Raman Jayanthi, Smith Evelyn, Hay Phillipa
School of Medicine, University of Western Sydney, Locked Bag 1747, Penrith, NSW 2751, Australia.
J Obes. 2013;2013:240128. doi: 10.1155/2013/240128. Epub 2013 Feb 14.
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.
心理困扰和执行功能缺陷可能是有效维持体重减轻的重要障碍。本文的目的有两个。首先，鉴于神经心理学和肥胖领域的最新证据，特别是超重和肥胖个体的执行功能缺陷，通过临床肥胖维持模型（COMM）引入了肥胖维持的概念和理论框架。有人认为，心理变量，即习惯性集群行为、情绪失调、情绪和健康素养，与执行功能相互作用，并影响肥胖个体的暴饮暴食行为。其次，认识到这个模型，有人认为肥胖管理的重点应该扩大到包括更广泛的维持机制，包括但不限于认知缺陷。最后，提供了关于使用COMM进行研究和实践的潜在未来方向的讨论。
