Todorov German, Mayilvahanan Karthikeyan, Cain Christopher, Cunha Catarina
Emotional Brain Institute, The Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, United States.
Department of Neurobiology and Behavior, School of Medicine, Stony Brook University, Stony Brook, NY, United States.
Front Psychol. 2020 May 15;11:989. doi: 10.3389/fpsyg.2020.00989. eCollection 2020.
Post-traumatic stress disorder (PTSD) is a very common condition with more than 3 million new cases per year in the US alone. The right diagnosis in a timely manner is key to ensuring a prompt treatment that could lead to a full recovery. Unfortunately, avoidance of trauma reminders, social stigma, self-presentation, and self-assessment biases often prevent individuals from seeking timely evaluation, leading to delays in treatment and suboptimal outcomes. Previous studies show that various mental health conditions are associated with distinct patterns of language use. Analyzing language use may also help to avoid response bias in self-reports. In this study, we analyze text data from online forum users, showing that language use differences between PTSD sufferers and controls. In all groups of PTSD sufferers, the usage of singular first-person pronouns was higher and that of plural first-person pronouns was lower than in control groups. However, the analysis of other word categories suggests that subgroups of people with the same mental health disorder (here PTSD) may have salient differences in their language use, particularly in word usage frequencies. Additionally, we show that word usage patterns may vary depending on the type of the text analyzed. Nevertheless, more studies will be needed to increase precision by further examine a variety of text types and different comorbidities. If properly developed, such tools may facilitate earlier PTSD diagnosis, leading to timely support and treatment, which are associated with better outcomes.
创伤后应激障碍(PTSD)是一种非常常见的病症,仅在美国每年就有超过300万新病例。及时做出正确诊断是确保能够迅速治疗并实现完全康复的关键。不幸的是,对创伤提示物的回避、社会污名、自我呈现和自我评估偏差常常阻碍个体寻求及时评估,导致治疗延误和效果欠佳。先前的研究表明,各种心理健康状况与不同的语言使用模式相关。分析语言使用也可能有助于避免自我报告中的反应偏差。在本研究中,我们分析了在线论坛用户的文本数据,结果显示创伤后应激障碍患者与对照组之间存在语言使用差异。在所有创伤后应激障碍患者组中,单数第一人称代词的使用频率高于对照组,而复数第一人称代词的使用频率低于对照组。然而,对其他词类的分析表明,患有相同心理健康障碍(此处为创伤后应激障碍)的人群亚组在语言使用上可能存在显著差异,尤其是在词汇使用频率方面。此外,我们表明词汇使用模式可能因所分析文本的类型而异。尽管如此,还需要更多研究通过进一步检查各种文本类型和不同的共病情况来提高精确度。如果得到妥善开发,此类工具可能有助于更早诊断创伤后应激障碍,从而实现及时的支持和治疗,而这与更好的治疗效果相关。