在开始治疗时识别抑郁症及其决定因素:ChatGPT与初级保健医生对比
Inbar Levkovich1, Zohar Elyoseph2,3
1Oranim Academic College, Tivon, Israel inbar.lev2@gmail.com.
Family medicine and community health
|October 16, 2023
概括
像ChatGPT-3.5和ChatGPT-4这样的人工智能 (AI) 聊天机器人提供与指南一致的抑郁症治疗建议,并且缺乏医生偏见. 对于严重的病例和道德考虑,需要进一步的研究.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 临床决策支持 临床决策支持
背景情况:
- 抑郁症管理需要准确的评估和治疗计划.
- 初级保健医生 (PCP) 的建议可能受到偏见的影响.
- 像ChatGPT这样的大型语言模型 (LLM) 提供了临床决策支持的潜力.
研究的目的:
- 将ChatGPT-3.5和ChatGPT-4的抑郁症治疗建议与PCP进行比较.
- 评估AI在临床建议中的偏见潜力.
主要方法:
- 创建了八个不同的患者小组,其中包括不同的人口统计和抑郁症严重程度的患者.
- 维涅特被输入到ChatGPT-3.5和ChatGPT-4多次以获得一致的响应.
- 人工智能建议与PCP的建议进行了比较.
主要成果:
- 聊天GPT模型强烈推心理治疗轻度抑郁症 (95-97.5%),而不是PCP (4.3%).
- 对于严重的抑郁症,ChatGPT倾向于联合治疗,与PCP保持一致.
- 与观察到的医生偏见不同,ChatGPT没有显示性别或社会经济偏见.
结论:
- 聊天GPT-3.5和聊天GPT-4与抑郁症管理指南保持一致,缺乏PCP偏见.
- 人工智能聊天机器人在改善抑郁症临床决策方面表现有前途.
- 进一步的研究是必不可少的,以完善AI用于严重的病例,并解决道德问题.
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