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整合人工智能(AI)聊天机器人用于抑郁症管理:初级保健领域的新前沿。

Integrating Artificial Intelligence (AI) Chatbots for Depression Management: A New Frontier in Primary Care.

作者信息

Khan Haroon, Bokhari Syed Faqeer Hussain

机构信息

Medicine, Naseer Teaching Hospital, Peshawar, PAK.

Surgery, King Edward Medical University, Lahore, PAK.

出版信息

Cureus. 2024 Aug 14;16(8):e66857. doi: 10.7759/cureus.66857. eCollection 2024 Aug.

DOI:10.7759/cureus.66857
PMID:39280487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11398852/
Abstract

Depression is a prevalent mental health disorder that significantly impacts primary care settings. This editorial explores the potential of artificial intelligence (AI)-powered chatbots in managing depression within primary care environments. AI chatbots offer innovative solutions to challenges faced by healthcare providers, including limited appointment times, delayed access to specialists, and stigma associated with mental health issues. These digital tools provide continuous support, personalized interactions, and early symptom detection, potentially improving accessibility and outcomes in depression management. The integration of AI chatbots in primary care presents opportunities for round-the-clock patient support, personalized interventions, and the reduction of mental health stigma. However, challenges persist, including concerns about assessment accuracy, data privacy, and integration with existing healthcare systems. Successful implementation requires systematic approaches, stakeholder engagement, and comprehensive training for healthcare providers. Ethical considerations, such as ensuring informed consent, managing algorithmic biases, and maintaining the human element in care, are crucial for responsible deployment. As AI technology evolves, future directions may include enhanced natural language processing, multimodal integration, and AI-augmented clinical decision support. This editorial emphasizes the need for a balanced approach that leverages the potential of AI while acknowledging its limitations and the irreplaceable value of human clinical judgment in depression management within primary care settings.

摘要

抑郁症是一种普遍存在的心理健康障碍,对初级保健机构有重大影响。这篇社论探讨了人工智能驱动的聊天机器人在初级保健环境中管理抑郁症的潜力。人工智能聊天机器人为医疗保健提供者面临的挑战提供了创新解决方案,包括预约时间有限、难以及时获得专科医生服务以及与心理健康问题相关的耻辱感。这些数字工具提供持续支持、个性化互动和早期症状检测,有可能改善抑郁症管理的可及性和治疗效果。在初级保健中整合人工智能聊天机器人为全天候患者支持、个性化干预以及减少心理健康耻辱感带来了机遇。然而,挑战依然存在,包括对评估准确性、数据隐私以及与现有医疗系统整合的担忧。成功实施需要系统的方法、利益相关者的参与以及对医疗保健提供者的全面培训。伦理考量,如确保知情同意、管理算法偏差以及在护理中保持人文关怀,对于负责任的部署至关重要。随着人工智能技术的发展,未来的方向可能包括增强自然语言处理、多模态整合以及人工智能增强的临床决策支持。这篇社论强调需要一种平衡的方法,在利用人工智能潜力的同时,承认其局限性以及人类临床判断在初级保健环境中抑郁症管理中不可替代的价值。

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本文引用的文献

1
Overview of Chatbots with special emphasis on artificial intelligence-enabled ChatGPT in medical science.聊天机器人概述,特别强调医学领域中基于人工智能的ChatGPT
Front Artif Intell. 2023 Oct 31;6:1237704. doi: 10.3389/frai.2023.1237704. eCollection 2023.
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Depression in Primary Care, 2010-2018.基层医疗中的抑郁问题,2010-2018 年。
Am J Med. 2022 Dec;135(12):1505-1508. doi: 10.1016/j.amjmed.2022.06.022. Epub 2022 Jul 22.
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The epidemiology of depression across cultures.跨文化抑郁症的流行病学。
Annu Rev Public Health. 2013;34:119-38. doi: 10.1146/annurev-publhealth-031912-114409.