PHILIP, Pierre; MICOULAUD-FRANCHI, Jean-Arthur; SAGASPE, Patricia; SEVIN, Etienne De; OLIVE, Jérôme; BIOULAC, Stéphanie; SAUTERAUD, Alain

doi:10.1038/srep42656

Sommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]

MICOULAUD-FRANCHI, Jean-Arthur
Sommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]

SAGASPE, Patricia
Sommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]

Langue

Article de revue

Ce document a été publié dans

Scientific Reports. 2017-02-16, vol. 7

Résumé en anglais

Embodied Conversational Agents (ECAs) are promising software to communicate with patients but no study has tested them in the diagnostic field of mental disorders. The aim of this study was 1) to test the performance of a diagnostic system for major depressive disorders (MDD), based on the identification by an ECA of specific symptoms (the MDD DSM 5 criteria) in outpatients; 2) to evaluate the acceptability of such an ECA. Patients completed two clinical interviews in a randomized order (ECA versus psychiatrist) and filled in the Acceptability E-scale (AES) to quantify the acceptability of the ECA. 179 outpatients were included in this study (mean age 46.5 ± 12.9 years, 57.5% females). Among the 35 patients diagnosed with MDD by the psychiatrist, 14 (40%) patients exhibited mild, 12 (34.3%) moderate and 9 (25.7%) severe depressive symptoms. Sensitivity increased across the severity level of depressive symptoms and reached 73% for patients with severe depressive symptoms, while specificity remained above 95% for all three severity levels. The acceptability of the ECA evaluated by the AES was very good (25.4). We demonstrate here the validity and acceptability of an ECA to diagnose major depressive disorders. ECAs are promising tools to conduct standardized and well-accepted clinical interviews.< Réduire

Mots clés en anglais

Adult

Computer interface

Diagnostic and statistical manual of mental disorders

Female

Human

Major depression

Male

Middle aged

Patient attitude

Proof of concept

Psychological interview

Psychology

Receiver operating characteristic

Reproducibility

Severity of illness index

Software

URI

https://oskar-bordeaux.fr/handle/20.500.12278/186044

DOI

http://dx.doi.org/10.1038/srep42656

Project ANR

Phénotypage humain et réalité virtuelle - ANR-10-EQPX-0012

Unités de recherche

SANPSY (Sommeil, Addiction, Neuropsychiatrie) - UMR 6033

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Virtual human as a new diagnostic tool, a proof of concept study in the field of major depressive disorders