A. One or both of the following. | |
1) At least 25% of food intake is consumed after the evening meal. | |
2) At least two nocturnal eating episodes per week. | |
B. Awareness and recall of evening and nocturnal eating episodes are present. | |
C. At least three of the following. | |
1) Lack of desire to eat in the morning and/or breakfast is omitted four or more times per week. | |
2) Presence of a strong urge to eat between dinner and sleep onset and/or during the night. | |
3) Sleep maintenance and/or onset insomnia are present four or more times per week. | |
4) Presence of a belief that one must eat in order to initiate or return to sleep. | |
5) Mood is frequently depressed or mood is worse in evening. | |
D. The disorder is associated with significant distress and/or impairment in functioning. | |
E. Maintenance of disordered eating for at least 3 months. | |
F. The disorder is not secondary to substance abuse or dependence, medical disorder, medication, or another psychiatric disorder.) | |
Experimental Hierarchical Scoring | |
0. Non-NE = normal (does not meet any criteria category below) | |
1. N = mild night eater has at least 1 criterion from A (but does not meet criteria for NE or NES) | |
2. NE = moderate night eater has at least 1 criterion from A plus ≥3 of 5 qualifiers from criteria C (but does not meet criteria for NES) | |
3. NES = full syndrome night eater has at least 1 criterion from A plus ≥3 of 5 qualifiers from criteria C plus D and E |