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Register a new userChronic Pain and Language: A Topic Modelling Approach to Personal Pain Descriptions
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Added by
Diogo A.P. Nunes
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Chronic pain is recognized as a major health problem, with impacts not only at the economic, but also at the social, and individual levels. Being a private and subjective experience, it is impossible to externally and impartially experience, describe, and interpret chronic pain as a purely noxious stimulus that would directly point to a causal agent and facilitate its mitigation, contrary to acute pain, the assessment of which is usually straightforward. Verbal communication is, thus, key to convey relevant information to health professionals that would otherwise not be accessible to external entities, namely, intrinsic qualities about the painful experience and the patient. We propose and discuss a topic modelling approach to recognize patterns in verbal descriptions of chronic pain, and use these patterns to quantify and qualify experiences of pain. Our approaches allow for the extraction of novel insights on chronic pain experiences from the obtained topic models and latent spaces. We argue that our results are clinically relevant for the assessment and management of chronic pain.
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Chronic pain is recognized as a major health problem, with impacts at the economic, social, and individual levels. Being a private and subjective experience, dependent on a complex cognitive process involving the subjects past experiences, sociocultural embeddedness, as well as emotional and psychological loads, it is impossible to externally and impartially experience, describe, and interpret chronic pain as a purely noxious stimulus that would directly point to a causal agent and facilitate its mitigation. Verbal communication is, thus, key to convey relevant information to health professionals that would otherwise not be accessible to external entities. Specifically, what a patient suffering of chronic pain describes from the experience and how this information is disclosed reveals intrinsic qualities about the patient and the experience of pain itself. We present the Reddit Reports of Chronic Pain (RRCP) dataset, which comprises social media textual descriptions and discussion of various forms of chronic pain experiences, as reported from the perspective of different base pathologies. For each pathology, we identify the main concerns emergent of its consequent experience of chronic pain, as represented by the subset of documents explicitly related to it. This is obtained via document clustering in the latent space. By means of cosine similarity, we determine which concerns of different pathologies are core to all experiences of pain, and which are exclusive to certain forms. Finally, we argue that our unsupervised semantic analysis of descriptions of chronic pain echoes clinical research on how different pathologies manifest in terms of the chronic pain experience.
Recent advances in Natural Language Processing (NLP), and specifically automated Question Answering (QA) systems, have demonstrated both impressive linguistic fluency and a pernicious tendency to reflect social biases. In this study, we introduce Q-Pain, a dataset for assessing bias in medical QA in the context of pain management, one of the most challenging forms of clinical decision-making. Along with the dataset, we propose a new, rigorous framework, including a sample experimental design, to measure the potential biases present when making treatment decisions. We demonstrate its use by assessing two reference Question-Answering systems, GPT-2 and GPT-3, and find statistically significant differences in treatment between intersectional race-gender subgroups, thus reaffirming the risks posed by AI in medical settings, and the need for datasets like ours to ensure safety before medical AI applications are deployed.
Non-specific chronic low back pain (NSCLBP) is a major health problem, affecting about one fifth of the population worldwide. To avoid further pain or injury, patients with NSCLBP seem to adopt a stiffer movement pattern during everyday living activities. However, it remains unknown how NSCLBP affects the lumbar lordosis angle (LLA) during repetitive activities such as walking or running. This pilot study therefore aimed at exploring possible NSCLBP-related alterations in LLAs during walking and running by focusing on discrete parameters as well as continuous data. Thirteen patients with NSCLBP and 20 healthy pain-free controls were enrolled and underwent a full-body movement analysis involving various everyday living activities such as standing, walking and running. LLAs were derived from markers placed on the spinous processes of the vertebrae L1-L5 and S1. Possible group differences in discrete (average and range of motion (ROM)) and continuous LLAs were analyzed descriptively using mean differences with confidence intervals ranging from 95% to 75%. Patients with NSCLBP indicated reduced average LLAs during standing, walking and running and a tendency for lower LLA-ROM during walking. Analyses of continuous data indicated the largest group differences occurring around 25% and 70% of the walking and 25% and 75% of the running cycle. Furthermore, patients indicated a reversed movement pattern during running, with increasing instead of a decreasing LLAs after foot strike. This study provides preliminary evidence that NSCLBP might affect LLAs during walking and running. These results can be used as a basis for future large-scale investigations involving hypothesis testing.
Orthopedic disorders are a common cause for euthanasia among horses, which often could have been avoided with earlier detection. These conditions often create varying degrees of subtle but long-term pain. It is challenging to train a visual pain recognition method with video data depicting such pain, since the resulting pain behavior also is subtle, sparsely appearing, and varying, making it challenging for even an expert human labeler to provide accurate ground-truth for the data. We show that transferring features from a dataset of horses with acute nociceptive pain (where labeling is less ambiguous) can aid the learning to recognize more complex orthopedic pain. Moreover, we present a human expert baseline for the problem, as well as an extensive empirical study of various domain transfer methods and of what is detected by the pain recognition method trained on acute pain in the orthopedic dataset. Finally, this is accompanied with a discussion around the challenges posed by real-world animal behavior datasets and how best practices can be established for similar fine-grained action recognition tasks. Our code is available at https://github.com/sofiabroome/painface-recognition.
Latent Dirichlet allocation (LDA) is a widely-used probabilistic topic modeling paradigm, and recently finds many applications in computer vision and computational biology. In this paper, we propose a fast and accurate batch algorithm, active belief propagation (ABP), for training LDA. Usually batch LDA algorithms require repeated scanning of the entire corpus and searching the complete topic space. To process massive corpora having a large number of topics, the training iteration of batch LDA algorithms is often inefficient and time-consuming. To accelerate the training speed, ABP actively scans the subset of corpus and searches the subset of topic space for topic modeling, therefore saves enormous training time in each iteration. To ensure accuracy, ABP selects only those documents and topics that contribute to the largest residuals within the residual belief propagation (RBP) framework. On four real-world corpora, ABP performs around $10$ to $100$ times faster than state-of-the-art batch LDA algorithms with a comparable topic modeling accuracy.
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