PMID- 32903696 OWN - NLM STAT- MEDLINE DCOM- 20210519 LR - 20210519 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 11 DP - 2020 TI - The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology. PG - 563 LID - 10.3389/fendo.2020.00563 [doi] LID - 563 AB - 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. CI - Copyright (c) 2020 Raman, Spirou, Jahren and Eik-Nes. FAU - Raman, Jayanthi AU - Raman J AD - Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia. FAU - Spirou, Dean AU - Spirou D AD - Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia. FAU - Jahren, Lisbeth AU - Jahren L AD - Library Section for Medicine and Health Sciences, NTNU University Library, NTNU-Norwegian University of Science and Technology, Trondheim, Norway. FAU - Eik-Nes, Trine Tetlie AU - Eik-Nes TT AD - Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Trondheim, Norway. LA - eng PT - Journal Article PT - Review DEP - 20200814 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 SB - IM MH - Bariatric Surgery/*methods MH - Executive Function MH - Feeding Behavior/*psychology MH - Health Literacy MH - Humans MH - Models, Psychological MH - Obesity/psychology/*surgery MH - Secondary Prevention PMC - PMC7438835 OTO - NOTNLM OT - bariatric surgery OT - depression OT - disordered eating OT - emotion dysregulation OT - executive function OT - habitual cluster behaviors OT - health literacy OT - obesity EDAT- 2020/09/10 06:00 MHDA- 2021/05/20 06:00 PMCR- 2020/01/01 CRDT- 2020/09/09 17:56 PHST- 2020/04/08 00:00 [received] PHST- 2020/07/10 00:00 [accepted] PHST- 2020/09/09 17:56 [entrez] PHST- 2020/09/10 06:00 [pubmed] PHST- 2021/05/20 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2020.00563 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2020 Aug 14;11:563. doi: 10.3389/fendo.2020.00563. eCollection 2020.