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interventions that have been tested have focused on the regulation of food intake as a primary outcome goal. The treatment literature for NES is reviewed below. Treatment for NES Psychotherapy Interventions Progressive muscle relaxation. NES is associated with stress, and symptoms can be exacerbated with a perceived increase in stress. Thus, relaxation training is utilized in the treatment of NES to help alleviate stress. Pawlow, O’Neil, & Malcom (2003) examined whether relaxation training would reduce symptoms of night eating behaviors. Twenty adult participants were randomly assigned to receive abbreviated (20 minutes) progressive muscle relaxation therapy (APRT) or to control group (quietly sitting for 20 minutes). Each group participated in 2 sessions that took place 1-week apart. Participants in the experimental group were given an audiotape of the APRT exercise and were asked to practice their muscle relaxation strategies each night. Each participant was asked to complete pre-and post session self-report measures of mood, stress, anxiety, and relaxation. In addition, salivary cortisol was taken at the beginning and end of each session. All participants were asked to keep a daily food diary that assessed nocturnal ingestions, morning food consumption, and hunger for the week between session 1 and 2. Results indicated that participants assigned to the relaxation training group had significantly reduced levels of stress, state-anxiety, and salivary cortisol immediately following the intervention and again after 1-week compared to the control group. The experimental group also reported a significant increase in morning hunger and decreased evening hunger, but did not show significant reductions in nocturnal ingestions or increase in morning consumption (Pawlow et al., 2003). 17PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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