Ratana Randall, Sharifzadeh Hamid, Krishnan Jamuna, Pang Shaoning
School of Computing, Unitec Institute of Technology, Auckland, New Zealand.
Bay of Plenty District Health Board, Whakatane, New Zealand.
Front Psychiatry. 2019 Sep 12;10:659. doi: 10.3389/fpsyt.2019.00659. eCollection 2019.
Psychiatrists rely on language and speech behavior as one of the main clues in psychiatric diagnosis. Descriptive psychopathology and phenomenology form the basis of a common language used by psychiatrists to describe abnormal mental states. This conventional technique of clinical observation informed early studies on disturbances of thought form, speech, and language observed in psychosis and schizophrenia. These findings resulted in language models that were used as tools in psychosis research that concerned itself with the links between formal thought disorder and language disturbances observed in schizophrenia. The end result was the development of clinical rating scales measuring severity of disturbances in speech, language, and thought form. However, these linguistic measures do not fully capture the richness of human discourse and are time-consuming and subjective when measured against psychometric rating scales. These linguistic measures have not considered the influence of culture on psychopathology. With recent advances in computational sciences, we have seen a re-emergence of novel research using computing methods to analyze free speech for improving prediction and diagnosis of psychosis. Current studies on automated speech analysis examining for semantic incoherence are carried out based on natural language processing and acoustic analysis, which, in some studies, have been combined with machine learning approaches for classification and prediction purposes.
精神科医生将语言和言语行为作为精神科诊断的主要线索之一。描述性精神病理学和现象学构成了精神科医生用于描述异常精神状态的通用语言的基础。这种传统的临床观察技术为早期关于在精神病和精神分裂症中观察到的思维形式、言语和语言障碍的研究提供了依据。这些发现产生了语言模型,这些模型被用作精神病研究的工具,该研究关注精神分裂症中观察到的形式思维障碍与语言障碍之间的联系。最终结果是开发了测量言语、语言和思维形式障碍严重程度的临床评定量表。然而,这些语言测量方法并没有完全捕捉到人类话语的丰富性,并且与心理测量评定量表相比,既耗时又主观。这些语言测量方法没有考虑文化对精神病理学的影响。随着计算科学的最新进展,我们看到出现了一些新颖的研究,这些研究使用计算方法来分析自由言语,以改善对精神病的预测和诊断。目前关于自动言语分析以检查语义连贯性的研究是基于自然语言处理和声学分析进行的,在一些研究中,这些分析还与机器学习方法相结合,用于分类和预测目的。