Contemporary Issues in Obstetrics and Gynecology for the Consultation-Liaison Psychiatrist

Stotland, Nada L.

doi:10.1176/ps.36.10.1102

Cited by 7 publications

(6 citation statements)

References 12 publications

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“…Likewise, the reproductive status of women seen in psychiatric outpatient and inpatient settings is often overlooked or not reported. Abortion or delivery experience may be buried in a woman's history rather than highlighted as a possible factor in her illness and decision to seek psychiatric care (Stotland, 1985(Stotland, , 1998.…”

Section: Discussionmentioning

confidence: 99%

State-funded abortions versus deliveries: A comparison of outpatient mental health claims over 4 years.

Coleman¹,

Reardon²,

Rue³

et al. 2002

American Journal of Orthopsychiatry

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In this record-based study, rates of 1st-time outpatient mental health treatment for 4 years following an abortion or a birth among women receiving medical assistance through the state of California were compared. After controlling for preexisting psychological difficulties, age, months of eligibility, and the number of pregnancies, the rate of care was 17% higher for the abortion group (n = 14,297) in comparison with the birth group (n = 40,122). Within 90 days after the pregnancy, the abortion group had 63% more claims than the birth group, with the percentages equaling 42%, 30%, and 16% for 180 days, 1 year, and 2 years, respectively. Additional comparisons between the abortion and birth groups were conducted on the basis of claims for specific types of disorders and age.

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Section: Discussionmentioning

confidence: 99%

State-funded abortions versus deliveries: A comparison of outpatient mental health claims over 4 years.

Coleman¹,

Reardon²,

Rue³

et al. 2002

American Journal of Orthopsychiatry

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“…At the same time, it helps practitioners by reducing their workload and increasing their efficiency in daily practice. AI, and more specifically GAID, can successfully demonstrate their functional applications [1][2][3][4][5][6][7][8][9][10]. GAID can guide practitioners in decision-making, assist in reaching a diagnosis, and improve case management by providing a safe platform for decision-making and data storage.…”

Section: Gaidmentioning

confidence: 99%

“…This can present more challenges for non-specialised healthcare professionals and is frustrating for those in training. Simultaneously, patient numbers increase, and appointment times decrease, while demands and expectations increase and resources are becoming more expensive or running out [6].…”

Section: Introductionmentioning

confidence: 99%

Gynaecological Artificial Intelligence Diagnostics (GAID) GAID and Its Performance as a Tool for the Specialist Doctor

Tanos,

Yiangou,

Prokopiou

et al. 2024

Healthcare

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Background: Human-centric artificial intelligence (HCAI) aims to provide support systems that can act as peer companions to an expert in a specific domain, by simulating their way of thinking and decision-making in solving real-life problems. The gynaecological artificial intelligence diagnostics (GAID) assistant is such a system. Based on artificial intelligence (AI) argumentation technology, it was developed to incorporate, as much as possible, a complete representation of the medical knowledge in gynaecology and to become a real-life tool that will practically enhance the quality of healthcare services and reduce stress for the clinician. Our study aimed to evaluate GAIDS’ efficacy and accuracy in assisting the working expert gynaecologist during day-to-day clinical practice. Methods: Knowledge-based systems utilize a knowledge base (theory) which holds evidence-based rules (“IF-THEN” statements) that are used to prove whether a conclusion (such as a disease, medication or treatment) is possible or not, given a set of input data. This approach uses argumentation frameworks, where rules act as claims that support a specific decision (arguments) and argue for its dominance over others. The result is a set of admissible arguments which support the final decision and explain its cause. Results: Based on seven different subcategories of gynaecological presentations—bleeding, endocrinology, cancer, pelvic pain, urogynaecology, sexually transmitted infections and vulva pathology in fifty patients—GAID demonstrates an average overall closeness accuracy of zero point eighty-seven. Since the system provides explanations for supporting a diagnosis against other possible diseases, this evaluation process further allowed for a learning process of modular improvement in the system of the diagnostic discrepancies between the system and the specialist. Conclusions: GAID successfully demonstrates an average accuracy of zero point eighty-seven when measuring the closeness of the system’s diagnosis to that of the senior consultant. The system further provides meaningful and helpful explanations for its diagnoses that can help clinicians to develop an increasing level of trust towards the system. It also provides a practical database, which can be used as a structured history-taking assistant and a friendly, patient record-keeper, while improving precision by providing a full list of differential diagnoses. Importantly, the design and implementation of the system facilitates its continuous development with a set methodology that allows minimal revision of the system in the face of new information. Further large-scale studies are required to evaluate GAID more thoroughly and to identify its limiting boundaries.

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“…Most women have a firsttrimester abortion on an outpatient basis or in a free-standing clinic, performed by a physician who probably does not know the patient and is not trained to diagnose psychological problems. Thus, the physician is unlikely to refer her to counseling (Stotland, 1985). Women who experience the greatest degree of psychological discomfort following an abortion are more likely to use psychological services, and gynecologists are more likely to refer those women with the most obvious and severe symptoms.…”

Section: Postabortion Responsementioning

confidence: 99%

Abortion issues in psychotherapy.

Baeza-Rivera¹

1998

The New Civil War: The Psychology, Culture, and Politics of Abortion.

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The purpose of this chapter is to investigate the clinical issues related to the abortion experience when women patients enter psychotherapy.Consideration of these issues during psychotherapy is different from abortion counseling, which occurs prior to or immediately after the abortion with the primary focus on abortion decision making and immediate consequences. In the psychotherapeutic setting, the abortion experience is typically viewed retrospectively by both patient and clinician. The psychotherapeutic setting involves a more comprehensive focus in that the woman is often trying to understand her abortion experience and integrate it into her own self-identity, that is, how the experience has influenced her perception of herself. (For further discussion of abortion counseling see Fisher, Castle and Garrity, chap. 13, this volume.) Because women are under a time constraint when they choose to terminate a pregnancy, clinicians who work in women's mental health are most likely to encounter women after they have undergone an abortion. Clinicians, irrespective of discipline, most often deal with only one aspect of women's abortion experience-the psychological consequences attrib-329

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Contemporary Issues in Obstetrics and Gynecology for the Consultation-Liaison Psychiatrist

Cited by 7 publications

References 12 publications

State-funded abortions versus deliveries: A comparison of outpatient mental health claims over 4 years.

State-funded abortions versus deliveries: A comparison of outpatient mental health claims over 4 years.

Gynaecological Artificial Intelligence Diagnostics (GAID) GAID and Its Performance as a Tool for the Specialist Doctor

Abortion issues in psychotherapy.

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