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基于机器学习的抑郁症行为诊断工具:进展、挑战与未来方向

Machine Learning-Based Behavioral Diagnostic Tools for Depression: Advances, Challenges, and Future Directions.

作者信息

Richter Thalia, Fishbain Barak, Richter-Levin Gal, Okon-Singer Hadas

机构信息

Department of Psychology, School of Psychological Sciences, University of Haifa, Haifa 3498838, Israel.

Faculty of Civil and Environmental Engineering, Technion-Israel Institute of Technology, Haifa 3200003, Israel.

出版信息

J Pers Med. 2021 Sep 26;11(10):957. doi: 10.3390/jpm11100957.

Abstract

The psychiatric diagnostic procedure is currently based on self-reports that are subject to personal biases. Therefore, the diagnostic process would benefit greatly from data-driven tools that can enhance accuracy and specificity. In recent years, many studies have achieved promising results in detecting and diagnosing depression based on machine learning (ML) analysis. Despite these favorable results in depression diagnosis, which are primarily based on ML analysis of neuroimaging data, most patients do not have access to neuroimaging tools. Hence, objective assessment tools are needed that can be easily integrated into the routine psychiatric diagnostic process. One solution is to use behavioral data, which can be easily collected while still maintaining objectivity. The current paper summarizes the main ML-based approaches that use behavioral data in diagnosing depression and other psychiatric disorders. We classified these studies into two main categories: (a) laboratory-based assessments and (b) data mining, the latter of which we further divided into two sub-groups: (i) social media usage and movement sensors data and (ii) demographic and clinical information. The paper discusses the advantages and challenges in this field and suggests future research directions and implementations. The paper's overarching aim is to serve as a first step in synthetizing existing knowledge about ML-based behavioral diagnosis studies in order to develop interventions and individually tailored treatments in the future.

摘要

目前,精神科诊断程序基于易受个人偏见影响的自我报告。因此,能够提高准确性和特异性的数据驱动工具将极大地有益于诊断过程。近年来,许多研究基于机器学习(ML)分析在检测和诊断抑郁症方面取得了令人鼓舞的成果。尽管在抑郁症诊断方面取得了这些良好结果,而这些结果主要基于神经影像数据的ML分析,但大多数患者无法使用神经影像工具。因此,需要能够轻松整合到常规精神科诊断过程中的客观评估工具。一种解决方案是使用行为数据,这种数据在保持客观性的同时易于收集。本文总结了在诊断抑郁症和其他精神疾病时使用行为数据的主要基于ML的方法。我们将这些研究分为两大类:(a)基于实验室的评估和(b)数据挖掘,后者我们进一步分为两个子组:(i)社交媒体使用情况和运动传感器数据,以及(ii)人口统计学和临床信息。本文讨论了该领域的优势和挑战,并提出了未来的研究方向和实施方法。本文的总体目标是作为综合现有关于基于ML的行为诊断研究知识的第一步,以便在未来开发干预措施和个性化治疗方案。

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