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Journal of Obesity
Volume 2013 (2013), Article ID 240128, 9 pages
http://dx.doi.org/10.1155/2013/240128
Research Article

The Clinical Obesity Maintenance Model: An Integration of Psychological Constructs including Mood, Emotional Regulation, Disordered Overeating, Habitual Cluster Behaviours, Health Literacy and Cognitive Function

1School of Medicine, University of Western Sydney, Locked Bag 1747, Penrith, NSW 2751, Australia
2School of Psychiatry, University of New South Wales, 34 Botany Street, Randwick, NSW 2031, Australia

Received 1 November 2012; Accepted 8 January 2013

Academic Editor: Emilio Gutierrez Garcia

Copyright © 2013 Jayanthi Raman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.