Assessing Hwa-byung Vulnerability Using the Hwa-byung Personality Scale: a comparative study of machine learning approaches
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: To develop and compare machine learning models to classify individuals vulnerable to Hwa-byung (HB) using an existing HB personality scale and to evaluate the efficacy of these models in predicting HB vulnerability. Methods: We analyzed data from 500 Korean adults (aged 19-44) using HB personality and symptom scales. We used various machine learning techniques, including the random forest classifier (RFC), XGBoost classifier, logistic regression, and their ensemble method (RFC-XGC-LR). The models were developed using recursive feature elimination with crossvalidation for feature selection and evaluated using multiple performance metrics, including accuracy, precision, recall, specificity, and area under the receiver operating characteristic curve (AUROC). Results: The 16 items on the HB personality scale were identified as optimal features to predict high HB symptom scores requiring further clinical evaluation. The ensemble model slightly outperformed the other models, with an accuracy of 0.80 and an AUROC of 0.86, in the test set. Notably, item 16 (“I often feel guilty easily ”) of the HB personality scale showed the greatest importance in predicting HB vulnerability across all models. Although all models showed consistent performance across training, validation, and test sets, the RFC model exhibited signs of slight overfitting, with a higher AUROC of 0.97 in the training dataset compared to 0.85 in the validation and 0.86 in the test datasets. Conclusion: Machine learning models, particularly the ensemble method, show capabilities promising for screening individuals with high HB symptom scores based on personality traits, potentially facilitating early referral for clinical evaluation. These models can improve the efficiency and accuracy of the HB risk assessment in clinical settings, potentially aiding early intervention and prevention strategies.
Abstract
Objectives: To develop and compare machine learning models to classify individuals vulnerable to Hwa-byung (HB) using an existing HB personality scale and to evaluate the efficacy of these models in predicting HB vulnerability. Methods: We analyzed data from 500 Korean adults (aged 19-44) using HB personality and symptom scales. We used various machine learning techniques, including the random forest classifier (RFC), XGBoost classifier, logistic regression, and their ensemble method (RFC-XGC-LR). The models were developed using recursive feature elimination with crossvalidation for feature selection and evaluated using multiple performance metrics, including accuracy, precision, recall, specificity, and area under the receiver operating characteristic curve (AUROC). Results: The 16 items on the HB personality scale were identified as optimal features to predict high HB symptom scores requiring further clinical evaluation. The ensemble model slightly outperformed the other models, with an accuracy of 0.80 and an AUROC of 0.86, in the test set. Notably, item 16 (“I often feel guilty easily ”) of the HB personality scale showed the greatest importance in predicting HB vulnerability across all models. Although all models showed consistent performance across training, validation, and test sets, the RFC model exhibited signs of slight overfitting, with a higher AUROC of 0.97 in the training dataset compared to 0.85 in the validation and 0.86 in the test datasets. Conclusion: Machine learning models, particularly the ensemble method, show capabilities promising for screening individuals with high HB symptom scores based on personality traits, potentially facilitating early referral for clinical evaluation. These models can improve the efficiency and accuracy of the HB risk assessment in clinical settings, potentially aiding early intervention and prevention strategies.
참고문헌 (22)
- Lin KM, "Hwa-Byung : a Korean culture-bound syndrome?", Am J Psychiatry, 140(1), pp.105~107 (1983)
- Park YJ, "A survey of Hwa-Byung in middle-age Korean women", J Transcult Nurs, 12(2), pp.115~122 (2001)
- The Society of Korean Medicine Neuropsychiatry, "Hwabyung:clinical practice guideline of Korean medicine", National Institute for Korean Medicine Development, 195~ (2021)
- Lee J, "Differences in temperament and character dimensions of personality between patients with Hwa-byung, an anger syndrome, and patients with major depressive disorder", J Affect Disord, 138(1-2), pp.110~116 (2012)
- Kwon JH, "Development and validation of the Hwa-Byung Scale", Korean J Clin Psychol, 27(1), pp.237~252 (2008)
- Hur YM, "Genetic and environmental influences on Hwabyungpersonality in South Korean adolescents and young adults", Stress, 28(1), pp.25~32 (2020)
- Sun H, "Machine learning-based prediction models for different clinical risks in different hospitals : evaluation of live performance", J Med Internet Res, 24(6), pp.e34295~ (2022)
- Cho E, "Machine learning-based predictive models for the occurrence of behavioral and psychological symptoms of dementia : model development and validation", Sci Rep, 13(1), pp.8073~ (2023)
- Kim J, "Fairness in Korean society : assessing the perspective of millennials", Technium Soc Sci J, 11(1), pp.482~495 (2020)
- Lee JH, "Exposure to negative life events and post-traumatic embitterment symptoms in young adults in Korea : cumulative and differential effects", Psychopathology, 52(1), pp.18~25 (2019)
- Moon S, "Subjective perceptions of ‘meaning of work’ of generation MZ employees of South Korean NGOs", Behav Sci(Basel), 13(6), pp.461~ (2023)
- Yim DH, "Does young adults’ neighborhood environment affect their depressive mood? Insights from the 2019 Korean Community Health Survey", Int J Environ Res Public Health, 18(3), pp.1269~ (2021)
- ". Available from"[URL]
- Serdar CC, "Sample size, power and effect size revisited : simplified and practical approaches in pre-clinical, clinical and laboratory studies", Biochem Med(Zagreb), 31(1), pp.010502~ (2021)
- Suh HW, "A multicenter registry of neuropsychiatric outpatients in Korean medicine hospitals(KMental) : protocol of a prospective, multicenter, registry study", Medicine(Baltimore), 101(49), pp.e32151~ (2022)
- Kim NS, "Gender differences in factors affecting Hwabyung symptoms with middle-age people", J Korean Acad Fundam Nurs, 19(1), pp.98~108 (2012)
- Choi YH, "A comparative study of communication type and stress coping style between Hwabyung patients group and non-Hwabyung patients group", J Orient Neuropsychiatry, 26(4), pp.365~381 (2015)
- Liu W, "Accurate classification and prediction of acute myocardial infarction through an ARMD procedure", J Proteome Res, 22(3), pp.758~767 (2023)
- Chen KA, "Differential performance of machine learning models in prediction of procedure-specific outcomes", J Gastrointest Surg, 26(8), pp.1732~1742 (2022)
- Madakkatel I, "Combining machine learning and conventional statistical approaches for risk factor discovery in a large cohort study", Sci Rep, 11(1), pp.22997~ (2021)
- Lutwak N, "Shame and guilt and their relationship to positive expectations and anger expressiveness", Adolescence, 36(144), pp.641~653 (2001)
- Austin J, "Experiences of self-criticism and self-compassion in people diagnosed with cancer : a multimethod qualitative study", Front Psychol, 12, pp.737725~ (2021)
