Prediction of postpartum depression using multilayer perceptrons and pruning.

Objective: The main goal of this paper is to obtain a classification model based on feed-forward multilayer perceptrons in order to improve postpartum depression prediction during the 32 weeks after childbirth with a high sensitivity and specificity and to develop a tool to be integrated in a decisi...

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Detalles Bibliográficos
Publicado en:Methods of Information in Medicine Vol. 48; no. 3; pp. 291 - 299
Autores principales: Tortajada S, García-Gomez JM, Vicente J, Sanjuán J, de Frutos R, Martín-Santos R, García-Esteve L, Gornemann I, Gutiérrez-Zotes A, Canellas F, Carracedo A, Gratacos M, Guillamat R, Baca-García E, Robles M, Tortajada, Salvador, García-Gomez, Juan M, Vicente, Javier, Sanjuán, Julio, de Frutos, Rosa
Formato: research Journal Article
Publicado: Thieme Medical Publishing Inc. 2009
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Objective: The main goal of this paper is to obtain a classification model based on feed-forward multilayer perceptrons in order to improve postpartum depression prediction during the 32 weeks after childbirth with a high sensitivity and specificity and to develop a tool to be integrated in a decision support system for clinicians.Materials and Methods: Multilayer perceptrons were trained on data from 1397 women who had just given birth, from seven Spanish general hospitals, including clinical, environmental and genetic variables. A prospective cohort study was made just after delivery, at 8 weeks and at 32 weeks after delivery. The models were evaluated with the geometric mean of accuracies using a hold-out strategy.Results: Multilayer perceptrons showed good performance (high sensitivity and specificity) as predictive models for postpartum depression.Conclusions: The use of these models in a decision support system can be clinically evaluated in future work. The analysis of the models by pruning leads to a qualitative interpretation of the influence of each variable in the interest of clinical protocols.