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3 EATING DISORDERS + LIGHT In relation to sleep patterns, ED is not connected to insomnia, but insomnia could potentially lead to ED symptoms. Patients with ED experience sleep disruption where patients with night-eating syndrome (NES) have risk of phase delaying as a consequence of late night eating. (Lacey et al., 1976; Allison, Spaeth and Hopkins, 2016) AN patients with b/p symptoms expe- rience greater sleep disturbance than patients with AN-R, comparing pa- tients without ED to ANb/p and BNp, ED patients experience higher levels of sleep-disturbance. (Tanahashi et al., 2015) Evidence of NES in AN is not as significant but highly associated with BN. (Eiber and Friedman, no date; Martins et al., 2012; Allison, Spaeth and Hop- kins, 2016; Coutinho and Brandao, 2016) Evidence in NES in connection to AN patients is still scarce. From findings at myproana.com (Forum and Community, no date), eating patterns of girls in the online forum with AN has been mapped out. In [sec- tion 3.1.3] (Figure 13) a pattern slightly suggests that the girls tend to eat from late afternoon and until night. It is important to note that the graph does not show how many calories they eat, as many girls only drink a cup of black coffee or tea for a meal. Signe (interview D, 00:03:10) explained that this is very normal and serves as a reward, from being in control all day. The hours in the late afternoon and evening is the time to go to the refuge and comfort themselves after a long day of controlling food intake, steps and calories burned. Patients have high energy levels in the morning and evening, because the ED counteracts sleeping and laying down for rest. (interview H, 00:09:20, 00:18:45, 00:20:15) Findings connecting ED, night time food intake and poor sleep could sug- gest longer treatment periods, as many comorbid diseases could come from sleep deprivation and depression. This indicates that addressing and im- proving the CR in ED patients could potentially effect the healing process. (Lombardo et al., 2015) 3.1.3 Schematic overview of AN eating AN eating behaviour was explored through blog search on an online com- munity for girls with ED. (Forum and Community, no date)By investigating profiles of 20 girls with available information of eating behaviour, the availa- ble information was collected and inserted in a graphical overview showing a slight tendency in afternoon or evening food intake. The chart does not include the size of the meal or take BMI of the girl into account, thus some meals might be a coffee with milk. Late night food intake can be connected to NES or a reward and others might be living with parents or a boyfriend that does not know about the ED. Master thesis · MSc Lighting Design · Pernille Bech-Larsen · Fall 2017 41PDF Image | Healing with light
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