| Autor: |
Zhenxing Xu, Veer Vekaria, Fei Wang, Judith Cukor, Chang Su, Prakash Adekkanattu, Pascal Brandt, Guoqian Jiang, Richard C. Kiefer, Yuan Luo, Luke V. Rasmussen, Jie Xu, Yunyu Xiao, George Alexopoulos, Jyotishman Pathak |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Psychiatric Research and Clinical Practice, Vol 5, Iss 4, Pp 118-125 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2575-5609 |
| DOI: |
10.1176/appi.prcp.20220015 |
| Popis: |
Objective To evaluate if a machine learning approach can accurately predict antidepressant treatment outcome using electronic health records (EHRs) from patients with depression. Method This study examined 808 patients with depression at a New York City‐based outpatient mental health clinic between June 13, 2016 and June 22, 2020. Antidepressant treatment outcome was defined based on trend in depression symptom severity over time and was categorized as either “Recovering” or “Worsening” (i.e., non‐Recovering), measured by the slope of individual‐level Patient Health Questionnaire‐9 (PHQ‐9) score trajectory spanning 6 months following treatment initiation. A patient was designated as “Recovering” if the slope is less than 0 and as “Worsening” if the slope was no less than 0. Multiple machine learning (ML) models including L2 norm regularized Logistic Regression, Naive Bayes, Random Forest, and Gradient Boosting Decision Tree (GBDT) were used to predict treatment outcome based on additional data from EHRs, including demographics and diagnoses. Shapley Additive Explanations were applied to identify the most important predictors. Results The GBDT achieved the best results of predicting “Recovering” (AUC: 0.7654 ± 0.0227; precision: 0.6002 ± 0.0215; recall: 0.5131 ± 0.0336). When excluding patients with low PHQ‐9 scores ( |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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