Ucuz Ilknur, Ari Ali, Ozcan Ozlem Ozel, Topaktas Ozgu, Sarraf Merve, Dogan Ozlem
Inonu University, Malatya, Turkey.
J Child Sex Abus. 2022 Jan;31(1):73-85. doi: 10.1080/10538712.2020.1841350. Epub 2020 Nov 18.
The most common diagnoses after childhood sexual abuse are Post-Traumatic Stress Disorder and depression. The aim of this study is to design a decision support system to help psychiatry physicians in the treatment of childhood sexual abuse. Computer aided decision support system (CADSS) based on ANN, which predicts the development of PTSD and Major Depressive Disorder, using different parameters of the act of abuse and patients was designed. The data of 149 girls and 21 boys who were victims of sexual abuse were included in the study. In the designed CADDS, the gender of the victim, the type of sexual abuse, the age of exposure, the duration until reporting, the time of abuse, the proximity of the abuser to the victim, number of sexual abuse, whether the child is exposed to threats and violence during the abuse, the person who reported the event, and the intelligence level of the victim are used as input parameters. The average accuracy values for all three designed systems were calculated as 99.2%. It has been shown that the system designed by using these data can be used safely in the psychiatric assessment process, in order to differentiate psychiatric diagnoses in the early post-abuse period.
儿童期遭受性虐待后最常见的诊断是创伤后应激障碍和抑郁症。本研究的目的是设计一个决策支持系统,以帮助精神科医生治疗儿童期性虐待。基于人工神经网络设计了计算机辅助决策支持系统(CADSS),该系统利用虐待行为和患者的不同参数来预测创伤后应激障碍和重度抑郁症的发展。本研究纳入了149名遭受性虐待的女童和21名男童的数据。在所设计的CADDS中,受害者的性别、性虐待类型、暴露年龄、报告前持续时间、虐待时间、施虐者与受害者的亲近程度、性虐待次数、儿童在虐待期间是否受到威胁和暴力、报告事件的人以及受害者的智力水平被用作输入参数。所设计的三个系统的平均准确率计算为99.2%。研究表明,利用这些数据设计的系统可安全地用于精神科评估过程,以便在虐待后早期区分精神科诊断。