论文标题
个人心理健康导航器:利用数据,个人模型和健康控制论的力量来促进心理健康
Personal Mental Health Navigator: Harnessing the Power of Data, Personal Models, and Health Cybernetics to Promote Psychological Well-being
论文作者
论文摘要
传统上,心理医疗保健制度遵循了一个情节性心理治疗模型,其中患者通过通过多个提供者访问制定的规定治疗计划从提供者那里寻求护理。可穿戴和移动技术的最新进展引起了人们对数字心理保健的兴趣,这使个人能够解决情节性心理健康症状。但是,这些努力通常是反应性和以症状为中心的,并且不提供全面的,环绕的,定制的治疗方法,可以随着时间的流逝而捕获个人的整体心理健康模型。认识到每个人都是独一无二的,我们提出了个性化心理健康导航(MHN)的概念:基于控制论的治疗师,基于控制论目标的系统,该系统部署了连续的测量,估计,指导,指导,以将个人的心理健康状态转向健康的区域。我们概述了MHN的主要组成部分,其前提是基于个人的个人心理健康状况的发展,并由多个知识层的高维封面(例如情感,生物学模式,社会学,行为和认知)表示。我们通过一项为期12个月的试点案例研究来证明了个性化MHN方法的可行性,用于大学生的整体压力管理,并强调了使用MHN的治疗师在持续时间内进行监测,估算和主动解决中等严重抑郁症的实例。我们认为,MHN铺平了将心理保健从当前的被动,情节性,反应性过程(个人寻求帮助解决已经表现出的症状)转变为一个持续且导航的范式的方式,该范式利用个性化的个体模型,承诺以良好的方式向个人及时提供及时的干预措施。
Traditionally, the regime of mental healthcare has followed an episodic psychotherapy model wherein patients seek care from a provider through a prescribed treatment plan developed over multiple provider visits. Recent advances in wearable and mobile technology have generated increased interest in digital mental healthcare that enables individuals to address episodic mental health symptoms. However, these efforts are typically reactive and symptom-focused and do not provide comprehensive, wrap-around, customized treatments that capture an individual's holistic mental health model as it unfolds over time. Recognizing that each individual is unique, we present the notion of Personalized Mental Health Navigation (MHN): a therapist-in-the-loop, cybernetic goal-based system that deploys a continuous cyclic loop of measurement, estimation, guidance, to steer the individual's mental health state towards a healthy zone. We outline the major components of MHN that is premised on the development of an individual's personal mental health state, holistically represented by a high-dimensional cover of multiple knowledge layers such as emotion, biological patterns, sociology, behavior, and cognition. We demonstrate the feasibility of the personalized MHN approach via a 12-month pilot case study for holistic stress management in college students and highlight an instance of a therapist-in-the-loop intervention using MHN for monitoring, estimating, and proactively addressing moderately severe depression over a sustained period of time. We believe MHN paves the way to transform mental healthcare from the current passive, episodic, reactive process (where individuals seek help to address symptoms that have already manifested) to a continuous and navigational paradigm that leverages a personalized model of the individual, promising to deliver timely interventions to individuals in a holistic manner.