The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology
Ranked highly in its association with serious medical comorbidities, obesity, a rapidly growing epidemic worldwide, poses a significant socio-economic burden. While bariatric procedures offer the most efficacious treatment for weight loss, a subset of patients risk weight recidivism. Due to the hete...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-08-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fendo.2020.00563/full |
| _version_ | 1818262712794218496 |
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| author | Jayanthi Raman Dean Spirou Lisbeth Jahren Trine Tetlie Eik-Nes |
| author_facet | Jayanthi Raman Dean Spirou Lisbeth Jahren Trine Tetlie Eik-Nes |
| author_sort | Jayanthi Raman |
| collection | DOAJ |
| description | Ranked highly in its association with serious medical comorbidities, obesity, a rapidly growing epidemic worldwide, poses a significant socio-economic burden. While bariatric procedures offer the most efficacious treatment for weight loss, a subset of patients risk weight recidivism. Due to the heterogeneity of obesity, it is likely that there are phenotypes or sub-groups of patients that require evidence-based psychological support to produce more sustainable outcomes. So far, however, characteristics of patients have not led to a personalized treatment algorithm for bariatric surgery. Maintenance of weight loss following bariatric surgery requires long-term modification of eating behaviors and physical activity. A recent Clinical Obesity Maintenance Model (COMM) proposed a conceptual framework of salient constructs, including the role of habit, behavioral clusters, emotion dysregulation, mood, health literacy, and executive function as interconnected drivers of obesity maintaining behaviors relevant to the field of bariatric psychology. The primary aim of this concise review is to bring together emerging findings from experimental and epidemiological studies relating to the COMM constructs that may inform the assessment and follow up of bariatric surgery. We also aim to explain the phenotypes that need to be understood and screened prior to bariatric surgery to enable better pre-surgery intervention and optimum post-surgery response. |
| first_indexed | 2024-12-12T19:07:29Z |
| format | Article |
| id | doaj.art-0de89595b681495aafa5ba47e3162120 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-12-12T19:07:29Z |
| publishDate | 2020-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-0de89595b681495aafa5ba47e31621202022-12-22T00:14:56ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922020-08-011110.3389/fendo.2020.00563550073The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric PsychologyJayanthi Raman0Dean Spirou1Lisbeth Jahren2Trine Tetlie Eik-Nes3Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Sydney, NSW, AustraliaDiscipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Sydney, NSW, AustraliaLibrary Section for Medicine and Health Sciences, NTNU University Library, NTNU–Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU–Norwegian University of Science and Technology, Trondheim, NorwayRanked highly in its association with serious medical comorbidities, obesity, a rapidly growing epidemic worldwide, poses a significant socio-economic burden. While bariatric procedures offer the most efficacious treatment for weight loss, a subset of patients risk weight recidivism. Due to the heterogeneity of obesity, it is likely that there are phenotypes or sub-groups of patients that require evidence-based psychological support to produce more sustainable outcomes. So far, however, characteristics of patients have not led to a personalized treatment algorithm for bariatric surgery. Maintenance of weight loss following bariatric surgery requires long-term modification of eating behaviors and physical activity. A recent Clinical Obesity Maintenance Model (COMM) proposed a conceptual framework of salient constructs, including the role of habit, behavioral clusters, emotion dysregulation, mood, health literacy, and executive function as interconnected drivers of obesity maintaining behaviors relevant to the field of bariatric psychology. The primary aim of this concise review is to bring together emerging findings from experimental and epidemiological studies relating to the COMM constructs that may inform the assessment and follow up of bariatric surgery. We also aim to explain the phenotypes that need to be understood and screened prior to bariatric surgery to enable better pre-surgery intervention and optimum post-surgery response.https://www.frontiersin.org/article/10.3389/fendo.2020.00563/fullobesitybariatric surgerydisordered eatingexecutive functiondepressionhealth literacy |
| spellingShingle | Jayanthi Raman Dean Spirou Lisbeth Jahren Trine Tetlie Eik-Nes The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology Frontiers in Endocrinology obesity bariatric surgery disordered eating executive function depression health literacy |
| title | The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology |
| title_full | The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology |
| title_fullStr | The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology |
| title_full_unstemmed | The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology |
| title_short | The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology |
| title_sort | clinical obesity maintenance model a theoretical framework for bariatric psychology |
| topic | obesity bariatric surgery disordered eating executive function depression health literacy |
| url | https://www.frontiersin.org/article/10.3389/fendo.2020.00563/full |
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