在精神病的元认知疗法期间,代理,中心性和内容的语言标记的演变:试点探索性研究
Amir H Nikzad1,2, Paul H Lysaker3,4, Kyle S Minor5
1Institute of Behavioral Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
Early intervention in psychiatry
|November 21, 2024
概括
自然语言处理 (NLP) 在早期精神病的元认知反思和洞察疗法 (MERIT) 中发现了语言转变. 这些变化,包括代词使用和时间焦点,客观地反映了治疗进展.
科学领域:
- 精神病学是一个精神病学.
- 心理治疗研究 心理治疗研究
- 计算语言学 计算语言学
背景情况:
- 超认知反思和洞察疗法 (MERIT) 是一种以人为中心的心理治疗方法,针对超认知能力,以恢复为导向的结果.
- 之前的研究证实了MERIT的可行性和临床益处.
- 在患者-治疗师沟通中,MERIT的特定治疗过程 (例如代理,自我反射) 的表现仍然不清楚.
研究的目的:
- 利用自然语言处理 (NLP) 来探索在早期精神病中MERIT期间变化的客观语言标记.
- 确定特定的治疗过程是如何反映在患者和治疗师之间的沟通.
主要方法:
- 五名患有早期精神病的患者接受了24次MERIT治疗.
- 治疗会话被录音,文字转录,并使用NLP进行分析.
- NLP专注于代词使用模式和时间性和心理处理的语义类别.
- 混合线性回归检查了跨会话NLP特征的演变.
主要成果:
- 随着时间的推移,在语言信号中发现了显著的变化.
- 代名词使用显示了第一人称复数代名词 ("我们") 的增加.
- 语音时间焦点从过去方向向现在和未来方向过渡.
- 观察到与感知和认知过程相关的单词增加.
结论:
- 在MERIT过程中,NLP可以客观地量化有意义的语言信号.
- 这些信号与接受MERIT的患者预期的主观变化一致.
- NLP具有在MERIT和其他心理治疗干预中监测治疗进展的潜力.
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