Machine learning applications in studying mental health among immigrants and racial and ethnic minorities: an exploratory scoping review.


Journal

BMC medical informatics and decision making
ISSN: 1472-6947
Titre abrégé: BMC Med Inform Decis Mak
Pays: England
ID NLM: 101088682

Informations de publication

Date de publication:
10 Oct 2024
Historique:
received: 07 11 2023
accepted: 02 09 2024
medline: 11 10 2024
pubmed: 11 10 2024
entrez: 10 10 2024
Statut: epublish

Résumé

The use of machine learning (ML) in mental health (MH) research is increasing, especially as new, more complex data types become available to analyze. By examining the published literature, this review aims to explore the current applications of ML in MH research, with a particular focus on its use in studying diverse and vulnerable populations, including immigrants, refugees, migrants, and racial and ethnic minorities. From October 2022 to March 2024, Google Scholar, EMBASE, and PubMed were queried. ML-related, MH-related, and population-of-focus search terms were strung together with Boolean operators. Backward reference searching was also conducted. Included peer-reviewed studies reported using a method or application of ML in an MH context and focused on the populations of interest. We did not have date cutoffs. Publications were excluded if they were narrative or did not exclusively focus on a minority population from the respective country. Data including study context, the focus of mental healthcare, sample, data type, type of ML algorithm used, and algorithm performance were extracted from each. Ultimately, 13 peer-reviewed publications were included. All the articles were published within the last 6 years, and over half of them studied populations within the US. Most reviewed studies used supervised learning to explain or predict MH outcomes. Some publications used up to 16 models to determine the best predictive power. Almost half of the included publications did not discuss their cross-validation method. The included studies provide proof-of-concept for the potential use of ML algorithms to address MH concerns in these special populations, few as they may be. Our review finds that the clinical application of these models for classifying and predicting MH disorders is still under development.

Sections du résumé

BACKGROUND BACKGROUND
The use of machine learning (ML) in mental health (MH) research is increasing, especially as new, more complex data types become available to analyze. By examining the published literature, this review aims to explore the current applications of ML in MH research, with a particular focus on its use in studying diverse and vulnerable populations, including immigrants, refugees, migrants, and racial and ethnic minorities.
METHODS METHODS
From October 2022 to March 2024, Google Scholar, EMBASE, and PubMed were queried. ML-related, MH-related, and population-of-focus search terms were strung together with Boolean operators. Backward reference searching was also conducted. Included peer-reviewed studies reported using a method or application of ML in an MH context and focused on the populations of interest. We did not have date cutoffs. Publications were excluded if they were narrative or did not exclusively focus on a minority population from the respective country. Data including study context, the focus of mental healthcare, sample, data type, type of ML algorithm used, and algorithm performance were extracted from each.
RESULTS RESULTS
Ultimately, 13 peer-reviewed publications were included. All the articles were published within the last 6 years, and over half of them studied populations within the US. Most reviewed studies used supervised learning to explain or predict MH outcomes. Some publications used up to 16 models to determine the best predictive power. Almost half of the included publications did not discuss their cross-validation method.
CONCLUSIONS CONCLUSIONS
The included studies provide proof-of-concept for the potential use of ML algorithms to address MH concerns in these special populations, few as they may be. Our review finds that the clinical application of these models for classifying and predicting MH disorders is still under development.

Identifiants

pubmed: 39390562
doi: 10.1186/s12911-024-02663-4
pii: 10.1186/s12911-024-02663-4
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

298

Informations de copyright

© 2024. The Author(s).

Références

Steel Z, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol. 2014;43(2):476–93.
pubmed: 24648481 doi: 10.1093/ije/dyu038 pmcid: 3997379
Eylem O, et al. Stigma for common mental disorders in racial minorities and majorities a systematic review and meta-analysis. BMC Public Health. 2020;20(1):1–20.
Nochaiwong S, et al. Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: a systematic review and meta-analysis. Sci Rep. 2021;11(1):1–18.
doi: 10.1038/s41598-021-89700-8
Organization WH. Wake-up call to all countries to step up mental health services and support. 2022 2 March 2022; https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide
Bas-Sarmiento P, et al. Mental health in immigrants versus native population: a systematic review of the literature. Arch Psychiatr Nurs. 2017;31(1):111–21.
pubmed: 28104048 doi: 10.1016/j.apnu.2016.07.014
Ruiz P, Primm A. Disparities in psychiatric care: clinical and cross-cultural perspectives. Lippincott Williams & Wilkins; 2010.
Primm AB et al. The role of public health in addressing racial and ethnic disparities in mental health and mental illness. Prev Chronic Dis, 2010. 7(1).
Safran MA, et al. Mental health disparities. Am J Public Health. 2009;99(11):1962–6.
pubmed: 19820213 doi: 10.2105/AJPH.2009.167346 pmcid: 2759796
Miranda J, et al. Mental health in the context of health disparities. Am J Psychiatry. 2008;165(9):1102–8.
pubmed: 18765491 doi: 10.1176/appi.ajp.2008.08030333
Maura J, Weisman de A, Mamani. Mental health disparities, treatment engagement, and attrition among racial/ethnic minorities with severe mental illness: a review. J Clin Psychol Med Settings. 2017;24(3):187–210.
pubmed: 28900779 doi: 10.1007/s10880-017-9510-2
Kessler RC, et al. Prevalence and treatment of mental disorders, 1990 to 2003. N Engl J Med. 2005;352(24):2515–23.
pubmed: 15958807 doi: 10.1056/NEJMsa043266 pmcid: 2847367
Breslau J, et al. Racial/ethnic differences in perception of need for mental health treatment in a US national sample. Soc Psychiatry Psychiatr Epidemiol. 2017;52(8):929–37.
pubmed: 28550518 doi: 10.1007/s00127-017-1400-2 pmcid: 5534379
Lê Cook B, McGuire TG, Zuvekas SH. Measuring trends in racial/ethnic health care disparities. Med Care Res Rev. 2009;66(1):23–48.
pubmed: 18796581 doi: 10.1177/1077558708323607
Gong F, Xu J. Ethnic Disparities in Mental Health among Asian americans: evidence from a National Sample. J Health Disparities Res Pract. 2021;14(3):6.
Ng E, Zhang H. The mental health of immigrants and refugees: Canadian evidence from a nationally linked database. Health Rep. 2020;31(8):3–12.
pubmed: 32816413
Kirmayer LJ, et al. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183(12):E959–67.
pubmed: 20603342 doi: 10.1503/cmaj.090292 pmcid: 3168672
Noh S, Kaspar V, Wickrama KA. Overt and subtle racial discrimination and mental health: preliminary findings for Korean immigrants. Am J Public Health. 2007;97(7):1269–74.
pubmed: 17538066 doi: 10.2105/AJPH.2005.085316 pmcid: 1913092
Nakash O, et al. The effect of acculturation and discrimination on mental health symptoms and risk behaviors among adolescent migrants in Israel. Cult Divers Ethnic Minor Psychol. 2012;18(3):228.
doi: 10.1037/a0027659
Nowak AC, et al. Associations between postmigration living situation and symptoms of common mental disorders in adult refugees in Europe: updating systematic review from 2015 onwards. BMC Public Health. 2023;23(1):1289.
pubmed: 37407937 doi: 10.1186/s12889-023-15931-1 pmcid: 10320886
Satcher D. Mental health: culture, race, and ethnicity—A supplement to mental health: a report of the surgeon general. US Department of Health and Human Services; 2001.
Bi Q, et al. What is machine learning? A primer for the epidemiologist. Am J Epidemiol. 2019;188(12):2222–39.
pubmed: 31509183
Aafjes-van Doorn K, et al. A scoping review of machine learning in psychotherapy research. Psychother Res. 2021;31(1):92–116.
pubmed: 32862761 doi: 10.1080/10503307.2020.1808729
Learning S-S. Semi-supervised learning. CSZ2006.html 2006;5:2.
Maulud D, Abdulazeez AM. A review on linear regression comprehensive in machine learning. J Appl Sci Technol Trends. 2020;1(2):140–7.
doi: 10.38094/jastt1457
Iyortsuun NK, et al. A review of machine learning and deep learning approaches on mental health diagnosis. In Healthcare. MDPI; 2023.
Cho G, et al. Review of machine learning algorithms for diagnosing mental illness. Psychiatry Invest. 2019;16(4):262.
doi: 10.30773/pi.2018.12.21.2
Iyortsuun NK, et al. A review of Machine Learning and Deep Learning approaches on Mental Health diagnosis. Volume 11. Healthcare (Basel); 2023. 3.
Shatte AB, Hutchinson DM, Teague SJ. Machine learning in mental health: a scoping review of methods and applications. Psychol Med. 2019;49(9):1426–48.
pubmed: 30744717 doi: 10.1017/S0033291719000151
Thieme A, Belgrave D, Doherty G. Machine learning in mental health: a systematic review of the HCI literature to support the development of effective and implementable ML systems. ACM Trans Computer-Human Interact (TOCHI). 2020;27(5):1–53.
doi: 10.1145/3398069
Maslej MM et al. Race and Racialization in Mental Health Research and Implications for Developing and Evaluating Machine Learning Models: A Rapid Review. MEDINFO 2021: One World, One Health–Global Partnership for Digital Innovation, 2022: pp. 1088–1089.
Augsburger M, Elbert T. When do traumatic experiences alter risk-taking behavior? A machine learning analysis of reports from refugees. PLoS ONE. 2017;12(5):e0177617.
pubmed: 28498865 doi: 10.1371/journal.pone.0177617 pmcid: 5428957
Choi S, et al. Predicting psychological distress amid the COVID-19 pandemic by machine learning: discrimination and coping mechanisms of Korean immigrants in the US. Int J Environ Res Public Health. 2020;17(17):6057.
pubmed: 32825349 doi: 10.3390/ijerph17176057 pmcid: 7504344
Drydakis N. Mobile applications aiming to facilitate immigrants’ societal integration and overall level of integration, health and mental health. Does artificial intelligence enhance outcomes? Comput Hum Behav. 2021;117:106661.
doi: 10.1016/j.chb.2020.106661
Erol E, Seçinti DD. Examination of PTSD and depression levels and Demographic Data of Syrian Refugee Children during the pandemic. Psych. 2022;4(2):215–25.
doi: 10.3390/psych4020018
Baird S, et al. Identifying psychological trauma among Syrian refugee children for early intervention: analyzing digitized drawings using machine learning. J Dev Econ. 2022;156:102822.
doi: 10.1016/j.jdeveco.2022.102822
Acion L, et al. Use of a machine learning framework to predict substance use disorder treatment success. PLoS ONE. 2017;12(4):e0175383.
pubmed: 28394905 doi: 10.1371/journal.pone.0175383 pmcid: 5386258
Goldstein EV, Bailey EV, Wilson FA. Discrimination and suicidality among hispanic Mental Health patients, 2010–2020: a Natural Language Processing Approach. Psychiatric Serv. 2022;73(11):1313–4.
doi: 10.1176/appi.ps.20220240
Huber DA, et al. Exploring similarities and differences of non-european migrants among forensic patients with schizophrenia. Int J Environ Res Public Health. 2020;17(21):7922.
pubmed: 33126735 doi: 10.3390/ijerph17217922 pmcid: 7663465
Haroz EE, et al. Reaching those at highest risk for suicide: development of a model using machine learning methods for use with native American communities. Suicide Life-Threatening Behav. 2020;50(2):422–36.
doi: 10.1111/sltb.12598
Khatua A, Nejdl W. Struggle to Settle down! Examining the Voices of Migrants and Refugees on Twitter Platform. in Companion Publication of the 2021 Conference on Computer Supported Cooperative Work and Social Computing. 2021.
Castilla-Puentes R et al. Digital conversations about depression among Hispanics and non-Hispanics in the US: A big-data, machine learning analysis. 2021.
Liu Y, et al. Deep learning prediction of attention-deficit hyperactivity disorder in African americans by copy number variation. Experimental Biology Med. 2021;246(21):2317–23.
doi: 10.1177/15353702211018970
Liu Y, et al. Application of deep learning algorithm on whole genome sequencing data uncovers structural variants associated with multiple mental disorders in African American patients. Mol Psychiatry. 2022;27(3):1469–78.
pubmed: 34997195 doi: 10.1038/s41380-021-01418-1 pmcid: 9095459
Grendas LN, et al. Comparison of traditional model-based statistical methods with machine learning for the prediction of suicide behaviour. J Psychiatr Res. 2022;145:85–91.
doi: 10.1016/j.jpsychires.2021.11.029
Singal AG, et al. Machine learning algorithms outperform conventional regression models in predicting development of hepatocellular carcinoma. Official J Am Coll Gastroenterology| ACG. 2013;108(11):1723–30.
doi: 10.1038/ajg.2013.332
Hale AT, et al. Machine-learning analysis outperforms conventional statistical models and CT classification systems in predicting 6-month outcomes in pediatric patients sustaining traumatic brain injury. NeuroSurg Focus. 2018;45(5):E2.
pubmed: 30453455 doi: 10.3171/2018.8.FOCUS17773
Steele AJ, et al. Machine learning models in electronic health records can outperform conventional survival models for predicting patient mortality in coronary artery disease. PLoS ONE. 2018;13(8):e0202344.
pubmed: 30169498 doi: 10.1371/journal.pone.0202344 pmcid: 6118376
Song X, et al. Comparison of machine learning and logistic regression models in predicting acute kidney injury: a systematic review and meta-analysis. Int J Med Informatics. 2021;151:104484.
doi: 10.1016/j.ijmedinf.2021.104484
Chin MH, et al. Guiding principles to address the impact of Algorithm Bias on racial and Ethnic Disparities in Health and Health Care. JAMA Netw Open. 2023;6(12):e2345050.
pubmed: 38100101 doi: 10.1001/jamanetworkopen.2023.45050 pmcid: 11181958
McIntosh AM, et al. Data science for mental health: a UK perspective on a global challenge. Lancet Psychiatry. 2016;3(10):993–8.
pubmed: 27692269 doi: 10.1016/S2215-0366(16)30089-X
Hitczenko K, et al. Racial and ethnic biases in computational approaches to psychopathology. Oxford University Press US; 2022. pp. 285–8.
Prout TA, et al. Identifying predictors of psychological distress during COVID-19: a machine learning approach. Front Psychol. 2020;11:586202.
pubmed: 33240178 doi: 10.3389/fpsyg.2020.586202 pmcid: 7682196
Zhang Y, et al. Development and validation of a machine learning algorithm for predicting the risk of postpartum depression among pregnant women. J Affect Disord. 2021;279:1–8.
pubmed: 33035748 doi: 10.1016/j.jad.2020.09.113
Chen IY, et al. Ethical machine learning in healthcare. Annual Rev Biomedical data Sci. 2021;4:123–44.
doi: 10.1146/annurev-biodatasci-092820-114757
Richter T, et al. Machine learning-based diagnosis support system for differentiating between clinical anxiety and depression disorders. J Psychiatr Res. 2021;141:199–205.
pubmed: 34246974 doi: 10.1016/j.jpsychires.2021.06.044
Huang J, et al. Evaluation and mitigation of racial bias in clinical machine learning models: scoping review. JMIR Med Inf. 2022;10(5):e36388.
doi: 10.2196/36388
Wainberg ML, Gouveia L, McKinnon K. Generating better implementation evidence to improve mental health care everywhere. Lancet Psychiatry. 2024;11(5):317–9.
pubmed: 38552664 doi: 10.1016/S2215-0366(24)00090-7
Nemesure MD et al. Predictive modeling of depression and anxiety using electronic health records and a novel machine learning approach with artificial intelligence. Sci Rep, 2021. 11(1): p. 1980.
Montazeri M, et al. Application of machine learning methods in predicting schizophrenia and bipolar disorders: a systematic review. Health Sci Rep. 2023;6(1):e962.
pubmed: 36589632 doi: 10.1002/hsr2.962
Franciotti R, et al. Comparison of Machine Learning-based approaches to predict the Conversion to Alzheimer’s disease from mild cognitive impairment. Neuroscience. 2023;514:143–52.
pubmed: 36736612 doi: 10.1016/j.neuroscience.2023.01.029
Cavicchioli M, et al. Investigating predictive factors of dialectical behavior therapy skills training efficacy for alcohol and concurrent substance use disorders: a machine learning study. Drug Alcohol Depend. 2021;224:108723.
pubmed: 33965687 doi: 10.1016/j.drugalcdep.2021.108723
Calvo RA, et al. Natural language processing in mental health applications using non-clinical texts. Nat Lang Eng. 2017;23(5):649–85.
doi: 10.1017/S1351324916000383

Auteurs

Khushbu Khatri Park (KK)

Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, 1716 9th Ave S, Birmingham, AL, 35233, USA.

Mohammad Saleem (M)

Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, 1716 9th Ave S, Birmingham, AL, 35233, USA.

Mohammed Ali Al-Garadi (MA)

Department of Biomedical Informatics, School of Medicine, Vanderbilt University, 1161 21st Ave S # D3300, Nashville, TN, 37232, USA. mohammed.a.al-garadi@vumc.org.

Abdulaziz Ahmed (A)

Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, 1716 9th Ave S, Birmingham, AL, 35233, USA. aahmed2@uab.edu.
Department of Biomedical Informatics and Data Science, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, 35233, USA. aahmed2@uab.edu.

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