A. The daily pattern of eating demonstrates a significantly increased intake in the evening and/
or nighttime, as manifested by one or both of the following:
1. At least 25% of food intake is consumed after the evening meal
How much of your daily food intake do you consume after suppertime? (5)
2. At least two episodes of nocturnal eating per week
Other than only to use the bathroom, how often do you wake up at least once in the
middle of the night? (9)
When you get up in the middle of the night, how often do you snack? (12)
3 (51%e75%,) or 4 (76%e100%, almost all)
3 (more than once a week) or 4 (every night) on item 9 and 2 (about
half the time), 3 (usually), or 4 (always) on item 12
B. Awareness and recall of evening and nocturnal eating episodes are present
When you snack in the middle of the night, how aware are you of your eating? (13) 1 (a little), 2 (somewhat), 3 (very much so), or 4 (completely)
C. The clinical picture is characterized by at least three of the following features:
1. Lack of desire to eat in the morning and/or breakfast is omitted on four or more mornings
per week
How hungry are you usually in the morning? (1)
When do you usually eat for the first time? (2)
2. Presence of a strong urge to eat between dinner and sleep onset and/or during the night
Do you have cravings or urges to eat snacks after supper, but before bedtime? (3)
Do you have cravings or urges to eat snacks when you wake up at night? (4)
3. Sleep onset and/or sleep maintenance insomnia are present four or more nights per week
How often do you have trouble getting to sleep? (8)
Other than only to use the bathroom, how often do you get up at least once in the
middle of the night? (9)
4. Presence of a belief that one must eat in order to initiate or return to sleep
Do you need to eat in order to get back to sleep when you awake at night? (11)
5. Mood is frequently depressed and/or mood worsens in the evening
Are you currently blue or down in the dumps? (6)
When you are feeling blue, is your mood lower in the: [scale listed] (7)
0 (not at all), 1 (a little), or 2 (somewhat) on item 1 or 2
(12:01e3 P.M.), 3 (3:01e6 P.M.), or 4 (6:01 or later) on item 2
3 (very much so) or 4 (extremely so) on either item 3 or 4
2 (about half the time), 3 (usually), or 4 (always) on item 8 or 4
(every night) on item 9
1 (a little), 2 (somewhat), 3 (very much so), or 4 (extremely so)
3 (very much so) or 4 (extremely so) on item 6 or 3 (early evening)
or 4 (late evening/nighttime) on item 7
D. The disorder is associated with significant distress and/or impairment in functioning
N/A (NEQ does not assess this criterion) N/A
E. The disordered pattern of eating is maintained for at least 3 months
How long have your current difficulties with night eating been going on? (15) 3 months or more
F. The disorder is not secondary to substance abuse or dependence, medical disorder, medication,
or another psychiatric disorder.
N/A (unable to assess) N/A
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A. The daily pattern of eating demonstrates a significantly increased intake in the evening and/
or nighttime, as manifested by one or both of the following:
1. At least 25% of food intake is consumed after the evening meal
How much of your daily food intake do you consume after suppertime? (5)
2. At least two episodes of nocturnal eating per week
Other than only to use the bathroom, how often do you wake up at least once in the
middle of the night? (9)
When you get up in the middle of the night, how often do you snack? (12)
3 (51%e75%,) or 4 (76%e100%, almost all)
3 (more than once a week) or 4 (every night) on item 9 and 2 (about
half the time), 3 (usually), or 4 (always) on item 12
B. Awareness and recall of evening and nocturnal eating episodes are present
When you snack in the middle of the night, how aware are you of your eating? (13) 1 (a little), 2 (somewhat), 3 (very much so), or 4 (completely)
C. The clinical picture is characterized by at least three of the following features:
1. Lack of desire to eat in the morning and/or breakfast is omitted on four or more mornings
per week
How hungry are you usually in the morning? (1)
When do you usually eat for the first time? (2)
2. Presence of a strong urge to eat between dinner and sleep onset and/or during the night
Do you have cravings or urges to eat snacks after supper, but before bedtime? (3)
Do you have cravings or urges to eat snacks when you wake up at night? (4)
3. Sleep onset and/or sleep maintenance insomnia are present four or more nights per week
How often do you have trouble getting to sleep? (8)
Other than only to use the bathroom, how often do you get up at least once in the
middle of the night? (9)
4. Presence of a belief that one must eat in order to initiate or return to sleep
Do you need to eat in order to get back to sleep when you awake at night? (11)
5. Mood is frequently depressed and/or mood worsens in the evening
Are you currently blue or down in the dumps? (6)
When you are feeling blue, is your mood lower in the: [scale listed] (7)
0 (not at all), 1 (a little), or 2 (somewhat) on item 1 or 2
(12:01e3 P.M.), 3 (3:01e6 P.M.), or 4 (6:01 or later) on item 2
3 (very much so) or 4 (extremely so) on either item 3 or 4
2 (about half the time), 3 (usually), or 4 (always) on item 8 or 4
(every night) on item 9
1 (a little), 2 (somewhat), 3 (very much so), or 4 (extremely so)
3 (very much so) or 4 (extremely so) on item 6 or 3 (early evening)
or 4 (late evening/nighttime) on item 7
D. The disorder is associated with significant distress and/or impairment in functioning
N/A (NEQ does not assess this criterion) N/A
E. The disordered pattern of eating is maintained for at least 3 months
How long have your current difficulties with night eating been going on? (15) 3 months or more
F. The disorder is not secondary to substance abuse or dependence, medical disorder, medication,
or another psychiatric disorder.
N/A (unable to assess) N/A
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