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Smart Paper Help Scholarship

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Smart Paper Help Scholarship

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What Is Night Eating Syndrome

What Is Night Eating Syndrome Eating Disorders Symptoms Print Night Eating Syndrome Signs, Symptoms, and Treatment of the Condition By Lauren Muhlheim, PsyD, CEDS facebook twitter linkedin Lauren Muhlheim, PsyD, is a certified eating disorders expert and clinical psychologist who provides cognitive behavioral psychotherapy. Learn about our editorial policy Lauren Muhlheim, PsyD, CEDS Medically reviewed by Medically reviewed by Steven Gans, MD on June 25, 2018 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on October 21, 2019 Jill Giardino / Getty Images More in Eating Disorders Symptoms Treatment Diagnosis Awareness and Prevention In This Article Table of Contents Expand Definition Diagnosis Related Disorders Causes Behavioral Treatment Other Treatments View All Back To Top Do you stick closely to your diet during the day, but blow your diet at night? Maybe you’re never hungry in the morning and have your first meal in the afternoon. If you find yourself eating large quantities of food at nightâ€"even waking up from sleep to eatâ€"you may have a specific eating disorder, called night eating syndrome (NES). Definition People who have NES or are living with someone who has the condition may notice certain clues in the home. You may find messes in the kitchen or missing food, suggesting that someone has been awake and eating in the middle of the night. These are indications that someone in the home may have night eating syndrome. People with NES often eat because they believe that it will improve sleep or help them fall back asleep. People with NES often report mornings with neither appetite nor significant food intake. They commonly experience guilt and shame related to their eating. Diagnosis Night eating syndrome is currently classified as an Other Specified Feeding or Eating Disorder (OSFED) by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). The criteria for NES are repeated episodes of eating at nightâ€"including waking from sleep to eat, excessive consumption of food after the evening meal, and awareness and recall of night eatingâ€"and significant distress or impairment related to the night eating. Additional proposed diagnostic criteria for NES also suggest that at least 25% of food intake be consumed after the evening meal, on average, for at least three months; and that nocturnal ingestions occur at least twice per week for three months. People with NES may binge eat (that is, eat a large amount of food in a short period of time while feeling out of control) or they may just graze. Nighttime Binges and Sleep Eating Individuals with NES seem to have a disruption to their circadian rhythm, the biological process that regulates sleeping and eating patterns according to the natural cycle of light and darkness. In humans, appetite and food consumption tend to correspond closely with the primary hours of wakefulness: meals are generally consumed between early morning and early evening. Individuals with NES retain a normal sleep cycle but display a delayed food intake pattern. One study showed that people who have NES consumed 56% of their calories between 8 p.m. and 6 a.m. People who didnt have NES only consumed 15% of their calories during this time. NES was first described in 1955 by psychiatrist Albert Stunkard, who saw it as a behavioral variation of obesity. As a result, it has most often been studied in the context of research on obesity. Compared to other eating disorders, NES has been scantly studied. It is estimated that 1.5% of the general population has NES. It is more common in certain populations, with prevalence rates of 6% to 14% among those who have lost weight and 9% to 42% among candidates for bariatric surgery. Assessment of NES can be made via the Night Eating Questionnaire (NEQ) or the Night Eating Diagnostic Scale (NEDS), two self-report measures. There is also the Night Eating Syndrome History and Inventory (NESHI), a diagnostic interview. Related Disorders People can meet the criteria for NES and another eating disorder concurrently. Studies show that approximately 7% to 25% of people with NES also met criteria for binge-eating disorder. Research indicates that among those with bulimia nervosa, 40% of inpatients and 50% of outpatients reported night eating symptoms. In light of this, NES can be thought of as a specific variant of binge eating disorder or bulimia nervosa that presents a disrupted circadian pattern of eating and significant eating during the person’s sleeping hours. A similar, but different, disorder is sleep-related eating disorder (SRED). SRED is primarily a sleep disorder, while NES is primarily an eating disorder. The main difference is that people with SRED eat either while sleeping or while in a twilight state between sleep and wakefulness, and are not aware of what they are doing. They often wake up to find food in their bed and have no memory of having eaten. By contrast, people with NES are fully awake while they are eating and remember afterward.  In some studies, a high percentage of people with SRED  were using prescription  psychiatric medications, which may indicate that these medications  are relevant to the disorder.   Patients with NES often have depression and anxiety. They may also have a history of substance abuse. Drugs, Alcohol, and Abnormal Sleep Behaviors Causes The exact cause of NES is unknown. Some postulate that it involves a hormone imbalance that disrupts eating patterns. It also may develop in response to a pattern of staying up and eating late at night, as can be common among college students. Once one becomes set in this habit, it can be hard to break. NES may also be a response to dieting. When people reduce their food intake during the day and the body is in a state of physical deprivation, the drive to eat later in the day is a normal response to the restriction. Over time, the self-soothing pattern of eating at night can become ingrained. Behavioral Treatment Cognitive-Behavioral Therapy (CBT) is one of the most successful treatments for eating disorders.  While it has been successfully applied to NES, only one empirical study has been published. Psychological treatment for NES will typically include both psychoeducation about the condition and self-monitoring to understand the disorder and maintaining factors. It will involve a reduction of dieting behavior. Behavioral interventions common to other eating disorders include meal planning and structuring of regular eating. NES treatment adds a specific focus on shifting eating patterns to earlier in the day to align better with sleep and wake cycles. Breakfast is implemented in order to reset eating patterns. This is a necessary step to breaking the cycle, even though it can be challenging while the night eating is continuing and you have no appetite in the morning. It can be done gradually, with a slow increase of morning meal intake until an adequate breakfast can be consumed regularly. The conflict between sleep and eating patterns characteristic of NES encourages dysfunctional beliefs which can, in turn, reinforce behaviors. For example, a person with NES may feel unable to avoid food at night, be convinced they have to eat to fall asleep, and believe that evening anxiety can only be managed with food. These beliefs perpetuate the disorder, but they can be dispelled through cognitive restructuring and the use of behavioral experiments. When night eating episodes occur, behavioral chain analyses can be conducted to identify cognitive and behavioral interventions to reduce the behavior. After an episode of night eating, you would reconstruct when you first started thinking about wanting to eat and each step that was involved in getting to the food, choosing it, eating it, and then what happened. Thinking about where you could change the typical chain of events along the way and break the chain to produce a different outcome provides guidance for navigating future similar situations.   Breaking the pattern of night eating can be difficult and may require the use of psychological techniques such as making a list of reasons not to engage in the behavior (and reviewing it before bed) as well as installing physical barriers, such as blocking access to the kitchen at night. Sleep hygiene strategies used in the CBT treatment of insomnia, such as sticking to a consistent bedtime and morning awakening time, are also incorporated. How to Fix Your Sleep Hygiene Other Treatments Other treatments for NES include phototherapyâ€" light exposureâ€"similar to that used to treat seasonal affective disorder (SAD). Bright light therapy is believed to affect melatonin, a hormone which helps regulate circadian rhythms. In phototherapy for NES, patients are exposed to bright light in the morning. This treatment targets the circadian rhythm disruption by trying to reset the body clock using light. At this time, there is little formal research on the approach, although it has shown to be effective in two case studies. Psychiatric medication has been the most researched treatment for NES. Although there is little evidence in support for the use of psychiatric medication for the treatment of eating disorders overall, there is some support for doing so in the case of NES, where the circadian rhythm disruption suggests a larger biological component. Medications that have been studied and used include selective serotonin reuptake inhibitors (SSRIs) including paroxetine (Paxil), fluvoxamine  (Luvox), and sertraline (Zoloft). There are two books on Night Eating Syndrome, one for patients and one for professionals. These books may provide more insight into the condition if you or someone you know is struggling: Allison, K.C., A.J. Stunkard, and S. L. Tier. 2004.  ?Overcoming the night eating syndrome: A step-by-step guide to breaking the cycle  is a self-help guide for people with NES.Lundgren, J.D., K.C., Allison, A.J. Stunkard (Eds). 2012.  Night eating syndrome: Research, assessment, and treatment. New York, Guilford. This is a comprehensive overview of NES for professionals and includes a treatment manual.   A Word From Verywell If you are experiencing symptoms consistent with night eating syndrome, you may be feeling ashamed and reluctant to find treatment. Please don’t hesitate to seek help; eating disorder professionals can help you recover.   Treatment for Sleep Eating Disorders

Marxism Within Blt - 5219 Words

Marxism Within Black Theology of Liberation. This study seeks to expose the ways in which Black Theology of Liberation was shaped by Marxism through the writings of its founders, concentrating predominantly on the need to bring about the liberation of the poor African-Americans from their repressive white racist oppressors by any means necessary, and the redistribution of wealth to those deprived of it by their white capitalist oppressors. The theme of this researched remained embed in my mind during, and after the 2008-09 presidential campaign of former Sen. Barack Obama, when some of his political opponents thought it beneficial to disclose Obama’s connections to a Black Theology of Liberation. Through this research I seek not†¦show more content†¦He argues that Christ’s ministry was centered at liberating the oppressed of his time. This Black Liberation Theology belief was extracted from two biblical verses, Isaiah 61:1-2 where the prophet Isaiah proclaims the coming of the year of the Lord in wh ich He will proclaim liberty to those spiritually captive, and Luke 4:18-19 where Christ declares that He has come to free those who are spiritually captive. Black Liberation theologians are half-correct when they state that Christ’s ministry was, in part, centered at liberating the oppressed, but they omit that Christ referred to those spiritually oppressed not physically oppressed. In fact, the only moment in which Christ witnessed violence throughout his three years ministry was when his disciple Peter pulled out a sword and cut the ear of one of the soldiers who had come to arrest Jesus, at that instant Jesus healed the injury and reminded Peter that it was not by sword, but with the power of the Holy Spirit. ThusShow MoreRelatedChina Third Party Logistics Analysis10054 Words   |  41 PagesBUSINESS SCHOOL-HOLLAND for invaluable inputs in the design and revision of this report. 2 Executive summary: This report is an analysis of the current state of the logistics industry in China. It looks at broad current trends within the Chinese economy; issues within a logistics firm ‘Better Logistics’ including shipping, road, rail, river, airfreight and warehousing. This report also examines current central government policies toward the development of the logistics industry and the impact of

Unanswered Questions Into Custom Writing Paper Service Exposed

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Book Review †Servant Leader Free Essays

As I started reading this book I couldn’t help but feel a sense of deja vu. Why were the thoughts and ideas being shared so familiar? Then I realized something, much like the author’s recollection of what his grandmother said. Many of these ideas were things that I had heard from my parents when I was growing up. We will write a custom essay sample on Book Review – Servant Leader or any similar topic only for you Order Now I cannot count the number of times my father has encouraged me to be myself and true to myself and follow the right path regardless of the adversities that might come my way. Or the number of times my mother has asked me to see others as I would want them to see me and accept others for who they are. After all there is a reason why everyone isn’t alike, it would be real boring if you were to turn around and all you’d see were reflections of yourself. Why is it then that I (we) needed a book to remind me (us) of things that could be just basic common sense? Unfortunately years and years of school and college followed up with years of working in a dog-eat-dog environment has conditioned to not think about these basic things. We are trained to run as fast as we can for if we slow down someone else might take our place, we concentrate so much on running that we forget to stop and slow down once in a while to notice the important things. This book serves to remind us of the basics, to show that it is not always about win-lose, it helps us take what is common sense and helps us make it common practice. There were many things I learned from this book, but there are a few concepts that stand out. I quote the author â€Å"Leadership begins on the inside with self-awareness and self esteem and the process of leadership involves regular and intense reflection and introspection†. The order of responsibility for a servant leader should be; 1. the employee involved, 2. the affected employees and finally 3. the organization. I believe the â€Å"regenerative circle of prosperity† is a great thought. This is where the customer, the sales associate, the vendors/suppliers and the stockholders are all in a loop and mutually connected. The customer gets a quality product at a good price, the sales associate has the personal and financial gains of making a sale, the vendors get a good price for these supplies from the company and the stockholders get good returns. The returns can be reinvested to research better products for the customers and the loop continues. Finally the concept of loyalty is also handled and treated very well in the book. The author’s interpretation of the word that makes so much sense in today’s environment. I quote the author again; â€Å"Loyalty, for an employee is simply doing the job that is agreed upon and doing it to the best of one’s ability with honestly and integrity. It is being sensitive to, and acting in, the best interest of the organization, colleagues and peers†. I will carry the insights from this book throughout my career. How to cite Book Review – Servant Leader, Papers