Affiliation:
1. School of Medicine, University of Western Sydney, Locked Bag 1747, Penrith, NSW 2751, Australia
2. School of Psychiatry, University of New South Wales, 34 Botany Street, Randwick, NSW 2031, Australia
Abstract
Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM). It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided.
Subject
Endocrinology, Diabetes and Metabolism
Cited by
83 articles.
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