AI and narrative embeddings detect PTSD following childbirth via birth stories

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Апрель 11, 2024

Abstract Free-text analysis using machine learning (ML)-based natural language processing (NLP) shows promise for diagnosing psychiatric conditions. Chat Generative Pre-trained Transformer (ChatGPT) has demonstrated preliminary initial feasibility this purpose; however, whether it can accurately assess mental illness remains to be determined. This study evaluates the effectiveness of ChatGPT and text-embedding-ada-002 (ADA) model in detecting post-traumatic stress disorder following childbirth (CB-PTSD), a maternal postpartum affecting millions women annually, with no standard screening protocol. Using sample 1295 who gave birth last six months were 18+ years old, recruited through hospital announcements, social media, professional organizations, we explore ChatGPT’s ADA’s potential screen CB-PTSD by analyzing narratives. The PTSD Checklist DSM-5 (PCL-5; cutoff 31) was used CB-PTSD. By developing an ML that utilizes numerical vector representation ADA model, identify via narrative classification. Our outperformed (F1 score: 0.81) previously published large text-embedding models trained on health or clinical domains data, suggesting harnessed modeling approach could generalized other disorders.

Язык: Английский

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Behavioral problems, dissociative symptoms, and empathic behaviors in children adopted in infancy from institutional and foster care in the Czech Republic

Attachment & Human Development, Год журнала: 2025, Номер unknown, С. 1 - 25

Опубликована: Янв. 22, 2025

This study examined if considerably different caregiving experiences in infancy influence socio-emotional development later childhood. We included children aged 6-9 years who were, immediately after birth, placed quality state-run institutions (N = 24) or foster care with one family 23). All have lived stable families since their adoption before 15 months of age. Children the comparison group always biological parents 25). found that previously institutionalized had significantly more behavioral problems, dissociative symptoms, and lower empathic behavior scores than group. The fostered also exhibited problems symptoms but, notably, fewer findings underscore beneficial role compared to institutional consistency early play a crucial development.

Язык: Английский

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Developmental costs associated with early maternal withdrawal

Child Development Perspectives, Год журнала: 2022, Номер 16(1), С. 10 - 17

Опубликована: Янв. 19, 2022

Neglect is the most prevalent form of maltreatment, but it has been understudied relative to abuse. Additionally, developmental outcomes associated with early maternal withdrawal have harsh treatment. However, a large body studies on rodents documented causal effect low care altered stress responses in offspring. Other evidence from human links clinical levels neglect. Studies both and humans suggest that, rather than aversive (e.g., fight, flight, freeze) modeled relation threat attack or treatment, increased calling contact seeking mothers. Moreover, two longitudinal indicate that withdrawal, not negative-intrusive interaction, contributes adolescent borderline psychopathology. The field needs prospective well-operationalized constructs delineate distinct pathways may be

Язык: Английский

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Dissociative symptoms in school-aged adopted children who experienced maternal separation and disruptive caregiving in infancy

Frontiers in Psychiatry, Год журнала: 2025, Номер 16

Опубликована: Апрель 17, 2025

Amounting findings on maternal separation and early disturbed caregiving suggest that this type of experience negatively influences socioemotional development may be associated with behavioral mental health problems in later life. Concerning previously published studies, we have assessed if disrupted before adoption infancy could related to heightened levels dissociative symptoms middle childhood. We involved 30 children (sample S1) who had experienced after birth short-term institutional or foster care prior 16.7 months age. Based the parents' reports, they not any other significant adversities by time evaluation. These were compared a control group lived their biological mothers complete families S2; N = 25). Although are correlational causal, indicate specific adverse experiences, birth, relatively short disruptive successful significantly school-aged children. Our data also contribute literature child etiology disorders.

Язык: Английский

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SEL Through School, Family, and Community Partnerships

IGI Global eBooks, Год журнала: 2025, Номер unknown, С. 291 - 318

Опубликована: Апрель 18, 2025

This chapter explores the collaboration between schools, families, and communities in strengthening Social Emotional Learning (SEL). It highlights how integrated SEL efforts enhance student well-being, academic success, social competence through consistent support across multiple environments. Strategies for family engagement include workshops, home-based activities, culturally responsive practices. The also examines community partnerships with local organizations, mentorship programs, mental health services to extend beyond classroom. Case studies showcase successful school-community collaborations marginalized areas, addressing challenges like limited resources, cultural barriers, policy constraints. Finally, it offers recommendations sustaining initiatives strategic partnerships, advocacy, systemic integration.

Язык: Английский

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Neonatal brain volumes and early parenting behavior as mediators in associations between prenatal social disadvantage and socioemotional problems in toddlers

Biological Psychiatry, Год журнала: 2025, Номер unknown

Опубликована: Май 1, 2025

Social disadvantage has been associated with early socioemotional difficulties. This study examined mechanisms that relate prenatal social (PSD) to the development of problems by testing whether these associations were mediated (1) neonatal brain volumes and/or (2) parenting behaviors. Women recruited in their pregnancies and followed prospectively. PSD encompassed access material (e.g., income-to-needs, health insurance, area deprivation, nutrition, education) resources during pregnancy. Shortly after birth, neonates underwent structural magnetic resonance scanning. Mother-child dyads returned at child age 1 year for observations, parents reported socio-emotional (ITSEA: externalizing, dysregulation, internalizing) 2 years (N=267; 45% female). Simple parallel mediation models tested hypotheses. Greater was increased externalizing dysregulation symptoms years. PSD-associated reductions (cortical grey matter, white total brain) both PSD-externalizing PSD-dysregulation associations. The association additionally behaviors, particularly non-supportive Thus, symptoms, behaviors mediating metrics simultaneously models. Non-supportive remained a significant mediator, while no longer significant. alterations birth may serve as risk factors multidimensional difficulties toddlerhood. However, emerged stronger mediator lending support key intervention targets prevention childhood.

Язык: Английский

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ChatGPT Demonstrates Potential for Identifying Psychiatric Disorders: Application to Childbirth-Related Post-Traumatic Stress Disorder

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Фев. 26, 2024

Abstract Free-text analysis using Machine Learning (ML)-based Natural Language Processing (NLP) shows promise for diagnosing psychiatric conditions. Chat Generative Pre-trained Transformer (ChatGPT) has demonstrated preliminary initial feasibility this purpose; however, whether it can accurately assess mental illness remains to be determined. This study evaluates the effectiveness of ChatGPT and text-embedding-ada-002 (ADA) model in detecting post-traumatic stress disorder following childbirth (CB-PTSD), a maternal postpartum affecting millions women annually, with no standard screening protocol. Using sample 1,295 who gave birth last six months were 18 + years old, recruited through hospital announcements, social media, professional organizations, we explore ChatGPT’s ADA’s potential screen CB-PTSD by analyzing narratives only. The PTSD Checklist DSM-5 (PCL-5; cutoff 31) was used CB-PTSD. By developing an ML that utilizes numerical vector representation ADA model, identify via narrative classification. Our outperformed (F1 score: 0.82) previously published large language models (LLMs) trained on health or clinical domains data, suggesting harnessed modeling approach could generalized other disorders. 1

Язык: Английский

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Mother–child interactions in adolescents with borderline personality disorder traits and the impact of early life maltreatment

Child and Adolescent Psychiatry and Mental Health, Год журнала: 2023, Номер 17(1)

Опубликована: Авг. 10, 2023

Abstract Background Early detection and intervention of borderline personality disorder (BPD) in adolescence has become a public health priority. Theoretical models emphasize the role social interactions transgenerational mechanisms development suggesting closer look at caregiver-child relationships. Methods The current study investigated mother-adolescent their association with adolescent BPD traits by using case–control design. Thirty-eight patients ≥ 3 mothers (BPD-G) were contrast to 35 healthy control dyads (HC-G). Maternal, dyadic behavior was coded Coding Interactive Behavior Manual (CIB) during two interactions: fun day planning stress paradigm. Additional effects maternal and/or early life maltreatment (ELM) on also explored. Results BPD-G displayed significantly lower quality maternal, than HC-G both interactions. Maternal predicted alone, whilst influenced general psychopathology. Exploratory analyses CIB subscales showed that increased reciprocal compared planning, decreased it. ELM did not differ between groups or have any effect behavior. Adolescent correlated behavioral outcome variables, but explain outcomes above beyond clinical status. Discussion/Conclusion Our data suggest stronger focus parent–child BPD-specific therapies enhance long-term treatment patients. Further research employing designs allow bidirectional transactions (e.g. longitudinal design, microcoding) is needed.

Язык: Английский

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Hospitalization for physical child abuse: Associated medical factors and medical history since birth

Child Abuse & Neglect, Год журнала: 2023, Номер 146, С. 106482 - 106482

Опубликована: Сен. 28, 2023

Physical abuse often begins at a very young age and sometimes results in serious or fatal injuries. It is crucial to diagnose physical as early possible protect this vulnerable population.

Язык: Английский

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Parenting Stress, Child Behavior Problems, and Household Chaos: Examining Parenting in Early Head Start Families

Child & Youth Care Forum, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 29, 2024

Язык: Английский

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