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Pain is a common reason for accessing healthcare resources and is a growing area of research, especially in its overlap with mental health. Mental health electronic health records are a good data source to study this overlap. However, much information on pain is held in the free text of these records, where mentions of pain present a unique natural language processing problem due to its ambiguous nature. This project uses data from an anonymised mental health electronic health records database. A machine learning based classification algorithm is trained to classify sentences as discussing patient pain or not. This will facilitate the extraction of relevant pain information from large databases. 1,985 documents were manually triple-annotated for creation of gold standard training data, which was used to train four classification algorithms. The best performing model achieved an F1-score of 0.98 (95% CI 0.98-0.99).
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http://dx.doi.org/10.3233/SHTI231054 | DOI Listing |
JMIR Hum Factors
September 2025
Department of Community Health Systems, University of California, San Francisco, School of Nursing, San Francisco, CA, United States.
Background: The COVID-19 pandemic forced the world to quarantine to slow the rate of transmission, causing communities to transition into virtual spaces. Asian American and Pacific Islander communities faced the additional challenge of discrimination that stemmed from racist and xenophobic rhetoric in the media. Limited data exist on technology use among Asian American and Pacific Islander adults during the height of the COVID-19 shelter-in-place period and its effect on their physical and mental health.
View Article and Find Full Text PDFJ Sch Nurs
September 2025
Indiana University School of Nursing, Indianapolis, IN, USA.
To provide foundational information for the development of a training program to prepare school nurses to deliver a mental health focused SBIRT (Screening, Brief Intervention, Referral to Treatment) approach, this study aimed to describe how school nurses perceive their role in addressing student mental health concerns and determine if these perceptions align with the components of SBIRT. We used content analysis to summarize open-ended survey responses of 38 school nurses to the question "What role do school nurses play in addressing student mental health?" Findings revealed 19 responses aligned with at least one component of SBIRT, one aligned with all three, and 30 focused mainly on forming trusting relationships with students. We conclude school nurses do not implement SBIRT in a systematic way but view its components as consistent with their role.
View Article and Find Full Text PDFJAMA
September 2025
McLean Hospital, Belmont, Massachusetts.
JAMA Psychiatry
September 2025
School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
Importance: Cannabis is the most commonly used illicit drug, with 10% to 30% of regular users developing cannabis use disorder (CUD), a condition linked to altered hippocampal integrity. Evidence suggests high-intensity interval training (HIIT) enhances hippocampal structure and function, with this form of physical exercise potentially mitigating CUD-related cognitive and mental health impairments.
Objective: To determine the impact of a 12-week HIIT intervention on hippocampal integrity (ie, structure, connectivity, biochemistry) compared with 12 weeks of strength and resistance (SR) training in CUD.