在诊断儿童焦虑障碍时,心理健康和非心理健康临床医生之间的专家词汇使用模式的比较
Mayanka Chandrashekar1, Jordan Tschida1, Jeffrey R Strawn2
1Advanced Computing for Health Sciences, Computational Sciences and Engineering Division, Oak Ridge National Laboratory, Oak Ridge, TN.
The Journal of pediatrics
|July 20, 2025
概括
专家词汇 (EVo) 在儿科焦虑诊断中的使用在心理健康和非心理健康临床医生之间有所不同. 包括所有临床笔记可以改善焦虑分类,特别是在预诊断阶段.
科学领域:
- 临床信息学 临床信息学
- 心理健康研究 心理健康研究
- 儿科医疗保健 儿科医疗保健
背景情况:
- 电子健康记录 (EHR) 包含有价值的临床笔记.
- 在诊断儿科焦虑时使用专家词汇 (EVo) 尚未得到充分理解.
- 将精神健康和非精神健康记录中的EVO进行比较可以揭示诊断模式.
研究的目的:
- 为了比较专家词汇 (EVo) 在诊断儿科焦虑中的使用情况.
- 从EHR分析精神健康和非精神健康临床笔记中的EVO.
- 了解EVO在焦虑诊断分类和决策中的作用.
主要方法:
- 来自辛辛那提儿童医院的25岁以下患者的回顾性研究.
- 分析了897,685名患者和61,586,446名临床笔记.
- 对焦虑诊断的分类准确度的比较,使用基于EVO的嵌入,来自所有心理健康和非心理健康的注意事项.
主要成果:
- 在诊断前焦虑时,EVO的使用率最高,在非焦虑时较低,在诊断后最低.
- 分类模型显示,使用所有笔记类型的EVO,预诊断焦虑的F1得分相似 (0.70 ± 0.2).
- 与精神健康笔记相比,所有和非精神健康笔记在焦虑与非焦虑分类方面产生了更好的F1评分 (>0.90).
结论:
- 在心理健康和非心理健康临床医生之间,焦虑的使用存在显著差异.
- 非心理健康笔记捕捉了关键的患者信息,尽管焦虑特异性术语较少.
- 在预诊断阶段,EVO对焦虑分类最有效,这表明需要专门的词典.
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