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This book integrates the concepts of big data analytics into mental
health practice and research. Mental disorders represent a public
health challenge of staggering proportions. According to the most
recent Global Burden of Disease study, psychiatric disorders
constitute the leading cause of years lost to disability. The high
morbidity and mortality related to these conditions are
proportional to the potential for overall health gains if mental
disorders can be more effectively diagnosed and treated. In order
to fill these gaps, analysis in science, industry, and government
seeks to use big data for a variety of problems, including clinical
outcomes and diagnosis in psychiatry. Multiple mental healthcare
providers and research laboratories are increasingly using large
data sets to fulfill their mission. Briefly, big data is
characterized by high volume, high velocity, variety and veracity
of information, and to be useful it must be analyzed, interpreted,
and acted upon. As such, focus has to shift to new analytical tools
from the field of machine learning that will be critical for anyone
practicing medicine, psychiatry and behavioral sciences in the 21st
century. Big data analytics is gaining traction in psychiatric
research, being used to provide predictive models for both clinical
practice and public health systems. As compared with traditional
statistical methods that provide primarily average group-level
results, big data analytics allows predictions and stratification
of clinical outcomes at an individual subject level. Personalized
Psychiatry - Big Data Analytics in Mental Health provides a unique
opportunity to showcase innovative solutions tackling complex
problems in mental health using big data and machine learning. It
represents an interesting platform to work with key opinion leaders
to document current achievements, introduce new concepts as well as
project the future role of big data and machine learning in mental
health.
Recent studies regarding the neuropathology of specific
neurological disorders suggest that both neurodevelopmental and
neurodegenerative processes may play a role. However, in contrast
to the neurodegeneration seen in neurological disorders such as
Parkinson's and Alzheimer's disease, the term "neuroprogression"
has been used to describe the neurodevelopmental aspect of
pathological brain re-wiring that takes place in the context of
severe psychiatric disorders, such as schizophrenia or bipolar
disorder. Within psychiatry, patients with severe psychopathology,
such as those depressed patients who eventually commit suicide,
have been shown to present with increased inflammatory markers in
the brain. A similar increase in inflammatory markers is also found
in patients with bipolar disorders and schizophrenia. Thus,
oxidative stress, inflammation, and changes in growth factors are
thought to be the pathways of neuroprogression. Neuroprogression in
Psychiatry provides a comprehensive summary of the current
developments in the emerging field of neuroprogression. With
contributions by leading researchers in the field, this book
examines the role of neuroprogression across a wide range of
specific psychiatric disorders, with chapters included on major
depressive disorder, anxiety disorder, post-traumatic stress
disorder, substance abuse, schizophrenia, and bipolar disorder.
After the original proposals of staging for psychotic disorders
developed by McGorry and colleagues, a few systems have been put
forward specifically for people with bipolar disorder. There is now
consistent evidence that, at least for a significant portion of
people with this disease, clinical course and outcome are not as
benign as initially described. The evidence thus far points to
relevant differences between early and late stages of bipolar
disorders in the clinical course of illness, neurobiology and
systemic pathology. These differences all suggest that staging is a
viable addition to clinical care in bipolar disorder.
Neuroprogression and Staging in Bipolar Disorder provides a
comprehensive summary of the current state of the evidence
regarding the use of staging systems in bipolar disorder. Edited by
the leading researchers in the field, the book systematically
covers the theoretical basis for staging, comparisons between
different proposals, neurobiological underpinnings, the current
evidence-base, limitations and future directions, and clinical
implications and recommendations for practice. The book provides a
solid and in-depth outline and thus to influence research and
practice in the field of bipolar disorder.
This innovative book focuses on potential, limitations, and
recommendations for the digital mental health landscape. Authors
synthesize existing literature on the validity of digital health
technologies, including smartphones apps, sensors, chatbots and
telepsychiatry for mental health disorders. They also note that
collecting real-time biological information is usually better than
just collect filled-in forms, and that will also mitigate problems
related to recall bias in clinical appointments. Limitations such
as confidentiality, engagement and retention rates are moreover
discussed. Presented in fifteen chapters, the work addresses the
following questions: may smartphones and sensors provide more
accurate information about patients' symptoms between clinical
appointments, which in turn avoid recall bias? Is there evidence
that digital phenotyping could help in clinical decisions in mental
health? Is there scientific evidence to support the use of mobile
interventions in mental health? Digital Mental Health will help
clinicians and researchers, especially psychiatrists and
psychologists, to define measures and to determine how to test apps
or usefulness, feasibility and efficacy in order to develop a
consensus about reliability. These professionals will be armed with
the latest evidence as well as prepared to a new age of mental
health.
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