AI AND ALTERNATIVE SYMPTOMS IN THE DIAGNOSIS OF MDD: The role of forgiveness, hopelessness, mixity and diminished

Francesco Franza1,2, Andreana Franza2, Luigi Calabrese3

  • 1Psychiatric Rehabilitation Center "Villa dei Pini", Avellino, Italy.

Psychiatria Danubina
|September 22, 2025
PubMed

Insights

Artificial intelligence (AI) aids in diagnosing Major Mood Disorders (MMD) by analyzing patient interviews. AI identified key symptoms beyond DSM-5-TR criteria, improving diagnostic accuracy.

Area of Science:

  • Psychiatry
  • Medical Informatics
  • Artificial Intelligence

Background:

  • The integration of artificial intelligence (AI) into clinical practice is rapidly transforming medical assessment.
  • Understanding the nuances of patient-reported symptoms is crucial for accurate diagnosis of mental health conditions.

Purpose of the Study:

  • To explore the utility of AI in analyzing semi-structured interviews for diagnosing Major Mood Disorders (MMD).
  • To identify patient-reported symptoms beyond DSM-5-TR criteria that predict MMD.
  • To investigate the relationship between MMD symptoms and factors like forgiveness, hopelessness, and drive.

Main Methods:

  • Conducted semi-structured interviews with 43 patients diagnosed with MMD according to DSM-5-TR criteria.
  • Utilized trained AI programs to analyze recorded and transcribed interviews.
  • Evaluated the predictive value of symptoms not listed in DSM-5-TR and their correlation with psychological factors.

Main Results:

  • AI analysis identified somatization, physical oppression, ambivalent/blocked anhedonia, distress, agitated restlessness, mixed states, and subthreshold oscillations as significant predictive factors.
  • These AI-identified symptoms showed a positive predictive weight for MMD.
  • The study explored correlations with forgiveness, hopelessness, and diminished drive.

Conclusions:

  • AI demonstrates potential in enhancing the diagnostic accuracy of Major Mood Disorders by analyzing qualitative patient data.
  • Patient-reported symptoms beyond current diagnostic frameworks can offer valuable predictive insights.
  • Further research into AI-driven analysis of patient narratives can refine diagnostic criteria and treatment strategies.

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