Troubles alimentaires compulsifs : évolution des concepts et caractéristiques cliniques
Bibliographic record
Abstract
Depuis l’individualisation du syndrome boulimique dans les années 1980 et le DSMIII, les critères diagnostiques des TCA ont évolué. Les tableaux cliniques évoluent aussi chez nombre de patients au fil du temps. La boulimie non purgative disparaît du DSM-V. Boulimie, binge eating disorder, craving pour les hydrates de carbone et night eating syndrome s’associent à une perte de contrôle du comportement alimentaire. Ces troubles sont transnosographiques. Quand ils durent ou se chronicisent, ils laissent des traces somatiques, en particulier via l’excès pondéral qu’ils provoquent. Leur sévérité est variable et ils peuvent être très invalidants. Ce sont des pathologies plurifactorielles : nutritionnelles, psychiatriques et médicales. Ils s’associent au surpoids voire à l’obésité et aux troubles métaboliques. Certains sont en partie liés au mésusage des traitements psychotropes. Leur prise en charge précoce, la prévention et l’éducation nutritionnelle des jeunes patients pourraient en diminuer la gravité et l’incidence.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".