{"id":19287,"date":"2017-04-03T14:10:29","date_gmt":"2017-04-03T12:10:29","guid":{"rendered":"https:\/\/neurodev-ng.u-bordeaux.fr\/pierre-philip-et-al-in-scientific-reports\/"},"modified":"2018-03-20T17:51:12","modified_gmt":"2018-03-20T16:51:12","slug":"pierre-philip-et-al-in-scientific-reports","status":"publish","type":"post","link":"https:\/\/www.bordeaux-neurocampus.fr\/en\/pierre-philip-et-al-in-scientific-reports\/","title":{"rendered":"Pierre Philip et al. in <em>Scientific Reports<\/em>"},"content":{"rendered":"<p>Le 3 avril 2017<\/p>\n<p><img decoding=\"async\" class=\"alignleft\" src=\"https:\/\/www.bordeaux-neurocampus.fr\/_contents-images\/ametys-internal%253Asites\/neurosciences\/ametys-internal%253Acontents\/p-philip-sci-reports-actualite\/_metadata\/illustration\/image_max0x180\/Sanpsy.jpg?objectId=defaultWebContent:\/\/05fbd1ff-753d-454f-a499-6a5b445621db\" alt=\"\" \/><\/p>\n<p><em><a class=\"external\" href=\"http:\/\/www.nature.com\/articles\/srep42656\"><strong>Virtual human as a new diagnostic tool, a proof of concept study in the field of major depressive disorders.<\/strong><\/a> Pierre Philip, Jean-Arthur Micoulaud-Franchi, Patricia Sagaspe, Etienne De Sevin, J\u00e9r\u00f4me Olive, St\u00e9phanie Bioulac &amp; Alain Sauteraud<\/em><br \/>\n<em>Scientific Reports 7, Article number: 42656 (2017) doi:10.1038\/srep4265 12 January 2017<br \/>\n<\/em><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<p><em><br \/>\n<\/em><a class=\"external\" href=\"https:\/\/www.sciencesetavenir.fr\/sante\/cerveau-et-psy\/un-psychiatre-virtuel-qui-diagnostique-des-troubles-depressifs_111200\">Dans Sciences et Avenir du 14 mars 2017\u00a0<\/a>\u00a0 et <a class=\"external\" href=\"http:\/\/sante.lefigaro.fr\/actualite\/2015\/04\/08\/23597-medecin-virtuel-pour-diagnostic-reel\">lSant\u00e9 Figaro.fr<\/a><\/p>\n<p><span class=\"image-wrapper frame floatleft\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/www.bordeaux-neurocampus.fr\/_contents-images\/ametys-internal%253Asites\/neurosciences\/ametys-internal%253Acontents\/p-philip-sci-reports-actualite\/_metadata\/content\/_data\/Pierre-Philip.jpg_220x155\" alt=\"\" width=\"155\" height=\"220\" \/><br \/>\n<\/span>\u00a0<strong>\u00abAlors que nous sommes un des pays qui consomment le plus de psychotropes, une proportion importante de sujets d\u00e9pressifs n&#8217;est pas diagnostiqu\u00e9e.<\/strong> Un tel outil permettrait de mieux orienter les malades \u00bb, estime le Dr Pierre Philip. \u00c9galement dans les tuyaux, des patients virtuels qui serviraient \u00e0 la formation de m\u00e9decins\u2026 bien r\u00e9els.(Le Figaro<\/p>\n<p><strong>Pierre Philip,<\/strong> praticien hospitalier au CHU de Bordeaux et directeur de l&#8217;unit\u00e9 Sanpsy (sommeil &#8211; addiction &#8211; neuropsychiatrie) au CNRS est persuad\u00e9 qu&#8217;il manque notamment \u00e0 ces outils num\u00e9riques des interactions empathiques, ce m\u00e9decin travaille au d\u00e9veloppement d&#8217;humains virtuels bien accept\u00e9s par les patients pour diagnostiquer addiction \u00e0 l&#8217;alcool, troubles du sommeil et&#8230; troubles mentaux tels que la d\u00e9pression.<\/p>\n<p>Avec ses coll\u00e8gues du laboratoire Sanpsy, Pierre Philip a d\u00e9velopp\u00e9 ce qu&#8217;il pr\u00e9sente comme le premier humain virtuel capable de conduire un entretien clinique pour diagnostiquer des troubles d\u00e9pressifs, explique-t-il dans la revue Scientific Reports. Pour ce faire, il a fallu &#8220;dessiner&#8221; cet agent conversationnel anim\u00e9 (une psychiatre nomm\u00e9e Julia), lui cr\u00e9er un visage, une voix, lui faire adopter des gestes et des mimiques par la technique de capture des mouvements (motion capture). &#8220;L&#8217;entretien entre cet humain virtuel et le patient est construit \u00e0 partir d&#8217;un r\u00e9f\u00e9rentiel m\u00e9dical valid\u00e9 (ndlr : bas\u00e9 sur le DSM-5, le manuel diagnostique et statistique des troubles mentaux cr\u00e9\u00e9 par l&#8217;Association Am\u00e9ricaine de Psychiatrie), enrichi par des tournures de phrases et des interactions gestuelles et faciales renfor\u00e7ant l&#8217;engagement du patient dans l&#8217;\u00e9change&#8221;, explique Pierre Philip. Au total, 179 patients (\u00e2ge moyen : 46 ans) recrut\u00e9s pour l&#8217;\u00e9tude ont eu droit \u00e0 une consultation avec cette &#8220;intelligence artificielle&#8221; (voir la vid\u00e9o ci-dessous) et un entretien avec un m\u00e9decin r\u00e9el, dans un ordre al\u00e9atoire\u2026.<\/p>\n<p>&#8230;<em>&#8220;L&#8217;enjeu n&#8217;est pas de remplacer le m\u00e9decin mais d&#8217;assister ce dernier pour diagnostiquer plus rapidement des patients non identifi\u00e9s comme d\u00e9pressifs et possiblement, dans le futur, d&#8217;assurer un suivi m\u00e9dical de qualit\u00e9 au domicile du patient&#8221;<\/em>, ajoute le sp\u00e9cialiste. M\u00eame si l&#8217;entretien avec ce dr\u00f4le de psychiatre, \u00e0 la voix de synth\u00e8se et aux mouvements peu naturels, peut para\u00eetre &#8220;froid&#8221; de prime abord, il s&#8217;av\u00e8re bien accept\u00e9 par les patients, montre cette \u00e9tude, soulignant <em>&#8220;un score d&#8217;acceptabilit\u00e9 de 25,4\/30 de la part des patients&#8221;<\/em>&#8230;<\/p>\n<p><strong>Ci dessous entretien avec le psychiatre virtuel Julia \/ une vid\u00e9o du laboratoire \u00a0Sanpsy<\/strong><\/p>\n<p><iframe loading=\"lazy\" width=\"960\" height=\"540\" src=\"https:\/\/www.youtube.com\/embed\/d258jfFaLXc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p><strong>Abstract<\/strong><br \/>\n<em>Embodied Conversational Agents (ECAs) are promising software to communicate with patients but no study has tested them in the diagnostic field of mental disorders. The aim of this study was 1) to test the performance of a diagnostic system for major depressive disorders (MDD), based on the identification by an ECA of specific symptoms (the MDD DSM 5 criteria) in outpatients; 2) to evaluate the acceptability of such an ECA. Patients completed two clinical interviews in a randomized order (ECA versus psychiatrist) and filled in the Acceptability E-scale (AES) to quantify the acceptability of the ECA. 179 outpatients were included in this study (mean age 46.5\u2009\u00b1\u200912.9 years, 57.5% females). Among the 35 patients diagnosed with MDD by the psychiatrist, 14 (40%) patients exhibited mild, 12 (34.3%) moderate and 9 (25.7%) severe depressive symptoms. Sensitivity increased across the severity level of depressive symptoms and reached 73% for patients with severe depressive symptoms, while specificity remained above 95% for all three severity levels. The acceptability of the ECA evaluated by the AES was very good (25.4). We demonstrate here the validity and acceptability of an ECA to diagnose major depressive disorders. ECAs are promising tools to conduct standardized and well-accepted clinical interviews.<\/em><\/p>\n<p><strong><a class=\"external\" href=\"http:\/\/www.sanpsy.univ-bordeauxsegalen.fr\/\">More information: SanPsy website<\/a><\/strong><\/p>\n<p class=\"content-contact\">Contact Sanpsy \/ Pierre Philip \/ Sommeil, Attention et Neuropsychiatrie H\u00f4pital Pellegrin<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le 3 avril 2017 Virtual human as a new diagnostic tool, a proof of concept study in the field of major depressive disorders. Pierre Philip, Jean-Arthur Micoulaud-Franchi, Patricia Sagaspe, Etienne De Sevin, J\u00e9r\u00f4me Olive, St\u00e9phanie Bioulac &amp; Alain Sauteraud Scientific Reports 7, Article number: 42656 (2017) doi:10.1038\/srep4265 12 January 2017 &nbsp; Dans Sciences et Avenir&hellip;<\/p>\n","protected":false},"author":108,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[71,777],"tags":[],"class_list":["post-19287","post","type-post","status-publish","format-standard","hentry","category-highlight-en","category-sanpsy-en"],"_links":{"self":[{"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/posts\/19287","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/users\/108"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/comments?post=19287"}],"version-history":[{"count":0,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/posts\/19287\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/media?parent=19287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/categories?post=19287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bordeaux-neurocampus.fr\/en\/wp-json\/wp\/v2\/tags?post=19287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}