人工智能在精神卫生保健中的应用:临床应用、障碍、促进因素和人工智能智慧。

Artificial Intelligence for Mental Health Care: Clinical Applications, Barriers, Facilitators, and Artificial Wisdom.

机构信息

Department of Psychiatry, University of California San Diego, San Diego, California; Sam and Rose Stein Institute for Research on Aging, University of California San Diego, San Diego, California; VA San Diego Healthcare System, San Diego, California.

Department of Psychiatry, Beth Israel Deaconess Medical Center and Harvard University, Boston, Massachusetts.

出版信息

Biol Psychiatry Cogn Neurosci Neuroimaging. 2021 Sep;6(9):856-864. doi: 10.1016/j.bpsc.2021.02.001. Epub 2021 Feb 8.

Abstract

Artificial intelligence (AI) is increasingly employed in health care fields such as oncology, radiology, and dermatology. However, the use of AI in mental health care and neurobiological research has been modest. Given the high morbidity and mortality in people with psychiatric disorders, coupled with a worsening shortage of mental health care providers, there is an urgent need for AI to help identify high-risk individuals and provide interventions to prevent and treat mental illnesses. While published research on AI in neuropsychiatry is rather limited, there is a growing number of successful examples of AI's use with electronic health records, brain imaging, sensor-based monitoring systems, and social media platforms to predict, classify, or subgroup mental illnesses as well as problems such as suicidality. This article is the product of a study group held at the American College of Neuropsychopharmacology conference in 2019. It provides an overview of AI approaches in mental health care, seeking to help with clinical diagnosis, prognosis, and treatment, as well as clinical and technological challenges, focusing on multiple illustrative publications. Although AI could help redefine mental illnesses more objectively, identify them at a prodromal stage, personalize treatments, and empower patients in their own care, it must address issues of bias, privacy, transparency, and other ethical concerns. These aspirations reflect human wisdom, which is more strongly associated than intelligence with individual and societal well-being. Thus, the future AI or artificial wisdom could provide technology that enables more compassionate and ethically sound care to diverse groups of people.

摘要

人工智能(AI)在肿瘤学、放射学和皮肤病学等医疗领域的应用越来越广泛。然而,人工智能在精神卫生保健和神经生物学研究中的应用却相当有限。鉴于精神障碍患者的发病率和死亡率较高,再加上精神卫生保健提供者的短缺日益严重,迫切需要人工智能来帮助识别高危人群,并提供干预措施来预防和治疗精神疾病。虽然神经精神病学中关于人工智能的已发表研究相当有限,但越来越多成功的人工智能应用案例涉及电子健康记录、脑成像、基于传感器的监测系统以及社交媒体平台,以预测、分类或细分精神疾病以及自杀倾向等问题。本文是 2019 年美国神经精神药理学学会会议上一个研究小组的研究成果。它概述了人工智能在精神卫生保健中的应用方法,旨在帮助进行临床诊断、预后和治疗,以及临床和技术挑战,重点介绍了多篇有代表性的出版物。尽管人工智能可以帮助更客观地定义精神疾病,在前驱期识别它们,实现治疗个性化,并使患者在自身护理中更具自主权,但它必须解决偏见、隐私、透明度和其他伦理问题。这些愿望反映了人类智慧,它与个人和社会福祉的相关性比智力更强。因此,未来的人工智能或人工智慧可以提供技术,为不同人群提供更富有同情心和符合伦理的护理。

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