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Enhancing the Psychometric Properties of the Iowa Gambling Task Using Full Generative Modeling. 利用全生成模型增强爱荷华赌博任务的心理测量特性。
Pub Date : 2021-10-11 DOI: 10.31234/osf.io/yxbjz
Holly Sullivan-Toole, Nathaniel Haines, K. Dale, T. Olino
Poor psychometrics, particularly low test-retest reliability, pose a major challenge for using behavioral tasks in individual differences research. Here, we demonstrate that full generative modeling of the Iowa Gambling Task (IGT) substantially improves test-retest reliability and may also enhance the IGT's validity for use in characterizing internalizing pathology, compared to the traditional analytic approach. IGT data (n=50) was collected across two sessions, one month apart. Our full generative model incorporated (1) the Outcome Representation Learning (ORL) computational model at the person-level and (2) a group-level model that explicitly modeled test-retest reliability, along with other group-level effects. Compared to the traditional 'summary score' (proportion good decks selected), the ORL model provides a theoretically rich set of performance metrics (Reward Learning Rate (A+), Punishment Learning Rate (A-), Win Frequency Sensitivity (βf), Perseveration Tendency (βp), Memory Decay (K)), capturing distinct psychological processes. While test-retest reliability for the traditional summary score was only moderate (r=.37, BCa 95% CI [.04, .63]), test-retest reliabilities for ORL performance metrics produced by the full generative model were substantially improved, with test-retest correlations ranging between r=.64-.82 for the five ORL parameters. Further, while summary scores showed no substantial associations with internalizing symptoms, ORL parameters were significantly associated with internalizing symptoms. Specifically, Punishment Learning Rate was associated with higher self-reported depression and Perseveration Tendency was associated with lower self-reported anhedonia. Generative modeling offers promise for advancing individual differences research using the IGT, and behavioral tasks more generally, through enhancing task psychometrics.
较差的心理测量学,特别是重测可靠性低,对在个体差异研究中使用行为任务构成了重大挑战。在这里,我们证明,与传统的分析方法相比,爱荷华州赌博任务(IGT)的完全生成建模大大提高了重测的可靠性,也可能提高IGT在表征内化病理学方面的有效性。IGT数据(n=50)是在间隔一个月的两个疗程中收集的。我们的完整生成模型包括(1)个人层面的结果表示学习(ORL)计算模型和(2)明确建模重测可靠性的小组层面模型,以及其他小组层面的影响。与传统的“总结得分”(选择好牌的比例)相比,ORL模型提供了一组理论上丰富的绩效指标(奖励学习率(a+)、惩罚学习率(a-)、胜频敏感性(βf)、毅力倾向(βp)、记忆力衰退(K)),捕捉了不同的心理过程。虽然传统汇总得分的重测可靠性仅为中等(r=.37,BCa 95%CI[.04,.63]),但全生成模型产生的ORL性能指标的重测可信度显著提高,五个ORL参数的重测相关性在r=.64-.82之间。此外,虽然总分与内化症状没有显著关联,但ORL参数与内化症状显著相关。具体而言,惩罚学习率与较高的自我报告抑郁相关,而毅力倾向与较低的自我报告快感缺乏相关。生成建模有望通过增强任务心理测量学,推动使用IGT和更广泛的行为任务的个体差异研究。
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引用次数: 4
A Competition of Critics in Human Decision-Making. 人类决策中的批评家之争。
Pub Date : 2021-08-12 eCollection Date: 2021-01-01 DOI: 10.5334/cpsy.64
Enkhzaya Enkhtaivan, Joel Nishimura, Cheng Ly, Amy L Cochran

Recent experiments and theories of human decision-making suggest positive and negative errors are processed and encoded differently by serotonin and dopamine, with serotonin possibly serving to oppose dopamine and protect against risky decisions. We introduce a temporal difference (TD) model of human decision-making to account for these features. Our model involves two critics, an optimistic learning system and a pessimistic learning system, whose predictions are integrated in time to control how potential decisions compete to be selected. Our model predicts that human decision-making can be decomposed along two dimensions: the degree to which the individual is sensitive to (1) risk and (2) uncertainty. In addition, we demonstrate that the model can learn about the mean and standard deviation of rewards, and provide information about reaction time despite not modeling these variables directly. Lastly, we simulate a recent experiment to show how updates of the two learning systems could relate to dopamine and serotonin transients, thereby providing a mathematical formalism to serotonin's hypothesized role as an opponent to dopamine. This new model should be useful for future experiments on human decision-making.

最近的实验和人类决策理论表明,血清素和多巴胺对积极和消极错误的处理和编码方式是不同的,血清素可能起到对抗多巴胺和防止风险决策的作用。我们引入了人类决策的时间差(TD)模型来解释这些特征。我们的模型涉及两个批评者,一个乐观的学习系统和一个悲观的学习系统,它们的预测在时间上进行整合,以控制潜在决策的竞争选择方式。我们的模型预测,人类决策可以从两个维度进行分解:个人对(1)风险和(2)不确定性的敏感程度。此外,我们还证明了该模型可以了解奖励的平均值和标准偏差,并提供有关反应时间的信息,尽管这些变量并不是直接建模的。最后,我们模拟了最近的一项实验,展示了两个学习系统的更新如何与多巴胺和血清素瞬态相关联,从而为血清素作为多巴胺对手的假设角色提供了一个数学形式主义。这一新模型将有助于未来的人类决策实验。
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引用次数: 0
A Computational Model of Non-optimal Suspiciousness in the Minnesota Trust Game 明尼苏达信任博弈中非最优可疑性的计算模型
Pub Date : 2021-06-30 DOI: 10.31234/osf.io/kwe8p
R. Kazinka, I. Vilares, A. MacDonald
This study modeled spite sensitivity (the worry that others are willing to incur a loss to hurt you), which is thought to undergird suspiciousness and persecutory ideation. Two samples performed a parametric, non-iterative trust game known as the Minnesota Trust Game (MTG). The MTG is designed to distinguish suspicious decision-making from otherwise rational mistrust by incentivizing the player to trust in certain situations. Individuals who do not trust even under these circumstances are particularly suspicious of their potential partner’s intentions. In Sample 1, 243 undergraduates who completed the MTG showed less trust as the amount of money they could lose increased. However, for choices where partners had a financial disincentive to betray the player, variation in the willingness to trust the partner was associated with suspicious beliefs. To further examine spite sensitivity, we modified the Fehr-Schmidt (1999) inequity aversion model, which compares unequal outcomes in social decision-making tasks, to include the possibility for spite sensitivity. In this case, an anticipated partner’s dislike of advantageous inequity (i.e., guilt) parameter could take on negative values, with negative guilt indicating spite. We hypothesized that the anticipated guilt parameter would be strongly related to suspicious beliefs. Our modification of the Fehr-Schmidt model improved estimation of MTG behavior. We isolated the estimation of partner’s spite-guilt, which was highly correlated with choices most associated with persecutory ideation. We replicated our findings in a second sample, where the estimated spite-guilt parameter correlated with self-reported suspiciousness. The “Suspiciousness” condition, unique to the MTG, can be modeled to isolate spite sensitivity, suggesting that spite sensitivity is separate from inequity aversion or risk aversion, and may provide a means to quantify persecution. The MTG offers promise for future studies to quantify persecutory beliefs in clinical populations.
这项研究模拟了怨恨敏感性(担心他人愿意承担损失来伤害你),这被认为是怀疑和迫害思维的基础。两个样本执行了一个称为明尼苏达信任博弈(MTG)的参数非迭代信任博弈。MTG旨在通过激励玩家在某些情况下信任来区分可疑决策和理性不信任。即使在这种情况下也不信任的人对潜在伴侣的意图尤其怀疑。在样本1中,243名完成MTG的本科生表现出的信任度随着他们可能损失的金额的增加而降低。然而,对于伴侣在经济上不愿意背叛玩家的选择,信任伴侣的意愿的变化与可疑的信念有关。为了进一步检验怨恨敏感性,我们修改了Fehr-Smitt(1999)的不公平厌恶模型,该模型比较了社会决策任务中的不平等结果,以包括怨恨敏感性的可能性。在这种情况下,预期伴侣对有利的不公平(即内疚)参数的厌恶可能会产生负值,负内疚表示怨恨。我们假设预期的内疚参数与可疑的信念密切相关。我们对Fehr-Schmidt模型的修改改进了MTG行为的估计。我们分离了对伴侣怨恨内疚的估计,这与最与迫害意念相关的选择高度相关。我们在第二个样本中复制了我们的发现,其中估计的怨恨-内疚参数与自我报告的怀疑相关。MTG特有的“可疑”条件可以建模来隔离怨恨敏感性,这表明怨恨敏感性与不公平厌恶或风险厌恶是分开的,并可能提供一种量化迫害的方法。MTG为未来量化临床人群中迫害信仰的研究提供了希望。
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引用次数: 2
Antisocial Learning: Using Learning Window Width to Model Callous-Unemotional Traits? 反社会学习:用学习窗口宽度来模拟冷酷无情的性格特征?
Pub Date : 2021-05-31 eCollection Date: 2021-01-01 DOI: 10.5334/cpsy.68
Caroline Moul, Oliver J Robinson, Evan J Livesey

Psychopathic traits and the childhood analogue, callous-unemotional traits, have been severely neglected by the research field in terms of mechanistic, falsifiable accounts. This is surprising given that some of the core symptoms of the disorder point towards problems with basic components of associative learning. In this manuscript we describe a new mechanistic account that is concordant with current cognitive theories of psychopathic traits and is also able to replicate previous empirical data. The mechanism we describe is one of individual differences in an index we have called, "learning window width". Here we show how variation in this index would result in different outcome expectations which, in turn, would lead to differences in behaviour. The proposed mechanism is intuitive and simple with easily calculated behavioural implications. Our hope is that this model will stimulate discussion and the use of mechanistic and computational accounts to improve our understanding in this area of research.

在机械的、可证伪的描述中,研究领域严重忽视了精神病态特征和童年的类似物——冷酷无情的特征。这是令人惊讶的,因为这种障碍的一些核心症状指向了联想学习的基本组成部分的问题。在这份手稿中,我们描述了一个新的机制帐户,这是与当前的心理变态特征的认知理论一致,也能够复制以前的经验数据。我们描述的机制是我们称之为“学习窗口宽度”的指标中的个体差异之一。在这里,我们展示了该指数的变化如何导致不同的结果预期,进而导致行为的差异。所提出的机制直观、简单,具有易于计算的行为含义。我们的希望是,这个模型将激发讨论和使用机械和计算帐户,以提高我们对这一研究领域的理解。
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引用次数: 0
The Reward-Complexity Trade-off in Schizophrenia. 精神分裂症的奖赏-复杂性权衡。
Pub Date : 2021-05-25 eCollection Date: 2021-01-01 DOI: 10.5334/cpsy.71
Samuel J Gershman, Lucy Lai

Action selection requires a policy that maps states of the world to a distribution over actions. The amount of memory needed to specify the policy (the policy complexity) increases with the state-dependence of the policy. If there is a capacity limit for policy complexity, then there will also be a trade-off between reward and complexity, since some reward will need to be sacrificed in order to satisfy the capacity constraint. This paper empirically characterizes the trade-off between reward and complexity for both schizophrenia patients and healthy controls. Schizophrenia patients adopt lower complexity policies on average, and these policies are more strongly biased away from the optimal reward-complexity trade-off curve compared to healthy controls. However, healthy controls are also biased away from the optimal trade-off curve, and both groups appear to lie on the same empirical trade-off curve. We explain these findings using a cost-sensitive actor-critic model. Our empirical and theoretical results shed new light on cognitive effort abnormalities in schizophrenia.

行动选择需要一个将世界状态映射到行动分布的策略。指定策略所需的内存量(策略复杂度)会随着策略的状态依赖性而增加。如果策略复杂度存在容量限制,那么奖励和复杂度之间也会存在权衡,因为为了满足容量限制,需要牺牲一些奖励。本文从经验角度描述了精神分裂症患者和健康对照组在奖励和复杂性之间的权衡。与健康对照组相比,精神分裂症患者平均采用复杂度较低的策略,而且这些策略偏离最佳奖励-复杂度权衡曲线的程度更严重。然而,健康对照组也偏离了最优权衡曲线,两组患者似乎都位于同一条经验权衡曲线上。我们使用成本敏感的行为批评者模型来解释这些发现。我们的经验和理论结果为精神分裂症患者的认知努力异常提供了新的线索。
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引用次数: 0
A Reduced Self-Positive Belief Underpins Greater Sensitivity to Negative Evaluation in Socially Anxious Individuals. 社交焦虑者对负面评价更敏感的基础是自我积极信念的降低。
Pub Date : 2021-04-28 DOI: 10.5334/cpsy.57
Alexandra K Hopkins, Ray Dolan, Katherine S Button, Michael Moutoussis

Positive self-beliefs are important for well-being, and are influenced by how others evaluate us during social interactions. Mechanistic accounts of self-beliefs have mostly relied on associative learning models. These account for choice behaviour but not for the explicit beliefs that trouble socially anxious patients. Neither do they speak to self-schemas, which underpin vulnerability according to psychological research. Here, we compared belief-based and associative computational models of social-evaluation, in individuals that varied in fear of negative evaluation (FNE), a core symptom of social anxiety. We used a novel analytic approach, 'clinically informed model-fitting', to determine the influence of FNE symptom scores on model parameters. We found that high-FNE participants learn more easily from negative feedback about themselves, manifesting in greater self-negative learning rates. Crucially, we provide evidence that this bias is underpinned by an overall reduced belief about self-positive attributes. The study population could be characterized equally well by belief-based or associative models, however large individual differences in model likelihood indicated that some individuals relied more on an associative (model-free), while others more on a belief-guided strategy. Our findings have therapeutic importance, as positive belief activation may be used to specifically modulate learning.

Author summary: Understanding how we form and maintain positive self-beliefs is crucial to understanding how things go awry in disorders such as social anxiety. The loss of positive self-belief in social anxiety, especially in inter-personal contexts, is thought to be related to how we integrate evaluative information that we receive from others. We frame this social information integration as a learning problem and ask how people learn whether someone approves of them or not. We thus elucidate why the decrease in positive evaluations manifests only for the self, but not for an unknown other, given the same information. We investigated the mechanics of this learning using a novel computational modelling approach, comparing models that treat the learning process as series of stimulusresponse associations with models that treat learning as updating of beliefs about the self (or another). We show that both models characterise the process well and that individuals higher in symptoms of social anxiety learn more from negative information specifically about the self. Crucially, we provide evidence that this originates from a reduction in the amount of positive attributes that are activated when the individual is placed in a social evaluative context.

积极的自我信念对幸福感非常重要,它受到社会交往中他人对我们评价的影响。对自我信念的机制解释大多依赖于联想学习模型。这些模型能解释选择行为,但不能解释困扰社交焦虑症患者的明确信念。它们也不能解释自我模式,而根据心理学研究,自我模式是脆弱性的基础。在这里,我们对社交焦虑的核心症状--害怕负面评价(FNE)--的不同个体,比较了基于信念的社交评价计算模型和联想计算模型。我们采用了一种新颖的分析方法--"临床信息模型拟合",以确定 FNE 症状得分对模型参数的影响。我们发现,高 FNE 参与者更容易从有关自己的负面反馈中学习,表现为更高的自我否定学习率。最重要的是,我们提供的证据表明,这种偏差是由于对自我积极属性的总体信念降低所造成的。研究对象同样可以用基于信念的模型或联想模型来描述,但模型可能性的巨大个体差异表明,有些人更依赖于联想(无模型),而另一些人则更依赖于信念引导的策略。我们的研究结果具有重要的治疗意义,因为积极的信念激活可能会被用来专门调节学习。作者总结:了解我们如何形成并保持积极的自我信念,对于理解社交焦虑等疾病是如何出错的至关重要。社交焦虑症患者丧失积极的自我信念,尤其是在人际交往中,被认为与我们如何整合从他人那里获得的评价信息有关。我们将这种社交信息整合归结为一个学习问题,并询问人们如何了解别人是否认可自己。因此,我们要阐明为什么在相同的信息下,积极评价的减少只表现在自己身上,而不表现在未知的他人身上。我们使用一种新颖的计算建模方法研究了这种学习的机制,比较了将学习过程视为一系列刺激反应关联的模型和将学习视为更新对自我(或他人)的信念的模型。我们的研究表明,这两种模型都很好地描述了这一过程,而且社交焦虑症状较重的人从有关自我的负面信息中学到的东西更多。最重要的是,我们提供的证据表明,当个体被置于社会评价情境中时,被激活的积极属性数量会减少。
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引用次数: 0
Economic decisions with ambiguous outcome magnitudes vary with low and high stakes but not trait anxiety or depression 结果模糊的经济决策因风险高低而不同,但特质焦虑或抑郁则不一样
Pub Date : 2021-04-02 DOI: 10.31219/osf.io/5q4g7
T. Zbozinek, C. Charpentier, Song Qi, D. Mobbs
Most of life’s decisions involve risk and uncertainty regarding whether reward or loss will follow. Decision makers often face uncertainty not only about the likelihood of outcomes (what are the chances that I will get a raise if I ask my supervisor? What are the chances that my supervisor will be upset with me for asking?) but also the magnitude of outcomes (if I do get a raise, how large will it be? If my supervisor gets upset, how bad will the consequences be for me?). Only a few studies have investigated economic decision making with ambiguous likelihoods, and even fewer have investigated ambiguous outcome magnitudes. In the present report, we investigated the effects of ambiguous outcome magnitude, risk, and gains/losses in an economic decision-making task with low stakes (Study 1; $3.60-$5.70; N = 367) and high stakes (Study 2; $6-$48; N = 210) using a within-subjects design. We conducted computational modeling to determine individuals’ preferences/aversions for ambiguous outcome magnitudes, risk, and gains/losses. We additionally investigated the association between trait anxiety and trait depression and decision-making parameters. Our results show that increasing stakes increased ambiguous gain aversion and unambiguous risk aversion but increased ambiguous sure loss preference; participants also became more averse to ambiguous sure gains relative to unambiguous risky gains. There were no significant effects of trait anxiety or trait depression on economic decision making. Our results suggest that as stakes increase, people tend to avoid uncertainty in the gain domain (especially ambiguous gains) but prefer ambiguous vs unambiguous sure losses.
人生的大多数决定都涉及风险和不确定性,即是否会有回报或损失。决策者经常面临的不确定性不仅是结果的可能性(如果我问我的主管,我得到加薪的可能性有多大?我的主管因为我的要求而对我感到不满的可能性有多少。只有少数研究调查了具有模糊可能性的经济决策,更少的研究调查了模糊的结果幅度。在本报告中,我们使用受试者内部设计调查了低风险(研究1;$3.60-$5.70;N=367)和高风险(研究2;$6-$48;N=210)经济决策任务中模糊结果幅度、风险和收益/损失的影响。我们进行了计算建模,以确定个体对模糊结果幅度、风险和收益/损失的偏好/厌恶。我们还调查了特质焦虑和特质抑郁与决策参数之间的关系。我们的结果表明,增加赌注增加了模糊收益厌恶和模糊风险厌恶,但增加了模糊肯定损失偏好;相对于明确的风险收益,参与者也变得更加厌恶模糊的肯定收益。特质焦虑或特质抑郁对经济决策没有显著影响。我们的研究结果表明,随着赌注的增加,人们倾向于避免收益领域的不确定性(尤其是模糊收益),但更喜欢模糊的肯定损失。
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引用次数: 2
Why Depressed Mood is Adaptive: A Numerical Proof of Principle for an Evolutionary Systems Theory of Depression. 为什么抑郁情绪具有适应性?抑郁进化系统理论的数字原理证明》。
Pub Date : 2021-01-01 Epub Date: 2021-06-02 DOI: 10.5334/cpsy.70
Axel Constant, Casper Hesp, Christopher G Davey, Karl J Friston, Paul B Badcock

We provide a proof of principle for an evolutionary systems theory (EST) of depression. This theory suggests that normative depressive symptoms counter socioenvironmental volatility by increasing interpersonal support via social signalling and that this response depends upon the encoding of uncertainty about social contingencies, which can be targeted by neuromodulatory antidepressants. We simulated agents that committed to a series of decisions in a social two-arm bandit task before and after social adversity, which precipitated depressive symptoms. Responses to social adversity were modelled under various combinations of social support and pharmacotherapy. The normative depressive phenotype responded positively to social support and simulated treatments with antidepressants. Attracting social support and administering antidepressants also alleviated anhedonia and social withdrawal, speaking to improvements in interpersonal relationships. These results support the EST of depression by demonstrating that following adversity, normative depressed mood preserved social inclusion with appropriate interpersonal support or pharmacotherapy.

我们提供了抑郁症进化系统理论(EST)的原理证明。该理论认为,正常抑郁症状会通过社会信号增加人际支持来对抗社会环境的不稳定性,而这种反应取决于对社会突发事件不确定性的编码,神经调节性抗抑郁药可以针对这种不确定性进行治疗。我们模拟了在社会逆境引发抑郁症状之前和之后,在社会双臂强盗任务中做出一系列决策的代理人。在社会支持和药物治疗的不同组合下,模拟了对社会逆境的反应。正常抑郁表型对社会支持和抗抑郁药物的模拟治疗反应积极。吸引社会支持和服用抗抑郁药物还能缓解失乐症和社交退缩,从而改善人际关系。这些结果表明,在逆境中,正常的抑郁情绪可以通过适当的人际支持或药物治疗保持社会包容,从而支持抑郁症的无害环境疗法。
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引用次数: 0
Affective Bias Through the Lens of Signal Detection Theory. 从信号检测理论的角度看情感偏差。
Pub Date : 2021-01-01 Epub Date: 2021-04-26 DOI: 10.5334/cpsy.58
Shannon M Locke, Oliver J Robinson

Affective bias - a propensity to focus on negative information at the expense of positive information - is a core feature of many mental health problems. However, it can be caused by wide range of possible underlying cognitive mechanisms. Here we illustrate this by focusing on one particular behavioural signature of affective bias - increased tendency of anxious/depressed individuals to predict lower rewards - in the context of the Signal Detection Theory (SDT) modelling framework. Specifically, we show how to apply this framework to measure affective bias and compare it to the behaviour of an optimal observer. We also show how to extend the framework to make predictions about bias when the individual holds incorrect assumptions about the decision context. Building on this theoretical foundation, we propose five experiments to test five hypothetical sources of this affective bias: beliefs about prior probabilities, beliefs about performance, subjective value of reward, learning differences, and need for accuracy differences. We argue that greater precision about the mechanisms driving affective bias may eventually enable us to better understand the mechanisms underlying mood and anxiety disorders.

情感偏见——倾向于关注负面信息而忽略积极信息——是许多心理健康问题的核心特征。然而,它可以由广泛的潜在认知机制引起。在信号检测理论(SDT)建模框架的背景下,我们通过关注情感偏见的一个特定行为特征来说明这一点——焦虑/抑郁个体预测较低奖励的趋势增加。具体来说,我们展示了如何应用这个框架来测量情感偏差,并将其与最佳观察者的行为进行比较。我们还展示了如何扩展框架,以便在个人对决策环境持有错误假设时对偏见做出预测。在此理论基础上,我们提出了五个实验来测试这种情感偏见的五个假设来源:关于先验概率的信念、关于表现的信念、奖励的主观价值、学习差异和准确性需求差异。我们认为,更精确地了解驱动情感偏见的机制可能最终使我们能够更好地理解情绪和焦虑障碍的潜在机制。
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引用次数: 6
Natural Language Processing-Based Quantification of the Mental State of Psychiatric Patients 基于自然语言处理的精神病人精神状态量化研究
Pub Date : 2020-12-31 DOI: 10.1162/cpsy_a_00030
S. Mukherjee, Jiawei Yu, Yida Won, Mary J. McClay, Lu Wang, A. J. Rush, J. Sarkar
Psychiatric practice routinely uses semistructured and/or unstructured free text to record the behavior and mental state of patients. Many of these data are unstructured, lack standardization, and are difficult to use for analysis. Thus, it is difficult to quantitatively analyze a patient’s illness trajectory over time and his or her responsiveness to treatment, and it is also difficult to compare different patients quantitatively. In this article, experts in the field of psychiatry, along with machine learning models, have collaboratively transformed patient data available in status assessments generated by physicians into binary vector representations. Data from patients with mental health disorders collected within a real-world clinical setting from one of the largest behavioral electronic health record (EHR) systems in the United States have been used for generating these representations. The binary vector representation of these health records is shown to be useful in various clinical tasks, such as disease phenotyping, characterizing the suicidality of patients, and inferring diagnoses. To summarize, this approach can transform semistructured free-text summaries of patients’ status assessments into a structured, quantifiable format, which enriches the data that reside within EHR systems. This allows for effective intra- and interpatient quantifications and comparisons, which are much needed in the field of mental health. With the aid of these binary representations, patients’ mental states can be systematically tracked over time, as can their responses to medications at the individual and population levels.
精神病学实践通常使用半结构化和/或非结构化的自由文本来记录患者的行为和精神状态。其中许多数据是非结构化的,缺乏标准化,难以用于分析。因此,很难定量分析患者的疾病轨迹及其对治疗的反应性,也很难定量比较不同的患者。在本文中,精神病学领域的专家与机器学习模型合作,将医生生成的状态评估中可用的患者数据转换为二进制向量表示。从美国最大的行为电子健康记录(EHR)系统中收集的现实世界临床环境中精神健康障碍患者的数据被用于生成这些表征。这些健康记录的二进制载体表示在各种临床任务中都很有用,例如疾病表型,表征患者的自杀倾向以及推断诊断。总之,这种方法可以将患者状态评估的半结构化的自由文本摘要转换为结构化的、可量化的格式,从而丰富了电子病历系统中的数据。这允许有效的内部和患者之间的量化和比较,这是在精神卫生领域非常需要的。借助这些二元表征,可以系统地跟踪患者的精神状态,以及他们在个人和群体层面上对药物的反应。
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引用次数: 8
期刊
Computational psychiatry (Cambridge, Mass.)
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