Ma Congsha, Lei Ming
School of Nursing and Health, Shanghai Zhongqiao Vocational and Technical Universtiy, Shanghai, China.
School of Nursing, Shanghai Lida Universtiy, Shanghai, China.
Front Psychiatry. 2025 Jul 7;16:1623986. doi: 10.3389/fpsyt.2025.1623986. eCollection 2025.
Monitoring cardiovascular health in autistic patients presents unique challenges due to atypical sensory profiles, altered autonomic regulation, and communication difficulties. As cardiovascular comorbidities rise in this population, there is an urgent need for tailored computational strategies to enable continuous monitoring and predictive care planning. Traditional time series methods-including statistical autoregressive models and recurrent neural networks-are constrained by opaque decision processes, limited personalization, and insufficient handling of multimodal data, restricting their utility where transparency and individualized modeling are critical.
We introduce a structurally-aware, semantically-grounded framework for time series prediction tailored to cardiovascular trajectories in autistic patients. Our approach departs from black-box modeling by integrating symbolic clinical abstractions, causal event dynamics, and intervention-response coupling within a graph-based paradigm. Central to our method is the CardioGraph Synaptic Encoder (CGSE), a generative model that fuses multimodal data-such as ECG waveforms, blood pressure signals, and structured clinical annotations-into a unified latent space. The CGSE employs dual-level temporal attention to capture patient-specific micro-patterns and population-level structures. To improve generalization and robustness, we propose the Dynamic Cardiovascular Trajectory Alignment (DCTA), which combines task-adaptive curriculum learning with multi-resolution consistency loss.
Our approach effectively addresses challenges such as scarcity of labeled data and clinical heterogeneity common in autistic populations. Experimental results demonstrate that our system significantly outperforms baselines in predictive accuracy, temporal coherence, and interpretability.
This work offers a novel, clinically-aligned pipeline for real-time cardiovascular risk monitoring in autistic individuals. By advancing personalized and interpretable healthcare analytics, our method has the potential to support more accurate and transparent decision-making in cardiovascular care pathways for this vulnerable population.
由于自闭症患者具有非典型的感官特征、自主调节改变和沟通困难,监测他们的心血管健康面临着独特的挑战。随着该人群中心血管合并症的增加,迫切需要量身定制的计算策略,以实现持续监测和预测性护理规划。传统的时间序列方法,包括统计自回归模型和递归神经网络,受到决策过程不透明、个性化有限以及对多模态数据处理不足的限制,在透明度和个性化建模至关重要的情况下,限制了它们的效用。
我们引入了一个针对自闭症患者心血管轨迹量身定制的、具有结构感知和语义基础的时间序列预测框架。我们的方法与黑箱建模不同,它通过在基于图的范式中整合符号化临床抽象、因果事件动态和干预-反应耦合。我们方法的核心是心脏图突触编码器(CGSE),这是一种生成模型,它将多模态数据,如心电图波形、血压信号和结构化临床注释,融合到一个统一的潜在空间中。CGSE采用双级时间注意力来捕捉患者特定的微观模式和人群水平的结构。为了提高泛化能力和鲁棒性,我们提出了动态心血管轨迹对齐(DCTA),它将任务自适应课程学习与多分辨率一致性损失相结合。
我们的方法有效地应对了自闭症人群中常见的标记数据稀缺和临床异质性等挑战。实验结果表明,我们的系统在预测准确性、时间连贯性和可解释性方面显著优于基线。
这项工作为自闭症个体的实时心血管风险监测提供了一种新颖的、与临床对齐的管道。通过推进个性化和可解释的医疗分析,我们的方法有可能在这一弱势群体的心血管护理路径中支持更准确和透明的决策。