Takita Morihito, Tanaka Yuji, Kodama Yuko, Murashige Naoko, Hatanaka Nobuyo, Kishi Yukiko, Matsumura Tomoko, Ohsawa Yukio, Kami Masahiro
Division of Social Communication System for Advanced Clinical Research, the Institute of Medical Science, the University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo 108-8639, Japan.
J Clin Bioinforma. 2011 Jul 20;1(1):19. doi: 10.1186/2043-9113-1-19.
Allogenic hematopoietic stem cell transplantation is a curative treatment for patients with advanced hematologic malignancies. However, the long-term mental health issues of siblings who were not selected as donors (non-donor siblings, NDS) in the transplantation have not been well assessed. Data mining is useful in discovering new findings from a large, multidisciplinary data set and the Scenario Map analysis is a novel approach which allows extracting keywords linking different conditions/events from text data of interviews even when the keywords appeared infrequently. The aim of this study is to assess mental health issues on NDSs and to find helpful keywords for the clinical follow-up using a Scenario Map analysis.
A 47-year-old woman whose younger sister had undergone allogenic hematopoietic stem cell transplantation 20 years earlier was interviewed as a NDS. The text data from the interview transcriptions was analyzed using Scenario Mapping. Four clusters of words and six keywords were identified. Upon review of the word clusters and keywords, both the subject and researchers noticed that the subject has had mental health issues since the disease onset to date with being a NDS. The issues have been alleviated by her family.
This single subject study suggested the advantages of data mining in clinical follow-up for mental health issues of patients and/or their families.
异基因造血干细胞移植是晚期血液系统恶性肿瘤患者的一种治愈性治疗方法。然而,在移植中未被选为供者的同胞(非供者同胞,NDS)的长期心理健康问题尚未得到充分评估。数据挖掘有助于从大型多学科数据集中发现新的发现,情景地图分析是一种新颖的方法,即使关键词出现频率较低,也能从访谈文本数据中提取连接不同状况/事件的关键词。本研究的目的是评估非供者同胞的心理健康问题,并使用情景地图分析找到有助于临床随访的关键词。
一名47岁女性作为非供者同胞接受了访谈,其妹妹20年前接受了异基因造血干细胞移植。使用情景映射对访谈转录的文本数据进行了分析。识别出了四组词群和六个关键词。在审查词群和关键词时,受试者和研究人员都注意到,自患病以来直至成为非供者同胞,该受试者一直存在心理健康问题。这些问题已通过其家人得到缓解。
这项单病例研究表明了数据挖掘在对患者及其家人心理健康问题进行临床随访中的优势。