Abstract
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.
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References
American Psychiatric Association. (2013). Binge-eating disorder. In: Diagnostic and statistical manual of mental disorders, 5th ed. Artlington, VA: American Psychiatric Association, 350–353.
Ansell, E. B., Grilo, C. M., & White, M. A. (2012). Examining the interpersonal model of binge eating and loss of control over eating in women. International Journal of Eating Disorders, 45, 43–50. https://doi.org/10.1002/eat.20897
Berg, K. C., Crosby, R. D., Cao, L., Crow, S. J., Engel, S. G., Wonderlich, S. A., et al. (2015). Negative affect prior to and following overeating-only, loss of control eating-only, and binge eating episodes in obese adults. International Journal of Eating Disorders, 48, 641–653. https://doi.org/10.1002/eat.22401
Berge, J. M., Wall, M., Larson, N., Eisenberg, M. E., Loth, K. A., & Neumark-Sztainer, D. (2014). The unique and additive associations of family functioning and parenting practices with disordered eating behaviors in diverse adolescents. Journal of Behavioral Medicine, 37, 205–217. https://doi.org/10.1007/s10865-012-9478-1
Burton, A., Abbott, M., Modini, M., & Touyz, S. (2016). Psychometric evaluation of self-report measures of binge-eating symptoms and related psychopathology: A systematic review of the literature. International Journal of Eating Disorders, 49, 123–140. https://doi.org/10.1002/eat.22453
Chung, H., & Gale, J. (2009). Family functioning and self-differentiation: A cross-cultural examination. Contemporary Family Therapy: An International Journal, 31, 19–33. https://doi.org/10.1007/s10591-008-9080-4
Cohen, S. (1988). Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 7, 269–297.
Cohen, A. B., & Koenig, H. G. (2003). Religion, religiosity and spirituality in the biopsychosocial model of health and ageing. Ageing International, 28, 215–241. https://doi.org/10.1007/s12126-002-1005-1
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.
Crystal, D. S., Kakinuma, M., DeBell, M., Azuma, H., & Miyashita, T. (2008). Who helps you? Self and other sources of support among youth in japan and the USA. International Journal of Behavioral Development, 32, 496–508. https://doi.org/10.1177/0165025408095554
De Zwaan, M., Mitchell, J. E., Seim, H. C., & Specker, S. M. (1994). Eating related and general psychopathology in obese females with binge eating disorder. International Journal of Eating Disorders, 15, 43. https://doi.org/10.1002/1098-108X
Eating Disorders. (2017, September 22). Retrieved from http://www.apa.org/topics/eating/
Edelmann, R., & McCusker, G. (1986). Introversion, neuroticism, empathy, and embarrassability. Personality & Individual Differences, 7(2), 133–140. Retrieved from https://www.researchgate.net/publication/223248491_Introversion_neuroticism_empathy_and_embarrassibility
Elliott, C. A., Tanofsky-Kraff, M., Shomaker, L. B., Columbo, K. M., Wolkoff, L. E., Ranzenhofer, L. M., et al. (2010). An examination of the interpersonal model of loss of control eating in children and adolescents. Behaviour Research and Therapy, 48, 424–428. https://doi.org/10.1016/j.brat.2009.12.012
Fryer, S., Waller, G., & Kroese, B. S. (1997). Stress, coping, and disturbed eating attitudes in teenage girls. International Journal of Eating Disorders, 22, 427–436.
Grenard, J. L., Stacy, A. W., Shiffman, S., Baraldi, A. N., MacKinnon, D. P., Lockhart, G., et al. (2013). Sweetened drink and snacking cues in adolescents: A study using ecological momentary assessment. Appetite, 67, 61–73. https://doi.org/10.1016/j.appet.2013.03.016
Hay, P. (2013). A systematic review of evidence for psychological treatments in eating disorders: 2005–2012. International Journal of Eating Disorders. https://doi.org/10.1002/eat.22103
Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110, 86–108. https://doi.org/10.1037/0033/2909.110.1.86
Hodges, E. L., Cochrane, C. E., & Brewerton, T. D. (1998). Family characteristics of binge-eating disorder patients. International Journal of Eating Disorders, 23, 145–151.
Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biological Psychiatry, 61, 348–358. https://doi.org/10.1016/j.biopsych.2006.03.040
Ivanova, I. V., Tasca, G. A., Hammond, N., Balfour, L., Ritchie, K., Koszycki, D., et al. (2015). Negative affect mediates the relationship between interpersonal problems and binge-eating disorder symptoms and psychopathology in a clinical sample: A test of the interpersonal model. European Eating Disorders Review, 23, 133–138. https://doi.org/10.1002/erv.2344
Kenardy, J., Arnow, B., & Agras, W. S. (1996). The aversiveness of specific emotional states associated with binge-eating in obese subjects. The Australian and New Zealand Journal of Psychiatry, 30, 839–844. https://doi.org/10.3109/00048679609065053
Kessler, R. C., & Essex, M. (1982). Marital status and depression: The role of coping resources. Social Forces, 61, 484–507.
Laghi, F., McPhie, M. L., Baumgartner, E., Rawana, J. S., Pompili, S., & Baiocco, R. (2016). Family functioning and dysfunctional eating among italian adolescents: The moderating role of gender. Child Psychiatry and Human Development, 47, 43–52. https://doi.org/10.1007/s10578-015-0543-1
Leary, M. R., & Meadows, S. (1991). Predictors, elicitors, and concomitants of social blushing. Journal of Personality and Social Psychology. https://doi.org/10.1037/0022-3514.60.2.254
Leon, G. R., Fulkerson, J. A., Perry, C. L., & Dube, A. (1994). Family influences, school behaviors, and risk for the later development of an eating disorder. Journal of Youth and Adolescence: A Multidisciplinary Research Publication, 23, 499–515. https://doi.org/10.1007/BF01537733
Lerner, J., & Keltner, D. (2000). Beyond valence: Toward a model of emotion-specific influences on judgement and choice. Cognition and Emotion, 14, 473–493. https://doi.org/10.1080/026999300402763
Lerner, J. S., & Keltner, D. (2001). Fear, anger, and risk. Journal of Personality and Social Psychology, 81, 146–159. https://doi.org/10.1037/0022-3514.81.1.146
Lewinsohn, P. M., Striegel-Moore, R. H., & Seeley, J. R. (2002). The epidemiology and natural course of eating disorders in young women from adolescence to young adulthood. Selected Works. https://doi.org/10.1097/00004583-200010000-00016
Mellers, B. A. (2000). Choice and the relative pleasure of consequences. Psychological Bulletin, 126, 910–924. https://doi.org/10.1037//0033-2909.126.6.910
Miller, R. S. (1995). On the nature of embarrassability: Shyness, social evaluation, and social skill. Journal of Personality, 63, 315–339.
Munsch, S., Meyer, A. H., Quartier, V., & Wilhelm, F. H. (2012). Binge eating in binge eating disorder: A breakdown of emotion regulatory process? Psychiatry Research, 195, 118–124. https://doi.org/10.1016/j.psychres.2011.07.016
Norton, M., Wonderlich, S. A., Myers, T., Mitchell, J. E., & Crosby, R. D. (2003). The use of palmtop computers in the treatment of bulimia nervosa. European Eating Disorders Review, 11, 231–242. https://doi.org/10.1002/erv.518
Olson, D. H., Gorall, D. M., & Tiesel, J. W. (2009). FACES IV manual. Minneapolis, MN: Life Innovations.
Peñas-Lledó, E., Fernández-Aranda, F., Jiménez-Murcia, S., Granero, R., Penelo, E., Soto, A., et al. (2009). Subtyping eating disordered patients along drive for thinness and depression. Behaviour Research and Therapy, 47, 513–519. https://doi.org/10.1016/j.brat.2009.03.003
Raudenbush, S., & Liu, X. (2000). Statistical power and optimal design for multisite randomized trials. Psychological Methods, 5, 199–213. https://doi.org/10.1037//1082-989X.5.2.199
Sandler, I. N. (1980). Social support resources, stress and maladjustment of poor children. American Journal of Community Psychology, 8, 41–52.
Schulz, S., & Laessle, R. G. (2010). Associations of negative affect and eating behaviour in obese women with and without binge eating disorder. Eating and Weight Disorders Studies on Anorexia, Bulimia and Obesity, 15, 287–293. https://doi.org/10.1007/BF03325311
Sierra-Baigrie, S., Lemos-Giráldez, S., & Fonseca-Pedrero, E. (2009). Binge eating in adolescents: Its relation to behavioural problems and family-meal patterns. Eating Behaviors, 10, 22–28. https://doi.org/10.1016/j.eatbeh.2008.10.011
Stein, R. I., Kenardy, J., Wiseman, C. V., Dounchis, J. Z., Arnow, B. A., & Wilfley, D. E. (2007). What’s driving the binge in binge eating disorder?: A prospective examination of precursors and consequences. International Journal of Eating Disorders, 40, 195–203. https://doi.org/10.1002/eat.20352
Stice, E., Telch, C. F., & Rizvi, S. L. (2000). Development and validation of the eating disorder diagnostic scale: A brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment, 12, 123–131. https://doi.org/10.1037/1040-3590.12.2.123
Stunkard, A. J. (1959). Eating patterns and obesity. Psychiatric Quarterly, 33, 284–295. https://doi.org/10.1007/BF01575455
Supple, A. J., & Cavanaugh, A. M. (2013). Tiger mothering and Hmong American parent–adolescent relationships. Asian American Journal of Psychology, 4, 41–49. https://doi.org/10.1037/a0031202
Tetzlaff, A., Schmidt, R., Brauhardt, A., & Hilbert, A. (2016). Family functioning in adolescents with binge-eating disorder. European Eating Disorders Review, 24, 430–433. https://doi.org/10.1002/erv.2462
Vannucci, A., Theim, K. R., Kass, A. E., Trockel, M., Genkin, B., Rizk, M., et al. (2013). What constitutes clinically significant binge eating?: Association between binge features and clinical validators in college-age women. International Journal of Eating Disorders, 46, 226–232. https://doi.org/10.1002/eat.22115
Weinstein, S. M., & Mermelstein, R. (2007). Relations between daily activities and adolescent mood: The role of autonomy. Journal of Clinical Child and Adolescent Psychology, 36, 182–194. https://doi.org/10.1090/15374410701274967
Weinstein, S. M., Mermelstein, R. J., Hankin, B. L., Hedeker, D., & Flay, B. R. (2007). Longitudinal patterns of daily affect and global mood during adolescence. Journal of Research on Adolescence, 17, 587–600. https://doi.org/10.1111/j.1532-7795.2007.00536.x
Wilfley, D. E., Pike, K. M., & Striegel-Moore, R. H. (1997). Toward an integrated model of risk for binge eating disorder. Journal of Gender Culture and Health, 2, 1–32.
Zander, M. E., & Young, K. P. (2014). Individual differences in negative affect and weekly variability in binge eating frequency. International Journal of Eating Disorders, 47, 296–301. https://doi.org/10.1002/eat.22222
Zeeck, A., Stelzer, N., Linster, H. W., Joos, A., & Hartmann, A. (2011). Emotion and eating in binge eating disorder and obesity. European Eating Disorders Review, 19, 426–437. https://doi.org/10.1002/erv.1066
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Anna Yu Lee, Kim D. Reynolds, Alan Stacy, Zhongzheng Niu, and Bin Xie declare that they have no conflict of interest.
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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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Lee, A.Y., Reynolds, K.D., Stacy, A. et al. Family functioning, moods, and binge eating among urban adolescents. J Behav Med 42, 511–521 (2019). https://doi.org/10.1007/s10865-018-9994-8
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DOI: https://doi.org/10.1007/s10865-018-9994-8