scholarly journals NLP-Based Quantification of the Mental State of Psychiatric Patients

2020 ◽  
pp. 1-31
Author(s):  
Sankha S. Mukherjee ◽  
Jiawei Yu ◽  
Yida Won ◽  
Mary J. McClay ◽  
Lu Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental State ◽  
Binary Vector ◽  
Psychiatric Patients ◽  
Mental States ◽  
The United States ◽  
Free Text ◽  
The Individual ◽  
Vector Representations ◽  
Over Time

Psychiatric practice routinely uses semistructured and/or unstructured free text to record the behavior and mental state of patients. Many of these data are unstructured, lack standardization, and are difficult to use for analysis. Thus, it is difficult to quantitatively analyze a patient’s illness trajectory over time and his or her responsiveness to treatment, and it is also difficult to compare different patients quantitatively. In this article, experts in the field of psychiatry, along with machine learning models, have collaboratively transformed patient data available in status assessments generated by physicians into binary vector representations. Data from patients with mental health disorders collected within a real-world clinical setting from one of the largest behavioral electronic health record (EHR) systems in the United States have been used for generating these representations. The binary vector representation of these health records is shown to be useful in various clinical tasks, such as disease phenotyping, characterizing the suicidality of patients, and inferring diagnoses. To summarize, this approach can transform semistructured free-text summaries of patients’ status assessments into a structured, quantifiable format, which enriches the data that reside within EHR systems. This allows for effective intra- and interpatient quantifications and comparisons, which are much needed in the field of mental health. With the aid of these binary representations, patients’ mental states can be systematically tracked over time, as can their responses to medications at the individual and population levels.

Canada’s changing innovation landscape

2021 ◽  
Author(s):  
Md. Razib Alam ◽  
Bonwoo Koo ◽  
Brian Paul Cozzarin
Keyword(s):  
The United States ◽  
Destination Country ◽  
Firm Level ◽  
Individual Level ◽  
Patent Classification ◽  
The Usa ◽  
The Government ◽  
The Individual ◽  
The University ◽  
Over Time

Abstract Our objective is to study Canada’s patenting activity over time in aggregate terms by destination country, by assignee and destination country, and by diversification by country of destination. We collect bibliographic patent data from the Canadian Intellectual Property Office and the United States Patent and Trademark Office. We identify 19,957 matched Canada–US patents, 34,032 Canada-only patents, and 43,656 US-only patents from 1980 to 2014. Telecommunications dominates in terms of International Patent Classification technologies for US-only and Canada–US patents. At the firm level, the greatest number of matched Canada–US patents were granted in the field of telecommunications, at the university level in pharmaceuticals, at the government level in control and instrumentation technology, and at the individual level in civil engineering. We use entropy to quantify technological diversification and find that diversification indices decline over time for Canada and the USA; however, all US indices decline at a faster rate.

Maternal mental state language is associated with trajectories of Chinese immigrant children’s emotion situation knowledge

2018 ◽  
Vol 43 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Stacey N. Doan ◽  
Helen Y. Lee ◽  
Qi Wang
Keyword(s):  
Mental State ◽  
Cultural Context ◽  
Mental States ◽  
European American ◽  
Chinese Immigrant ◽  
Children's Emotion ◽  
Mental State Language ◽  
And Behaviors ◽  
Over Time ◽  
State Language

We investigated the role of mothers’ references to mental states and behaviors and children’s emotion situation knowledge (ESK) in a prospective, cross-cultural context. European American mothers ( n = 71) and Chinese immigrant mothers ( n = 60) and their children participated in the study. Maternal references to mental states and behaviors were assessed at Time 1 when children were three years of age. ESK was assessed when children were 3, 3.5, and 4.5 years of age. Multi-group latent growth curve analyses were used to model children’s growth in ESK over time, as well as relations between mental state language and references to behaviors on children’s trajectories. Results indicated that maternal references to mental states were associated with concurrent levels of ESK for European American children, and change over time for the Chinese immigrant children. Maternal references to behaviors were negatively associated with concurrent ESK for both groups.

scholarly journals Hybrid Telepsychiatry: A United States Perspective with Relevance to India

2020 ◽  
Vol 42 (5_suppl) ◽  
pp. 108S-112S
Author(s):  
Srinagesh Mannekote Thippaiah ◽  
Vijaykumar Harbishettar ◽  
Manoj Kumar T ◽  
Ananda Pandurangi
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Workers ◽  
Care Delivery ◽  
Psychiatric Patients ◽  
Multidisciplinary Treatment ◽  
The United States ◽  
Mental Practice ◽  
Clinical Model ◽  
Home Based

Telepsychiatry provides a platform for mental health care delivery in rural and remote areas. Hybrid Telepsychiatry model combines home-based telepsychiatry with domiciliary visits by community mental health workers. This involves use of different modes of teledevices which ensures safe and secure clinical platform. Research evidence supports that incorporating this model seems to use the specialist time efficiently where the resources are limited and services need to be catered for larger geographical community. The current telepsychiatry practice in the United States, specifically the hybrid model, has indisputably shown significant benefits in caring for psychiatric patients. Such valuable clinical model and its relevance to current mental practice and also its application in the Indian scenario can be helpful in providing comprehensive multidisciplinary treatment. This review evaluates and highlights the potential risks and benefits of adopting the hybrid telepsychiatry model in the Indian mental health system.

Do care patterns change over time in a newly established mental health service? A report from the UK700 trial

2006 ◽  
Vol 21 (5) ◽  
pp. 300-306 ◽  
Author(s):  
M. Fiander ◽  
T. Burns ◽  
O.C. Ukoumunne ◽  
T. Fahy ◽  
F. Creed ◽  
...  
Keyword(s):  
Mental Health ◽  
Care Delivery ◽  
Derived Categories ◽  
Process Data ◽  
Mean Values ◽  
Care Patterns ◽  
Individualised Care ◽  
The Individual ◽  
Changes Over Time ◽  
Over Time

AbstractPurpose.Data on the process of mental health care is scant. Most studies focus on services at their inception when activity may be atypical and then usually present data only mean values for the reported variables over the whole study period. We aimed to test whether care delivery changes over time, and to describe any changes at the individual patient and team levels.Methods.Process data on 272 patients in three new intensive case management (ICM) teams were collected over 2 years. Interventions were prospectively recorded using clinician-derived categories. Changes over time are described at both patient and team level.Results.The number of contacts and the proportion of face-to-face activity were remarkably constant after the first month at the patient level. The proportion of ‘psychiatric’ interventions (main focus on medication or a specific ‘mental health’ intervention performed) increased greatly after the first 6 months. The care activity received by individual patients varied considerably. Overall, teams varied significantly in the extent to which their activity rates were sustained over time.Conclusions.New ICM teams deliver highly individualised care with more marked differences in treatment patterns between patients in the same team than mean differences between teams. The early ‘engagement’ period is marked by a greater focus on social care. There is evidence of differences in sustainability of the services by site.

scholarly journals Evaluating the Impact of Pharmacists on Clinical Outcomes and Adherence in Patients with Mental Illness: A Literature Review

2020 ◽  
Vol 2 (01) ◽  
Author(s):  
Dalia Mekeel
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Clinical Trials ◽  
Literature Review ◽  
Clinical Outcomes ◽  
The United States ◽  
Psychotropic Medications ◽  
Depression Symptoms ◽  
Free Text

Purpose: The purpose of this literature review is to investigate the role of pharmacists in improving clinical outcomes and adherence to psychotropic medications in patients with mental illness. The majority of patients tend to stop taking their medications due to the delayed effects or adverse events. It has been established that pharmacists have a positive effect on patients’ clinical outcomes in different chronic disease states other than mental illness. There is also a stigma associated with how comfortable pharmacists are on counseling patients about psychotropic medications. This literature review will evaluate the level of pharmacists’ involvement in treating patients with mental illness as well as strategies used to achieve persistence and compliance with therapy. Methods: A PubMed search was conducted to identify articles related to mental illness and pharmacists. MeSH terms included “antidepressants”, “adherence”, “pharmacists”, and “bipolar disorder”. A free-text search was conducted using the same terms and to search for the most updated American Psychiatric Association practice guidelines. The National Institute of Mental Health database was searched for current mental health statistics in the United States. Collectively, 62 results returned for the MeSh search. This review included studies on adults with mental disorders who were evaluated by pharmacists for adherence and clinical outcomes between the years of 1995-2019. The results of five clinical trials assessing the role of pharmacists in adherence to psychotropic medications will be discussed in this literature review. Results: The clinical trials included in this review showed a statistically significant increase in adherence to psychotropic medications associated with pharmacists’ interventions. The results were not statistically significant for the clinical outcomes in most studies but presented positive improvements in the inpatient and outpatient settings. Canales et al. results showed that patients receiving pharmacists’ interventions in the inpatient setting had >30% improved clinical outcomes measured by different rating scales. The results of Valenstein et al. study conducted at Veteran Affairs clinics were statistically significant for adherence improvement presented by a 25% increase in medication possession ratio. Aljumah et al. clinical trial had a 18% increase in adherence associated with pharmacist interventions. The EMDADER-TAB trial resulted in a statistically significant decrease in ER visits, significant improvement of the depression symptoms, and overall improvement of severity of symptoms. Conclusion: Mental illness should be treated as any other medical condition that requires interventions whenever clinical outcomes are not optimal. Pharmacists have the skills to evaluate clinical symptoms of different psychiatric disorders as well as the knowledge on therapeutic treatments necessary for the optimization of medication use.

scholarly journals STUDY OF THE MENTAL STATE OF STUDENTS IN THE PROCESS OF ONLINE EDUCATION DURING THE CORONAVIRUS PANDEMIC

2021 ◽  
Vol 74 (11) ◽  
pp. 2705-2710
Author(s):  
Larysa L. Borysenko ◽  
Larysa V. Korvat ◽  
Olga V. Lovka ◽  
Antonina M. Lovochkina ◽  
Oksana P. Serhieienkova ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Learning ◽  
Academic Success ◽  
Online Education ◽  
Mental State ◽  
Professional Training ◽  
Mental States ◽  
Emotional States ◽  
Confined Space ◽  
Prolonged Stay

The aim: Exploring the specifics of the underlying mental states of university students in the context of online learning during the COVID-19 pandemic and identifying their relationship to mental health. Materials and methods: The study of mental states was carried out using three valid methods, namely: a clinical questionnaire for the detection and evaluation of neurotic states (K. Yakhin, D. Mendelevich), a questionnaire for diagnosing the level of social frustration (L. Wasserman, adaptation of V. Bojko), State-Trait Anxiety Inventory (STAI) (Ch. Spielberger, adaptation by Yu. Khanin). The author’s questionnaire (L. Borysenko) was used to study the connection between the factors of online learning and emotional states of students. The obtained empirical data were subjected to qualitative and quantitative processing. Results: The analysis of the obtained data allows to state the fact of predominance of high and increased level of situational and personal anxiety in the subjects in the conditions of online learning. In the process of psychodiagnosis of neurotic states, it was found that most students have a level of painful or borderline mental conditions such as anxiety, neurotic depression, asthenia and autonomic disorders. It was found that students have an elevated level and high level of social frustration. The main factors of online learning, which, according to students, cause them to deteriorate mental health are: forced to stay in a confined space, lack of direct social contacts, prolonged stay in a static position, increased study load and volume of tasks, anxiety for academic success and quality professional training, concern for their health and the health of their loved ones. Conclusions: The forced transition to online learning due to the COVID-19 pandemic has negatively affected the mental state of many students. In most respondents, this manifested itself in increased anxiety, depression, autonomic reactions due to limited opportunities to communicate with teachers and classmates, new learning conditions and increased workload.

scholarly journals A Machine Learning Analysis of COVID-19 Mental Health Data

2022 ◽  
Author(s):  
Mostafa Rezapour ◽  
Lucas Hansen
Keyword(s):  
Mental Health ◽  
United States ◽  
Machine Learning ◽  
Survey Data ◽  
Social Research ◽  
Multinomial Logistic Regression ◽  
The United States ◽  
Support Vector ◽  
K Nearest Neighbors ◽  
The Individual

Abstract In late December 2019, the novel coronavirus (Sars-Cov-2) and the resulting disease COVID-19 were first identified in Wuhan China. The disease slipped through containment measures, with the first known case in the United States being identified on January 20th, 2020. In this paper, we utilize survey data from the Inter-university Consortium for Political and Social Research and apply several statistical and machine learning models and techniques such as Decision Trees, Multinomial Logistic Regression, Naive Bayes, k-Nearest Neighbors, Support Vector Machines, Neural Networks, Random Forests, Gradient Tree Boosting, XGBoost, CatBoost, LightGBM, Synthetic Minority Oversampling, and Chi-Squared Test to analyze the impacts the COVID-19 pandemic has had on the mental health of frontline workers in the United States. Through the interpretation of the many models applied to the mental health survey data, we have concluded that the most important factor in predicting the mental health decline of a frontline worker is the healthcare role the individual is in (Nurse, Emergency Room Staff, Surgeon, etc.), followed by the amount of sleep the individual has had in the last week, the amount of COVID-19 related news an individual has consumed on average in a day, the age of the worker, and the usage of alcohol and cannabis.

Black U.S. Sexual and Gender Minority Mental Health

2020 ◽  
pp. 173-185
Author(s):  
Jonathan Mathias Lassiter ◽  
Lourdes Dolores Follins ◽  
Stacy W. Smallwood ◽  
Leo Wilton ◽  
Alishia Alexander ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
The United States ◽  
Structural Level ◽  
Transgender People ◽  
Individual Level ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
The Individual

This chapter provides a comprehensive and nuanced review and critique of the extant scholarship related to Black sexual and gender minority (SGM) mental health in the United States. The authors highlight the determinants of mental health, the prevalence of mental health problems and inequities, and protective and resilience factors related to Black SGM mental health within five different subgroups: transgender people, intersex people, bisexual people, lesbians, and gay/same-gender-loving men. An intersectional approach is used to draw attention to how racial, gender, socioeconomic, and sexual orientation identities at the individual level influence experiences of oppression at the structural level to synergistically impact mental health. The chapter concludes with a discussion of the gaps in the literature related to Black SGM mental health and recommendations for addressing them.

Changes in Sabbath-Keeping and Mental Health Over Time: Evaluation Findings From the Sabbath Living Study

2021 ◽  
pp. 009164712110462
Author(s):  
Rae Jean Proeschold-Bell ◽  
Beth Stringfield ◽  
Jia Yao ◽  
Jessica Choi ◽  
David Eagle ◽  
...  
Keyword(s):  
Mental Health ◽  
Well Being ◽  
The United States ◽  
Personal Accomplishment ◽  
Control Group ◽  
Cross Sectional ◽  
Work Related ◽  
Spiritual Well Being ◽  
Over Time ◽  
Sabbath Keeping

Work-related stress is experienced at a high level in the United States. Clergy are particularly likely to over-extend themselves to act on their sacred call. Sabbath-keeping may offer a practice that is beneficial for mental health, yet many Protestant clergy do not keep a regular Sabbath. We examined whether United Methodist clergy who attended informative Sabbath-keeping workshops reported changes in spiritual well-being and mental health post-workshop. Compared to baseline, at 3 and 9 months post-workshop, participants reported an increase in Sabbath-keeping. In adjusted random effects and Poisson models, compared to not changing Sabbath-keeping frequency, increasing Sabbath-keeping was related to only one outcome: greater feelings of personal accomplishment at work. Decreasing Sabbath-keeping was related to worse anxiety symptoms, lower spiritual well-being in ministry scores, and a higher probability of having less than flourishing mental health. For four outcomes, there were no significant associations with changes in Sabbath-keeping over time. Although lacking a control group, this study adds to cross-sectional Sabbath-keeping studies by correlating changes in Sabbath-keeping with changes in mental health outcomes over time.

What it says in the papers: an audit

2001 ◽  
Vol 18 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Alison O'Connor ◽  
Patricia Casey
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Print Media ◽  
Psychiatric Patients ◽  
International Studies ◽  
International Literature ◽  
The Past ◽  
The Media ◽  
Over Time

AbstractObjectives: There have been concerns in the international literature that the manner in which psychiatry and psychiatric patients is portrayed in the print media is negative and sensational. If correct this has serious implications for the stigma and prejudice that our patients will suffer. This study was designed to evaluate the content and tone of articles relating to psychiatry. It was compared with a broadly similar study published in 1995 and will form the base from which to measure changes in psychiatric coverage over time.Method: All the daily broadsheets, one daily tabloid and three Sunday broadsheets were examined for a six month period in 1999 and all articles, letters or headlines incorporating psychiatry-related material were examined. Using specific definitions, articles and headlines were examined for tone and content as well as for the contribution of mental health professionals.Results: Overall 0.65 articles per newspaper per day were found. News items and feature predominated, with forensic issues receiving the greatest attention. The tone of the articles was either neutral or positive and the improvement in the tone of articles in the tabloids was particularly noticeable when compared with an earlier study. This is very different from the findings of international studies. However, the headlines were more sensational in tone than the contents of the articles themselves. Increasingly the opinion of health professionals was sought but contributions from psychiatrists remained low, writing just two articles and constituting 15% of health professionals whose opinions were sought. Nine per cent of items constituted misuse of terms.Conclusions: The Irish print media are not hostile to psychiatry and there has been an improvement in tone and type of article in the past five years. Greater involvement of psychiatrists in the media and particularly more direct engagement with editors is required if there is to be a shift from coverage of forensic matters in favour of informative articles as well as improvement in the headline tone.

Sign in / Sign up

Export Citation Format

Share Document