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精神卫生保健中的人工智能:对诊断、监测及干预应用的系统评价

Artificial intelligence in mental health care: a systematic review of diagnosis, monitoring, and intervention applications.

作者信息

Cruz-Gonzalez Pablo, He Aaron Wan-Jia, Lam Elly PoPo, Ng Ingrid Man Ching, Li Mandy Wingman, Hou Rangchun, Chan Jackie Ngai-Man, Sahni Yuvraj, Vinas Guasch Nestor, Miller Tiev, Lau Benson Wui-Man, Sánchez Vidaña Dalinda Isabel

机构信息

Rehabilitation Research Institute of Singapore, Nanyang Technological University, Singapore, Singapore.

School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong.

出版信息

Psychol Med. 2025 Feb 6;55:e18. doi: 10.1017/S0033291724003295.

Abstract

Artificial intelligence (AI) has been recently applied to different mental health illnesses and healthcare domains. This systematic review presents the application of AI in mental health in the domains of diagnosis, monitoring, and intervention. A database search (CCTR, CINAHL, PsycINFO, PubMed, and Scopus) was conducted from inception to February 2024, and a total of 85 relevant studies were included according to preestablished inclusion criteria. The AI methods most frequently used were support vector machine and random forest for diagnosis, machine learning for monitoring, and AI chatbot for intervention. AI tools appeared to be accurate in detecting, classifying, and predicting the risk of mental health conditions as well as predicting treatment response and monitoring the ongoing prognosis of mental health disorders. Future directions should focus on developing more diverse and robust datasets and on enhancing the transparency and interpretability of AI models to improve clinical practice.

摘要

人工智能(AI)最近已应用于不同的心理健康疾病和医疗保健领域。本系统评价介绍了AI在心理健康领域在诊断、监测和干预方面的应用。从数据库建立至2024年2月进行了数据库检索(CCTR、CINAHL、PsycINFO、PubMed和Scopus),根据预先设定的纳入标准共纳入85项相关研究。诊断方面最常用的AI方法是支持向量机和随机森林,监测方面是机器学习,干预方面是AI聊天机器人。AI工具在检测、分类和预测心理健康状况风险以及预测治疗反应和监测心理健康障碍的持续预后方面似乎是准确的。未来的方向应集中在开发更多样化和强大的数据集,以及提高AI模型的透明度和可解释性以改善临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f555/12017374/b30c17d16bed/S0033291724003295_fig1.jpg

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