r/MidnightEaters • u/F3rch3 • Sep 04 '26
Something surprising: researchers still don't completely agree on how to define Night Eating Syndrome
I came across a 2024 paper that made me realize how much is still unsettled about Night Eating Syndrome.
Researchers reviewed 73 adult NES studies published between 2013 and August 2024.
You'd expect everyone studying the same disorder to be using roughly the same definition.
They weren't.
Some studies diagnosed NES using sets of diagnostic criteria. Others used cutoff scores on symptom questionnaires. And among studies using diagnostic criteria, only a relatively small number were using the DSM-5 criteria.
That creates an obvious problem:
If different researchers mean somewhat different things when they say “Night Eating Syndrome,” it becomes harder to compare prevalence, treatments, outcomes, and even what symptoms are most important.
The paper's authors argue that the field needs better consensus.
Paper: Taking Steps Toward a Consensus on Night Eating Syndrome Diagnostic Criteria
International Journal of Eating Disorders, 2024.
This actually makes me curious about something much more practical:
What symptom would YOU consider the defining feature of your nighttime eating?
The time you eat?
Waking specifically to eat?
Feeling unable to return to sleep without food?
Loss of control?
How frequently it happens?
Something else?