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Outcome Assessments The Night Eating Symptom Scale (NESS) The Night Eating Symptom Scale (NESS) is a 14-item scale, nearly identical to the NEQ, developed to assess night eating symptoms during the past week. Scores range from 0-56, with higher scores indicating more severe symptoms (O’Reardon & Ringel et al., 2004). Specifically, this measure is sensitive to capturing changes in evening hyperphagia and nocturnal ingestions of food that have taken place over the previous seven days. The NESS has been used in previous treatment studies to assess for changes night eating behaviors. For example, the NESS was used to assess eating behavior in a treatment study using sertraline for NES (O’Rearon & Ringel et al., 2004). The NESS has also been used in a study examining the effects of CBT on NES (Alison et al., 2008). Beck Depression Inventory (BDI-II) The Beck Depression Inventory is a 21-item scale developed by Aaron Beck to assess symptoms and severity of depression. This is a self-report survey and each item is scored on a scale of 0-3, with higher scores indicating greater severity of mood symptoms (Beck, Steer, & Brown, 1996). Scores range from 0-63 and cutoff values are used to categorize symptoms in to minimal depression (0-13), mild depression (14-19), moderate depression (20-28), and severe depression (29-63). This is a widely used measure with high internal consistency, test-retests reliability and convergent and discriminant validity designed for individuals over the age of thirteen (Beck et al., 1996). Insomnia Severity Index (ISI) The Insomnia Severity Index is a 7-item self-report measure that is used to detect perceived sleep difficulties over the previous 2 weeks. This ISI specifically assesses difficulty 31PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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