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人工智能在精神健康和精神疾病中的应用:概述。

Artificial Intelligence for Mental Health and Mental Illnesses: an Overview.

机构信息

Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.

Sam and Rose Stein Institute for Research on Aging, University of California La Jolla, La Jolla, CA, USA.

出版信息

Curr Psychiatry Rep. 2019 Nov 7;21(11):116. doi: 10.1007/s11920-019-1094-0.

Abstract

PURPOSE OF REVIEW

Artificial intelligence (AI) technology holds both great promise to transform mental healthcare and potential pitfalls. This article provides an overview of AI and current applications in healthcare, a review of recent original research on AI specific to mental health, and a discussion of how AI can supplement clinical practice while considering its current limitations, areas needing additional research, and ethical implications regarding AI technology.

RECENT FINDINGS

We reviewed 28 studies of AI and mental health that used electronic health records (EHRs), mood rating scales, brain imaging data, novel monitoring systems (e.g., smartphone, video), and social media platforms to predict, classify, or subgroup mental health illnesses including depression, schizophrenia or other psychiatric illnesses, and suicide ideation and attempts. Collectively, these studies revealed high accuracies and provided excellent examples of AI's potential in mental healthcare, but most should be considered early proof-of-concept works demonstrating the potential of using machine learning (ML) algorithms to address mental health questions, and which types of algorithms yield the best performance. As AI techniques continue to be refined and improved, it will be possible to help mental health practitioners re-define mental illnesses more objectively than currently done in the DSM-5, identify these illnesses at an earlier or prodromal stage when interventions may be more effective, and personalize treatments based on an individual's unique characteristics. However, caution is necessary in order to avoid over-interpreting preliminary results, and more work is required to bridge the gap between AI in mental health research and clinical care.

摘要

目的综述

人工智能 (AI) 技术具有改变精神卫生保健的巨大潜力和潜在陷阱。本文概述了 AI 及其在医疗保健中的当前应用,回顾了最近针对精神健康的 AI 特定的原始研究,并讨论了 AI 如何在考虑其当前局限性、需要进一步研究的领域以及与 AI 技术相关的伦理问题的情况下补充临床实践。

最新发现

我们综述了 28 项使用电子健康记录 (EHR)、情绪评分量表、脑成像数据、新型监测系统(例如智能手机、视频)和社交媒体平台来预测、分类或亚组精神健康疾病(包括抑郁症、精神分裂症或其他精神疾病)以及自杀意念和尝试的 AI 和精神健康研究。总的来说,这些研究揭示了很高的准确性,并提供了 AI 在精神卫生保健中的潜力的极好范例,但大多数应被视为早期概念验证工作,证明使用机器学习 (ML) 算法解决精神健康问题的潜力,以及哪种类型的算法能产生最佳性能。随着 AI 技术的不断完善和改进,将有可能帮助精神卫生从业者比目前在 DSM-5 中更客观地重新定义精神疾病,在干预可能更有效的早期或前驱阶段识别这些疾病,并根据个体的独特特征对治疗进行个性化。然而,需要谨慎以免过度解释初步结果,并且需要做更多的工作来弥合精神健康研究和临床护理中的 AI 之间的差距。

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