JP2005004398A - System for diagnosis/prevention of psychiatric disorder using internet - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an integrated system for diagnosis and prevention of psychiatric disorders that enables a user on the Internet to treat his/her psychiatric symptom early by him/herself by assessing the psychiatric symptom and executing psycho-educational software. <P>SOLUTION: The system comprises a plurality of networked user terminals (personal computers, cellular phones and the like), and an integrated site (server group) capable of diagnosis to preventive treatment comprising a plurality of linked webpages and a plurality of pieces of psycho-educational software. The integrated site creates webpages using HTML, and CGI scripts for program execution, and creates psycho-educational software to be installed in the user terminals. A client executes the psycho-educational software on the user terminal to prevent or improve a psychiatric symptom. The system can unprecedentedly prevent a psychiatric symptom to contribute to suppression of medical costs and reduce a burden on the user more than a medical institution examination. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an integrated system combining both software for early diagnosis / prevention of mental illness and the Internet, and more specifically, psychiatric diagnosis by listening to psychiatric symptoms felt by users (hereinafter referred to as clients) on the Internet. Apply to the system, extract possible diseases from the symptoms, and execute preventive treatment software on the user terminal of the client for cases where it is assumed that treatment is not necessary, and aim at preventive improvement of mental symptoms It relates to a diagnosis and prevention system for mental illness.
[0002]
[Prior art]
Conventionally, when a client feels mental illness, two methods are available: 1) consult a psychiatrist and consult a psychiatrist, and 2) consult a clinical psychologist. Met. However, there were many clients who hesitated to use these because of social prejudice regarding mental illness and psychiatric visits, as well as geographical and economic problems.
[0003]
In recent years, with the spread of the Internet, it has become easier for clients to obtain information on mental illness and to evaluate their mental status. In addition, the so-called “online therapy” in which e-mail is used for counseling for treatment of mental illness has been recognized. The availability of information is useful in terms of enlightenment of mental illness, but this information and psychological tests for evaluation are scattered on the Internet, and the integrated diagnostic system is not exist. Therefore, the client may not be able to judge his / her state or may spend a great deal of time in the search stage before using scattered sites.
[0004]
Further, online therapy is effective in terms of anonymity and convenience, and several systems have been applied for patents (Patent Documents 1 and 2). On the other hand, this is a replacement of face-to-face interviews with e-mail exchanges. In fact, face-to-face interviews are at the center, but for reasons such as being geographically distant and client's wishes. It is positioned as a secondary used. This is because the exchange of e-mails is communication only through language, so non-verbal communication such as facial expressions, gestures, and gestures that are important for counseling is impossible and limited. . The client is treated with limited communication with the person with whom the face is not visible, and in some cases, the treatment-related injuries and symptoms may be worsened.
[0005]
Although I don't feel the need for counseling at the moment, I have a strong mental burden due to my existing values and thought patterns such as pessimistic thinking and all-or-nothing thinking. It is also true that there are many clients who are mild and do not develop mental illness or are unaware of the onset and hesitate to visit. In recent psychiatry, it has been pointed out that such thought patterns, so-called cognitive distortions, are strongly involved in the onset of depression and various psychiatric disorders. Therefore, efforts to change one's existing values and thought patterns are effective in preventing the progression to mental illness, but there are currently systems that focus on the prevention of such mental illness. Not.
[0006]
In addition, cognitive behavioral therapy, family therapy, Morita therapy, brief therapy, etc. are used as treatments that change one's existing values and thought patterns to healthier and more adaptive ones. Some of them have strong psycho-educational aspects that enable self-learning. However, when these techniques are used in online therapy (Patent Document 1), the purpose is to improve the mental health of the workplace, such as a method in which the described therapists centered on the exchange of emails exist face-to-face. However, there is no preventive treatment software limited to self-learning for the purpose of individual clients.
[0007]
[Patent Document 1]
JP2002-197196
[Patent Document 2]
JP 2002-123618 A
[0008]
[Problems to be solved by the invention]
The present invention is an integrated environment that combines the Internet and software for potential clients who have not yet developed symptoms or visited a psychiatric institution, against the background of such mental health and online therapy. Under these circumstances, self-diagnosis programs encourage psychiatric consultations, and self-treatment software allows clients to change their thinking patterns without the intervention of a counselor or psychiatrist. The next challenge is to contribute to psychiatric welfare through secondary prevention.
[0009]
[Means for Solving the Problems]
In order to achieve the above-mentioned object, the invention according to claim 1 is directed from diagnosis to preliminary treatment comprising a plurality of networked user terminals, a plurality of linked web pages, and a plurality of treatment software. A diagnosis / prevention system for psychiatric disorders composed of an integrated site that can be performed,
The site displays a guidance homepage, presents the client with multiple choice questions for integrated psychological testing, and diagnoses that the system is considered effective based on answers to the psychological testing questions・ Severity assessment step, diagnosis / severity assessment result, a step to display a member registration to this system when this system is valid, a screen that recommends a medical institution when it is not valid, and client symptoms A step of displaying one or more psychoeducational software suitable for diagnosis, a step of presenting a client with a plurality of choice-type question pages necessary for the determination of therapeutic effect by the selected psychoeducational software, and a question of therapeutic effect determination To evaluate the symptoms based on the answers to the doctors and to visit a medical institution based on the symptom evaluation Characterized in that it comprises the steps of performing description recommending, a.
The invention of claim 2 is characterized in that, in the description of claim 1, the step of displaying a selection screen of psychoeducational software includes a step of displaying a selection screen of one or more downloadable psychoeducational softwares. .
According to the invention of claim 3, in the description of claim 1 or 2, diagnosis category classification / severity determination is performed by a CGI script based on a client's response to a choice of a question page in two stages of diagnosis category classification and severity. A medical institution at an early stage for clients who need psychiatric professional treatment by performing a multi-page integrated psychological test that enables early detection and prevention of symptom deterioration And a guiding step.
The invention of claim 4 is the interactive software according to claim 1, wherein the psychoeducational software comprises a story introduction screen, a scene setting screen, an action selection screen, an action selection result and score screen, and an action selection evaluation screen. It is characterized by the self-learning of correct actions and values in various narrative scenes based on the results of selection, and the conversion of their values and transformation of cognition (paradigm shift).
According to the invention of claim 5, in the description of claim 1, when accessing from the second time onward, the severity is evaluated each time on a plurality of question form pages, and the previous severity is read from the database and the CGI script is read. And comparing the results of the comparison, and evaluating the therapeutic effect and the degree of improvement of the severity, and selecting whether to try another psychoeducational software or visit a medical institution. It is characterized by.
[0010]
[Effects of the Invention]
As a configuration of the present invention, a program on the Internet and a user terminal such as a client computer or a mobile phone are used. A program on the Internet is an integrated web site consisting of a plurality of linked web pages. This site is in the order of browsing: 1) The client accesses the Internet, evaluates his / her mental state, and identifies his / her problem. 2) Select the necessary psychoeducation software based on the result. 3) The software is executed on the user terminal, and the problem is solved by causing a change of own thought pattern and values, so-called “paradigm shift”. 4) Provide a series of methods for assessing the degree of improvement in mental status by accessing the Internet again. This is defined as “four principles of mental illness prevention”. It is possible to cope with various mental illnesses by preparing a plurality of psychoeducational software based on this principle.
[0011]
Access to this site: Procedures for sequentially expanding and displaying an inquiry screen regarding psychiatric symptoms, procedures for selecting the severity of the disease based on the selected answers, and whether early consultation is necessary based on the severity results It is automatically determined whether the educational software can be used. The determination result is shown to the client on the linked page.
[0012]
Clients who are judged to be required for disease prevention to use psychoeducational software can select psychoeducational software that can cause the most suitable paradigm shift for individuals based on diagnosis classification and severity after registration Choose, download and self-learn.
[0013]
In order to determine the effect of symptom improvement, the client performs a symptom evaluation test on the linked page and evaluates his / her condition. If you are not aware of any improvement in symptoms, link to a page that recommends an early visit. This allows secondary prevention. Moreover, if the symptom improvement can be recognized, the intervention by the site is terminated, and this means that primary prevention has been achieved.
[0014]
DETAILED DESCRIPTION OF THE INVENTION
Embodiments of the present invention will be described in detail with reference to the drawings. FIG. 1 is a conceptual diagram of a diagnosis / prevention system for mental disorders of the present invention. This system consists of multiple networked user terminals (personal computers, mobile phones, PDAs, etc.), multiple linked web pages, and multiple psycho-educational software, from diagnosis to preliminary treatment. And an integrated site (server group) capable of
[0015]
The integration site creates web pages using HTML and CGI scripts for program execution, and also creates preventive treatment software for clients to install on their user terminals. The user terminal is configured to execute software.
[0016]
Next, functions of the integrated site will be described. 2 and 3 are flowcharts showing the functions of the integrated site. FIG. 4 is a chart of disease prevention psychoeducational software that can be downloaded from the site. Circle numbers (for example, {circle over (1)}) in the figure represent each page of the integrated site and indicate the progress stage of the program. The following will be described in order. Here, the page of the circled number is described by adding the page “number” to the character “step”.
[0017]
When the client accesses the integrated site, the home guidance and age verification screen appears (step 1). Perform age verification. This system is intended for those over the age of 16. Under the age of 16, the screen shifts to a screen for recommending medical examination (step 2).
Only for clients over the age of 16 years, after user registration using encrypted communication (step 3), ID and password issuance (steps 4 and 5), they are entered to move to the psychological examination page. This page is created using a CGI script, and the program itself is on the server (step 6).
[0018]
After confirming the use history of the psychological test (step 7), the screen moves to the screen of the screening psychological test. The screening psychological test is divided into two stages, namely, a first stage mental disease category classification and a second stage severity determination. First, in the first stage, as shown in the display screen example of FIG. 5, the client selects “yes” or “no” as a corresponding item by clicking a button (step 8).
[0019]
The category is classified by the CGI script according to the number of items that answered Yes. For example, in the case of FIG. 5, if the answer is “Yes” following the two questions from above, the category of depression is diagnosed and classified. Next, in the second stage, as shown in FIG. 6, an inquiry screen for each severity classification is sequentially developed and displayed. Here, the client selects the degree of symptom corresponding to each question in a multi-step format by clicking the button (step 10).
[0020]
The program will determine the severity of the disease according to the answer. Severity is calculated as a percentage of the sum of the degree of the corresponding symptom clicked on each of the multi-level questions and the corresponding score, and divided by the theoretical maximum score. Severity, moderate, and mild (Step 11).
[0021]
The program calculates the applicable disease (s) and their severity with a CGI script. A corresponding key number is generated from the category classification and severity based on the calculation result, and the ID, category classification, severity and key number are stored in the server (steps 12 and 13). Subsequently, these results are displayed as psychological test results (step 14). If the symptom is considered to be effective, this system is applied (step 16); Is displayed (step 15).
[0022]
Diseases excluded here are mental illnesses for which symptoms are aggravated by preventive treatment software, such as schizophrenia, personality disorder, suicidal desire. Also exclude those with severe results regardless of disease from the severity classification. These clients need an early visit to a psychiatric institution, and this process avoids the risks associated with online therapy, treatment-related kinks and worsening of symptoms.
[0023]
In step 16, the client determined to be applicable to the present system can access the dedicated page by inputting the key number (step 17). A plurality of software corresponding to the key number is uploaded on this page. The client is recommended software suitable for him / her by the key number determined based on the result of the psychological test (step 18).
[0024]
The client purchases software. This purchase method is based on existing Internet shopping technologies (online sales, online payment, bank transfer, cash on delivery, etc.). The client installs and uses the purchased software on its own user terminal. This software selects your actions and corrects your thought patterns in various stressful situations.
[0025]
An example of the interactive software is the format shown in FIG. First, a screen (step 1) to be introduced into the story is displayed. Each time you click the mouse, the story screen will expand. Basically, the story progresses like a movie with pictures and moving images. Suppose that the story of the protagonist who doesn't get rid of his boss at the company proceeds with photographic images. Next, on the scene setting screen (step 2), a scene that can be used by the boss is displayed. In this scene, if the client is the main character, an action selection screen (step 3) for selecting what action to take is displayed. The choices are action A “work again so that there is no mistake”, action B “rebel surf the net”, action C “tea and take a break”. The subsequent story is developed by multi-ending to see what results are produced according to the action selected by the client, and a screen for displaying the evaluation and score of the selected action appears (steps 4 and 5).
[0026]
When this scene and action selection are repeatedly executed, the total score is displayed (step 6), and a teaching screen for applying the learned action to real life appears (step 7). If the client runs the software repeatedly to increase the score, it will recognize that there are different ways to choose in different situations, and that the results are not as bad as you might expect. It becomes possible. This is where thought patterns change, the so-called “paradigm shift”.
[0027]
The function of the integrated site when the above-described software is executed and applied to life and then the integrated site is accessed again will be described. FIG. 7 is a flowchart showing the function of the integrated site at the second and subsequent accesses.
[0028]
If you enter your ID and password on the login screen (Step 1), you will move to the treatment effect evaluation page after the second access. Here, the result of the previous screening psychological test is read from the server database, and the disease category is specified by referring to the previous result (steps 2 and 3). Subsequently, the same severity evaluation test screen as the first time is displayed (step 4). The client answers each question sequentially in a multi-step format. The program determines the severity of the disease according to the answer, compares the result of the first-previous psychological test with the CGI script (step 5), and displays the result of the comparison (step 6). If improvement is recognized, the system ends. On the other hand, if improvement is not recognized, use other software or visit a medical institution (step 7).
[0029]
The above-described embodiment describes the basic configuration for operating the system. For the fee such as membership fee, monthly fee, and psychological education software download when using the system, for example, user registration It is also possible to collect according to the usage form based on the agreement of the contract conditions concluded between the client and the client.
[0030]
【The invention's effect】
The greatest feature of this system is that it is designed for the diagnosis and primary / secondary prevention of mental disorders. The number of psychiatric examinees is increasing year by year, and medical costs are increasing. This system makes it possible to prevent mental illness that has been difficult in the past and contributes to the reduction of medical costs. The burden on the client side is also expected to be lighter than regular hospital visits due to membership registration and software purchase costs.
This system is basically limited to self-diagnosis and self-preventive psycho-education, and since personal privacy is minimal, anonymity is maintained.
Because this system includes categorization and severity assessment programs, it contributes to early detection and early treatment of mental disorders.
Since this system uses the Internet, there are no time and place restrictions in normal counseling and psychiatry, and it can be used easily.
This system can prevent the progress of treatment relations, symptom deterioration, and disease by using a diagnosis program that combines disease classification and severity.
A series of psychological tests etc. have been released to the public and are free to use. This will help deepen understanding and enlightenment of mental illness and reduce social prejudice.
[Brief description of the drawings]
FIG. 1 is a conceptual diagram of a diagnosis / prevention system for mental disorders of the present invention.
FIG. 2 is a flowchart showing functions of an integrated site.
FIG. 3 is a flowchart showing functions of an integrated site following FIG. 2;
FIG. 4 is a chart of disease preventive treatment software that can be downloaded from the site.
FIG. 5 is a schematic diagram of a psychological examination page for category classification on a site.
FIG. 6 is a schematic diagram of a psychological examination page for severity evaluation on the site.
FIG. 7 is a flowchart showing functions of the integrated site at the second and subsequent accesses.

Claims (5)

Psychiatric disorders composed of multiple user terminals connected to a network, multiple linked web pages, and an integrated site that can perform diagnosis and preventive treatment, consisting of multiple psychoeducational software Diagnosis and prevention system
The site includes displaying a guidance homepage;
Presenting the client with multiple choice question pages for integrated psychological testing,
Determining a diagnosis / severity level that the system is considered to be effective based on an answer to the psychological examination question;
As a result of the diagnosis / severity determination, a step of displaying a member registration for the system when the system is valid, and a screen for recommending a medical institution when the system is not valid,
Displaying one or more psychoeducational software suitable for the client's symptoms, diagnosis,
Presenting the client with a plurality of choice-type question pages necessary for the treatment effect determination by the selected psychoeducational software;
Evaluating a symptom based on an answer to the therapeutic effect determination question;
A step of explaining to recommend a medical institution based on the symptom evaluation;
A psychiatric disease diagnosis / prevention system characterized by comprising 2. The mental disease diagnosis / prevention system according to claim 1, wherein the step of displaying a selection screen of psychoeducational software includes a step of displaying a selection screen of one or more downloadable psychoeducational softwares. In the description of claim 1 or 2, from the client's answer to the selection of the question page of the two stages of diagnostic category classification and severity, performing a diagnostic category classification and severity determination with a CGI script;
Steps to guide a medical institution at an early stage to a client who needs specialized treatment in psychiatry by conducting an integrated psychological examination consisting of multiple pages that enables early detection and prevention of symptom deterioration When,
A psychiatric disease diagnosis / prevention system characterized by comprising The psychoeducational software is composed of interactive software composed of a story introduction screen, a scene setting screen, an action selection screen, an action selection result and score screen, and an action selection evaluation screen. A mental illness diagnosis / prevention system characterized by repetitive self-learning based on selection results of correct behaviors and values in various narrative scenes, thereby transforming one's values and changing cognition (paradigm shift). In the description of claim 1, when accessing the second and subsequent times, the step of evaluating the severity each time in a plurality of choice form question pages, reading the previous severity from the database, and comparing via a CGI script;
The self-evaluation of the therapeutic effect and the degree of improvement in severity from the comparison result, and a step of selecting whether to try another software or visit a medical institution,
A psychiatric disorder diagnosis / prevention system characterized by comprising:

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