Book Review: Eating Disorders: Cognitive-Behavioral Treatment of Obesity. A Clinician's Guide
Notice bibliographique
Résumé
Cognitive-Behavioral Treatment of Obesity. A Clinician's Guide. Zafra Cooper, Christopher G Fairburn, Deborah M Hawker. New York: The Guilford Press; 2003. 232 p. US$35.00. Reviewer rating: Excellent Many weight-loss programs and manuals have been developed in the last 10 years to address the steady rise in the prevalence of obesity (defined as body mass index between 30 and 40) and its associated medical complications, including diabetes and cardiovascular diseases. The outcome for patients so far has been to achieve weight loss in the short-term, followed by failure to sustain that weight loss in the long term, a frustrating experience for both patients and clinicians treating obesity. The authors of this book addressed the failure to sustain weight loss in the long term by proposing an innovative therapeutic approach that is currently being evaluated in a randomized controlled trial at Oxford University. They acknowledge that proposing this innovative approach remains premature until the research evidence supporting its effectiveness is available. Nonetheless, they produced the book now in response to requests from clinicians seeking guidance for the treatment of patients with obesity, particularly those who are at risk for developing serious medical complications. The authors are internationally known for their research and experience using cognitive-behavioural therapy (CBT) to treat eating disorders and obesity. The innovative approach they propose in this book addresses the obstacles preventing weight maintenance after the initial weight loss and offers patients the techniques that will allow them to maintain their new weight, an indispensable step that has so far been missing in the long-term management of obesity. Briefly, the authors suggest that the disappointing long-term results of behavioural treatments for obesity may be explained by the lack of distinction between the immediate weight-loss objective, which requires sustaining an energy deficit and is usually achieved by most patients, and the objective of maintaining the lost weight, which is a long-term activity seldom addressed by most of the behavioural weight-loss programs currently available. The situation is further complicated by the fact that most obese patients join a weight-loss program with the goal of achieving an unrealistically low weight that they believe will allow them to achieve other personally important objectives, such as becoming physically attractive and improving self-confidence and self-esteem. Since most patients experience a decline in the rate of weight loss after 4 to 6 months of attempting to lose weight, they soon realize that they will achieve neither their unrealistic low weight goal nor their other objectives of physical attractiveness and improved selfesteem and self-confidence. …
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,001 |
| Méta-épidémiologie (sens large) | 0,003 | 0,001 |
| Bibliométrie | 0,003 | 0,003 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,003 | 0,003 |
| Science ouverte | 0,002 | 0,001 |
| Intégrité de la recherche | 0,003 | 0,005 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,077 | 0,062 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».