A Social Media Study on the Effects of Psychiatric Medication Use

Koustuv Saha, Benjamin Sugar, J. Torous, B. Abrahao, Emre Kıcıman, M. Choudhury
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引用次数: 70

Abstract

Understanding the effects of psychiatric medications during mental health treatment constitutes an active area of inquiry. While clinical trials help evaluate the effects of these medications, many trials suffer from a lack of generalizability to broader populations. We leverage social media data to examine psychopathological effects subject to self-reported usage of psychiatric medication. Using a list of common approved and regulated psychiatric drugs and a Twitter dataset of 300M posts from 30K individuals, we develop machine learning models to first assess effects relating to mood, cognition, depression, anxiety, psychosis, and suicidal ideation. Then, based on a stratified propensity score based causal analysis, we observe that use of specific drugs are associated with characteristic changes in an individual's psychopathology. We situate these observations in the psychiatry literature, with a deeper analysis of pre-treatment cues that predict treatment outcomes. Our work bears potential to inspire novel clinical investigations and to build tools for digital therapeutics.
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社交媒体对精神科药物使用影响的研究
了解精神科药物在心理健康治疗中的作用是一个活跃的研究领域。虽然临床试验有助于评估这些药物的效果,但许多试验缺乏推广到更广泛人群的普遍性。我们利用社交媒体数据来检查自我报告使用精神药物对精神病理的影响。利用一份常见的批准和监管的精神科药物清单,以及来自3万个人的3亿篇帖子的Twitter数据集,我们开发了机器学习模型,首先评估与情绪、认知、抑郁、焦虑、精神病和自杀念头有关的影响。然后,基于分层倾向评分的因果分析,我们观察到特定药物的使用与个体精神病理的特征性变化有关。我们将这些观察结果放在精神病学文献中,并对预测治疗结果的治疗前线索进行了更深入的分析。我们的工作有可能激发新的临床研究,并为数字治疗建立工具。
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