用人工智能改善精神病学服务:机遇与挑战。

Muhammed Balli, Aslı Ercan Doğan, Hale Yapici Eser
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引用次数: 0

摘要

精神障碍是一个严重的全球公共卫生问题,因为其发病率不断上升,成本不断上升,经济负担沉重。尽管努力增加缅甸的精神卫生工作人员,但精神科医生严重短缺,限制了精神卫生服务的质量和可及性。这篇综述探讨了人工智能(AI)的潜力,特别是大型语言模型,以改变世界和世界各地的精神病学护理。包括机器学习和深度学习在内的人工智能技术为诊断、个性化治疗和使用各种数据源(如言语模式、神经成像和行为测量)监测精神障碍提供了创新的解决方案。尽管人工智能在提高诊断准确性和获得精神卫生服务方面显示出有希望的能力,但算法偏见、数据隐私问题、伦理影响以及大型语言模型的虚构现象等挑战阻碍了人工智能在实践中的全面实施。该综述强调了跨学科合作的必要性,以开发适应文化和语言的人工智能工具,特别是在土耳其背景下,并提出了微调、检索增强生成和从人类反馈中强化学习等策略,以提高人工智能的可靠性。进展表明,人工智能可以通过提高诊断的准确性和可及性来改善精神卫生保健,同时保留医疗保健的基本人力要素。需要通过严格的研究和伦理框架来解决目前的局限性,以便有效和公平地将人工智能纳入精神卫生保健。关键词:人工İntelligence,健康,大语言模型,机器学习,精神病学
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Psychiatry Services with Artificial Intelligence: Opportunities and Challenges.

Mental disorders are a critical global public health problem due to their increasing prevalence, rising costs, and significant economic burden. Despite efforts to increase the mental health workforce in Türkiye, there is a significant shortage of psychiatrists, limiting the quality and accessibility of mental health services. This review examines the potential of artificial intelligence (AI), especially large language models, to transform psychiatric care in the world and in Türkiye. AI technologies, including machine learning and deep learning, offer innovative solutions for the diagnosis, personalization of treatment, and monitoring of mental disorders using a variety of data sources, such as speech patterns, neuroimaging, and behavioral measures. Although AI has shown promising capabilities in improving diagnostic accuracy and access to mental health services, challenges such as algorithmic biases, data privacy concerns, ethical implications, and the confabulation phenomenon of large language models prevent the full implementation of AI in practice. The review highlights the need for interdisciplinary collaboration to develop culturally and linguistically adapted AI tools, particularly in the Turkish context, and suggests strategies such as fine-tuning, retrieval-augmented generation, and reinforcement learning from human feedback to increase AI reliability. Advances suggest that AI can improve mental health care by increasing diagnostic accuracy and accessibility while preserving the essential human elements of medical care. Current limitations need to be addressed through rigorous research and ethical frameworks for effective and equitable integration of AI into mental health care. Keywords: Artificial İntelligence, Health, Large Language Model, Machine Learning, Psychiatry.

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