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작성자 Christopher McC…
댓글 0건 조회 10회 작성일 24-09-21 08:35

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Personalized Depression Treatment

iampsychiatry-logo-wide.pngTraditional treatment and medications are not effective for a lot of people suffering from depression. The individual approach to treatment could be the solution.

Cue is a digital intervention platform that converts passively collected smartphone sensor data into personalized micro-interventions that improve mental health. We examined the most effective-fitting personalized ML models for each individual using Shapley values to determine their feature predictors. The results revealed distinct characteristics that changed mood in a predictable manner over time.

Predictors of Mood

Depression is among the most prevalent causes of mental illness.1 However, only about half of people suffering from the condition receive treatment1. To improve outcomes, clinicians must be able to identify and treat patients who are the most likely to respond to specific treatments.

Personalized depression treatment can help. Researchers at the University of Illinois Chicago are developing new methods for predicting which patients will gain the most from specific treatments. They make use of sensors on mobile phones and a voice assistant incorporating artificial intelligence as well as other digital tools. Two grants totaling more than $10 million will be used to discover biological and behavior indicators of response.

To date, the majority of research into predictors of depression treatment effectiveness has been focused on clinical and sociodemographic characteristics. These include demographic variables such as age, sex and educational level, clinical characteristics like symptom severity and comorbidities, and biological indicators such as neuroimaging and genetic variation.

While many of these factors can be predicted from information available in medical records, very few studies have utilized longitudinal data to study the causes of mood among individuals. A few studies also take into consideration the fact that mood can differ significantly between individuals. Therefore, it is important to devise methods that permit the determination and quantification of the individual differences in mood predictors, treatment effects, 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 identify patterns of behaviour and emotions that are unique to each individual.

The team also developed an algorithm for machine learning to model dynamic predictors for the mood of each person's depression. The algorithm combines these personal differences into a unique "digital phenotype" for each participant.

This digital phenotype was linked to CAT DI scores that are a psychometrically validated symptoms severity scale. The correlation was weak, however (Pearson r = 0,08; BH adjusted P-value 3.55 10 03) and varied greatly among individuals.

Predictors of symptoms

Depression is the leading reason for disability across the world1, but it is often not properly diagnosed and treated. Depressive disorders are often not treated due to the stigma that surrounds them and the lack of effective treatments.

To aid in the development of a personalized treatment, it is crucial to determine the predictors of symptoms. The current prediction methods rely heavily on clinical interviews, which are unreliable and only detect a few characteristics that are associated with depression.

Using machine learning to blend continuous digital behavioral phenotypes of a person captured by smartphone sensors and an online tracker of mental health (the Computerized Adaptive Testing Depression Inventory CAT-DI) together with other predictors of symptom severity can increase the accuracy of diagnostics and treatment efficacy for depression private treatment. Digital phenotypes permit continuous, high-resolution measurements. They also capture a wide variety of distinct behaviors and patterns that are difficult to capture through interviews.

The study included University of California Los Angeles (UCLA) students with mild to severe depression symptoms. participating in the Screening and Treatment for Anxiety and Depression (STAND) program29 developed under the UCLA Depression Grand Challenge. Participants were referred to online assistance or medical care according to the degree of their depression. Those with a CAT-DI score of 35 or 65 were assigned online support via an online peer coach, whereas those who scored 75 patients were referred to in-person clinics for psychotherapy.

Participants were asked a series questions at the beginning of the study about their psychosocial and demographic characteristics as well as their socioeconomic status. The questions covered age, sex, and education as well as marital status, financial status, whether they were divorced or not, the frequency of suicidal ideas, intent or attempts, and the frequency with which they consumed alcohol. The CAT-DI was used for assessing the severity of depression symptoms on a scale ranging from 0-100. The CAT-DI assessment was conducted every two weeks for those who received online support and weekly for those who received in-person care.

Predictors of Treatment Reaction

Personalized depression treatment is currently a top research topic and a lot of studies are aimed at identifying predictors that allow clinicians to identify the most effective medications for each person. Pharmacogenetics in particular is a method of identifying genetic variations that affect how the human body metabolizes drugs. This enables doctors to choose medications that are likely to be most effective for each patient, minimizing the time and effort in trial-and-error treatments and eliminating any side effects that could otherwise hinder the progress of the patient.

Another promising approach is building models of prediction using a variety of data sources, including the clinical information with neural imaging data. These models can be used to determine the variables that are most predictive of a particular outcome, like whether a medication can improve mood or symptoms. These models can also be used to predict the patient's response to an existing treatment and help doctors maximize the effectiveness of treatment currently being administered.

A new generation of studies utilizes machine learning techniques, such as supervised learning and classification algorithms (like regularized logistic regression or tree-based methods) to blend the effects of several variables and improve the accuracy of predictive. These models have been proven to be effective in forecasting treatment outcomes, such as the response to antidepressants. These models are getting more popular in psychiatry and it is likely that they will become the standard for future clinical practice.

In addition to the ML-based prediction models research into the underlying mechanisms of depression continues. Recent findings suggest that the disorder is linked with neurodegeneration in particular circuits. This theory suggests that an individualized treatment for depression will be based on targeted therapies that restore normal functioning to these circuits.

Internet-based-based therapies can be an effective method to accomplish this. They can provide an individualized and tailored experience for patients. For example, one study discovered that a web-based treatment was more effective than standard treatment in reducing symptoms and ensuring an improved quality of life for people with MDD. A randomized controlled study of a personalized treatment for depression treatment centers showed that a significant number of participants experienced sustained improvement and had fewer adverse negative effects.

Predictors of Side Effects

In the treatment of depression and treatment, one of the most difficult aspects is predicting and determining which antidepressant medication will have no or minimal negative side negative effects. Many patients have a trial-and error method, involving a variety of medications prescribed before finding one that is effective and tolerable. Pharmacogenetics provides a novel and exciting method of selecting antidepressant medications that is more efficient and targeted.

Several predictors may be used to determine which antidepressant to prescribe, such as gene variants, phenotypes of patients (e.g. sexual orientation, gender or ethnicity) and the presence of comorbidities. To identify the most reliable and accurate predictors of a specific treatment, controlled trials that are randomized with larger sample sizes will be required. This is because the identifying of interaction effects or moderators may be much more difficult in trials that only consider a single episode of treatment per person instead of multiple sessions of treatment over time.

Additionally, the estimation of a patient's response to a specific medication will likely also need to incorporate information regarding symptoms and comorbidities in addition to the patient's personal experience of its tolerability and effectiveness. Presently, only a handful of easily measurable sociodemographic and clinical variables seem to be reliable in predicting response to MDD, such as age, gender race/ethnicity, BMI and the presence of alexithymia and the severity of depressive symptoms.

The application of pharmacogenetics in depression treatment is still in its beginning stages and there are many hurdles to overcome. First it is necessary to have a clear understanding of the genetic mechanisms is required as well as a clear definition of what is a reliable indicator of treatment response. Ethics, such as privacy, and the ethical use of genetic information should also be considered. In the long-term the use of pharmacogenetics could be a way to lessen the stigma associated with mental health care and improve the outcomes of those suffering with depression. But, like any other psychiatric treatment, careful consideration and planning is necessary. For now, the best method is to offer patients various effective depression treatment plan medication options and encourage them to speak freely with their doctors about their concerns and experiences.

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