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ingestions, cravings or urges to eat when awake at night, need to eat in order to get back to sleep when awake at night, control over eating when up at night, and feelings of being blue or down in the dumps. In addition to improvements in night eating, symptoms of depression were significantly reduced. On average, participants had a 55% reduction in BDI scores (17.33 mean value to 7.73). Sleep quality also improved with significant reductions in scores on the ISI of 39.3% (13.73 mean value to 8.33). Weight was measured at the baseline appointment and at follow-up. There was not a significant change in weight over the course of treatment, although participants averaged a .33 pound weight loss. It is possible that with a longer course of treatment weight loss would be greater, particularly if night eating behaviors continued to improve. The pattern of symptom change is unclear in the relationship between depression, sleep, and night eating behavior. It is possible that NES symptom reduction is occurring as a result of sleep, anxiety, and mood improvement. Daily ratings of mood and anxiety indicate that morning and evening ratings of anxiety significantly improve over the course of treatment. In addition, morning rating of mood significantly improved over the 14-day trial of BLT. Thus, light therapy may be improving mood, sleep quality, and anxiety and as a result of these changes, night eating behavior improves. Based on these data, it appears that these changes occur concurrently but further research is needed to determine if change in mood/anxiety is driving night eating symptom reduction, if night eating symptom reduction is driving changes in mood/anxiety, or if the changes are independent. This sample appears to have comparable characteristics in comparison to other participants included in other treatment studies for NES. A study examining the efficacy of sertraline on night eating behaviors obtained a sample of 34 individuals all meeting current 52PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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