在线论坛数据上使用NLP方法探索心理治疗中的负面经验
Tobias Steinbrenner1, Christopher Lalk2, Alin Kabjesz2
1Department of Psychotherapy Research and Clinical Psychology, Osnabrueck University, Osnabrück, Germany. tobias.steinbrenner@uni-osnabrueck.de.
Npj mental health research
|November 6, 2025
概括
负面的心理治疗经历是常见的和多方面的,影响许多患者. 分析在线论坛揭示了一些被忽视的原因,如结构性障碍和持久的心理影响,强调了需要更好的认可.
科学领域:
- 心理学 心理学 心理学
- 计算语言学 计算语言学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 负面的心理治疗经历影响3-25%的患者,显著影响结果.
- 这些负面经历的原因在传统研究中未被充分探讨.
- 在线患者论坛提供了对不满的匿名见解.
研究的目的:
- 利用在线论坛数据,识别和分析心理治疗不满的原因和主题.
- 扩大现有的理解负面治疗经验的框架.
- 为了突出患者不满的被忽视的方面.
主要方法:
- 收集和匿名的在线论坛帖子讨论心理治疗.
- 利用自然语言处理 (NLP) 和大型语言模型来识别不满.
- 应用集群,主题建模,情绪分析和分类,由人类评分员验证.
主要成果:
- 提取了28,079个反映心理治疗不满的段落.
- 确定了55个子主题,包括治疗师的不当行为,负面影响,不良联盟,治疗不匹配和医疗保健挫折.
- 发现了诸如结构性障碍和持久的心理后果等主题.
结论:
- 心理治疗的不满是频繁和多方面的,超越了既定的类别.
- NLP和混合方法方法可以揭示患者体验中被忽视的主题.
- 有必要更好地识别和解决负面治疗经验及其后果.
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