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작성자 Mildred 댓글 0건 조회 7회 작성일 24-10-04 18:42

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Personalized Depression Treatment

For many suffering from depression, traditional therapy and medication isn't effective. A customized treatment could be the answer.

Cue is an intervention platform that converts sensor data collected from smartphones into personalised micro-interventions to improve mental health. We parsed the best-fit personalized ML models for each subject using Shapley values to understand their predictors of feature and reveal distinct features that deterministically change mood as time passes.

Predictors of Mood

Depression is a major cause of mental illness across the world.1 Yet only half of those suffering from the condition receive treatment. To improve the outcomes, doctors must be able to identify and treat patients most likely to respond to specific treatments.

Personalized depression treatment can help. By using sensors for mobile phones, an artificial intelligence voice assistant, and other digital tools, researchers at the University of Illinois Chicago (UIC) are working on new ways to determine which patients will benefit from which treatments. Two grants totaling more than $10 million will be used to determine biological and behavior predictors of response.

The majority of research to so far has focused on clinical and sociodemographic characteristics. These include demographics such as age, gender, and education, as well as clinical aspects like severity of symptom and comorbidities, as well as biological markers.

While many of these variables can be predicted by the data in medical records, only a few studies have used longitudinal data to determine the causes of mood among individuals. Many studies do not consider the fact that moods can differ significantly between individuals. Therefore, it is crucial to develop methods that allow for the determination and quantification of the personal differences between mood predictors treatments, mood predictors, etc.

The team's new approach uses daily, in-person evaluations of mood and lifestyle variables using a smartphone app called AWARE, a cognitive evaluation with the BiAffect app and electroencephalography -- an imaging technique that monitors brain activity. The team can then develop algorithms to recognize patterns of behavior and emotions that are unique to each person.

The team also devised a machine learning algorithm to identify dynamic predictors of the mood of each person's depression. The algorithm integrates the individual characteristics to create an individual "digital genotype" for each participant.

The digital phenotype was associated with CAT DI scores, a psychometrically validated symptom severity scale. However the correlation was tinny (Pearson's r = 0.08, BH-adjusted P-value of 3.55 1003) and varied widely across individuals.

Predictors of symptoms

Depression is one of the world's leading causes of disability1 but is often untreated and not diagnosed. Depressive disorders are often not treated due to the stigma attached to them, as well as the lack of effective interventions.

To allow for individualized treatment in order to provide a more personalized treatment, identifying predictors of symptoms is important. However, current prediction methods rely on clinical interview, which is not reliable and only detects a small number of features that are associated with depression.2

Machine learning can be used to integrate continuous digital behavioral phenotypes of a person captured by smartphone sensors and a validated online mental health tracker (the Computerized Adaptive Testing Depression Inventory the CAT-DI) along with other indicators of symptom severity has the potential to increase the accuracy of diagnostics and treatment efficacy for depression. Digital phenotypes permit continuous, high-resolution measurements. They also capture a variety of distinct behaviors and patterns that are difficult to document using interviews.

The study enrolled University of California Los Angeles (UCLA) students with moderate to severe depressive symptoms. enrolled in the Screening and Treatment for Anxiety and Depression (STAND) program29 that was created under the UCLA Depression Grand Challenge. Participants were referred to online support or clinical care depending on the severity of their depression. Participants who scored a high on the CAT DI of 35 65 were assigned online support with the help of a coach. Those with scores of 75 patients were referred to in-person clinical care for psychotherapy.

At the beginning of the interview, participants were asked a series of questions about their personal demographics and psychosocial features. The questions covered education, age, sex and gender and financial status, marital status and whether they were divorced or not, the frequency of suicidal thoughts, intent or attempts, as well as how often they drank. The CAT-DI was used to assess the severity of depression symptoms on a scale of 0-100. The CAT DI assessment was conducted every two weeks for participants who received online support, and weekly for those who received in-person care.

Predictors of Treatment Response

The development of a personalized depression treatment is currently a research priority, and many studies aim at identifying predictors that enable clinicians to determine the most effective medication for each individual. Pharmacogenetics, for instance, is a method of identifying genetic variations that affect how the human body metabolizes drugs. This allows doctors select medications that are likely to be the most effective for each patient, while minimizing time and effort spent on trial-and error treatments and avoiding any side effects.

psychology-today-logo.pngAnother approach that is promising is to build models of prediction using a variety of data sources, including the clinical information with neural imaging data. These models can be used to identify the most appropriate combination of variables that are predictive of a particular outcome, such as whether or not a medication will improve the mood and symptoms. These models can also be used to predict the patient's response to a treatment they are currently receiving, allowing doctors to maximize the effectiveness of the current therapy.

A new type of research uses machine learning methods like supervised learning and classification algorithms (like regularized logistic regression or tree-based techniques) to combine the effects of many variables and increase predictive accuracy. These models have been proven to be useful for forecasting treatment outcomes, such as the response to antidepressants. These approaches are gaining popularity in psychiatry and it is expected that they will become the standard for the future of clinical practice.

In addition to the ML-based prediction models, research into the mechanisms that cause depression is continuing. Recent research suggests that the disorder is linked with neurodegeneration in particular circuits. This theory suggests that individualized depression treatment will be focused on treatments that target these circuits in order to restore normal function.

One method to achieve this is through internet-delivered interventions which can offer an individualized and tailored experience for patients. One study found that an internet-based program improved symptoms and led to a better quality of life for MDD patients. A controlled study that was randomized to an individualized treatment centre for depression treatment ect (Recommended Browsing) for depression revealed that a significant percentage of patients saw improvement over time as well as fewer side negative effects.

Predictors of Side Effects

A major issue in personalizing hormonal depression treatment treatment is predicting which antidepressant medications will cause the least amount of side effects or none at all. Many patients are prescribed a variety drugs before they find a drug that is safe and effective. Pharmacogenetics offers a new and exciting method of selecting antidepressant drugs that are more effective and precise.

There are several predictors that can be used to determine which antidepressant should be prescribed, such as gene variations, patient phenotypes like gender or ethnicity, and the presence of comorbidities. However finding the most reliable and accurate predictive factors for a specific treatment is likely to require randomized controlled trials with significantly larger numbers of participants than those typically enrolled in clinical trials. This is because the identifying of moderators or interaction effects could be more difficult in trials that consider a single episode of treatment per participant instead of multiple sessions of treatment over a period of time.

Furthermore the estimation of a patient's response to a particular medication will likely also require information about symptoms and comorbidities and the patient's personal experience with tolerability and efficacy. At present, only a handful of easily assessable sociodemographic variables and clinical variables are reliable in predicting the response to MDD. These include gender, age, race/ethnicity, BMI, SES and the presence of alexithymia.

The application of pharmacogenetics in depression treatment is still in its early stages, and many challenges remain. first line treatment for anxiety and depression, a clear understanding of the genetic mechanisms is essential as well as an understanding of what is a reliable predictor of treatment response. In addition, ethical concerns like privacy and the responsible use of personal genetic information must be considered carefully. In the long run pharmacogenetics can offer a chance to lessen the stigma associated with mental health treatment and improve the outcomes of those suffering with depression. As with all psychiatric approaches, it is important to carefully consider and implement the plan. At present, the most effective option is to offer patients a variety of effective depression medication options and encourage them to talk openly with their doctors about their experiences and concerns.

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