6PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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