Evidence map›Paper›PMID 38605073›Full record

ArticleScientific reports2024

AI and narrative embeddings detect PTSD following childbirth via birth stories.

Alon Bartal, Kathleen M Jagodnik, Sabrina J Chan, Sharon Dekel

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Alon BartalThe School of Business Administration, Bar-Ilan University, Ramat Gan, 5290002, Israel.
Kathleen M JagodnikThe School of Business Administration, Bar-Ilan University, Ramat Gan, 5290002, Israel.
Sabrina J ChanDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, 02114, USA.
Sharon DekelDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, 02114, USA. sdekel@mgh.harvard.edu.

Funding

Defining postpartum PTSD and its implications for maternal wellness and child developmentR01HD108619 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI Sharon Dekel · 2022 to 2026
$3.7M
Neural underpinnings of postpartum adaptation following traumatic delivery and implications for infant developmentR21HD100817 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI DEKEL, SHARON · 2020 to 2021
$574k
The effects of expressive writing following traumatic childbirthR21HD109546 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI DEKEL, SHARON · 2023 to 2024
$462k
NICHD NIH HHS R01 HD108619NICHD NIH HHS R21 HD100817NICHD NIH HHS R21 HD109546
6 · The paper itself

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

Indexed as

ParturitionStress Disorders, Post-TraumaticDelivery, ObstetricFemaleHumansInfantNarrationPostpartum PeriodPregnancyBirth narrativesBirth traumaChatGPTChildbirth-related post-traumatic stress disorder (CB-PTSD)Maternal mental healthNatural language processing (NLP)Postpartum PTSDPre-trained large language model (PLM)

Identifiers

PMID38605073
PMCPMC11009279

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.