Cao Yuanye, Shan Xiangyu, Ma Huailing, Liu Xu, Zhu Junwu, Gao Yuanyuan
Medical College, Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.
School of Information Engineering, Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.
R Soc Open Sci. 2025 Jul 9;12(7):241859. doi: 10.1098/rsos.241859. eCollection 2025 Jul.
Given the inherent limitations of traditional psychological testing scales in terms of breadth and specificity, both comprehensive and individual assessment scales offer distinct advantages. However, challenges persist because of their complementary deficiencies in practical applications. This article argues that intricate content optimization of scales is not necessary; instead, it conceptualizes comprehensive scales and individual assessment items as a multi-label classification problem. By employing a hierarchical framework, it becomes possible to achieve overall optimization of psychological testing scales. To this end, the paper introduces an algorithm designed to generate combinations of psychological scales, optimizing both comprehensive and individual assessments. This optimization is realized through a series of methodological steps, including the analysis of historical positive diagnosis data, the calculation of item probability indices, the dynamic adaptation of test content, the sequencing of items and the construction of a hierarchical scale system. Simulation experiments demonstrate that this approach enhances the efficiency and accuracy of psychological testing, particularly in diagnosing moderate to severe symptoms. However, the algorithm exhibits relatively lower accuracy for mild symptoms owing to their lower positive rate. The proposed algorithm significantly improves the optimization of psychological testing scales, particularly excelling in the assessment of moderate symptoms.
鉴于传统心理测试量表在广度和特异性方面存在固有限制,综合评估量表和个体评估量表都具有独特优势。然而,由于它们在实际应用中存在互补性缺陷,挑战依然存在。本文认为,量表的复杂内容优化并非必要;相反,它将综合量表和个体评估项目概念化为一个多标签分类问题。通过采用分层框架,可以实现心理测试量表的整体优化。为此,本文介绍了一种旨在生成心理量表组合的算法,对综合评估和个体评估进行优化。这种优化通过一系列方法步骤实现,包括分析历史阳性诊断数据、计算项目概率指数、动态调整测试内容、项目排序以及构建分层量表系统。模拟实验表明,这种方法提高了心理测试的效率和准确性,尤其是在诊断中度至重度症状方面。然而,由于轻度症状的阳性率较低,该算法对轻度症状的准确性相对较低。所提出的算法显著改进了心理测试量表的优化,尤其在中度症状评估方面表现出色。