Wang Huidong, Sourav Md Sakib Ullah, Yang Mengdi, Zhang Jiaping
School of Management Science and Engineering, Shandong University of Finance and Engineering, Jinan, China.
Front Psychol. 2023 Jul 7;14:1144826. doi: 10.3389/fpsyg.2023.1144826. eCollection 2023.
The most widely used technique for psychiatric diagnosis is a contemporary manual-based procedure based on prevailing culture-bound data for the classification of mental disorders. However, it has several inherent faults, including the misdiagnosis of complex patient phenomena and others. A potential mental patient from a minority culture could present with atypical symptoms that would be missed by the standard approach. Using the three-way decisions (3WD) as a framework, we propose a unified model that represents the subjective approach (CSA) of clinicians (psychiatrists and psychologists) consisting of three components: qualitative analysis, quantitative analysis, and evaluation-based analysis. The results of the qualitative and quantitative investigation are a classification list and a set of numerical weights based on malady severity levels according to the clinician's highest level of assumptions. Moreover, we construct a comparative classification of diseases into three categories with varying levels of importance; a three-way evaluation-based model is utilized in this study in order to better comprehend and communicate these results. This proposed method enables clinicians to consider identical data-driven individual behavioral symptoms of patients to be integrated with the current manual-based process as a complementary diagnostic instrument to improve the accuracy of mental disorder diagnosis.
用于精神疾病诊断的最广泛使用的技术是一种基于当代手册的程序，该程序基于流行的与文化相关的数据对精神障碍进行分类。然而，它有几个固有缺陷，包括对复杂患者现象的误诊等。来自少数族裔文化的潜在精神疾病患者可能会出现非典型症状，而标准方法会遗漏这些症状。以三元决策（3WD）为框架，我们提出了一个统一模型，该模型代表临床医生（精神科医生和心理学家）的主观方法（CSA），由三个部分组成：定性分析、定量分析和基于评估的分析。定性和定量调查的结果是一个分类列表和一组根据临床医生的最高假设水平按疾病严重程度划分的数值权重。此外，我们将疾病分为三类，并进行了重要性不同的比较分类；本研究采用基于三元评估的模型，以便更好地理解和传达这些结果。这种提议的方法使临床医生能够将患者相同的、由数据驱动的个体行为症状与当前基于手册的流程相结合，作为一种补充诊断工具，以提高精神障碍诊断的准确性。
