论文标题

慢性疼痛患者叙事允许估计当前疼痛强度

Chronic pain patient narratives allow for the estimation of current pain intensity

论文作者

Nunes, Diogo A. P., Ferreira-Gomes, Joana, Oliveira, Daniela, Vaz, Carlos, Pimenta, Sofia, Neto, Fani, de Matos, David Martins

论文摘要

慢性疼痛是一种多维体验,疼痛强度起着重要的作用,影响了患者的情绪平衡,心理学和行为。标准的自我报告工具,例如疼痛的视觉模拟量表,无法捕捉到这一负担。此外,这种类型的工具容易受到一定程度的主观性,取决于患者对如何使用它,社会偏见以及它们将复杂体验转化为规模的能力。为了克服这些和其他自我报告的挑战,先前已经根据面部表情,脑电图,脑成像和自主教特征对疼痛强度估计进行了研究。但是,据我们所知,它从未尝试过这一估计基于慢性疼痛的个人经历的叙述,这是我们在这项工作中提出的。的确,在慢性疼痛的临床评估和管理中,语言交流对于向医生传达信息至关重要,因为语言,社会文化和心理社会变量是相互交织的,因此否则将不容易通过标准报告工具访问。我们表明,来自患者叙事的语言特征确实传达了与疼痛强度估计相关的信息,并且我们的计算模型可以利用这一点。具体而言,我们的结果表明,轻度疼痛的患者更多地关注动词的使用,而中度和严重的疼痛患者分别专注于副词,名词和形容词,这些差异允许这三个疼痛类别之间的区别。

Chronic pain is a multi-dimensional experience, and pain intensity plays an important part, impacting the patients emotional balance, psychology, and behaviour. Standard self-reporting tools, such as the Visual Analogue Scale for pain, fail to capture this burden. Moreover, this type of tools is susceptible to a degree of subjectivity, dependent on the patients clear understanding of how to use it, social biases, and their ability to translate a complex experience to a scale. To overcome these and other self-reporting challenges, pain intensity estimation has been previously studied based on facial expressions, electroencephalograms, brain imaging, and autonomic features. However, to the best of our knowledge, it has never been attempted to base this estimation on the patient narratives of the personal experience of chronic pain, which is what we propose in this work. Indeed, in the clinical assessment and management of chronic pain, verbal communication is essential to convey information to physicians that would otherwise not be easily accessible through standard reporting tools, since language, sociocultural, and psychosocial variables are intertwined. We show that language features from patient narratives indeed convey information relevant for pain intensity estimation, and that our computational models can take advantage of that. Specifically, our results show that patients with mild pain focus more on the use of verbs, whilst moderate and severe pain patients focus on adverbs, and nouns and adjectives, respectively, and that these differences allow for the distinction between these three pain classes.

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