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机器学习提高了纤维肌痛症述情障碍心理测量评估的诊断性。

Machine Learning Increases Diagnosticity in Psychometric Evaluation of Alexithymia in Fibromyalgia.

作者信息

Orrù Graziella, Gemignani Angelo, Ciacchini Rebecca, Bazzichi Laura, Conversano Ciro

机构信息

Department of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy.

Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

出版信息

Front Med (Lausanne). 2020 Jan 13;6:319. doi: 10.3389/fmed.2019.00319. eCollection 2019.

DOI:10.3389/fmed.2019.00319
PMID:31998737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6970411/
Abstract

Here, we report an investigation on the accuracy of the Toronto Alexithymia Scale, a measure to assess alexithymia, a multidimensional construct often associate to fibromyalgia. Two groups of participants, patients with fibromyalgia ( = 38), healthy controls ( = 38) were administered the Toronto Alexithymia Scale and background tests. Machine learning models achieved an overall accuracy higher than 80% in detecting both patients with fibromyalgia and healthy controls. The parameter which alone has demonstrated maximum efficiency in classifying the single subject within the two groups has been the item 3 of the alexithymia scale. The analysis of the most informative features, based on all scales administered, revealed that item 3 and 13 of the alexithymia questionnaire and the visual analog scale scores were the most informative attributes in correctly classifying participants (accuracy above 85%). An additional analyses using only the alexithymia scale subset of items and the visual analog scale scores has shown that the predictors which efficiently classified patients with fibromyalgia and controls were the item 3 and 7 (accuracy = 85.53%). Our findings suggest that machine learning models analysis based on the Toronto Alexithymia Scale subset of items scores accurately distinguish patients with fibromyalgia from healthy controls.

摘要

在此,我们报告一项关于多伦多述情障碍量表准确性的调查。该量表用于评估述情障碍,这是一种常与纤维肌痛相关的多维结构。两组参与者,即纤维肌痛患者(n = 38)和健康对照者(n = 38),接受了多伦多述情障碍量表及背景测试。机器学习模型在检测纤维肌痛患者和健康对照者方面的总体准确率高于80%。在对两组中的个体进行分类时,单独显示出最高效率的参数是述情障碍量表的第3项。基于所有所施用量表对最具信息量的特征进行分析后发现,述情障碍问卷的第3项和第13项以及视觉模拟量表得分是正确分类参与者的最具信息量的属性(准确率高于85%)。仅使用述情障碍量表项目子集和视觉模拟量表得分进行的另一项分析表明,能够有效区分纤维肌痛患者和对照者的预测指标是第3项和第7项(准确率 = 85.53%)。我们的研究结果表明,基于多伦多述情障碍量表项目子集得分的机器学习模型分析能够准确区分纤维肌痛患者和健康对照者。

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Machine Learning Increases Diagnosticity in Psychometric Evaluation of Alexithymia in Fibromyalgia.机器学习提高了纤维肌痛症述情障碍心理测量评估的诊断性。
Front Med (Lausanne). 2020 Jan 13;6:319. doi: 10.3389/fmed.2019.00319. eCollection 2019.
2
[Measuring alexithymia in fibromyalgia: the need for a multimodal measurement method to replace the TAS-20].[测量纤维肌痛中的述情障碍:需要一种多模式测量方法来取代多伦多述情障碍量表-20(TAS-20)]
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J Psychosom Res. 2009 May;66(5):425-33. doi: 10.1016/j.jpsychores.2008.11.009. Epub 2009 Jan 16.
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本文引用的文献

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Alexithymia and Psychological Distress in Patients With Fibromyalgia and Rheumatic Disease.纤维肌痛和风湿性疾病患者的述情障碍与心理困扰
Front Psychol. 2019 Jul 31;10:1735. doi: 10.3389/fpsyg.2019.01735. eCollection 2019.
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Malingering Detection of Cognitive Impairment With the b Test Is Boosted Using Machine Learning.使用机器学习可提高通过b测试检测认知障碍的伪装情况。
Front Psychol. 2019 Jul 23;10:1650. doi: 10.3389/fpsyg.2019.01650. eCollection 2019.
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Introducing Machine Learning to Detect Personality Faking-Good in a Male Sample: A New Model Based on Minnesota Multiphasic Personality Inventory-2 Restructured Form Scales and Reaction Times.引入机器学习以检测男性样本中的伪装良好人格:基于明尼苏达多相人格调查表-2修订版量表和反应时间的新模型
Front Psychiatry. 2019 Jun 6;10:389. doi: 10.3389/fpsyt.2019.00389. eCollection 2019.
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Compliance, adherence, concordance, empowerment, and self-management: five words to manifest a relational maladjustment in diabetes.依从性、坚持性、一致性、赋权和自我管理:体现糖尿病关系失调的五个词汇。
J Multidiscip Healthc. 2019 Apr 29;12:299-314. doi: 10.2147/JMDH.S193752. eCollection 2019.
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Anxiety levels predict fracture risk in postmenopausal women assessed for osteoporosis.焦虑水平可预测接受骨质疏松症评估的绝经后妇女的骨折风险。
Menopause. 2018 Oct;25(10):1110-1115. doi: 10.1097/GME.0000000000001123.
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Alexithymia, not fibromyalgia, predicts the attribution of pain to anger-related facial expressions.述情障碍而非纤维肌痛可预测将疼痛归因于与愤怒相关的面部表情。
J Affect Disord. 2018 Feb;227:272-279. doi: 10.1016/j.jad.2017.10.048. Epub 2017 Nov 8.
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Somatic symptom presentations in women with fibromyalgia are differentially associated with elevated depression and anxiety.纤维肌痛女性的躯体症状表现与抑郁和焦虑的升高存在差异相关。
J Health Psychol. 2020 May;25(6):819-829. doi: 10.1177/1359105317736577. Epub 2017 Oct 27.
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Pain in Osteoporosis: From Pathophysiology to Therapeutic Approach.骨质疏松症中的疼痛:从病理生理学到治疗方法
Drugs Aging. 2017 Oct;34(10):755-765. doi: 10.1007/s40266-017-0492-4.
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Determinants of quality of life in patients with fibromyalgia: A structural equation modeling approach.纤维肌痛患者生活质量的决定因素:一种结构方程建模方法。
PLoS One. 2017 Feb 3;12(2):e0171186. doi: 10.1371/journal.pone.0171186. eCollection 2017.
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Pain experience in Fibromyalgia Syndrome: The role of alexithymia and psychological distress.纤维肌痛综合征中的疼痛体验:述情障碍和心理困扰的作用。
J Affect Disord. 2017 Jan 15;208:87-93. doi: 10.1016/j.jad.2016.08.080. Epub 2016 Oct 11.