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작성자Andra 댓글댓글 0건 조회조회 2회 작성일 24-11-14 04:01

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Personalized Depression Treatment

For many suffering from depression, traditional therapy and medication isn't effective. The individual approach to treatment could be the answer.

Cue is a digital intervention platform that translates passively acquired normal smartphone sensor data into personalized micro-interventions to improve 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 characteristics that can be used to predict changes in mood with time.

Predictors of Mood

Depression is one of the leading causes of mental illness.1 However, only half of those who have the condition receive treatment1. In order to improve outcomes, clinicians need to be able to identify and treat patients who have the highest chance of responding to specific treatments.

Personalized depression treatment is one way to do this. Researchers at the University of Illinois Chicago are developing new methods to predict which patients will benefit the most from specific treatments. They are using mobile phone sensors and a voice assistant incorporating artificial intelligence, and other digital tools. Two grants worth more than $10 million will be used to discover the biological and behavioral indicators of response.

So far, the majority of research on factors that predict depression treatment effectiveness has centered on the sociodemographic and clinical aspects. These include demographics like age, gender and education and clinical characteristics such as symptom severity and comorbidities as well as biological markers.

Very few studies have used longitudinal data in order to determine mood among individuals. A few studies also consider the fact that mood can differ significantly between individuals. Therefore, it is essential to create methods that allow the determination of the individual differences in mood predictors and treatments effects.

The team's new approach uses daily, in-person evaluations of mood and lifestyle variables using a smartphone app called AWARE, a cognitive treatment for depression evaluation with the BiAffect app and electroencephalography -- an imaging technique that monitors brain activity. This enables the team to create algorithms that can systematically identify different patterns of behavior and emotion that differ between individuals.

In addition to these methods, the team also developed a machine-learning algorithm that models the dynamic factors that determine a person's depressed mood. The algorithm combines these personal differences into a unique "digital phenotype" for each participant.

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

Predictors of symptoms

Depression is a leading cause of disability around the world1, but it is often misdiagnosed and untreated2. In addition an absence of effective interventions and stigmatization associated with depressive disorders prevent many individuals from seeking help.

To aid in the development of a personalized treatment plan in order to provide a more personalized treatment, identifying predictors of symptoms is important. The current methods for predicting symptoms rely heavily on clinical interviews, which aren't reliable and only identify a handful of features associated with depression.

Using machine learning to integrate continuous digital behavioral phenotypes that are captured through smartphone sensors and an online mental health tracker (the Computerized Adaptive Testing Depression Inventory the CAT-DI) with other predictors of severity of symptoms has the potential to improve the accuracy of diagnosis and the effectiveness of treatment for depression. These digital phenotypes capture a large number of distinct behaviors and activities that are difficult to capture through interviews and permit continuous and high-resolution measurements.

The study involved University of California Los Angeles (UCLA) students experiencing mild to severe depression symptoms. who were enrolled in the Screening and Treatment for Anxiety and Depression (STAND) program29, which was developed under the UCLA Depression Grand Challenge. Participants were directed to online support or in-person clinical treatment depending on their depression severity. Patients who scored high on the CAT DI of 35 or 65 were allocated online support via a peer coach, while those with a score of 75 patients were referred to psychotherapy in person.

Participants were asked a series of questions at the beginning of the study concerning their demographics and psychosocial characteristics. The questions covered age, sex, and education, financial status, marital status, whether they were divorced or not, the frequency of suicidal thoughts, intentions or attempts, and how often they drank. The CAT-DI was used for assessing the severity of depression-related symptoms on a scale of 0-100. CAT-DI assessments were conducted every other week for participants who received online support and once a week for those receiving in-person care.

Predictors of Treatment Reaction

A customized treatment for depression is currently a research priority and many studies aim to identify predictors that help clinicians determine the most effective drugs for each individual. Pharmacogenetics, for instance, uncovers genetic variations that affect how the human body metabolizes drugs. This enables doctors to choose the medications that are most likely to be most effective for each patient, minimizing the time and effort required in trial-and-error procedures and avoiding side effects that might otherwise slow advancement.

Another approach that is promising is to build prediction models using multiple data sources, combining the clinical information with neural imaging data. These models can then be used to determine the most effective combination of variables that is predictors of a specific outcome, like whether or not a drug is likely to improve the mood and symptoms. These models can also be used to predict the patient's response to treatment that is already in place and help doctors maximize the effectiveness of their current therapy.

A new type of research utilizes machine learning techniques like supervised learning and classification algorithms (like regularized logistic regression or tree-based techniques) to blend the effects of several variables and improve the accuracy of predictive. These models have been shown to be useful in predicting the outcome of treatment like the response to antidepressants. These methods are becoming popular in psychiatry and it is expected that they will become the norm for future clinical practice.

Research into depression's underlying mechanisms continues, in addition to 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 depend on targeted treatments that restore normal function to these circuits.

Internet-based-based therapies can be a way to achieve this. They can offer more customized and personalized experience for patients. For example, one study found that a web-based program was more effective than standard treatment in reducing symptoms and ensuring an improved quality of life for those with MDD. A randomized controlled study of a personalized treatment options for depression for depression revealed that a substantial percentage of patients experienced sustained improvement and had fewer adverse consequences.

Predictors of adverse effects

In the treatment of depression, the biggest challenge is predicting and determining which antidepressant medication will have no or minimal adverse effects. Many patients are prescribed a variety medications before settling on a treatment that is both effective and well-tolerated. Pharmacogenetics provides an exciting new way to take an effective and precise approach to selecting antidepressant treatments.

Several predictors may be used to determine the best antidepressant to prescribe, including gene variants, phenotypes of patients (e.g., sex or ethnicity) and the presence of comorbidities. However it is difficult to determine the most reliable and reliable predictors for a particular treatment will probably require randomized controlled trials of much larger samples than those that are typically part of clinical trials. This is because it may be more difficult to identify the effects of moderators or interactions in trials that only include one episode per participant instead of multiple episodes over a long period of time.

Additionally the estimation of a patient's response to a particular medication will also likely require information about comorbidities and symptom profiles, and the patient's personal experience with tolerability and efficacy. Currently, only some easily assessable sociodemographic and clinical variables are believed to be reliable in predicting the severity of MDD, such as gender, age, race/ethnicity and SES BMI, the presence of alexithymia, and the severity of depressive symptoms.

There are many challenges to overcome in the use of pharmacogenetics for depression treatment. first line Treatment for depression and anxiety, a clear understanding of the underlying genetic mechanisms is required and an understanding of what treatment for depression is a reliable indicator of treatment response. Ethics such as privacy and the responsible use genetic information should also be considered. In the long term the use of pharmacogenetics could be a way to lessen the stigma that surrounds mental health care and improve the treatment outcomes for patients with depression. As with any psychiatric approach, it is important to give careful consideration and implement the plan. The best option is to provide patients with a variety of effective medications for depression and encourage them to talk with their physicians about their experiences and concerns.Royal_College_of_Psychiatrists_logo.png

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