Applying machine learning methods to psychosocial screening data to improve identification of prenatal depression: Implications for clinical practice and research.
We utilized machine learning (ML) methods on data from the PROMOTE, a novel psychosocial screening tool, to quantify risk for prenatal depression for individual patients and identify contributing factors that impart greater risk for depression. Random forest algorithms were used to predict likelihoo...
| Publicado en: | Archives of Women's Mental Health Vol. 25; no. 5; pp. 965 - 974 |
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| Autores principales: | , , , , , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159239146&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159239146 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14341816 8H5 jtl: Archives of Women's Mental Health issn: 14341816 maglogo: N pubinfo: dt: Oct2022 vid: 25 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159239146 158601936 159239146 159239146 10.1007/s00737-022-01259-z 159239146 ppf: 965 ppct: 9 formats: tig: atl: Applying machine learning methods to psychosocial screening data to improve identification of prenatal depression: Implications for clinical practice and research. aug: au: Preis, Heidi Djurić, Petar M. Ajirak, Marzieh Chen, Tong Mane, Vibha Garry, David J. Heiselman, Cassandra Chappelle, Joseph Lobel, Marci affil: Department of Psychology, Stony Brook University, 11794, Stony Brook, NY, USA sug: subj: Machine Learning Depression Prevention and Control Health Screening Professional Practice Clinical Research Depression Diagnosis Human Support, Psychosocial Pregnancy Female Sensitivity and Specificity Stress, Psychological Family Relations Pregnancy, Unplanned Patient Centered Care Edinburgh Postnatal Depression Scale Scales Female ab: We utilized machine learning (ML) methods on data from the PROMOTE, a novel psychosocial screening tool, to quantify risk for prenatal depression for individual patients and identify contributing factors that impart greater risk for depression. Random forest algorithms were used to predict likelihood for being at high risk for prenatal depression (Edinburgh Postnatal Depression Scale; EPDS ≥ 13 and/or positive self-injury item) using data from 1715 patients who completed the PROMOTE. Performance matrices were calculated to assess the ability of the PROMOTE to accurately classify patients. Probability for depression was calculated for individual patients. Finally, recursive feature elimination was used to evaluate the importance of each PROMOTE item in the classification of depression risk. PROMOTE data were successfully used to predict depression with acceptable performance matrices (accuracy = 0.80; sensitivity = 0.75; specificity = 0.81; positive predictive value = 0.79; negative predictive value = 0.97). Perceived stress, emotional problems, family support, age, major life events, partner support, unplanned pregnancy, current employment, lifetime abuse, and financial state were the most important PROMOTE items in the classification of depression risk. Results affirm the value of the PROMOTE as a psychosocial screening tool for prenatal depression and the benefit of using it in conjunction with ML methods. Using such methods can help detect underreported outcomes and identify what in patients' lives makes them more vulnerable, thus paving the way for effective individually tailored precision medicine. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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