用知识图谱整合患者经验与监管报告,提升精神药物信息可信度
Knowledge-augmented Agentic AI for Mental Health Medication Information Seeking

- 构建多智能体系统融合Reddit、WebMD与FDA数据,保持来源可追溯
- 患者社区提及的副作用比FDA记录早数百天出现,显示独立安全信号
- 通过术语标准化保留监管与经验差异,适合临床决策支持系统开发
患者在线获取精神类药物信息日益普遍,但安全数据分散在权威但抽象的监管不良事件记录与未经验证的经验性患者叙述之间。在精神科领域,未加语境的信息可能加剧恐惧、引发安慰剂效应并导致用药不依从。本文提出一种基于知识图谱的溯源感知多智能体框架,整合466,525条Reddit帖子、60,782条WebMD评论及九种抗抑郁药近二十年的美国FDA不良事件报告系统数据。大语言模型实体识别管道经医生标注验证,药物和疾病识别的F1得分分别达0.969和0.973。两个社区平台间的重合度(Jaccard相似度最高达0.905)远高于与监管报告的重合,表明患者生成数据构成部分独立的安全信号。以舍曲林为例,许多不良事件在社区中提前数百天被提及。基于ATC-N、ICD-10和MedDRA词汇体系的Neo4j知识图谱确保每项主张可追溯,明确区分监管事实与患者体验。研究证实,源感知整合是实现更可审计的精神药物信息路径,其实际效用与患者获益需前瞻性验证。
原文摘要 · Abstract (English)
Patients increasingly seek medication information online, yet safety knowledge for psychiatric drugs is split between regulatory adverse-event records, which are authoritative but abstract, and patient narratives, which are experience-near but unvalidated. Integrating them without conflating evidence and anecdote is especially consequential in psychiatry, where poorly contextualised information can amplify fear, nocebo responses, and non-adherence. Here we develop a provenance-aware, knowledge-graph-based multi-agent framework unifying 466,525 Reddit posts, 60,782 WebMD reviews, and twenty years of U.S. FDA Adverse Event Reporting System records for nine antidepressants. A large-language-model entity-recognition pipeline benchmarked against physician annotations reached highest F1 scores of 0.969 for medications and 0.973 for conditions. The two community platforms were far more concordant with each other (overlap up to a Jaccard similarity of 0.905) than with regulatory reports, indicating that patient-generated data form a partly independent safety signal. For sertraline, many adverse events appeared in community sources hundreds of days before the corresponding FDA date. A Neo4j knowledge graph grounded in ATC-N, ICD-10, and MedDRA vocabularies preserves provenance, keeping every claim traceable and regulatory facts distinct from patient experience. These results establish source-aware integration as a route to more auditable psychiatric medication information, with usefulness and patient benefit to be tested prospectively.
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