Journal of Behavioral Medicine

, Volume 42, Issue 3, pp 511–521 | Cite as

Family functioning, moods, and binge eating among urban adolescents

  • Anna Yu LeeEmail author
  • Kim D. Reynolds
  • Alan Stacy
  • Zhongzheng Niu
  • Bin Xie


This study builds upon prior research on associations between moods, family functioning, and binge eating, using ecological momentary assessment to examine moderating effects of family functioning on associations between moods and binge eating. This study was conducted among a nonclinical sample of urban adolescents. Family functioning was assessed using five constructs adopted from the FACES-IV measure: ‘family cohesion,’ ‘family flexibility’ ‘family communication,’ ‘family satisfaction,’ and ‘family balance.’ Mood data was gathered using 13 items from a daily affect scale. Binge eating was assessed using two subscales from the Eating Disorder Diagnostic Scale—binge eating associated with ‘embarrassment’ (BE1), and binge eating associated with a sense of ‘loss of control’ (BE2). A multilevel modeling approach was employed to examine how associations between momentary moods and binge eating behaviors were moderated by family functioning. Results indicated that measures of negative affect, stress/frustration, and tiredness/boredom were significantly and positively associated with two measures of binge eating (BE1 and BE2; p values ≤ 0.05), and that multiple factors of family functioning buffered the positive predictive effects of moods on binge eating. Findings indicate the importance of inclusion of family functioning in the development of eating behavior interventions for adolescents.


Family functioning Moods Adolescents Binge eating Ecological momentary assessment 


Compliance with ethical standards

Conflict of interest

Anna Yu Lee, Kim D. Reynolds, Alan Stacy, Zhongzheng Niu, and Bin Xie declare that they have no conflict of interest.

Human and animal rights and Informed consent

All procedures performed in study were in accordance with the ethical standards of the Institutional Review Board at Claremont Graduate University on September 4th, 2009. The protocol number was 1292, and the title of the study in the IRB application was, “Habitual and Neurocognitive Processes in Adolescent Obesity Prevention.” Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Anna Yu Lee
    • 1
    Email author
  • Kim D. Reynolds
    • 1
  • Alan Stacy
    • 1
  • Zhongzheng Niu
    • 2
  • Bin Xie
    • 1
  1. 1.School of Community and Global HealthClaremont Graduate UniversityClaremontUSA
  2. 2.University at BuffaloThe State University of New YorkNew YorkUSA

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