An overview of diagnostics and therapeutics using large language models

IF 2.4 3区 医学 Q2 PSYCHIATRY Journal of traumatic stress Pub Date : 2024-07-18 DOI:10.1002/jts.23082
Matteo Malgaroli, Daniel McDuff
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Abstract

There is an acute need for solutions to treat stress and trauma–related sequelae, and there are well-documented shortages of qualified human professionals. Artificial intelligence (AI) presents an opportunity to create advanced screening, diagnosis, and treatment solutions that relieve the burden on people and can provide just-in-time interventions. Large language models (LLMs), in particular, are promising given the role language plays in understanding and treating traumatic stress and other mental health conditions. In this article, we provide an overview of the state-of-the-art LLMs applications in diagnostic assessments, clinical note generation, and therapeutic support. We discuss the open research direction and challenges that need to be overcome to realize the full potential of deploying language models for use in clinical contexts. We highlight the need for increased representation in AI systems to ensure there are no disparities in access. Public datasets and models will help lead progress toward better models; however, privacy-preserving model training will be necessary for protecting patient data.

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利用大型语言模型进行诊断和治疗的概述。
目前急需治疗压力和创伤相关后遗症的解决方案,而有充分证据表明,合格的人类专业人员十分短缺。人工智能(AI)为创造先进的筛查、诊断和治疗解决方案提供了机会,这些解决方案可以减轻人们的负担,并提供及时干预。鉴于语言在理解和治疗创伤压力和其他心理健康问题方面所起的作用,大型语言模型(LLMs)尤其大有可为。在本文中,我们将概述最先进的 LLMs 在诊断评估、临床笔记生成和治疗支持方面的应用。我们讨论了开放式研究方向和需要克服的挑战,以充分发挥语言模型在临床应用中的潜力。我们强调有必要增加人工智能系统中的代表性,以确保在使用方面没有差异。公共数据集和模型将有助于在建立更好的模型方面取得进展;然而,保护隐私的模型训练对于保护患者数据是必要的。
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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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