본문 바로가기
KERD
논문KCI 등재

Simultaneous Utilization of Mood Disorder Questionnaire and Bipolar Spectrum Diagnostic Scale for Machine Learning-Based Classification of Patients With Bipolar Disorders and Depressive Disorders

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective Bipolar and depressive disorders are distinct disorders with clearly different clinical courses, however, distinguishing between them often presents clinical challenges. This study investigates the utility of self-report questionnaires, the Mood Disorder Questionnaire (MDQ) and Bipolar Spectrum Diagnostic Scale (BSDS), with machine learning-based multivariate analysis, to classify patients with bipolar and depressive disorders.Methods A total of 189 patients with bipolar disorders and depressive disorders were included in the study, and all participants completed both the MDQ and BSDS questionnaires. Machine-learning classifiers, including support vector machine (SVM) and linear discriminant analysis (LDA), were exploited for multivariate analysis. Classification performance was assessed through cross-validation.Results Both MDQ and BSDS demonstrated significant differences in each item and total scores between the two groups. Machine learning-based multivariate analysis, including SVM, achieved excellent discrimination levels with area under the ROC curve (AUC) values exceeding 0.8 for each questionnaire individually. In particular, the combination of MDQ and BSDS further improved classification performance, yielding an AUC of 0.8762.Conclusion This study suggests the application of machine learning to MDQ and BSDS can assist in distinguishing between bipolar and depressive disorders. The potential of combining high-dimensional psychiatric data with machine learning-based multivariate analysis as an effective approach to psychiatric disorders.

Abstract

Objective Bipolar and depressive disorders are distinct disorders with clearly different clinical courses, however, distinguishing between them often presents clinical challenges. This study investigates the utility of self-report questionnaires, the Mood Disorder Questionnaire (MDQ) and Bipolar Spectrum Diagnostic Scale (BSDS), with machine learning-based multivariate analysis, to classify patients with bipolar and depressive disorders.Methods A total of 189 patients with bipolar disorders and depressive disorders were included in the study, and all participants completed both the MDQ and BSDS questionnaires. Machine-learning classifiers, including support vector machine (SVM) and linear discriminant analysis (LDA), were exploited for multivariate analysis. Classification performance was assessed through cross-validation.Results Both MDQ and BSDS demonstrated significant differences in each item and total scores between the two groups. Machine learning-based multivariate analysis, including SVM, achieved excellent discrimination levels with area under the ROC curve (AUC) values exceeding 0.8 for each questionnaire individually. In particular, the combination of MDQ and BSDS further improved classification performance, yielding an AUC of 0.8762.Conclusion This study suggests the application of machine learning to MDQ and BSDS can assist in distinguishing between bipolar and depressive disorders. The potential of combining high-dimensional psychiatric data with machine learning-based multivariate analysis as an effective approach to psychiatric disorders.

참고문헌 (43)

  1. Forty L, "Clinical differences between bipolar and unipolar depression", Br J Psychiatry, 192, pp.388~389 (2008)
  2. Nasrallah HA, "Consequences of misdiagnosis : inaccurate treatment and poor patient outcomes in bipolar disorder", J Clin Psychiatry, 76, pp.e1328~ (2015)
  3. Goodwin GM, "ECNP consensus meeting. Bipolar depression. Nice, March 2007", Eur Neuropsychopharmacol, 18, pp.535~549 (2008)
  4. Benazzi F, "Bipolar disorder--focus on bipolar II disorder and mixed depression", Lancet, 369, pp.935~945 (2007)
  5. Ghaemi SN, "Antidepressant treatment in bipolar versus unipolar depres sion", Am J Psychiatry, 161, pp.163~165 (2004)
  6. El-Mallakh RS, "Antidepressants worsen rapid-cycling course in bipolar depression : a STEP-BD randomized clinical trial", J Affect Disord, 184, pp.318~321 (2015)
  7. Nierenberg AA, "Diagnosis and treatment of bipolar disorder : a review", JAMA, 330, pp.1370~1380 (2023)
  8. Hirschfeld RM, "Development and validation of a screening instrument for bipolar spectrum disorder : the mood disorder questionnaire", Am J Psychiatry, 157, pp.1873~1875 (2000)
  9. Nassir Ghaemi S, "Sensitivity and specificity of a new bipolar spectrum diagnostic scale", J Affect Disord, 84, pp.273~277 (2005)
  10. Jon DI, "A validation study of the Korean version mood disorder questionnaire(K-MDQ)", J Korean Neuropsychiatr Assoc, 44, pp.583~590 (2005)
  11. Jon DI, "Validity and reliability of the Korean version of the mood disorder questionnaire", Compr Psychiatry, 50, pp.286~291 (2009)
  12. Miller CJ, "Sensitivity and specificity of the mood disorder questionnaire for detecting bipo lar disorder", J Affect Disord, 81, pp.167~171 (2004)
  13. Carta MG, "The accuracy of the Italian version of the hypomania check list(HCL-32)for the screening of bipolar disorders and comparison with the mood disorder questionnaire(MDQ)in a clinical sample", Clin Pract Epidemiol Ment Health, 2, pp.2~ (2006)
  14. Mangelli L, "Assessing the community prevalence of bipolar spectrum symptoms by the mood disorder questionnaire", Psychother Psychosom, 74, pp.120~122 (2005)
  15. Wang HR, "The validation study of the Korean version of the bipolar spectrum diagnostic scale", J Korean Neuropsychiatr Assoc, 47, pp.533~539 (2008)
  16. Kim B, "Bipolarity in depressive patients without histories of diagnosis of bipolar disorder and the use of the mood disorder questionnaire for detecting bipolarity", Compr Psychiatry, 49, pp.469~475 (2008)
  17. Lee D, "Usefulness of the com bined application of the mood disorder questionnaire and bipolar spectrum diagnostic scale in screening for bipolar disorder", Compr Psychiatry, 54, pp.334~340 (2013)
  18. Imamura K, "Development of screening inventories for bipolar disorder at workplace : a diagnostic accuracy study", J Affect Disord, 178, pp.32~38 (2015)
  19. Wu G, "Machine Learning in Medical Imaging: 4th International Workshop, MLMI 2013, Held in Conjunction with MICCAI 2013, Nagoya, Japan, September 22, 2013, Proceedings" (2013), Springer Cham
  20. Tabachnick BG, "Using multivariate statistics" (2013), Pearson Education
  21. Wiemken TL, "Machine learning in epidemiology and health outcomes research", Annu Rev Public Health, 41, pp.21~36 (2020)
  22. Kim K, "EEG microstate features according to performance on a mental arithmetic task", Sci Rep, 11, pp.343~ (2021)
  23. Arora A, "As sessment of machine learning algorithms in national data to classify the risk of self-harm among young adults in hospital : a retrospective study", Int J Med Inform, 177, pp.105164~ (2023)
  24. Haynos AF, "Machine learning enhances prediction of illness course : a longi tudinal study in eating disorders", Psychol Med, 51, pp.1392~1402 (2021)
  25. Tahernezhad-Javazm F, "A review and experi mental study on the application of classifiers and evolutionary algo rithms in EEG-based brain-machine interface systems", J Neural Eng, 15, pp.021007~ (2018)
  26. Park C, "Machine learning in biomedical engineer ing", Biomed Eng Lett, 8, pp.1~3 (2018)
  27. Lahmiri S, "Performance of machine learning methods in diagnosing Parkinson’s disease based on dysphonia mea sures", Biomed Eng Lett, 8, pp.29~39 (2018)
  28. Cortes C, "Support-vector networks", Mach Learn, 20, pp.273~297 (1995)
  29. Fisher RA, "The use of multiple measurements in taxonomic problems", Ann Eugen, 7, pp.179~188 (1936)
  30. Breiman L, "Random forests", Machine Learning, 45, pp.5~32 (2001)
  31. Zhang ML, "ML-KNN : a lazy learning approach to multi-la bel learning", Pattern Recognit, 40, pp.2038~2048 (2007)
  32. Avasthi A, "Approaches to psychiatric nosology : a viewpoint", Indian J Psychiatry, 56, pp.301~304 (2014)
  33. Huys QJ, "Computational psychiatry as a bridge from neuroscience to clinical applications", Nat Neurosci, 19, pp.404413~ (2016)
  34. Koppe G, "Deep learning for small and big data in psychiatry", Neuropsychopharmacology, 46, pp.176190~ (2021)
  35. Chen ZS, "Modern views of machine learning for precision psychiatry", Patterns(N Y), 3, pp.100602~ (2022)
  36. Han KM, "Differentiating between bipolar and unipolar depression in functional and structural MRI studies", Prog Neuropsychopharmacol Biol Psychiatry, 91, pp.20~27 (2019)
  37. Zhang A, "Distinguish ing between bipolar depression and unipolar depression based on the reward circuit activities and clinical characteristics : a machine learning analysis", J Affect Disord, 327, pp.46~53 (2023)
  38. Vai B, "Predict ing differential diagnosis between bipolar and unipolar depression with multiple kernel learning on multimodal structural neuroimaging", Eur Neuropsychopharmacol, 34, pp.28~38 (2020)
  39. Sun F, "Dynamical regional activity in putamen distinguishes bipolar type I depression and unipolar depres sion", J Affect Disord, 297, pp.94~101 (2022)
  40. Wollenhaupt-Aguiar B, "Differential biomarker signatures in unipolar and bipolar depression : a machine learning approach", Aust N Z J Psychiatry, 54, pp.393~401 (2020)
  41. Poletti S, "A peripheral inflammatory signature discriminates bipolar from unipolar depression : a machine learning approach", Prog Neuropsychopharmacol Biol Psychiatry, 105, pp.110136~ (2021)
  42. Gorgulu Y, "Comparison of serum BDNF, IL-1β, IL-6, TNF-α, CRP and leucocyte levels in unipolar mania and bipolar disorder", Acta Neuropsychiatr, 33, pp.317~322 (2021)
  43. Zhang SF, "Compari son of cognitive impairments with lipid profiles and inflammatory biomarkers in unipolar and bipolar depression", J Psychiatr Res, 150, pp.300~306 (2022)

관련 논문AI추천

Exploring Informative Items for Bipolar Disorder Classification Using Machine Learning With Anger Coping Styles in Combination With the Mood Disorder Questionnaire and Bipolar Spectrum Diagnostic ScaleByung Dae Lee, Eunsoo Moon, Hwagyu Suh, Hyunji Lee, Hyunju Lim, Kyungwon Kim, Young Min Lee대한신경정신의학회 · PSYCHIATRY INVESTIGATION2025 · 제22권 제12호Machine Learning on Early Diagnosis of Depression이광식, 함병주대한신경정신의학회 · PSYCHIATRY INVESTIGATION2022 · 제19권 제8호The Influence of Current Mood States on Screening Accuracy of the Mood Disorder Questionnaire박원명, 우영섭, 윤보현, 홍정완, Hee Ryung Wang, Kyung Joon Min, Moon Doo Kim, Young-Eun Jung대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2020 · 제18권 제1호How to Solve Clinical Challenges in Mood Disorders; Machine Learning Approaches Using Electrophysiological Markers김기범, 김빛나, 이호성, Ji Sun Kim, Sungkean Kim, Young Wook Song대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2024 · 제22권 제3호Review of Machine Learning Algorithms for Diagnosing Mental IllnessGyeongcheol Cho, Jinyeong Yim, Jungmin Ko, Seoung-Hwan Lee, Younyoung Choi대한신경정신의학회 · PSYCHIATRY INVESTIGATION2019 · 제16권 제4호Unsupervised Machine Learning to Identify Depressive SubtypesBenson Kung, Gayan Perera, Maurice Chiang, Megan Pritchard, Robert Stewart대한의료정보학회 · Healthcare Informatics Research2022 · 제28권 제3호

이 간행물의 다른 논문 (13건)