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작성자 Beatriz
댓글 0건 조회 21회 작성일 24-08-27 18:40

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Personalized depression treatment plan Treatment

Traditional treatment and medications are not effective for a lot of people suffering from depression. A customized treatment could be the solution.

Cue is an intervention platform that converts sensors that are passively gathered from smartphones into personalized micro-interventions for improving mental health. We analyzed the most effective-fit personal ML models for each subject using Shapley values to understand their feature predictors and uncover distinct features that deterministically change mood as time passes.

Predictors of Mood

depression treatment brain stimulation is one of the world's leading causes of mental illness.1 Yet, only half of people suffering from the disorder receive treatment1. To improve the outcomes, doctors must be able to identify and treat patients with the highest chance of responding to certain treatments.

A customized depression treatment plan can aid. Using mobile phone sensors and an artificial intelligence voice assistant, and other digital tools researchers at the University of Illinois Chicago (UIC) are working on new ways to predict which patients will benefit from the treatments they receive. Two grants were awarded that total more than $10 million, they will employ these techniques to determine the biological and behavioral factors that determine response to antidepressant medications and psychotherapy.

The majority of research done to the present has been focused on clinical and sociodemographic characteristics. These include demographic factors such as age, gender and education, clinical characteristics such as the severity of symptoms and comorbidities and biological markers such as neuroimaging and genetic variation.

Very few studies have used longitudinal data to predict mood of individuals. A few studies also consider the fact that mood can vary significantly between individuals. Therefore, it is critical to develop methods that allow for the determination of the individual differences in mood predictors and treatment effects.

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 is able to develop algorithms to identify patterns of behaviour and emotions that are unique to each person.

In addition to these modalities, the team also developed a machine-learning algorithm that models the dynamic variables that influence each person's mood. The algorithm integrates the individual characteristics to create a unique "digital genotype" for each participant.

This digital phenotype was found to be associated with CAT-DI scores, a psychometrically validated symptom severity scale. However, the correlation was weak (Pearson's r = 0.08, the BH-adjusted p-value was 3.55 1003) and varied widely among individuals.

Predictors of Symptoms

Depression is among the world's leading causes of disability1 but is often underdiagnosed and undertreated2. In addition, a lack of effective interventions and stigma associated with depressive disorders stop many individuals from seeking help.

To aid in the development of a personalized treatment plan, identifying factors that predict the severity of symptoms is crucial. However, the current methods for predicting symptoms rely on clinical interview, which is not reliable and only detects a tiny number of features related to depression.2

Machine learning can enhance the accuracy of the diagnosis and treatment resistant anxiety and depression of depression by combining continuous digital behavior patterns gathered from sensors on smartphones with a validated mental health tracker online (the Computerized Adaptive Testing Depression Inventory CAT-DI). Digital phenotypes are able to provide a wide range of unique behaviors and activities, which are difficult to record through interviews, and allow for high-resolution, continuous measurements.

The study involved University of California Los Angeles (UCLA) students experiencing moderate to severe depressive 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 support or in-person clinical care depending on their depression severity. Participants who scored a high on the CAT DI of 35 65 students were assigned online support via the help of a coach. Those with scores of 75 patients were referred for psychotherapy in-person.

At baseline, participants provided an array of questions regarding their personal demographics and psychosocial features. The questions covered age, sex, and education and marital status, financial status as well as whether they divorced or not, the frequency of suicidal thoughts, intentions or attempts, and how often they drank. Participants also rated their degree of depression symptom severity on a 0-100 scale using the CAT-DI. The CAT-DI tests were conducted every other week for participants that received online support, and every week for those who received in-person care.

Predictors of Treatment Reaction

Personalized depression treatment no medication treatment is currently a top research topic, and many studies aim at identifying predictors that help clinicians determine the most effective drugs for each individual. Pharmacogenetics, in particular, identifies genetic variations that determine how the body's metabolism reacts to drugs. This allows doctors to select medications that are likely to be most effective for each patient, while minimizing the time and effort in trial-and-error procedures and avoid any adverse effects that could otherwise hinder progress.

Another promising approach is to create predictive models that incorporate the clinical data with neural imaging data. These models can then be used to determine the most appropriate combination of variables that are predictors of a specific outcome, such as whether or not a medication is likely to improve the mood and symptoms. These models can be used to determine the patient's response to treatment, allowing doctors to maximize the effectiveness.

A new generation uses machine learning methods such as algorithms for classification and supervised learning, regularized logistic regression and tree-based methods to integrate the effects from multiple variables and improve predictive accuracy. These models have proven to be useful in the prediction of treatment outcomes like the response to antidepressants. These techniques are becoming increasingly popular in psychiatry and will likely become the standard of future clinical practice.

The study of depression's underlying mechanisms continues, as well as ML-based predictive models. Recent research suggests that depression is linked to dysfunctions in specific neural networks. This theory suggests that an individualized treatment for depression will be based on targeted therapies that restore normal function to these circuits.

One method to achieve this is by using internet-based programs that can provide a more individualized and tailored experience for patients. For example, one study found that a web-based program was more effective than standard care in alleviating symptoms and ensuring the best quality of life for those suffering from MDD. A randomized controlled study of an individualized treatment for depression showed that a significant number of patients saw improvement over time and fewer side negative effects.

Predictors of adverse effects

A major obstacle in individualized depression treatment for depression and anxiety involves identifying and predicting which antidepressant medications will have the least amount of side effects or none at all. Many patients are prescribed a variety medications before settling on a treatment that is effective and tolerated. Pharmacogenetics offers a fresh and exciting method of selecting antidepressant drugs that are more effective and specific.

general-medical-council-logo.pngA variety of predictors are available to determine which antidepressant to prescribe, including gene variations, phenotypes of patients (e.g. gender, sex or ethnicity) and the presence of comorbidities. However it is difficult to determine the most reliable and reliable factors that can predict the effectiveness of a particular treatment will probably require randomized controlled trials of significantly larger numbers of participants than those typically enrolled in clinical trials. This is due to the fact that the identification of moderators or interaction effects may be much more difficult in trials that focus on a single instance of treatment per person instead of multiple episodes of treatment over a period of time.

Additionally the prediction of a patient's response to a particular medication is likely to require information on symptoms and comorbidities in addition to the patient's personal experiences with the effectiveness and tolerability of the medication. Currently, only some easily assessable sociodemographic and clinical variables appear to be correlated with the severity of MDD factors, including age, gender, race/ethnicity and SES, 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 obstacles to overcome. First is a thorough understanding of the genetic mechanisms is essential as well as an understanding of what is a reliable predictor of treatment response. Ethics, such as privacy, and the responsible use of genetic information must also be considered. Pharmacogenetics can eventually reduce stigma associated with mental health treatment and improve the quality of treatment. However, as with all approaches to psychiatry, careful consideration and application is essential. The best option is to offer patients an array of effective depression medications and encourage them to speak freely with their doctors about their concerns and experiences.iampsychiatry-logo-wide.png

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