大模型在抑郁症筛查与诊断中的应用OACHSSCD
The application of foundation models in depression screening and diagnosis
抑郁症是一种常见的精神障碍,严重影响患者的社会功能和生活质量.近年来,大模型凭借其强大的语义理解和多模态数据处理能力,在抑郁症早期筛查与辅助诊断中展现出显著优势.构建抑郁症筛查和诊断大模型通常包括:数据准备、模型选择、模型训练和模型评估四个步骤.大模型在抑郁症筛查与诊断中,主要通过情境化语义表征、注意力机制、多模态行为捕捉及生成式预测等关键技术实现.但当前研究仍存在算法偏见、诊断特异性、幻觉现象、隐私安全及伦理问题等挑战.未来应加强大模型心理干预的整合应用,聚焦临床转化路径,构建更为精细、动态且具备文化适应性的抑郁症数字表型,实现心理健康服务的数智化转型.
Depression is a common mental disorder that significantly impairs patients'social functioning and quality of life.In recent years,foundation models,with their powerful semantic understanding capability and multimodal data-processing capacity,have shown notable potential in the early screening and auxiliary diagnosis of depression.The construction of foundation model-based systems for depression screening and diagnosis typically involves four stages:data preprocessing,model selection,model training,and model evaluation.In these applications,foundation models primarily operate through contextualized semantic representation,attention mechanisms,multimodal behavioral capture,and predictive processing.Despite these advantages,their application still faces challenges such as algorithmic bias,insufficient diagnostic specificity,hallucination phenomena,privacy and security concerns,and ethical risks.In the future,the integration of foundation models into psychological intervention frameworks should be strengthened,with an emphasis on clinical translation pathways,in order to construct a more refined,dynamic,and culturally adaptive digital phenotype of depression,and to achieve the digital and intelligent transformation of mental health services.
谢宇;郑弘欣;刘怡资;禹红刚;杨成赫
安徽师范大学教育科学学院,芜湖 241000安徽师范大学教育科学学院,芜湖 241000安徽师范大学教育科学学院,芜湖 241000中国电信股份有限公司安徽分公司,合肥 230001中国电信股份有限公司安徽分公司,合肥 230001
医药卫生
大模型抑郁症早期筛查辅助诊断
foundation modelsdepressionearly screeningauxiliary diagnosis
《心理科学进展》 2026 (3)
424-440,中插1-中插3,20
安徽省高等学校思想政治教育研究会2024年度高校思想政治教育研究专项课题(2024SZX012)中国电信股份有限公司大中小一体化智能心育研发项目(24AHEKYF5020).
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