Which statement best describes night-eating syndrome?

Night-eating syndrome (NES) is characterized by specific behaviors that distinguish it from other eating disorders. One of the hallmark features of NES is the awareness the individual has of their eating at night. People suffering from this syndrome typically consume a significant portion of their daily caloric intake during the night, often while being fully aware of their actions. This contrasts with other conditions, such as sleep eating disorder, where individuals may eat while being unaware or in a sleep state.

Awareness during nighttime eating allows individuals with NES to reflect on their behavior, often leading to feelings of distress or guilt about their eating patterns. Furthermore, they may have a reduced appetite in the morning and frequently feel more hungry as the evening progresses. This pattern of eating and the associated psychological distress are key components in diagnosing night-eating syndrome, making it vital to recognize the awareness aspect as a defining characteristic.