Computational psychiatry (Cambridge, Mass.)最新文献

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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。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2021-10-11 DOI: 10.31234/osf.io/yxbjz
Holly Sullivan-Toole, Nathaniel Haines, K. Dale, T. Olino
{"title":"Enhancing the Psychometric Properties of the Iowa Gambling Task Using Full Generative Modeling.","authors":"Holly Sullivan-Toole, Nathaniel Haines, K. Dale, T. Olino","doi":"10.31234/osf.io/yxbjz","DOIUrl":"https://doi.org/10.31234/osf.io/yxbjz","url":null,"abstract":"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.","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"6 1 1","pages":"189-212"},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46251145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
A Competition of Critics in Human Decision-Making. 人类决策中的批评家之争。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2021-08-12 eCollection Date: 2021-01-01 DOI: 10.5334/cpsy.64
Enkhzaya Enkhtaivan, Joel Nishimura, Cheng Ly, Amy L Cochran
{"title":"A Competition of Critics in Human Decision-Making.","authors":"Enkhzaya Enkhtaivan, Joel Nishimura, Cheng Ly, Amy L Cochran","doi":"10.5334/cpsy.64","DOIUrl":"10.5334/cpsy.64","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"5 1","pages":"81-101"},"PeriodicalIF":0.0,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
Computational psychiatry (Cambridge, Mass.) Pub Date : 2021-06-30 DOI: 10.31234/osf.io/kwe8p
R. Kazinka, I. Vilares, A. MacDonald
{"title":"A Computational Model of Non-optimal Suspiciousness in the Minnesota Trust Game","authors":"R. Kazinka, I. Vilares, A. MacDonald","doi":"10.31234/osf.io/kwe8p","DOIUrl":"https://doi.org/10.31234/osf.io/kwe8p","url":null,"abstract":"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.","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48724317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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?
Computational psychiatry (Cambridge, Mass.) Pub Date : 2021-05-31 eCollection Date: 2021-01-01 DOI: 10.5334/cpsy.68
Caroline Moul, Oliver J Robinson, Evan J Livesey
{"title":"Antisocial Learning: Using Learning Window Width to Model Callous-Unemotional Traits?","authors":"Caroline Moul, Oliver J Robinson, Evan J Livesey","doi":"10.5334/cpsy.68","DOIUrl":"10.5334/cpsy.68","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":" ","pages":"54-59"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47867087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2021-05-25 eCollection Date: 2021-01-01 DOI: 10.5334/cpsy.71
Samuel J Gershman, Lucy Lai
{"title":"The Reward-Complexity Trade-off in Schizophrenia.","authors":"Samuel J Gershman, Lucy Lai","doi":"10.5334/cpsy.71","DOIUrl":"10.5334/cpsy.71","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"5 1","pages":"38-53"},"PeriodicalIF":0.0,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2021-04-28 DOI: 10.5334/cpsy.57
Alexandra K Hopkins, Ray Dolan, Katherine S Button, Michael Moutoussis
{"title":"A Reduced Self-Positive Belief Underpins Greater Sensitivity to Negative Evaluation in Socially Anxious Individuals.","authors":"Alexandra K Hopkins, Ray Dolan, Katherine S Button, Michael Moutoussis","doi":"10.5334/cpsy.57","DOIUrl":"10.5334/cpsy.57","url":null,"abstract":"<p><p>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.</p><p><strong>Author summary: </strong>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.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"5 1","pages":"21-37"},"PeriodicalIF":0.0,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7611100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39142871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
Computational psychiatry (Cambridge, Mass.) Pub Date : 2021-04-02 DOI: 10.31219/osf.io/5q4g7
T. Zbozinek, C. Charpentier, Song Qi, D. Mobbs
{"title":"Economic decisions with ambiguous outcome magnitudes vary with low and high stakes but not trait anxiety or depression","authors":"T. Zbozinek, C. Charpentier, Song Qi, D. Mobbs","doi":"10.31219/osf.io/5q4g7","DOIUrl":"https://doi.org/10.31219/osf.io/5q4g7","url":null,"abstract":"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.","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43231435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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》。
Computational psychiatry (Cambridge, Mass.) 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
{"title":"Why Depressed Mood is Adaptive: A Numerical Proof of Principle for an Evolutionary Systems Theory of Depression.","authors":"Axel Constant, Casper Hesp, Christopher G Davey, Karl J Friston, Paul B Badcock","doi":"10.5334/cpsy.70","DOIUrl":"10.5334/cpsy.70","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"5 1","pages":"60-80"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7610949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39083773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
Computational psychiatry (Cambridge, Mass.) Pub Date : 2021-01-01 Epub Date: 2021-04-26 DOI: 10.5334/cpsy.58
Shannon M Locke, Oliver J Robinson
{"title":"Affective Bias Through the Lens of Signal Detection Theory.","authors":"Shannon M Locke, Oliver J Robinson","doi":"10.5334/cpsy.58","DOIUrl":"10.5334/cpsy.58","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"5 1","pages":"4-20"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7611246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39189248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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
Computational psychiatry (Cambridge, Mass.) 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
{"title":"Natural Language Processing-Based Quantification of the Mental State of Psychiatric Patients","authors":"S. Mukherjee, Jiawei Yu, Yida Won, Mary J. McClay, Lu Wang, A. J. Rush, J. Sarkar","doi":"10.1162/cpsy_a_00030","DOIUrl":"https://doi.org/10.1162/cpsy_a_00030","url":null,"abstract":"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.","PeriodicalId":72664,"journal":{"name":"Computational psychiatry (Cambridge, Mass.)","volume":"4 1","pages":"76-106"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42938477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
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