Literature DB >> 29407543

Natural speech algorithm applied to baseline interview data can predict which patients will respond to psilocybin for treatment-resistant depression.

Facundo Carrillo1, Mariano Sigman2, Diego Fernández Slezak3, Philip Ashton4, Lily Fitzgerald4, Jack Stroud4, David J Nutt4, Robin L Carhart-Harris4.   

Abstract

BACKGROUND: Natural speech analytics has seen some improvements over recent years, and this has opened a window for objective and quantitative diagnosis in psychiatry. Here, we used a machine learning algorithm applied to natural speech to ask whether language properties measured before psilocybin for treatment-resistant can predict for which patients it will be effective and for which it will not.
METHODS: A baseline autobiographical memory interview was conducted and transcribed. Patients with treatment-resistant depression received 2 doses of psilocybin, 10 mg and 25 mg, 7 days apart. Psychological support was provided before, during and after all dosing sessions. Quantitative speech measures were applied to the interview data from 17 patients and 18 untreated age-matched healthy control subjects. A machine learning algorithm was used to classify between controls and patients and predict treatment response.
RESULTS: Speech analytics and machine learning successfully differentiated depressed patients from healthy controls and identified treatment responders from non-responders with a significant level of 85% of accuracy (75% precision).
CONCLUSIONS: Automatic natural language analysis was used to predict effective response to treatment with psilocybin, suggesting that these tools offer a highly cost-effective facility for screening individuals for treatment suitability and sensitivity. LIMITATIONS: The sample size was small and replication is required to strengthen inferences on these results.
Copyright © 2018 Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Computational psychiatry; Depression; Machine learning; Natural speech analysis; Predict therapeutic effectiveness; Psilocybin treatment; Treatment-resistant depression

Mesh:

Substances:

Year:  2018        PMID: 29407543     DOI: 10.1016/j.jad.2018.01.006

Source DB:  PubMed          Journal:  J Affect Disord        ISSN: 0165-0327            Impact factor:   4.839


  7 in total

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7.  Predicting Responses to Psychedelics: A Prospective Study.

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Journal:  Front Pharmacol       Date:  2018-11-02       Impact factor: 5.810

  7 in total

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