{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:35:49Z","timestamp":1790112949073,"version":"4.0.1"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Reviews"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Psychiatric disorders are highly prevalent among individuals living with obesity and contribute to treatment resistance, poor adherence, and adverse health outcomes. Yet, obesity management often remains fragmented, with limited integration between endocrinology, psychiatry, and behavioral health. This Perspective advocates for a mental health framework for obesity care. We emphasize the need for future investigations to test the clinical relevance of behavioral phenotyping as a complementary approach to pharmacotherapy, including GLP\u20101 receptor agonists, to enhance treatment personalization. By reframing obesity as a disease deeply intertwined with mental health, we emphasize the need for multidisciplinary care models that incorporate psychological assessment, stigma reduction, and patient\u2010centered nutrition counseling. Advancing this framework will require closer collaboration between medical and mental health disciplines and greater investment in neurobehavioral research to improve long\u2010term outcomes in obesity care.<\/jats:p>","DOI":"10.1111\/obr.70205","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T01:35:51Z","timestamp":1786152951000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Obesity and Mental Health: A Missing Piece in the Puzzle"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4661-5740","authenticated-orcid":false,"given":"Natasha Kim de Oliveira da","family":"Fonseca","sequence":"first","affiliation":[{"name":"Anxiety Disorders Program (PROTAN), Hospital de Cl\u00ednicas de Porto Alegre (HCPA) Universidade Federal do Rio Grande do Sul (UFRGS)  Porto Alegre Brazil"},{"name":"Graduate Program in Psychiatry and Behavioral Sciences, Hospital de Cl\u00ednicas de Porto Alegre (HCPA) Universidade Federal do Rio Grande do Sul (UFRGS)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Brietzke","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Queens University School of Medicine  Kingston Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisele Gus","family":"Manfro","sequence":"additional","affiliation":[{"name":"Anxiety Disorders Program (PROTAN), Hospital de Cl\u00ednicas de Porto Alegre (HCPA) Universidade Federal do Rio Grande do Sul (UFRGS)  Porto Alegre Brazil"},{"name":"Graduate Program in Psychiatry and Behavioral Sciences, Hospital de Cl\u00ednicas de Porto Alegre (HCPA) Universidade Federal do Rio Grande do Sul (UFRGS)  Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Obesity and Overweight","author":"World Health Organization","year":"2025"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(24)01210\u20108"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41398\u2010023\u201002447\u2010w"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2014.12.017"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2402679"},{"issue":"4","key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1002\/oby.23120","article-title":"Selection of Antiobesity Medications Based on Phenotypes Enhances Weight Loss: A Pragmatic Trial in an Obesity Clinic","volume":"29","author":"Acosta A.","year":"2021","journal-title":"Obesity (Silver Spring, Md.)"},{"issue":"14","key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"2885","DOI":"10.1017\/S0033291722002446","article-title":"Eating Behavior Phenotypes in Mood Disorders: A Narrative Review","volume":"52","author":"Koning E.","year":"2022","journal-title":"Psychological Medicine"},{"issue":"12","key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1038\/nn.3561","article-title":"Regulation of Dietary Choice by the Decision\u2010Making Circuitry","volume":"16","author":"Rangel A.","year":"2013","journal-title":"Nature Neuroscience"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23792"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010025\u201001197\u2010y"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph22020228"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2007.04.011"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182413268"},{"key":"e_1_2_10_15_1","unstructured":"V. H.Taylor S.Sockalingam R.Hawa andM.Hahn \u201cCanadian Adult Obesity Clinical Practice Guidelines: The Role of Mental Health in Obesity Management \u201dhttps:\/\/obesitycanada.ca\/guidelines\/mentalhealth."},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2010.09.010"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44220\u2010025\u201000390\u2010x"}],"container-title":["Obesity Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/obr.70205","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/obr.70205","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/obr.70205","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T01:35:52Z","timestamp":1786152952000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/obr.70205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":16,"alternative-id":["10.1111\/obr.70205"],"URL":"https:\/\/doi.org\/10.1111\/obr.70205","archive":["Portico"],"relation":{},"ISSN":["1467-7881","1467-789X"],"issn-type":[{"value":"1467-7881","type":"print"},{"value":"1467-789X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,7]]},"assertion":[{"value":"2025-10-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70205"}}