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caloric consumption at the “breakfast” meal in comparison to healthy controls (Boston et al., 2004). Lundgren et al. (2008) found that non-obese individuals with NES reported less morning hunger when compared to non-obese matched controls. Gluck, Geliebter, and Satov (2001) found that people with NES showed reduced rates of daytime hunger. This criterion, however, is not required for the diagnosis of NES, as it is common among the general population, and did not prove to be a useful tool for evaluating NES in an item response theory analysis (Allison et al., 2008). Strong Urge to Eat Between Dinner and Sleep Onset and/or Upon Waking at Night A strong desire to eat between dinner and sleep onset, and/or upon awakening at the night is one of the five descriptor criteria proposed in the new diagnostic criteria for NES (Allison et al., 2010). This criterion is often assessed by the Night Eating Questionnaire (NEQ) which is a validated measure of NES symptoms (Allison, et al., 2008). The amount of food consumed is not usually large, however, the intake is associated with decreased anxiety and the belief that one cannot sleep/return to sleep without the intake of food (Allison, Stunkard, & Their, 2004). This particular criterion has not been studied thoroughly and is somewhat subjective. It is unclear how to operationalize “strong urge” to eat in the evening, which becomes important in the assessment and treatment of NES. This is analogous to problems operationalizing “control” in binge eating disorder, which requires that a person feels a lack of control over what and how much they are eating during a binge episode. 7PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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