Dynamic treatment regimen recommendation system for panic disorder, treatment system and storage medium

Abstract

The present invention relates to the field of panic disorder auxiliary treatment, and specifically relates to a dynamic treatment regimen recommendation system for panic disorder, a treatment system, and a storage medium. The dynamic treatment regimen recommendation system for panic disorder of the present invention comprises: a panic disorder assessment module, a cognitive restructuring module, an interoceptive exposure module, an in-vivo exposure module, and a dynamic adjustment module. The present invention further provides a treatment system comprising the dynamic treatment regimen recommendation system for panic disorder. The present invention can provide comprehensive, personalized and highly adaptive treatment solutions for patients with panic disorder, and has good application prospects.

Description

Dynamic panic disorder treatment plan recommendation system, treatment system and storage medium TECHNICAL FIELD

[0001] The present application belongs to the field of panic disorder auxiliary treatment, and particularly relates to a dynamic panic disorder treatment plan recommendation system, a treatment system and a storage medium. BACKGROUND

[0002] Panic disorder, referred to as panic disorder, is characterized by repeated occurrence of significant palpitations, sweating, tremor and other autonomic nervous symptoms, accompanied by strong feeling of impending death or loss of control, fear of producing unfortunate consequences causing panic attack. Panic attack occurs suddenly and reaches a peak within a few minutes. Its main symptoms include shortness of breath and suffocation, choking, palpitations and increased heart rate, chest discomfort or pain, sweating, dizziness, loss of balance or fainting, nausea or abdominal discomfort, depersonalization or derealization, numbness or tingling, hot flashes or chills, tremor or shivering, fear of imminent death, fear of going mad or losing control. Each attack usually lasts 5-20 minutes, and rarely lasts for hours. Most patients show repeated concern about similar attacks after the first panic attack and during the interval between two attacks, and are often in a state of constant anxiety, sometimes with autonomic nervous function hyperactivity. Because of the fear of danger when the attack occurs again, they often seek the company of others or avoid some activities and occasions that they believe may cause panic attacks again, such as not wanting to go out alone, not wanting to go to crowded places, or going out with someone.

[0003] The prior art mainly uses drug treatment for panic disorder, which has a great negative effect on the patient's body and mind. Some clinics also use psychological treatment programs, but due to the need for certain environmental effects, the treatment practice of patients is affected a lot. Because it is impossible to check the practice effect of the patient in real time and give real-time and effective treatment strategies that are more suitable, ineffective treatment often occurs due to the patient's self-interruption, which further avoids and aggravates the patient's physical and mental condition. In addition, even if the patient contacts the doctor through the existing contact method or social software when in need, due to the limitations of time, place and other objective factors, it is also possible that the doctor's guidance and help cannot be obtained in time and accurately.

[0004] Therefore, in view of the personalized and effective continuous learning needs of different patients, there is an urgent need for a digital and personalized dynamic auxiliary treatment method for panic disorder patients with symptoms and avoidance behaviors. Let the doctor and the patient get rid of the distress, and improve the limitations of traditional treatment between the doctor and the patient. SUMMARY

[0005] In view of the problems of the prior art, the present application provides a dynamic panic disorder treatment plan recommendation system, a treatment system and a storage medium.

[0006] A dynamic panic disorder treatment plan recommendation system, comprising:

[0007] A panic disorder assessment module configured to integrate a panic disorder assessment knowledge graph, and assess a panic disorder condition of a patient according to collected patient question and answer information, the panic disorder condition including cognitive distortions existing in the patient, specific somatic symptoms experienced during panic attacks, and real-life situations avoided by the patient;

[0008] A cognitive modification module configured to provide the patient with exercises or strategies for implementing cognitive modification according to the cognitive distortions existing in the patient obtained by the panic disorder assessment module, the exercises or strategies for implementing cognitive modification including at least one of the following items: cognitive restructuring exercises, emotion regulation strategies, and more realistic alternative thinking patterns;

[0009] An interoceptive exposure module configured to provide interoceptive exposure items according to the somatic symptoms experienced during panic attacks obtained by the panic disorder assessment module;

[0010] A in-situ exposure module configured to provide in-situ exposure plans according to the real-life situations avoided by the patient obtained by the panic disorder assessment module.

[0011] Preferably, the data used to build the panic disorder assessment knowledge graph includes scale data, cognitive case models of panic disorder, CBT therapist manuals, and CBT self-help manuals.

[0012] The scale data includes cognitive distortion questionnaires, panic disorder severity assessments, panic-related symptom scales, patient health questionnaires-9, generalized anxiety disorder-7, and assessments of patient somatic symptoms and avoided situations.

[0013] Preferably, the cognitive modification module provides the exercises or strategies in the following manner:

[0014] 1) Providing treatment plans for two cognitive distortions, "catastrophizing" and "jumping to conclusions", as standard components of the exercises or strategies;

[0015] 2) The panic disorder assessment module identifies whether the patient has other cognitive distortions in addition to "catastrophizing" and "jumping to conclusions" through cognitive distortion questionnaires, and provides exercises or strategies for implementing individualized interventions on cognitive distortion items in priority order according to the scores of the cognitive distortion items;

[0016] 3) Collecting feedback from the patient after the patient performs the provided exercises or strategies in real time, dynamically adjusting the cognitive distortion items and their priorities according to the feedback results, and updating the provided exercises or strategies.

[0017] Preferably, the interoceptive exposure module provides interoceptive exposure items in the following strategies:

[0018] 1) Transitional Breathing item: Recommend this item to the patient when the patient covers the following 5 somatic symptoms: Derealization / detached, Shortness of breath, Numbness / pinprick, Chills / sweats, Dizziness / vertigo / fainting;

[0019] 2) Straw Breathing item: Recommend this item to the patient when the patient covers the following 1 somatic symptom: Shortness of breath / choking sensation;

[0020] 3) Holding Breath item: Recommend this item to the patient when the patient covers the following 3 somatic symptoms: Chest pain / pressure, Shortness of breath / choking sensation, Shortness of breath;

[0021] 4) Elbow Extension item: Recommend this item to the patient when the patient covers the following 1 somatic symptom: Chest pain / pressure

[0022] 5) Spinning in Place item: Recommend this item to the patient when the patient covers the following 3 somatic symptoms: Nausea / abdominal discomfort, Dizziness / vertigo / fainting, Unsteady / footsteps;

[0023] 6) Shaking Head from Side to Side item: Recommend this item to the patient when the patient covers the following 2 somatic symptoms: Dizziness / vertigo / fainting, Unsteady / footsteps;

[0024] 7) Sudden Upright item: Recommend this item to the patient when the patient covers the following 1 somatic symptom: Dizziness / vertigo / fainting;

[0025] 8) Tensing Muscles item: Recommend this item to the patient when the patient covers the following 3 somatic symptoms: Unsteady / footsteps, Muscle tightness / tremor / shaking, Numbness / pinprick;

[0026] 9) Running in Place item: Recommend this item to the patient when the patient covers the following 3 somatic symptoms: Chest pain / pressure, Palpitations / racing heart / rapid heart rate / heart pounding, Shortness of breath / choking sensation;

[0027] 10) Climbing Stairs item: Recommend this item to the patient when the patient covers the following 3 somatic symptoms: Chest pain / pressure, Palpitations / racing heart / rapid heart rate / heart pounding, Shortness of breath / choking sensation;

[0028] 11) Looking at Mirror / Wall item: Recommend this item to the patient when the patient covers the following 1 somatic symptom: Derealization / detached;

[0029] 12) Fixating on Light item: Recommend this item to the patient when the patient covers the following 2 somatic symptoms: Dizziness / vertigo / fainting, Derealization / detached;

[0030] 13) Adjust temperature item: recommend the item to the patient when the patient covers the following 2 somatic symptoms: sweating, cold / hot flashes;

[0031] 14) Swallowing item: recommend the item to the patient when the patient covers the following 3 somatic symptoms: nausea / abdominal discomfort, shortness of breath / sensation of suffocation, tightness in the throat / throat tension;

[0032] Among the descriptions of the somatic symptoms, the symbol " / " means that at least one of the symptoms separated by it is met, i.e. it is determined that the patient has the somatic symptom.

[0033] Preferably, the interoceptive exposure module is further configured to:

[0034] Before the interoceptive exposure item practice, an assessment of the first interoceptive item practice is provided to the patient, and two basic indicators "basic anxiety value" and "attack similarity" are obtained for each interoceptive exposure item, wherein the basic anxiety value and the attack similarity are obtained by the patient through the panic-related symptom scale;

[0035] After completing each interoceptive exposure item practice, the anxiety level of the patient at the end of the practice is assessed to obtain a "practice anxiety value", and the practice anxiety value is obtained by the patient through the panic-related symptom scale;

[0036] According to the basic anxiety value, the attack similarity and the practice anxiety value, the interoceptive exposure item provided to the patient is determined.

[0037] Preferably, the method for the interoceptive exposure module to provide the interoceptive exposure item to the patient is:

[0038] Set R value, and the interoceptive practice takes the highest practice of R value each time;

[0039] Among them, the calculation method of R is:

[0040] For the patient who has completed the basic anxiety value and attack similarity assessment:

[0041] Set M value, for the patient who has not completed three practices, the value of M is the basic anxiety value; for the patient who has completed at least 2 practices, the value of M is the average of the practice anxiety values of the recent practices, or the average of the practice anxiety values of the recent practices and the basic anxiety value;

[0042] When M≤2, R = 10000 - (500-M×100) + attack similarity×0.1;

[0043] When M>2, R = 10000 + M×(-10) + attack similarity×0.1;

[0044] For the patient who has not completed the baseline assessment:

[0045] R = initial importance value + number of positive dimensions of the scale assessment x 50;

[0046] The initial importance value is the value of each index obtained by the first assessment of the patient after registration through the panic disorder severity assessment scale, and the number of positive dimensions of the scale assessment is the number of positive results in the first assessment results of the panic disorder severity assessment scale.

[0047] Preferably, the field exposure module is further configured to:

[0048] Before performing the field exposure plan practice, the real scene avoided by the patient is evaluated to obtain the "situation avoidance value" of the patient to the specific real scene and the "initial weight value", wherein the situation avoidance value is the evaluation of the degree of anxiety and avoidance of the patient to the specific real scene through the panic-related symptom scale, and the initial weight value is a numerical value according to its medical effectiveness and coverage before each field exposure practice;

[0049] After completing each field exposure plan practice, the anxiety degree of the patient at the end of the practice is evaluated to obtain the "practice anxiety value", which is obtained by the patient through the panic-related symptom scale;

[0050] According to the situation avoidance value, the initial weight value and the practice anxiety value, the field exposure plan provided for the patient is determined.

[0051] Preferably, the method for the field exposure module to provide the field exposure plan for the patient is to recommend in turn according to the priority order:

[0052] The sorting method of the priority order is:

[0053] Coarse sorting is performed, and the field exposure plans are divided into the following three groups according to the overcoming situation of the patient to the specific real scene in the priority order from high to low:

[0054] Need to overcome: the "situation avoidance value" of the patient is greater than 2, and there is no case that the "practice anxiety value" of the patient in the last three field exposure plan practices is less than or equal to 2;

[0055] Has overcome: the "situation avoidance value" of the patient is greater than 2, and there is a case that the "practice anxiety value" of the patient in the last three field exposure plan practices is less than or equal to 2;

[0056] Not suitable: the "situation avoidance value" of the patient is less than or equal to 2;

[0057] Fine sorting is performed, and the field exposure plans in each group are sorted in the priority order from high to low, and the sorting method is:

[0058] To be overcome: Sort by patient "practice anxiety value" from low to high;

[0059] Overcome: Sort by patient "practice anxiety value" from high to low;

[0060] Not suitable: Sort by "initial weight value".

[0061] Preferably, further comprising:

[0062] A dynamic adjustment module configured to:

[0063] Assess the severity of panic disorder, collect feedback from patients in real time for each link in the entire training process, and dynamically adjust the training plan for patients;

[0064] Push a personalized training plan, which includes at least one of the following training items: psychological education, relapse prevention, relaxation training;

[0065] The specific way of dynamic adjustment is:

[0066] 1) For patients with initial assessment total score of panic disorder severity > 4 points, first push the psychological education training item;

[0067] 2) For patients with initial assessment total score of panic disorder severity > 10 points, set psychological education and cognitive correction exercises or strategies as a priority over internal sense exposure items and on-site exposure plans;

[0068] 3) For patients with panic disorder severity assessment item 3 score ≥ 1 point, set cognitive correction exercises or strategies as a priority over internal sense exposure items and on-site exposure plans;

[0069] 4) For patients with panic disorder severity assessment item 4 score ≥ 1 point, must perform on-site exposure plan;

[0070] If the panic disorder severity assessment item 4 score = 0 points, the on-site exposure plan is optional, and the patient can choose whether to perform it;

[0071] 5) If the total score of panic disorder severity assessment increases, adjust the cognitive correction exercises or strategies, and replace them with exercises or strategies with lower difficulty or stress;

[0072] If the total score of panic disorder severity assessment decreases, adjust the cognitive correction exercises or strategies, and replace them with exercises or strategies with higher difficulty or higher level;

[0073] 6) After completing each cognitive correction exercise or strategy, the patient evaluates the exercise or strategy, and if the patient evaluates the exercise or strategy as difficult, replace it with an exercise or strategy with lower difficulty or stress when recommending the next exercise or strategy.

[0074] The application also provides a dynamic panic disorder treatment system, comprising:

[0075] The patient terminal is configured to collect patient question and answer information, and push a training plan to the patient, wherein the training plan comprises at least one of the following: an exercise or strategy for achieving cognitive modification, an interoceptive exposure item, and a field exposure plan.

[0076] The doctor terminal is configured to communicate with the patient terminal and manually modify the training plan pushed to the patient terminal.

[0077] The treatment plan pushing system is configured to integrate the dynamic panic disorder treatment plan recommendation system according to any one of claims 1-10, and push the training plan to the patient terminal.

[0078] The application also provides a computer readable storage medium, which stores a computer program for implementing the dynamic panic disorder treatment plan recommendation system or a computer program for implementing the dynamic panic disorder treatment system.

[0079] In the present invention, the "interoceptive exposure" is a method of strategically inducing somatic symptoms associated with threat assessment and encouraging patients to maintain contact with the feeling of fear. It is an effective method for treating anxiety disorders, including panic attacks and panic disorder, health anxiety, chronic pain and chronic dizziness. In the case of internal body feeling as the source of fear, interoceptive exposure is the preferred treatment method. In its simplest form, interoceptive exposure involves strategically inducing somatic symptoms associated with threat assessment and anxiety, and then encouraging patients to maintain contact with the feeling of fear without distraction. Interoceptive exposure exercises can take many forms, but all involve trying to change subjective somatic sensations. Different exercises can be used to target various physiological systems, as well as various psychological symptoms and threat assessments. The "cognitive restructuring exercise" is prior art, a therapeutic, collaborative and structured technique that teaches people in distress how to identify, challenge, evaluate and modify thought patterns that cause stress, as well as automatic beliefs that are believed to cause destructive behavior and psychological disorders, and is a core component of cognitive behavioral therapy (CBT). Cognitive restructuring exercises help train the brain to learn new ways of looking at and dealing with life problems. It is an effective method for psychological disorders such as depression, interpersonal problems, addiction, post-traumatic stress disorder (PTSD), phobias and anxiety disorders. The "emotion regulation strategy" is prior art, and emotion regulation arises in the process of emotional occurrence. In the process of emotion regulation, there are two common specific strategies: cognitive reappraisal and expressive suppression. These two different emotion regulation strategies have different effects on emotions, cognition and social behavior. The "more realistic alternative way of thinking" refers to other possible cognitive restructuring and emotion regulation strategies in the field of psychology. The "in-situ exposure plan" is used to gradually guide patients to face and participate in specific scenes, thereby reducing patients' fear and avoidance behavior of these scenes.

[0080] The present invention provides a system for automatically recommending relevant contacts and treatment strategies to patients with panic disorder based on their assessment. The system of the present invention combines cognitive modification techniques, interoceptive exposure techniques, in-situ exposure techniques and other means, and can dynamically adjust and continuously optimize the content pushed according to the patient's practice and treatment. Therefore, the present invention is a comprehensive, personalized and highly adaptive treatment solution, which solves the problem of panic disorder patients being difficult to obtain timely and accurate doctor guidance and help, and has good application prospect.

[0081] Obviously, according to the above content of the present invention, according to the ordinary technical knowledge and conventional means in the art, other various forms of modifications, replacements or changes can be made without departing from the above basic technical ideas of the present invention.

[0082] The above content of the present application will be further illustrated in detail by a specific embodiment in the form of examples. However, it should not be understood that the scope of the above subject matter of the present application is limited to the following examples. Any technology achieved based on the above content of the present application belongs to the scope of the present application. BRIEF DESCRIPTION OF DRAWINGS

[0083] Fig. 1 is a schematic diagram of the structure of the dynamic panic disorder treatment plan recommendation system of Example 1. DETAILED DESCRIPTION

[0084] It should be particularly pointed out that the algorithms of the data collection, transmission, storage and processing steps not specifically explained in the examples, and the hardware structure, circuit connection, etc. not specifically explained can be realized by the existing technology disclosed.

[0085] Example 1 Dynamic panic disorder treatment plan recommendation system

[0086] The present embodiment provides a dynamic panic disorder treatment plan recommendation system, the composition of which is shown in Fig. 1, which comprises:

[0087] The panic disorder assessment module is configured to integrate a panic disorder assessment knowledge graph, and assess the panic disorder condition of the patient according to the collected patient question and answer information, wherein the panic disorder condition includes the cognitive distortion existing in the patient, the specific somatic symptoms experienced during panic attack, and the real scene avoided by the patient.

[0088] The cognitive correction module is configured to provide the patient with exercises or strategies for achieving cognitive correction according to the cognitive distortion existing in the patient obtained by the panic disorder assessment module, wherein the exercises or strategies for achieving cognitive correction include at least one of the following items: cognitive restructuring exercises, emotion regulation strategies, and more realistic alternative thinking.

[0089] The interoceptive exposure module is configured to provide interoceptive exposure items according to the somatic symptoms experienced during panic attack obtained by the panic disorder assessment module.

[0090] The in-situ exposure module is configured to provide an in-situ exposure plan according to the real scene avoided by the patient obtained by the panic disorder assessment module, wherein the in-situ exposure plan is used to gradually guide the patient to face and participate in a specific scene, so as to reduce the patient's fear and avoidance behavior to these scenes.

[0091] As a preferred mode, the system of the present embodiment can further comprise:

[0092] The dynamic adjustment module is configured to:

[0093] Assess the severity of panic disorder, collect feedback of the patient in each link of the entire training process in real time, and dynamically adjust the training plan of the patient.

[0094] pushing a personalized training program, the personalized training program including at least one of the following training items: psychological education, relapse prevention, relaxation training.

[0095] Specifically, the process of using the above system to recommend a dynamic panic disorder treatment plan is as follows:

[0096] Step S1, establish a panic disorder assessment knowledge graph, and assess the panic disorder condition of the patient according to the collected patient question and answer information, the panic disorder condition including: cognitive distortion existing in the patient, specific somatic symptoms experienced by the patient during a panic attack, and real-life scenarios avoided by the patient.

[0097] Among them, the data used to construct the panic disorder assessment knowledge graph includes: scale data, cognitive case model of panic disorder, CBT therapist manual, CBT self-help manual; as a preferred way, the scale data can refer to the literature “Zhang Mingyuan, He Yanling, “Psychiatric Assessment Scale Manual”, Hunan Science and Technology Press, September 2015, 1st edition, 1st time”, including: cognitive distortion questionnaire (CDQ), panic disorder severity assessment (PDSS), panic-related symptom scale (PASS), patient health questionnaire-9 (PHQ-9), generalized anxiety disorder-7 (GAD-7), and assessment of patient somatic symptoms and avoidance scenarios.

[0098] As a preferred way, the cognitive case model of panic disorder can refer to the literature “American Psychiatric Association, Zhang Daolong, “DSM-5 (Fifth Edition) - Panic Disorder - Diagnostic Criteria”, Peking University Medical Press, August 2021, 7th printing”.

[0099] As a preferred way, the CBT therapist manual and CBT self-help manual can refer to the literature “Michelle G. Craske, David H. Barlow, Yang Hua, Wang Xi, “Therapist Guide to Anxiety and Fear Management / Self-Help Manual for Anxiety and Fear Management”, Renmin University of China Press, August 2018, 2nd printing”.

[0100] The panic disorder core treatment data constructed based on the above data include, but are not limited to, cognitive therapy techniques, emotional therapy techniques, behavioral activation techniques, exposure response prevention therapy techniques, problem solving techniques, interpersonal communication techniques, and mindfulness therapy techniques.

[0101] Step S2, cognitive modification: according to the cognitive distortions existing in the patient obtained by the panic disorder assessment module, provide the patient with exercises or strategies to achieve cognitive modification. These exercises or strategies can help the patient identify, challenge and re-evaluate these unreasonable ideas, and are a highly personalized cognitive distortion assessment and intervention method, including but not limited to: cognitive restructuring exercises, emotion regulation strategies, and providing alternative, more realistic ways of thinking.

[0102] Further in step S2, the highly personalized cognitive distortion assessment and intervention method aims to improve the effectiveness and accuracy of panic disorder treatment. According to clinical investigations, panic disorder patients generally have cognitive distortions such as "catastrophizing" and "jumping to conclusions". Therefore, the cognitive modification module provides the exercises or strategies as follows:

[0103] 1) "Catastrophizing" and "jumping to conclusions" are two cognitive distortions that are provided as standard components of the treatment plan for the exercises or strategies, without the need to determine the presence of cognitive distortions through the Cognitive Distortions Questionnaire (CDQ).

[0104] 2) The panic disorder assessment module identifies whether the patient has other cognitive distortions (score greater than or equal to 3) in addition to "catastrophizing" and "jumping to conclusions" through the Cognitive Distortions Questionnaire (CDQ). According to the scores of the cognitive distortion items, provide exercises or strategies for personalized intervention on cognitive distortion items in priority order;

[0105] 3) Collect feedback from patients after they perform the provided exercises or strategies (i.e. re-evaluate through the Cognitive Distortions Questionnaire) in real time. According to the feedback results, dynamically adjust the cognitive distortion items and their priorities, and update the provided exercises or strategies.

[0106] Step S3, interoceptive exposure: through the panic disorder assessment knowledge graph, assess the specific somatic symptoms experienced by the patient during a panic attack, such as whether there is an accelerated heartbeat, rapid breathing, etc. Effectively recommend interoceptive exposure items. The panic disorder assessment knowledge graph contains 15 common somatic symptoms during a panic attack and 14 interoceptive exposure training items. According to the patient's selected somatic symptoms, this embodiment dynamically recommends effective interoceptive exposure items. This embodiment includes the following 14 strategy schemes:

[0107] 1) Transitional breathing item: recommend this item to the patient when the patient covers the following 5 somatic symptoms: feeling of unreality / detachment from reality, breathlessness, numbness / needling sensation, cold / sweating, dizziness / vertigo / fainting;

[0108] 2) Straw Breathing: Recommend this item to the patient when the patient covers 1 somatic symptom of shortness of breath / feeling of suffocation;

[0109] 3) Holding Breath: Recommend this item to the patient when the patient covers 3 somatic symptoms of chest pain / chest tightness, shortness of breath / feeling of suffocation, and breathlessness;

[0110] 4) Elbow Extension: Recommend this item to the patient when the patient covers 1 somatic symptom of chest pain / chest tightness

[0111] 5) Spinning in Place: Recommend this item to the patient when the patient covers 3 somatic symptoms of nausea / abdominal discomfort, dizziness / eyesight blurry / dizziness / fainting, and unsteadiness / instability in standing;

[0112] 6) Shaking Head Left and Right: Recommend this item to the patient when the patient covers 2 somatic symptoms of dizziness / eyesight blurry / dizziness / fainting and unsteadiness / instability in standing;

[0113] 7) Sudden Upright: Recommend this item to the patient when the patient covers 1 somatic symptom of dizziness / eyesight blurry / dizziness / fainting;

[0114] 8) Tensing Muscles: Recommend this item to the patient when the patient covers 3 somatic symptoms of unsteadiness / instability in standing, muscle tightness / trembling / shaking, and numbness / tingling;

[0115] 9) Running in Place: Recommend this item to the patient when the patient covers 3 somatic symptoms of chest pain / chest tightness, palpitations / racing heart / rapid heart rate / heart pounding, and shortness of breath / feeling of suffocation;

[0116] 10) Climbing Stairs: Recommend this item to the patient when the patient covers 3 somatic symptoms of chest pain / chest tightness, palpitations / racing heart / rapid heart rate / heart pounding, and shortness of breath / feeling of suffocation;

[0117] 11) Looking at Mirror / Wall: Recommend this item to the patient when the patient covers 1 somatic symptom of feeling unreal / disconnected from reality;

[0118] 12) Fixating on Light: Recommend this item to the patient when the patient covers 2 somatic symptoms of dizziness / eyesight blurry / dizziness / fainting and feeling unreal / disconnected from reality;

[0119] 13) Adjusting Temperature: Recommend this item to the patient when the patient covers 2 somatic symptoms of sweating and feeling cold / sweating;

[0120] 14) Swallowing: Recommend this item to the patient when the patient covers 3 somatic symptoms of nausea / abdominal discomfort, shortness of breath / feeling of suffocation, and tightness in throat / tension in throat;

[0121] Among the description of the somatic symptoms, the symbol " / " represents that at least one of the separated symptoms is met, i.e. it is determined that the patient has the somatic symptom.

[0122] As a preferred mode, the method for recommending the practice of the interoceptive exposure project by the interoceptive exposure module can be determined according to the following flow:

[0123] Before the practice of the interoceptive exposure project, an evaluation of the first interoceptive project practice is provided for the patient, and two basic indicators, i.e. a basic anxiety value and an attack similarity, are obtained for each interoceptive exposure project, wherein the basic anxiety value represents the initial anxiety value caused by the interoceptive project practice of the patient; the attack similarity represents the similarity degree of the feeling of the patient when the somatic symptoms are induced during the practice to the actual attack; and the basic anxiety value and the attack similarity are obtained by the evaluation of the patient through the panic-related symptom scale;

[0124] After the completion of each interoceptive exposure project practice, the anxiety degree of the patient at the end of the practice is evaluated to obtain a practice anxiety value, and the practice anxiety value is obtained by the evaluation of the patient through the panic-related symptom scale;

[0125] The expected anxiety (AA) indicator in the panic-related symptom scale (PASS) includes the expectation of panic attack (anxiety value) and the expectation of fear scene (attack similarity), and the intensity and frequency are evaluated respectively, the intensity is similar to panic disorder, and the intensity is scored by converting 0-10 intensity into 0-3 points in four levels. The frequency is evaluated according to the percentage of the time of anxiety in the recent one week to the time of being awake, 0%=0 points, 1%-30%=1 point, 31%-60%=2 points, 61%-90%=3 points, and 91%-100%=4 points. According to the basic anxiety value, the attack similarity and the practice anxiety value, the interoceptive exposure project provided for the patient is determined, specifically:

[0126] The R value is set, and the highest practice of the R value is taken each time for the interoceptive practice;

[0127] The calculation method of R is:

[0128] For the patient who has completed the evaluation of the basic anxiety value and the attack similarity:

[0129] The M value is set, for the patient who has not completed three practices, the value of M is the basic anxiety value; for the patient who has completed at least 2 practices, the value of M is the average value of the practice anxiety values of the recent several practices, or the average value of the practice anxiety values of the recent several practices and the basic anxiety value;

[0130] When M≤2, R = 10000 - (500-M×100) + attack similarity×0.1;

[0131] When M > 2, R = 10000 + M x (-10) + attack similarity x 0.1;

[0132] For patients who have not completed baseline evaluation:

[0133] R = initial importance value + number of positive dimensions of scale evaluation x 50;

[0134] The initial importance value is the value of each indicator obtained by the first evaluation after the patient registers through the panic disorder severity assessment scale, and the number of positive dimensions of scale evaluation is the number of positive results in the first evaluation result of the panic disorder severity assessment scale.

[0135] Using the panic disorder severity (PDSS) scale, each indicator specifically refers to: 1, palpitations, heart palpitations or accelerated heart rate; 2, sweating; 3, tremor or shivering; 4, shortness of breath or suffocation; 5, choking sensation; 6, chest pain or chest discomfort; 7, nausea or abdominal discomfort; 8, feeling dizzy, unsteady, heavy-headed or faint; 9, feeling cold or hot; 10, abnormal skin sensation (numbness or tingling); 11, reality disintegration (feeling unreal) or personality disintegration (feeling detached from oneself); 12, fear of losing control or going crazy; 13, feeling of impending death. Or the same meaning as the above indicators.

[0136] The process of recommending interoceptive exposure module interoceptive exposure project practice is specifically as follows:

[0137] Spin in place, practice guide patients like, "stand in place and spin quickly, or sit on an office chair and spin quickly. When turning, try to spin as fast as possible, you can close your eyes. After 1 minute, sit down and rest for 1 minute. Safety tips: make sure there is enough space to complete the exercise to avoid injury. "The practice time limit is like: "1 minute each time, recommended to repeat 3 times", the first evaluation indicator is like: "attack similarity X%, baseline anxiety value: Y points", then the patient enters the formal practice, estimates the range of baseline anxiety value 0-10, the patient selects the current estimated anxiety value, according to the content of interoceptive exposure practice, estimates the worst result, selects the recommended content or adds his own worries or consequences, after completing the estimate, formal practice, after the patient finishes the practice, push the evaluation content after the practice, such as the maximum anxiety value during the practice process, the worst result of the practice. Through the results before and after the practice, evaluate the patient's practice, provide data reference for dynamic adjustment of next practice and further training.

[0138] Step S4, in-situ exposure: First, the specific problem of the knowledge graph is evaluated through the panic disorder to evaluate the real scene avoided by the patient, such as public transportation, crowded places, etc. According to the results, the in-situ exposure plan is recommended for the patient, and the patient is gradually guided to face and participate in these specific scenes, so as to reduce the patient's fear and avoidance behavior to these scenes. For example, the patient is evaluated as having a phobia of the situation of the square (i.e., the square phobia symptom scale score is not 0), and after identifying the avoidance scene of the patient's panic disorder, a personalized self-selection scheme within the specific range of the patient is provided, and the patient performs in-situ exposure training according to the selected feasible scheme, and provides the patient with pre-training evaluation and guidance, such as: pre-training anxiety value (0-10), worst result prediction, anxiety feedback of each step during training, review of worst result occurrence after training, review of the most worried thing or consequence description.

[0139] As an example, the real scene and in-situ exposure plan involved in the present embodiment include but are not limited to the following:

[0140] Avoidance scene 1, vehicle class:

[0141] (1) Take the subway

[0142] The patient may worry about having a panic attack while taking the subway, attracting the attention and discussion of other passengers, or being unable to obtain timely assistance due to being on the subway.

[0143] Situation practice goal: Sit in the position close to the door and take the subway for 3 stations.

[0144] (2) Take the plane

[0145] The patient may worry about having a panic attack while taking the plane, attracting the attention and discussion of other passengers, or being unable to obtain timely assistance due to being on the plane.

[0146] Situation practice goal: Complete 1 short flight.

[0147] (3) Take the boat

[0148] The patient may worry about having a panic attack while taking the boat, attracting the attention and discussion of other passengers, or being unable to obtain timely assistance due to being on the boat.

[0149] Situation practice goal: Complete 1 boat crossing.

[0150] (4) Take the bus

[0151] The patient may worry about having a panic attack while taking the bus, attracting the attention and discussion of other passengers, or being unable to obtain timely assistance due to being on the bus.

[0152] Situation practice goal: Take the bus to work.

[0153] (5) Taking a taxi

[0154] The patient can worry about having a panic attack while taking a taxi, attracting the attention and comments of the driver or other passengers, or being unable to get help in time because of being in the taxi, causing trouble to the driver and others.

[0155] Scenario practice goal: taking a taxi for 5 kilometers.

[0156] Avoidance scenario two, open space type:

[0157] (6) Parking lot

[0158] The patient can worry about not being able to find the exit in the parking lot, getting lost, and thus being unable to escape and get help in time when having a panic attack.

[0159] Scenario practice goal: staying in the parking lot for 10 minutes.

[0160] (7) Supermarket

[0161] The patient can worry about being in the supermarket and not being able to find the exit, getting lost, and thus not getting help in time when having a panic attack. When in a crowded mall and supermarket, they can also worry about being seen, surrounded, or laughed at by others.

[0162] Scenario practice goal: going to the supermarket alone for 20 minutes after dinner.

[0163] (8) Mall

[0164] The patient can worry about being in the mall and not being able to find the exit, getting lost, and thus not getting help in time when having a panic attack. When in a crowded mall, they can also worry about being seen, surrounded, or laughed at by others.

[0165] Scenario practice goal: going to the mall alone for 20 minutes after dinner.

[0166] (9) Market

[0167] The patient can worry about being in the market and not being able to find the exit, getting lost, and thus not getting help in time when having a panic attack. When in a crowded large market, they can also worry about being seen, surrounded, or laughed at by others.

[0168] Scenario practice goal: going to the market alone for 20 minutes.

[0169] (10) Crossing the road

[0170] The patient can worry about being on the road and not being able to escape in time, thus not getting help in time when having a panic attack.

[0171] Situation practice goal: Cross the road once during the middle of the day.

[0172] (11) Bridge

[0173] The patient can be worried about being on a bridge and not being able to escape quickly, and therefore not getting help quickly during a panic attack.

[0174] Situation practice goal: Cross the bridge once.

[0175] (12) Wide road

[0176] The patient can be worried about being on a wide road and not being able to escape quickly, and therefore not getting help quickly during a panic attack.

[0177] Situation practice goal: Walk alone on a wide road for 2 km.

[0178] (13) Park

[0179] The patient can be worried about being in a park and not being able to find the exit, getting lost, and therefore not being able to escape and get help quickly during a panic attack.

[0180] Situation practice goal: Walk around the park for 20 minutes and go to the middle of the park.

[0181] (14) Square

[0182] The patient can be worried about being in a square and not being able to find the exit, getting lost, and therefore not being able to escape and get help quickly during a panic attack.

[0183] Situation practice goal: Walk around the square for 20 minutes and go to the middle of the square.

[0184] (15) Sports field

[0185] The patient can be worried about being in a sports field and not being able to find the exit, getting lost, and therefore not being able to escape and get help quickly during a panic attack.

[0186] Situation practice goal: Stay in the sports field for 20 minutes and go to the middle of the sports field.

[0187] (16) Escalator

[0188] The patient can be worried about having a panic attack while riding an escalator, and some escalators are long and can pose an additional risk during a panic attack.

[0189] Situation practice goal: Ride an escalator in a mall once.

[0190] Avoidance scenario three, enclosed space:

[0191] (17) Small shop

[0192] The patient can worry about having a panic attack in a small shop, being seen, stared at, or laughed at by others, or not being able to get help in time, etc.

[0193] Situation practice goal: Go to a small shop for 10 minutes.

[0194] (18) Hair salon

[0195] The patient can worry about having a panic attack in a hair salon, being seen, stared at, or laughed at by others, or not being able to get help in time, etc.

[0196] Situation practice goal: Go to a hair salon to get a haircut.

[0197] (19) Restaurant

[0198] The patient can worry about having a panic attack in a restaurant, being seen, stared at, or laughed at by others, or not being able to get help in time, etc.

[0199] Situation practice goal: Go to a restaurant for lunch once during the lunch period.

[0200] (20) Cafeteria

[0201] The patient can worry about having a panic attack in a cafeteria, being seen, stared at, or laughed at by others, or not being able to get help in time, etc.

[0202] Situation practice goal: Go to a cafeteria for lunch once during the lunch period.

[0203] (21) Movie theater

[0204] The patient can worry about having a panic attack in a movie theater, being seen, or not being able to get help in time, etc.

[0205] Situation practice goal: Sit in the center of a movie theater and watch a 30-minute movie.

[0206] (22) Theater

[0207] The patient can worry about having a panic attack in a theater, being seen, or not being able to get help in time, etc.

[0208] Situation practice goal: Sit in a theater and watch a performance once.

[0209] (23) Auditorium

[0210] The patient can worry about having a panic attack in an auditorium, being seen, or not being able to get help in time, etc.

[0211] Situation practice goal: Stay in an auditorium for 20 minutes.

[0212] (24) Museum

[0213] The patient can worry about having a panic attack in a museum, being seen by others, or not getting help in time.

[0214] Situation practice goal: spend 30 minutes in a museum.

[0215] (25) Classroom

[0216] The patient can worry about having a panic attack in a classroom, being seen, watched, or laughed at by others, or not getting help in time.

[0217] Situation practice goal: spend 10 minutes in a small classroom.

[0218] (26) Office

[0219] The patient can worry about having a panic attack in an office, being seen, watched, or laughed at by others, or not getting help in time.

[0220] Situation practice goal: spend 10 minutes in an office.

[0221] (27) Library

[0222] The patient can worry about having a panic attack in a library, being seen, watched, or laughed at by others, or not getting help in time.

[0223] Situation practice goal: spend 10 minutes in a library.

[0224] (28) Study room

[0225] The patient can worry about having a panic attack in a study room, being seen, watched, or laughed at by others, or not getting help in time.

[0226] Situation practice goal: spend 10 minutes in a study room.

[0227] (29) Elevator

[0228] The patient can worry about having a panic attack in an elevator, being unable to escape, or not getting help in time.

[0229] Situation practice goal: ride the company's elevator for 5 floors.

[0230] (30) Basement

[0231] The patient can worry about having a panic attack alone in the basement, being unable to call for help in time due to the basement terrain, or not getting help.

[0232] Situation practice goal: spend 15 minutes in the basement.

[0233] (31) Hospital

[0234] Patients can worry about having a panic attack when going to the hospital, because of the large number of people, being watched and laughed at by others, etc.

[0235] Target of situational practice: going to the hospital to complete an activity / affair.

[0236] Avoidance scenario four, queuing / crowd:

[0237] (32) Queuing

[0238] Patients can worry about having a panic attack while queuing, being seen by others, causing discussion, laughter, or being unable to escape the crowd, and thus not being able to get help in time.

[0239] Target of situational practice: queuing in a long line for 5 minutes.

[0240] (33) Attending a party

[0241] Patients can worry about having a panic attack while attending a party, being seen by others, causing discussion, laughter, or being unable to escape the crowd, and thus not being able to get help in time.

[0242] Target of situational practice: staying at a party of 15 people for 20 minutes.

[0243] Avoidance scenario five, leaving home / staying at home:

[0244] (34) Leaving home

[0245] Due to avoidance behavior, patients can feel that home is the only place where they can feel safe and not anxious. Patients can thus worry about leaving home and facing various uncertain events, or not being able to get help in time outside the home.

[0246] Target of situational practice: leaving home for 15 minutes.

[0247] (35) Strange place

[0248] Due to avoidance behavior, patients can avoid going to unfamiliar and strange places, because there is more uncertainty there, and patients can thus worry about encountering more things that they cannot control, or not being able to get help in time in strange places, etc.

[0249] Target of situational practice: staying in a strange place for 15 minutes.

[0250] (36) Being alone at home

[0251] Patients can worry that if they have a panic attack while being alone at home, no one will be able to help them in time, and thus they will be in danger.

[0252] Target of situational practice: being alone at home for 15 minutes in the evening.

[0253] As a preferred way, the method of recommending the field exposure plan by the field exposure module can be determined according to the following flow:

[0254] Before the field exposure plan practice, the real scene avoided by the patient is evaluated to obtain the “situation avoidance value” and “initial weight value” of the patient to the specific real scene, wherein the situation avoidance value is the evaluation of the anxiety and avoidance degree of the patient to the specific real scene by the panic-related symptom scale, and the initial weight value is the value according to the medical effectiveness and coverage of each field exposure practice; Specifically, the initial weight value is the weight corresponding to the indication item of the original scale in the evaluation of the “severity of panic disorder”, and the scale can refer to the literature “Zhang Mingyuan, He Yanling, “Psychiatric Assessment Scale Manual”, Hunan Science and Technology Press, September 2015, 1st edition, 1st time”.

[0255] After completing each field exposure plan practice, the anxiety degree of the patient at the end of the practice is evaluated to obtain the “practice anxiety value”, which is obtained by the patient through the panic-related symptom scale;

[0256] According to the situation avoidance value, the initial weight value and the practice anxiety value, the field exposure plan provided for the patient is determined, and the specific method is:

[0257] According to the priority order in turn:

[0258] First, rough sorting, the field exposure plan is divided into the following three groups according to the overcoming situation of the patient to the specific real scene according to the priority order from high to low:

[0259] Need to overcome: the “situation avoidance value” of the patient is greater than 2, and there is no situation that the “practice anxiety value” of the last three field exposure plan practices is less than or equal to 2;

[0260] Already overcome: the “situation avoidance value” of the patient is greater than 2, and there is a situation that the “practice anxiety value” of the last three field exposure plan practices is less than or equal to 2;

[0261] Not suitable: the “situation avoidance value” of the patient is less than or equal to 2;

[0262] Then, fine sorting, the field exposure plan in each group is sorted according to the priority order from high to low, and the sorting method is:

[0263] Need to overcome: sorted from low to high according to the “practice anxiety value” of the patient;

[0264] Already overcome: sorted from high to low according to the “practice anxiety value” of the patient;

[0265] Inappropriate: Sort by "Initial Weight Value".

[0266] Step S5, Dynamic Adjustment: Dynamic adjustment refers to the dynamic adjustment of treatment strategies. Not only is the treatment strategy selected at the initial assessment, but it is also dynamically adjusted according to the patient's feedback and progress during the treatment process. This flexible adjustment mechanism ensures that the treatment plan always adapts to the patient's current state and needs.

[0267] During dynamic adjustment, according to the clinical diagnosis summary, 7 items are listed for different symptoms of panic disorder and work and social function. Each item corresponds to different degrees of panic disorder, and the training program can be dynamically adjusted and personalized. Based on continuous feedback screening, a continuous optimization mechanism is formed. The evaluation of the severity of panic disorder is carried out through the PDSS scale.

[0268] The specific way of dynamic adjustment is:

[0269] 1) For patients with initial evaluation of panic disorder severity total score > 4 points, first push the psychological education training project.

[0270] 2) For patients with initial evaluation of panic disorder severity total score > 10 points, set the psychological education and cognitive correction exercises or strategies as a priority over the internal sense exposure project and the field exposure plan.

[0271] 3) For patients with panic disorder severity assessment item 3 score ≥ 1 point, set the cognitive correction exercises or strategies as a priority over the internal sense exposure project and the field exposure plan, thereby strengthening the identification and adjustment of wrong thinking.

[0272] 4) For patients with panic disorder severity assessment item 4 score ≥ 1 point, the field exposure plan must be executed.

[0273] If the panic disorder severity assessment item 4 score = 0 points, the field exposure plan is optional, allowing the patient to choose whether to execute it.

[0274] 5) If the total score of the panic disorder severity assessment increases (symptoms worsen), adjust the cognitive correction exercises or strategies to replace them with lower difficulty or stress exercises or strategies. For example, when the PDSS score increases, in the internal sense exposure module, you can provide the option of selecting internal sense exposure projects with lower "basic anxiety values".

[0275] If the total score of the panic disorder severity assessment decreases (symptoms improve), adjust the cognitive correction exercises or strategies to replace them with higher difficulty or higher level exercises or strategies to promote deeper learning and application. For example, when the PDSS score increases, in the field exposure module, you can provide the option of selecting field exposure projects with higher "situation avoidance values".

[0276] 6) After the patient completes each cognitive modification exercise or strategy, the patient evaluates the exercise or strategy. If the patient rates the exercise or strategy as difficult, the next recommended exercise or strategy is changed to one that is less difficult or less stressful.

[0277] Through the above optimization rules, the treatment process can be personalized and effective for the specific needs of the patient.

[0278] In addition, in some preferred embodiments, dynamic adjustment also includes pushing a personalized training plan, which includes at least one of the following training items: psychological education, relapse prevention, relaxation training.

[0279] Specifically:

[0280] (1) Psychological education, as a basic component, is usually provided at the beginning of treatment to ensure that the patient has a full understanding of the disease.

[0281] (2) Relapse prevention is introduced after the patient shows significant progress to consolidate treatment effects and provide long-term management strategies.

[0282] (3) Relaxation training, relaxation training techniques are introduced at the beginning of treatment, so that patients can use this technique to relax their bodies and emotions at any time during the treatment process.

[0283] Specific examples of relaxation training are as follows: a variety of breathing exercise modes, including but not limited to the following: 4-4-4-4 equal breathing, 3-5-5 calm mind, 4-7-8 deep decompression, progressive muscle relaxation, meditation relaxation, visualization relaxation, and a variety of breathing exercise modes.

[0284] Embodiment 2 Dynamic panic disorder treatment system

[0285] The system of this embodiment includes:

[0286] The patient end is configured to: collect patient question and answer information, push a training plan to the patient, the training plan including at least one of the following items: exercises or strategies to implement cognitive modification, interoceptive exposure items, and in-situ exposure plans;

[0287] The doctor end is configured to: communicate with the patient end; in addition, it is also used for manual modification of the training plan pushed to the patient end;

[0288] The treatment plan pushing system is configured to: integrate the dynamic panic disorder treatment plan recommendation system described in Embodiment 1, and is used to push a training plan to the patient end.

[0289] It can be seen through the above examples that the present application provides a dynamic panic disorder treatment scheme recommendation system and a panic disorder treatment system, which can provide comprehensive, personalized and highly adaptive treatment solutions for panic disorder patients, and has a good application prospect.

Claims

1. A dynamic panic disorder treatment regimen recommendation system, characterized by, Comprise: Panic disorder assessment module, configured to: integrate panic disorder assessment knowledge graph, assess the panic disorder condition of the patient according to the collected patient question and answer information, the panic disorder condition includes: cognitive distortion existing in the patient, specific somatic symptoms experienced during panic attack, real scene avoided by the patient; Cognitive correction module, configured to: according to the cognitive distortion existing in the patient obtained by the panic disorder assessment module, provide the patient with exercises or strategies for realizing cognitive correction, the exercises or strategies for realizing cognitive correction include at least one of the following items: cognitive restructuring exercises, emotion regulation strategies, more realistic alternative thinking; Internal exposure module, configured to: according to the somatic symptoms experienced during panic attack obtained by the panic disorder assessment module, provide internal exposure items; On-site exposure module, configured to: according to the real scene avoided by the patient obtained by the panic disorder assessment module, provide on-site exposure plan.

2. The dynamic panic disorder treatment regimen recommendation system of claim 1, wherein: The data for constructing the panic disorder assessment knowledge graph includes: scale data, cognitive case model of panic disorder, CBT therapist manual, CBT self-help manual; The scale data includes: cognitive distortion questionnaire, panic disorder severity assessment, panic-related symptom scale, patient health questionnaire-9, generalized anxiety disorder-7, assessment of patient somatic symptoms and avoidance scene.

3. The dynamic panic disorder treatment regimen recommendation system of claim 1, wherein: The cognitive correction module provides the exercises or strategies in the following way: 1) The treatment plan of two cognitive distortions, "catastrophizing" and "jumping to conclusions", is provided as a standard component of the exercises or strategies; 2) The panic disorder assessment module identifies whether the patient has other cognitive distortions in addition to "catastrophizing" and "jumping to conclusions" through the cognitive distortion questionnaire, sets a priority order according to the scores of the cognitive distortion items, and provides exercises or strategies for implementing personalized intervention on the cognitive distortion items in the priority order; 3) Real-time collection of patient feedback after performing the provided exercises or strategies, dynamic adjustment of cognitive distortion items and their priorities according to feedback results, and updating of the provided exercises or strategies.

4. The dynamic panic disorder treatment regimen recommendation system of claim 1, wherein: The internal exposure module provides internal exposure items in the following strategies: 1) Transition breathing item: recommend this item to the patient when the patient covers the following 5 somatic symptoms: feeling of unreality / detachment from reality, shortness of breath, numbness / needling sensation, cold / hot flashes, dizziness / vertigo / fainting; 2) Straw breathing item: recommend this item to the patient when the patient covers the following 1 somatic symptom: shortness of breath / suffocating feeling; 3) Hold breath item: recommend this item to the patient when the patient covers the following 3 somatic symptoms: chest pain / chest tightness, shortness of breath / suffocating feeling, shortness of breath; 4) Elbow extension item: recommend this item to the patient when the patient covers the following 1 somatic symptom: chest pain / chest tightness 5) Spin in place item: recommend this item to the patient when the patient covers the following 3 somatic symptoms: nausea / abdominal discomfort, dizziness / vertigo / fainting, unsteady standing / uneven walking; 6) Left and right head shaking item: recommend this item to the patient when the patient covers the following 2 somatic symptoms: dizziness / vertigo / fainting, unsteady standing / uneven walking; 7) Sudden onset item: when the patient covers 1 of the following somatic symptoms, the item is recommended to the patient: dizziness / vertigo / syncope; 8) Muscle tightening item: when the patient covers 3 of the following somatic symptoms, the item is recommended to the patient: unsteadiness in standing / instability in walking, muscle tension / tremor / shaking, numbness / needling sensation; 9) Running in place item: when the patient covers 3 of the following somatic symptoms, the item is recommended to the patient: chest pain / chest tightness, palpitation / tachycardia / rapid heart rate / heart palpitations, shortness of breath / suffocating sensation; 10) Climbing stairs item: when the patient covers 3 of the following somatic symptoms, the item is recommended to the patient: chest pain / chest tightness, palpitation / tachycardia / rapid heart rate / heart palpitations, shortness of breath / suffocating sensation; 11) Looking at mirror / wall item: when the patient covers 1 of the following somatic symptoms, the item is recommended to the patient: derealization / feeling of being detached from reality; 12) Fixing on light item: when the patient covers 2 of the following somatic symptoms, the item is recommended to the patient: dizziness / vertigo / syncope, derealization / feeling of being detached from reality; 13) Adjusting temperature item: when the patient covers 2 of the following somatic symptoms, the item is recommended to the patient: sweating, coldness / hot flashes; 14) Swallowing item: when the patient covers 3 of the following somatic symptoms, the item is recommended to the patient: nausea / abdominal discomfort, shortness of breath / suffocating sensation, tightness in throat / tension in throat; In the description of the somatic symptoms, the symbol " / " indicates that at least one of the symptoms separated by it is met, i.e. it is determined that the patient has the somatic symptom.

5. The dynamic panic disorder treatment regimen recommendation system of claim 1, wherein, The interoceptive exposure module is further configured to: Before the interoceptive exposure item practice, provide the patient with an assessment of the first interoceptive item practice, and obtain two basic indicators "basic anxiety value" and "attack similarity" for each interoceptive exposure item respectively, wherein the basic anxiety value and the attack similarity are obtained by the patient through the panic-related symptom scale assessment; After completing each interoceptive exposure item practice, assess the anxiety level of the patient at the end of the practice to obtain an "exercise anxiety value", which is obtained by the patient through the panic-related symptom scale assessment; According to the basic anxiety value, attack similarity and exercise anxiety value, determine the interoceptive exposure item provided for the patient.

6. The dynamic panic disorder treatment regimen recommendation system according to claim 5, wherein, The method for the interoceptive exposure module to provide interoceptive exposure items for the patient is: Set R value, and the interoceptive practice takes the highest R value each time; Wherein, the calculation method of R is: For patients who have completed the basic anxiety value and attack similarity assessment: Set M value, for patients who have not completed three practices, the value of M is the basic anxiety value; for patients who have completed at least 2 practices, the value of M is the average of the exercise anxiety values of the recent several practices, or the average of the exercise anxiety values of the recent several practices and the basic anxiety value; When M≤2, R = 10000 - (500-M×100) + attack similarity×0.1; When M>2, R = 10000 + M×(-10) + attack similarity×0.1; For patients who have not completed baseline assessment: R = initial importance value + number of positive dimensions of scale assessment × 50; The initial importance value is the value of each index obtained by the first assessment after the patient registers through the panic disorder severity assessment scale, and the number of positive dimensions is the number of positive results in the first assessment results of the panic disorder severity assessment scale.

7. The dynamic panic disorder treatment regimen recommendation system of claim 1, wherein, The field exposure module is further configured to: Before the field exposure plan practice, the real scene avoided by the patient is evaluated to obtain the "situation avoidance value" and the "initial weight value" of the patient to the specific real scene, wherein the situation avoidance value is the evaluation of the patient's anxiety and avoidance degree to the specific real scene through the panic-related symptom scale, and the initial weight value is the numerical value of each field exposure practice according to its medical effectiveness and coverage; After completing each field exposure plan practice, the patient's anxiety at the end of the practice is evaluated to obtain the "practice anxiety value", which is obtained by the patient through the panic-related symptom scale; According to the situation avoidance value, the initial weight value and the practice anxiety value, the field exposure plan provided for the patient is determined.

8. The dynamic panic disorder treatment regimen recommendation system according to claim 7, wherein, The method for the field exposure module to provide the field exposure plan for the patient is to recommend in turn according to the priority order: The sorting method of the priority order is: Coarse sorting, the field exposure plan is divided into the following three groups according to the priority order from high to low according to the overcoming situation of the patient to the specific real scene: Need to overcome: the "situation avoidance value" of the patient is greater than 2, and there is no case that the "practice anxiety value" of the last three field exposure plan practices is less than or equal to 2; Have overcome: the "situation avoidance value" of the patient is greater than 2, and there is a case that the "practice anxiety value" of the last three field exposure plan practices is less than or equal to 2; Not suitable: the "situation avoidance value" of the patient is less than or equal to 2; Fine sorting, the field exposure plan is sorted according to the priority order from high to low within each group, and the sorting method is: Need to overcome: sort according to the "practice anxiety value" of the patient from low to high; Have overcome: sort according to the "practice anxiety value" of the patient from high to low; Not suitable: sort according to the "initial weight value".

9. The dynamic panic disorder treatment regimen recommendation system of claim 1, wherein, Further comprising: A dynamic adjustment module configured to: Evaluate the severity of panic disorder, collect feedback from the patient at each link of the entire training process in real time, and dynamically adjust the training scheme of the patient; Push the personalized training scheme, which includes at least one of the following training items: psychological education, relapse prevention, relaxation training; The specific way of dynamic adjustment is: 1) For patients with a total score of >4 in the initial evaluation of the severity of panic disorder, first push the psychological education training item; 2) For patients with a total score of >10 in the initial evaluation of the severity of panic disorder, set the psychological education and cognitive correction practice or strategy as a priority over the internal sensory exposure item and the field exposure plan; 3) For patients with a score of ≥1 in item 3 of the panic disorder severity assessment, set the cognitive correction practice or strategy as a priority over the internal sensory exposure item and the field exposure plan; 4) For patients with a score of ≥1 in item 4 of the panic disorder severity assessment, the field exposure plan must be executed; If the Panic Disorder Severity Scale item 4 score = 0, the in vivo exposure plan is optional and the patient is allowed to choose whether to perform it or not; 5) If the Panic Disorder Severity Scale total score improves, adjust the cognitive modification exercises or strategies to replace them with lower difficulty or stress exercises or strategies; If the Panic Disorder Severity Scale total score decreases, adjust the cognitive modification exercises or strategies to replace them with higher difficulty or advanced exercises or strategies; 6) After the patient completes each cognitive modification exercise or strategy, the patient evaluates the exercise or strategy, and if the patient evaluates the exercise or strategy as difficult, replace the exercise or strategy with a lower difficulty or stress exercise or strategy when recommending the next exercise or strategy.

10. A dynamic panic disorder treatment system, characterized by, Comprise: a patient terminal configured to collect patient question and answer information, push a training plan to the patient, the training plan comprising at least one of the following: cognitive modification exercises or strategies, interoceptive exposure items, in vivo exposure plans; a doctor terminal configured to communicate with the patient terminal and manually modify the training plan pushed to the patient terminal; a treatment plan pushing system configured to integrate the dynamic panic disorder treatment plan recommendation system of any one of claims 1-10 to push the training plan to the patient terminal.

11. A computer readable storage medium, characterized in that, a computer program stored thereon for implementing the dynamic panic disorder treatment plan recommendation system of any one of claims 1-9, or a computer program for implementing the dynamic panic disorder treatment system of claim 10.

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